Time and Cost-implications of Intraoral Scans Vs Alginate Impressions

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age9+
SponsorUniversity of Sheffield

About this trial

BACKGROUND: Alginate impressions have long been a staple in orthodontics, but with recent technological advancements, digital impressions via intraoral scans are gaining increasing popularity. While much research has focused on patient preference and the accuracy of these techniques, there is a notable gap in the literature regarding chair side time and associated costs. Existing studies on chair side time comparisons between alginate impressions and intraoral scanning yield inconsistent results, underscoring the need for further investigation. This study aimed to evaluate the chair side time and cost implications of intraoral scanning and alginate impressions.

OBJECTIVES: The primary objective is to compare the chair side time taken for alginate impressions and intraoral scanning of orthodontic patients aged 9 years and over in an orthodontic department at a district general hospital. The secondary objective is to evaluate the costs associated with alginate impressions and intraoral scanning of orthodontic patients described above.

DESIGN, SETTING AND PARTICIPANTS: A prospective, single-centre, parallel-arm randomised controlled trial (1:1 allocation) to be undertaken in a district general hospital. Sixty-eight orthodontic patients aged nine and above, requiring study models, will be recruited during new patient appointments at the Orthodontic Department at Queen's Medical Centre, Nottingham. Patients will be randomly assigned to either the intraoral scan or alginate impression group, with chair side time recorded for each procedure, including retakes. The IOS group will use the 3Shape TRIOS scanner, while the alginate group will follow standard procedures. The costs of each technique will be calculated following the procedure. Ethical approval was obtained from a Health Research Authority Research Ethics Committee.

OUTCOMES: N/A

CONCLUSIONS: N/A

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Orthodontic patients aged 9 years and above requiring study models, having attended the orthodontic department at Nottingham University Hospitals for a new patient assessment.

Disqualifiers

Patients who will not be undergoing orthodontic treatment in secondary care (referral back to primary care).

Patients who refuse to consent to inclusion in the trial.

Patients with contraindications to either impression method (e.g., severe gag reflex, claustrophobia, medical history that would preclude the taking of dental impressions).

Patients with severe dental anxiety.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Alginate impression

    Procedure/Surgery

    Alginate impressions are a traditional method for creating dental moulds which are used in orthodontic records. Plastic trays are sized to fit the upper and lower jaws, and the alginate is mixed into a putty before being placed in the trays. The putty is then used to take detailed impressions of the patient's teeth. To capture an accurate bite registration, the patient bites down on a piece of warmed wax.

  • Intraoral scan

    Procedure/Surgery

    Intraoral scanners capture multiple images of the mouth, which are combined to create a three-dimensional model of the patient's upper and lower teeth. The scanning wand is passed methodically over the surface of the teeth to gather all the necessary information, which is displayed in real-time on a computer screen.

Treatment groups

68 Participants
are divided into 2 treatment groups
Group A: Alginate impressionActive comparator 1 intervention
Group B: Intraoral scanActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Chairside time taken for alginate impressions vs intraoral scans.

To compare the mean chairside time taken for alginate impression taking and intraoral scanning of orthodontic patients aged 9 years and over, in an orthodontic department at a district general hospital.

Time frame
12 months

Secondary outcomes

1

Cost implications of alginate impressions vs intraoral scans.

Evaluation of the costs associated with alginate impressions and intraoral scanning of orthodontic patients described above.

Time frame
12 months

Other outcomes

Sponsors and contacts

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University of Sheffield

Lead sponsor

Nottingham University Hospitals NHS Trust

Collaborator

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