| CTRI Number |
CTRI/2026/02/102982 [Registered on: 04/02/2026] Trial Registered Prospectively |
| Last Modified On: |
04/02/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Medical Device Dentistry |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
A Study Comparing Laser Therapy With and Without a New Jaw Joint Locating Device in Skeletal Class II Patients Receiving Functional Orthodontic Treatment |
|
Scientific Title of Study
|
Assessing the clinical accuracy of low level Lesar therapy in skeletal calss II patents undergoing myofunctional appliance therapy with-versus without extraoral condyle locating device and further evaluating the comparative clinical efficacy of said two therapy approaches: a randomised controlled trial |
| Trial Acronym |
nill |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
DR SHILPA M KENDRE |
| Designation |
PHD Scholar |
| Affiliation |
Sharad Pawar Dental College and Hospital Sawangi Wardha |
| Address |
Dept of Orthodontics
Sharad Pawar Dental College and Hospital Sawangi Wardha
Latur MAHARASHTRA 442001 India |
| Phone |
09420685304 |
| Fax |
|
| Email |
shilpabikkad80@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Pallavi Digavane |
| Designation |
prof PHD Guide |
| Affiliation |
Sharad Pawar Dental College and Hospital Sawangi Wardha |
| Address |
Dept of Orthodontics
Sharad Pawar Dental College and Hospital Sawangi Wardha
Wardha MAHARASHTRA 442001 India |
| Phone |
9923355361 |
| Fax |
|
| Email |
pallavi.ortho@dmiher.edu.in |
|
Details of Contact Person Public Query
|
| Name |
DR SHILPA M KENDRE |
| Designation |
PHD Scholar |
| Affiliation |
Sharad Pawar Dental College and Hospital Sawangi Wardha |
| Address |
Dept of Orthodontics
Sharad Pawar Dental College and Hospital Sawangi Wardha
Latur MAHARASHTRA 442001 India |
| Phone |
09420685304 |
| Fax |
|
| Email |
shilpabikkad80@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
DR SHILPA M KENDRE |
| Address |
Dept of Orthodontics
Sharad Pawar Dental College and Hospital 442004 maharashtra India
Sawangi Wardha
|
| Type of Sponsor |
Other [self sponcerd] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 2 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr shilpa kendre |
sharad pawar dental college and hospital wardha |
department of orthodontics Sharad Pawar Dental College Datta Meghe Institute of medical science campus sawangi wardha 442004 maharashtra india Wardha MAHARASHTRA |
9420685304
shilpabikkad80@gmail.com |
| DR SHILPA KENDRE |
sharad pawar dental college wardha |
department of orthodontics Sharad Pawar Dental College Datta Meghe Institute of medical science campus sawangi Wardha MAHARASHTRA |
09420685304
shilpabikkad80@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional ethical committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
patents reporting to Orthodontic department |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
non guided LLLT application |
LLLT will be applied over the condylar area using conventional anatomical estimation, without EOCLD guidance. The same laser settings and myofunctional appliance protocol will be used. |
| Intervention |
Phase I EOCLD Validation time required 30 days
Phase IIEOCLD Guided LLLT with Myofunctional Appliance time required 8 months
|
Participants will undergo condylar localization using the newly developed Extraoral Condyle Locating Device (EOCLD). The identified point is marked extraorally and verified radiographically to assess accuracy. Intra and inter operator reliability will be recorded.Low-level laser therapy LLLT will be delivered over the condylar region using EOCLD for precise localization. Laser parameters and frequency follow standard orthodontic photobiomodulation protocols. All subjects will also wear a Twin Block/myofunctional appliance. |
|
|
Inclusion Criteria
|
| Age From |
13.00 Day(s) |
| Age To |
35.00 Day(s) |
| Gender |
Both |
| Details |
• Age group: 10–35 years
• No prior orthodontic or orthopedic treatment
• Normal TMJ function and absence of pain or clicking
|
|
| ExclusionCriteria |
| Details |
Exclusion criteria
• Patients with craniofacial syndromes, cleft lip/palate, or any congenital facial deformities.
• History of previous orthodontic or orthopedic treatment.
• Presence of systemic diseases (e.g., growth hormone disorders, juvenile arthritis) affecting growth.
• Temporomandibular joint (TMJ) disorders, pain, or restricted mouth opening at baseline
• Patients with poor oral hygiene, active dental caries, or periodontal disease.
• Uncooperative behaviour or inability to follow study protocols.
• Contraindications to LLLT, such as photosensitivity, epilepsy, or ongoing medication affecting bone metabolism.
• Inability or refusal to undergo CBCT imaging.
• Patients with metal allergies or hypersensitivity to appliance materials |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
phase 1-Accuracy (mm deviation) of EOCLD vs radiographic condyle location
phase 2-Condylar growth changes ( position, dimension) |
phase 1-Accuracy (mm deviation) of EOCLD vs radiographic condyle location 30 days for pilot study
phase 2-Condylar growth changes ( position, dimension) 8 months after appliance delivary |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Phase 1-ICC intra-/inter-operator reliability, repeatability, time efficiency, operator feedback Phase 2-Skeletal changes (ANB, mandibular length), functional outcomes, soft tissue changes, treatment duration, discomfort, compliance, adverse effects |
|
|
|
Target Sample Size
|
Total Sample Size="50" Sample Size from India="50"
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 1/ Phase 2 |
|
Date of First Enrollment (India)
|
18/02/2026 |
| 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="1" Months="0" 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 two phase study aims to develop validate and clinically evaluate a newly designed Extraoral Condyle Locating Device EOCLD for precise targeting of low level laser therapy LLLT during myofunctional appliance treatment in skeletal Class II patients Phase I involves fabrication of the EOCLD followed by assessment of its clinical accuracy and reliability in localizing the mandibular condyle using radiographic confirmation as the reference standard Phase II is a randomized controlled trial comparing the efficacy of EOCLD guided LLLT versus conventional non guided LLLT when used with myofunctional appliance therapy Primary outcomes include condylar growth and adaptive remodeling assessed through 3D radiographic measurements The study aims to determine whether anatomically guided LLLT improves treatment precision and enhances mandibular growth modifications compared to standard laser application |