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CTRI Number  CTRI/2025/09/095477 [Registered on: 30/09/2025] Trial Registered Prospectively
Last Modified On: 29/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Evaluation of Soft-Tissue Changes with Structured Light Scanning after the Course of Twin Block Appliance Therapy- A 3-dimensional Prospective Study 
Scientific Title of Study   Evaluation of Soft-Tissue Changes with Structured Light Scanning after the Course of Twin Block Appliance Therapy- A 3-dimensional Prospective Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sejal Naikwadi 
Designation  Pg Student 
Affiliation  Government Dental College , Mumbai 
Address  206, Department of Orthodontics and Dentofacial Orthopaedics,Government Dental College and Hospital,Mumbai

Mumbai
MAHARASHTRA
400001
India 
Phone  08600677736  
Fax    
Email  sej99naik@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sejal Naikwadi 
Designation  Pg Student 
Affiliation  Government Dental College , Mumbai 
Address  206, Department of Orthodontics and Dentofacial Orthopaedics Government Dental College and Hospital,Mumbai

Mumbai
MAHARASHTRA
400001
India 
Phone  08600677736  
Fax    
Email  sej99naik@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sejal Naikwadi 
Designation  Pg Student 
Affiliation  Government Dental College , Mumbai 
Address  206, Department of Orthodontics and Dentofacial Orthopaedics, Government Dental College and Hospital,Mumbai

Mumbai
MAHARASHTRA
400001
India 
Phone  08600677736  
Fax    
Email  sej99naik@gmail.com  
 
Source of Monetary or Material Support  
206 , Department of Orthodontics and Dentofacial Orthopaedics, Government Dental College and Hospital , Mumbai 400001 India  
 
Primary Sponsor  
Name  Dr Sejal Naikwadi 
Address  206 , Department of Orthodontics and Dentofacial Orthopaedics,Government Dental College and Hospital, Mumbai 400001 
Type of Sponsor  Other [Government Dental College] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sejal Sandip Naikwadi  Government Dental College  206,Department of Orthodontics and Dentofacial Orthopaedics,Government Dental College and Hospital, PD Mello Road , CST, Mumbai 400001
Mumbai
MAHARASHTRA 
08600677736

sej99naik@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Dental College and Hospital Mumbai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patients with Class II Malocclusion and retrognathic mandible 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nil  nil 
Intervention  twin block appliance  The Twin Block appliance is a type of functional orthodontic appliance used mainly for the correction of skeletal Class II malocclusion caused by a retruded (backward-positioned) mandible. 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  15.00 Year(s)
Gender  Both 
Details  1) Skeletal Class II division 1 malocclusion with the normal maxilla and
mandibular retrognathia (ANB angle greater than 4°)
2) Dental bilateral (molar and canine) Class II relation and minimal or no
crowding in both arches.
3) Increased overjet at or greater than 6 mm.
4) Normal growth pattern or horizontal and have growth potential according to
cervical vertebra maturation indicators. (CVMI – Stage III- V).  
 
ExclusionCriteria 
Details  1) History of orthodontic or orthopaedic treatment.
2) Presence of any craniofacial anomaly. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1) To evaluate qualitative changes in soft tissue structure after completion of twin
block appliance therapy using superimposed coloured map images.
2) To evaluate quantitative changes in soft tissue structure after completion of twin
block appliance therapy using deviation analysis (calculate the deviation in landmarks
and regions for superimposed facial scan).  
Evaluate changes 7 months after the twin block appliance therapy 
 
Secondary Outcome  
Outcome  TimePoints 
3)To compare the linear & angular measurements taken on lateral cephalograph vs
3-D soft tissue images.  
Evaluate the changes 7 month after the twin block appliance therapy 
 
Target Sample Size   Total Sample Size="21"
Sample Size from India="21" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   22/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  22/10/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This prospective clinical study aims to evaluate qualitative and quantitative changes in facial soft tissues of skeletal Class II Division 1 patients following Twin Block Appliance therapy, using a structured light 3D scanner. Twenty-four patients aged 12–15 years with normal maxilla and retrognathic mandible will be included. Pre- and post-treatment records will consist of clinical examination, cephalograms, and 3D facial scans.

Structured light scanning will be used to capture high-resolution surface data for superimposition and deviation analysis, assessing linear, angular, and volumetric changes in defined facial regions and landmarks. Qualitative assessment will use color map superimpositions, and quantitative analysis will compare deviations across treatment phases. A secondary objective will compare 3D measurements with conventional lateral cephalometric data.

Statistical analysis will employ paired t-tests, ANOVA, or non-parametric equivalents, with significance set at p < 0.05. The study’s outcome is expected to provide precise documentation of soft tissue adaptations, improving understanding of treatment effects and supporting more accurate orthodontic planning for Class II malocclusion cases.

 
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