This RCT aimed to evaluate the effect of Image Standardization Device (ISD) on standardization of clinical images from the same entry point.

The methodology of the current study included a total of twenty patients, photographed with ISD taking duplicate photographs and using individualized photography as a control group via conventional Tripod from the same photography point at 45º from the patient's right side to study the effect of the image standardization device in photograph standardization over conventional imaging methods.

The Intervention used in this study was bleaching that was done before taking the same photographs once again from the same projections to reproduce the same images using both methods.

The assessment was done by measuring in millimeters the horizontal and vertical measurements of the canine in each patient by using a ruler tool on digital software and comparing them with the reference standard which was the canine's pre-treatment measurements.

The results showed no statistically significant change in the ISD group regarding the mean canine horizontal & vertical measurement while there was a statistically significant difference in the same measurement in the Tripod group in the before compared to after treatment measures.

This study concluded that ISD is capable of producing perfectly standardized images each time they're taken by the device from the same position and entry point with minimal effort and time consumption, while the Tripod resulted in standard but yet not perfect photographs.