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CTRI Number  CTRI/2025/10/095764 [Registered on: 09/10/2025] Trial Registered Prospectively
Last Modified On: 08/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Other 
Public Title of Study   Comparing the Fit of Cast Metal vs. CAD-CAM Post and Core Restorations: An In-Vivo Study 
Scientific Title of Study   An in-vivo comparative evaluation of clinical and radiographic accuracy of fit of cast metal post and core with CAD-CAM post and core: A 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 Divya Deelip Nalavade  
Designation  Post graduate student 
Affiliation  government dental college and hospital mumbai 
Address  Department of Conservative Dentistry and endodontics, Government Dental College And Hospital, Fort Area, Mumbai

Mumbai
MAHARASHTRA
400001
India 
Phone  9834865547  
Fax    
Email  divnal2000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Abrar Sayed  
Designation   
Affiliation  government dental college and hospital mumbai 
Address  Department of Conservative Dentistry and endodontics, Government Dental College And Hospital , Fort Area, Mumbai

Mumbai
MAHARASHTRA
400001
India 
Phone    
Fax    
Email  abrars79@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Divya Deelip Nalavade  
Designation  Post Graduate Student 
Affiliation  government dental college and hospital mumbai 
Address  Department of Conservative Dentistry and endodontics, Government Dental College And Hospital, Fort Area, Mumbai

Mumbai
MAHARASHTRA
400001
India 
Phone  9834865547  
Fax    
Email  divnal2000@gmail.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics, Government Dental College And Hospital,Mumbai, India 400001 
 
Primary Sponsor  
Name  Dr Divya Deelip Nalavade  
Address  Department of Conservative Dentistry and Endodontics, Government Dental College And Hospital, Mumbai, India 400001 
Type of Sponsor  Other [Self] 
 
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 Divya Deelip Nalavade   Government Dental College and Hospital Mumbai  Room No. 101, Department of Conservative Dentistry and Endodontics
Mumbai
MAHARASHTRA 
9834865547

divnal2000@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 requiring post and core treatment 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  CAD/CAM post and core  A post and core is used to restore teeth that have undergone endodontic therapy and have significant loss of coronal structure. Traditionally, posts were cast in metal, but advancements in Computer-Aided Design and Computer-Aided Manufacturing (CAD-CAM) technology have introduced new possibilities for creating highly accurate, esthetic, and biocompatible post and core restorations. 
Intervention  Cast post and core  A cast post and core is a custom-made metallic restoration fabricated in a dental laboratory to fit precisely into the prepared root canal and provide retention for a crown. It has been considered the gold standard for decades because of its high strength, adaptability to root canal anatomy, and proven clinical performance. Duration can be 1-2 years 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Single-rooted permanent maxillary incisor teeth.
In patients indicted for Post and core
Post length 8 to 12 mm after radiographic assessment 
 
ExclusionCriteria 
Details  Multirooted teeth
Teeth with severe root curvature
Mobile teeth
Maxillary incisor teeth with more than one root canal
Teeth with fusion, gemination, and dilaceration 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the accuracy of fit of the cast metal post and core.
To evaluate the accuracy of the fit of the CAD-CAM post and core.
To compare the accuracy of fit of cast metal post and core with CAD-CAM post and
core.  
At baseline 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="12"
Sample Size from India="12" 
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   N/A 
Date of First Enrollment (India)   06/11/2025 
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="1"
Months="0"
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   The longevity and success of post and core restorations largely depend on the accuracy of fit between the post and the prepared root canal. Traditionally, cast metal posts and cores have been considered the gold standard due to their strength and adaptability. However, the advent of CAD-CAM technology offers a digital alternative that promises improved precision, reduced chairside time, and better standardization. This clinical trial aims to comparatively evaluate the clinical and radiographic accuracy of fit between cast metal post and core and CAD-CAM fabricated post and core systems, to determine which method provides superior adaptation and clinical performance. 
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