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CTRI Number  CTRI/2025/11/097542 [Registered on: 17/11/2025] Trial Registered Prospectively
Last Modified On: 14/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of the pain perception and transverse changes following expansion with quad helix appliance fabricated from stainless steel (SS) and titanium molybdenum alloy (TMA) among patients with unilateral cleft lip and palate: a randomized clinical trial 
Scientific Title of Study   Comparison of the pain perception and transverse changes following expansion with quad helix appliance fabricated from stainless steel and titanium molybdenum alloy among patients with unilateral cleft lip and palate: a randomized clinical trial 
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 Ashwin T 
Designation  Junior Resident (MDS) 
Affiliation  POST GRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH CHANDIGARH 
Address  208, first floor, Unit of Orthodontics and dentofacial orthopaedics, Department of Oral Health Sciences Centre,
PGIMER, sector 12
Chandigarh
CHANDIGARH
160012
India 
Phone  6369159263  
Fax    
Email  aswin5550@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Satinder Pal Singh 
Designation  Head of the Department, Professor 
Affiliation  POST GRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH CHANDIGARH 
Address  208, first floor,Unit Of Orthodontics and dentofacial orthopaedics, Department of Oral Health Sciences Centre,
PGIMER, sector 12

CHANDIGARH
160012
India 
Phone  6369159263  
Fax    
Email  aswin5550@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ashwin 
Designation  Junior Resident (MDS) 
Affiliation  POST GRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH CHANDIGARH 
Address  208, first floor, OHSC,
PGIMER, sector 12

CHANDIGARH
160012
India 
Phone  6369159263  
Fax    
Email  aswin5550@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Ashwin T 
Address  208, first floor, Unit of Orthodontics and dentofacial orthopaedics, Dept of OHSC, PGIMER, Sector-12, Chandigarh, India-160012 
Type of Sponsor  Other [student-own] 
 
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 Satinder Pal Singh  Post Graduate Institute of Medical Education and Research  208, first floor,Unit of Orthodontics and Dentofacial Orthopaedics, Department of Oral Health Sciences Centre, PGIMER, sector 12
Chandigarh
CHANDIGARH 
9815933748

drspsingh_chd@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Intituitional Ethics Committee, PGIMER, Chandigarh  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Q375||Cleft hard and soft palate with unilateral cleft lip,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Quadhelix appliance made of Stainless Steel  Appliance fabricated from stainless steel alloy for 3 months of duration 
Intervention  Quadhelix appliance made up of Titanium molybdenum alloy  appliance fabricated with Titanium molybdenum alloy for 3 months of duration 
 
Inclusion Criteria  
Age From  8.00 Year(s)
Age To  13.00 Year(s)
Gender  Both 
Details  Patients with unilateral cleft lip and palate (Group 3) with unilateral or bilateral crossbite in need of bilateral expansion for crossbite correction
Age group: 8-13 years
Mixed dentition and permanent dentition period
Patients who consent to participate in the study
 
 
ExclusionCriteria 
Details  Patients who had undergone previous orthodontic treatment for expansion
Craniofacial anomalies
Absence of maxillary permanent first molars
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess and compare pain and discomfort of following expansion using Quad Helix appliance made from Stainless Steel and TMA in patients with unilateral cleft lip and palate using Visual Analogue Scale (VAS) and Modified McGill Pain Questionnaires.  At 4 hours, at 6 hours, at 24 hours, at 2 days and at 7 days 
 
Secondary Outcome  
Outcome  TimePoints 
To assess and compare the transverse skeletal changes in the maxilla after 3 months of expansion using Quad Helix appliance made from Stainless Steel and TMA in patients with unilateral cleft lip and palate on CBCT.  pre treatment and at 3 months 
To assess and compare the change in intercanine and intermolar width in the maxilla after 3 months of expansion using Quad Helix appliance made from Stainless Steel and TMA in patients with unilateral cleft lip and palate on plaster study models  at pretreatment and at 3 months 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
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 2 
Date of First Enrollment (India)   30/11/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   To compare the pain perception and transverse dentoskeletal changes in the maxilla following expansion with Quad Helix appliance fabricated from Stainless Steel (SS) and Titanium Molybdenum Alloy (TMA) among the patients with unilateral cleft lip and palate. The objectives are to assess and compare pain and discomfort of following expansion using Quad Helix appliance made from Stainless Steel and TMA in patients with unilateral cleft lip and palate at 4 hours, at 6 hours, 24 hours, at 2 days, at 7 days using Visual Analogue Scale (VAS) and Modified McGill Pain Questionnaires and also to assess and compare the transverse skeletal changes in the maxilla after 3 months of expansion using Quad Helix appliance made from Stainless Steel and TMA in patients with unilateral cleft lip and palate on CBCT and to assess and compare the change in intercanine and intermolar width in the maxilla after 3 months of expansion using Quad Helix appliance made from Stainless Steel and TMA in patients with unilateral cleft lip and palate on plaster study models. Total sample size is 28 with 14 in each group. Only those patients with UCLP in need of maxillary expansion will be recruited and fully informed and proper consent will be taken. The Quadhelix appliance is a non invasive appliance used for dental expansion which will be placed without any surgical intervention on a day care basis. 
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