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CTRI Number  CTRI/2023/05/053166 [Registered on: 26/05/2023] Trial Registered Prospectively
Last Modified On: 21/04/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Evaluation of outcome for splint supported Forsus FRD Vs Twin block appliance 
Scientific Title of Study   Evaluation of treatment efficacy of splint-supported Forsus Fatigue Resistant Device vs Twin block in skeletal Class II growing subjects. A randomised clinical trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Surg Cdr Saugat Ray 
Designation  Reader and Instructor 
Affiliation  Armed Forces Medical College 
Address  Department of Dental Surgery and Oral Health Sciences Armed Forces Medical College Wanowrie Pune

Pune
MAHARASHTRA
411040
India 
Phone  9057443123  
Fax    
Email  saugatray80@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Surg Cdr Saugat Ray 
Designation  Reader and Instructor 
Affiliation  AFMC 
Address  Department of Dental Surgery and OHS AFMC Wanowrie Pune

Pune
MAHARASHTRA
411040
India 
Phone  9057443123  
Fax    
Email  saugatray80@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Surg Cdr Saugat Ray 
Designation  Reader and Instructor 
Affiliation  AFMC 
Address  Department of Dental Surgery and OHS AFMC Wanowrie Pune

Pune
MAHARASHTRA
411040
India 
Phone  9057443123  
Fax    
Email  saugatray80@gmail.com  
 
Source of Monetary or Material Support  
Armed Forces Medical Research Committee, Director General Armed Forces Medical Services, M Block, Ministry of Defence, New Delhi 01 
 
Primary Sponsor  
Name  Director General Armed Forces Medical Services 
Address  M Block Integrated HQ Ministry of Defence New Delhi 
Type of Sponsor  Government funding agency 
 
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 
Surg Cdr Saugat Ray  Armed Forces Medical College  Department of Dental Surgery and Oral Health Sciences Armed Forces Medical College Wanowrie Pune
Pune
MAHARASHTRA 
9057443123

saugatray80@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, AFMC, Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M262||Anomalies of dental arch relationship,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Splint supported FFRD   The functional appliance will be given and the outcome will be checked and compared after 6 moths or achievement of the desired mandibular advancement. Total duration of intervention will be approximately 8-10 months for each patient.  
Comparator Agent  Twin block appliance  The functional appliance will be given and the outcome will be checked and compared after 6 moths or achievement of the desired mandibular advancement. Total duration of intervention will be approximately 8-10 months for each patient. 
 
Inclusion Criteria  
Age From  11.00 Year(s)
Age To  15.00 Year(s)
Gender  Both 
Details  1. Cases of skeletal Class II malocclusion (ANB> 4 degrees)
2. Class II or Half cusp Class II molar relation
3. Positive visual treatment objective
4. CVMI stage III
5. No missing or supernumerary teeth
6. Patients giving written consent to participate in the study
7. No h/o previous orthodontic treatment
 
 
ExclusionCriteria 
Details  1. Those refusing for written consent to participate in the study
2. Negative visual treatment objective
3. History of previous orthodontic treatment
4. Systemic diseases affecting bone metabolism
5. Patients with neuromuscular disorder & TMJ problems
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Correction of Skeletal Class II malocclusion  After completion of treatment 
 
Secondary Outcome  
Outcome  TimePoints 
a) To compare treatment duration between the study groups
b) To compare patient comfort and operator convenience
c) To compare frequency of breakage of appliance
 
After completion of treatment 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/06/2023 
Date of Study Completion (India) 31/05/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

Subjects found suitable in the pre determined inclusion criteria for the study shall be explained the scope of the study and a written consent shall be obtained. Pre-treatment records (T1) in the form of photographs (extraoral & intraoral), radiographs i.e., OPG, Lateral cephalogram, and dental models for maxillary and mandibular arch shall be recorded. For splint-supported FFRD group a customized splint will be fabricated on the mandibular arch and FFRD shall be installed using upper molar band and splint in lower canine region. Standard Twin block shall be given to another group. On achieving satisfactory profile improvement /correction in overjet /molar relation, post functional treatment records (T2) in the form of photographs (extraoral & intraoral), radiographs i.e., OPG, Lateral cephalogram, dental models for maxillary and mandibular arch shall be obtained.  Pre-treatment and post functional treatment lateral Cephalogram shall be analyzed using various cephalometric values to ascertain the corrections achieved. Corrections achieved will be quantified and will be grouped as skeletal, dental & soft tissue changes. In addition, the treatment duration for the study groups shall be recorded, the patient comfort & operator convenience along with frequency of breakage of appliance (if any) shall be noted.

 
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