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CTRI Number  CTRI/2026/02/104248 [Registered on: 18/02/2026] Trial Registered Prospectively
Last Modified On: 18/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Adaptability and Success of Full Coverage Crowns on Children Teeth. 
Scientific Title of Study   BITE FORCE AND FUNCTIONAL CHANGES OF PRIMARY MOLARS RESTORED WITH PREFORMED STAINLESS-STEEL CROWNS AND BIOFLX CROWNS USING DIGITAL OCCLUSAL ANALYSIS: A CLINICAL 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 Anjana K S 
Designation  Post graduate  
Affiliation  Rajarajeswari Dental College and Hospital bangalore 
Address  Rajarajeswari Dental College and Hospital , Room no-6 Department of pediatric and preventive dentistrty . No.14, Ramohalli Cross, Mysore Road, Kumbalgodu, Bengaluru, Karnataka 560074

Bangalore Rural
KARNATAKA
560074
India 
Phone  9108635473  
Fax    
Email  anjuanjanaks@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nagarathna C 
Designation  Professor  
Affiliation  Rajarajeswari Dental College and Hospital bangalore 
Address  Rajarajeswari Dental College and Hospital , Room no-6 Department of pediatric and preventive dentistrty . No.14, Ramohalli Cross, Mysore Road, Kumbalgodu, Bengaluru, Karnataka 560074

Bangalore Rural
KARNATAKA
560074
India 
Phone  9845581779  
Fax    
Email  shaanrathna@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anjana K S 
Designation  Post graduate  
Affiliation  Rajarajeswari Dental College and Hospital bangalore 
Address  Rajarajeswari Dental College and Hospital , Room no-6 Department of pediatric and preventive dentistrty . No.14, Ramohalli Cross, Mysore Road, Kumbalgodu, Bengaluru, Karnataka 560074

Bangalore Rural
KARNATAKA
560074
India 
Phone  9108635473  
Fax    
Email  anjuanjanaks@gmail.com  
 
Source of Monetary or Material Support  
RajaRajeswari Dental College and Hospital ,room no 6 Department of Pediatric and Preventive Dentistry ,No.14, Ramohalli Cross, Mysore Road, Kumbalgodu, Bengaluru, Karnataka 560074 
 
Primary Sponsor  
Name  Dr Anjana K S  
Address  Rajarajeswari Dental College and Hospital , Room no-6 Department of pediatric and preventive dentistrty . No.14, Ramohalli Cross, Mysore Road, Kumbalgodu, Bengaluru, Karnataka 560074  
Type of Sponsor  Other [Self funded] 
 
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 Anjana K S  RajaRajeswari Dental College and Hospital  Room no-6 ,Department of Pediatric and Preventive Dentistry No.14, Ramohalli Cross, Mysore Road, Kumbalgodu, Bengaluru, Karnataka 560074
Bangalore Rural
KARNATAKA 
9108635473

anjuanjanaks@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Rajarajeswari Dental College Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K029||Dental caries, unspecified, (2) ICD-10 Condition: K044||Acute apical periodontitis of pulpal origin,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Inter-group comparison among the three full-coverage crown techniques  Each intervention group acts as a comparator to the other two groups. The following comparisons will be made Occlusal load and bite force measurements recorded at T0 (baseline), T1 (immediate post-treatment), T2 (1 week), and T3 (1 month) using T Scan III will be statistically compared between groups to evaluate differences in bite strength and functional occlusion over time. 
Intervention  Placement of Stainless Steel Crowns using Hall Technique  A total of 15 primary molars will receive Stainless-Steel Crowns using the Hall technique (without conventional tooth preparation). 
Intervention  Tooth preparation and placement of Bioflx Crowns  A total of 15 primary molars will receive tooth preparation followed by placement of Bioflx crowns. 
Intervention  Tooth preparation and placement of Stainless Steel Crowns  A total of 15 primary molars will receive conventional tooth preparation followed by placement of Stainless-Steel Crowns. 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  9.00 Year(s)
Gender  Both 
Details  1.Children in good general health, aged between 6 to 9 years from either gender.
2.Presence of intact dentition with normal molar relation requiring unilateral placement of
full coverage restoration in the treatment plan.
3.Hall technique crowns
primary molar caries involving dentine, but not extending into the pulp with detectable cervical constriction and at least two surfaces and a part of the occlusal surface is left intact.
4.Conventional Stainless-steel crowns and Bioflx crowns
Primary molar having multi-surface caries.
Primary molar with wide proximal lesion.
Primary molar requiring pulp therapy.
5.No gingival inflammation, no periodontal diseases, no mobility of teeth, or apparent facial
asymmetry that could affect recordings.
6.No history of orthodontic treatment. 
 
ExclusionCriteria 
Details  1.Children with special health care conditions.
2.Patients with TMJ disorders.
3.Children with malocclusion.
4.Children with developmental anomalies.
5.Children with parafunctional habits,e.g bruxism 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
evaluation of bite force and fucntional changes of conventional stainless steel crowns,hall technique crowns and bioflx crowns   baseline
immediately after crown cementation 1day.
1 week after crown cementation.
1 month after crown cementation. 
 
Secondary Outcome  
Outcome  TimePoints 
comparision of bite force and functional changes of conventional stainless steel crowns , hall crowns and bioflx crowns   baseline
immediately after crown cementation day 1
1 week after crown cementation
1 month after crown cementation 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
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 3/ Phase 4 
Date of First Enrollment (India)   10/08/2026 
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="2"
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  
A total of 45 primary molars from children aged 6 to 9 years with extensive dental caries requiring full coverage restorations by using preformed crowns will be enrolled.Teeth will be allocated equally among following three groups n equals 15 each.

Group 1 Tooth preparation and placement of Stainless steel crowns SSC.
Group 2 Placement of Stainless steel crowns using Hall technique.
Group 3 Tooth preparation and placement of Bioflx crowns.

Evaluation of Bite force and functional changes of full coverage crowns

Determination of occlusal load in maximum intercuspal position using T Scan III

Baseline Pretreatment evaluation T0
Children selected for the present study will be requested to bite on back teeth together several times from a 15 to 20 mm mandibular opening and the bite force will be checked to confirm repeatability on the primary molar Four consecutive recordings of the patients maximum intercuspal position will be taken A single examiner will record all the four readings of bite at maximum intercuspal position for each subject using T scan.

Post treatment Immediately after the placement of full coverage crown T1
After the placement of the full coverage crown on the selected molar occlusal load at maximum intercuspal position will be recorded using T Scan III as mentioned in the baseline evaluation T0 and the readings are recorded for further evaluation.

Post treatment measurements after one week T2
After one week follow up the maximum intercuspal position will be measured as mentioned in the baseline evaluation T0 and readings are recorded for further evaluation.

Post treatment measurements after one month T3
After one month follow up the maximum intercuspal position will be measured and recorded using T scan as mentioned in the baseline evaluation T0.

The outcomes assessed at T0 T1 T2 and T3 will be analyzed and compared statistically to determine changes in bite strength and functional occlusion over the follow up period.
 
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