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Not yet recruitingNCT07184346Updated Sep 19, 2025

Accuracy of Centric Relation Recording: Conventional to Optical

An interventional study of Control and Intra Oral Scanner in Centric Relation Registration, sponsored by Mohammed Bin Rashid University of Medicine and Health Sciences. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-19.

Sponsored by Mohammed Bin Rashid University of Medicine and Health Sciences · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Mar 2026, 8 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The current study aims to evaluate the accuracy of different techniques used to record the centric relation.

The sample size was determined based on a previous study by Revilla-León et al. (2023), which indicated that 18 participants per group would provide sufficient power for statistical analysis. Eligible participants will be adults above 18 years of age with good oral health who are fully or partially dentate. Exclusion criteria include complete edentulism, absence of posterior stops, temporomandibular joint disorders, and limited mouth opening.

Centric relation (CR) will be recorded for all participants using three methods. In Group 1 (Conventional), a 2 mm Lucia jig fabricated from pattern resin (Dura-lay) will be positioned intraorally with the participant reclined at 45°. Polyvinyl siloxane (PVS) bite registration material will be injected bilaterally from the canines to first molars and allowed to set. Alginate impressions, facebow records, and subsequent mounting on a semi-adjustable articulator will be performed, and the casts will be digitized with a laboratory scanner. In Group 2 (Intraoral Scanner), the iTero Element scanner (Align Technology, San Jose, CA) will be used to capture maxillary and mandibular arches. The same Lucia jig will be placed intraorally, and the bite will be digitally captured using the PVS record. In Group 3 (Optical Jaw Tracking), the Modjaw system will be used with previously acquired iTero scans. The Lucia jig will again standardize mandibular position during CR registration. All recordings will be performed by a single experienced prosthodontist to ensure consistency.

For accuracy assessment, STL files from all recordings will be imported into Geomagic Control X (3D Systems). Six digital markers will be placed on maxillary and mandibular reference scans at standardized anatomical landmarks (buccal surfaces of first molars, canines, and central incisors). Thirty-six baseline inter-landmark distances will be calculated. Each experimental scan will then be aligned to the reference scan using a best-fit alignment protocol, with marker coordinates transferred from the reference scan to maintain consistency and avoid manual errors. Inter-landmark distances will be recalculated for each experimental scan. Accuracy will be assessed in terms of trueness (mean absolute deviation between reference and experimental measurements) and precision (consistency of distances within each group).

Data will be statistically analyzed using analysis of variance (ANOVA), with significance set at p \< 0.05.

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Conditions studied

  • Centric Relation Registration
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In context

Lead sponsor

Mohammed Bin Rashid University of Medicine and Health Sciences is the lead sponsor of 20 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adults above the age of eighteen years
  2. Presenting with good oral health
  3. Fully or partially dentate

Exclusion criteria

Exclusion Criteria:

  1. Fully edentulous
  2. Partially dentate with lack of posterior stops
  3. Temporomandibular Joint Disorders (TMD)
  4. Limited mouth opening
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Accuracy of Centric Relation Record (Control)

    Centric relation will be recorded using a conventional method with a 2 mm Kois deprogrammer and polyvinyl siloxane (PVS) bite registration. Alginate impressions and facebow records will be taken, mounted on a semi-adjustable articulator, and digitized with a laboratory scanner.

    Other: Control

  • Experimental
    Accuracy of Centric Relation record IOS

    Centric relation will be recorded using an intraoral scanner. Maxillary and mandibular arches will be scanned, and the Kois deprogrammer with PVS registration will be used to digitally capture mandibular position

    Device: Intra Oral Scanner

  • Experimental
    Accuracy of Centric Relation record ModJaw

    Centric relation will be recorded using the ModJaw optical jaw tracking system (4D jaw tracker). Previously acquired scans will be imported into ModJaw, and the kois deprogrammer will standardize mandibular position during registration

    Device: Mod Jaw

Interventions

  • OtherControl

    Control Group

  • DeviceIntra Oral Scanner

    Experimental group 1

  • DeviceMod Jaw

    4 D Jaw Tracker

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What researchers measure

Primary outcomes

  1. Accuracy of Centric Relation Recording (Trueness and Precision in millimeters)

    Accuracy will be assessed by evaluating trueness and precision of centric relation (CR) records obtained with three techniques: conventional, intraoral scanner, and ModJaw optical jaw tracker. Trueness will be calculated as the mean absolute deviation (mm) between inter-landmark distances on reference STL scans and experimental scans using Geomagic Control X software. Precision will be measured as the standard deviation of repeated inter-landmark distances within each group. Data will be reported as mean ± SD values

    Time frame: Baseline (Day 5, immediately after centric relation recording).

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Ries JM, Grunler C, Wichmann M, Matta RE. Three-dimensional analysis of the accuracy of conventional and completely digital interocclusal registration methods. J Prosthet Dent. 2022 Nov;128(5):994-1000. doi: 10.1016/j.prosdent.2021.03.005. Epub 2021 Apr 19. PubMed 33888327 ↗
  • Revilla-Leon M, Subramanian SG, Ozcan M, Krishnamurthy VR. Clinical Study of the Influence of Ambient Light Scanning Conditions on the Accuracy (Trueness and Precision) of an Intraoral Scanner. J Prosthodont. 2020 Feb;29(2):107-113. doi: 10.1111/jopr.13135. Epub 2019 Dec 30. PubMed 31860144 ↗
  • Renne W, Ludlow M, Fryml J, Schurch Z, Mennito A, Kessler R, Lauer A. Evaluation of the accuracy of 7 digital scanners: An in vitro analysis based on 3-dimensional comparisons. J Prosthet Dent. 2017 Jul;118(1):36-42. doi: 10.1016/j.prosdent.2016.09.024. Epub 2016 Dec 23. PubMed 28024822 ↗

Related links

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07184346
Lead sponsor
Mohammed Bin Rashid University of Medicine and Health Sciences
Responsible party
Haitham Elbishari (Associate Professor, Mohammed Bin Rashid University of Medicine and Health Sciences) — Principal investigator
First posted
Sep 19, 2025
Start date
Sep 30, 2025 (estimated)
Primary completion
Mar 1, 2026 (estimated)
Completion
Jun 1, 2026 (estimated)
Last update
Sep 19, 2025

Study contacts

Haitham Elbishari, BDS PhD
Contact
haitham.elbishari@dubaihealth.ae
+971529131315

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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