Comparison of Canine Retraction Using Ni-ti Closed-coil Springs Vs Elastomeric Power Chains During Orthodontic Treatment

NCT06567730 | Not Yet Recruiting

• 1 other identifier: 2024-9110-28139
• Study Type: interventional
• Target: 46
• Locations: 0 countries
• Sites: N/A

Brief Summary

The objective of this study is to compare the canine retraction rate (in mm with a 100 mm marked scale) using Ni-Ti closed-coil springs versus elastomeric power chains during canine retraction in subjects with first premolar extractions over a period of three months. After the extraction of all first premolars under local anesthesia. For canine retraction, Ni-Ti closed-coil springs and elastomeric power chains will be randomly allocated to the right and left quadrants of both arches. Radiographic measurement (root resorption) and clinical measurements (canine retraction, plaque accumulation and gingival health) will be recorded at four points in time. First, at the start of the canine retraction (T0), after first month (T1), second month (T2) and third month follow-up (T3).

Conditions

Root Resorption; Plaque Accumulation; Gingivitis

Keywords

canine retraction rate

Outcome Measures

Primary Outcomes (1)

• Canine retraction rate

  The retraction rate of canine will be the distance travelled divided by the time interval needed for closure of spaces. It will be noted at four-time intervals i.e at the start of the canine retraction (T0), after first month (T1), second month (T2) and third month follow-up (T3).

  3 months

Secondary Outcomes (3)

• Root resorption

  3 months

• Gingival health

  3 months

• Plaque index

  3 months

Study Arms (2)

Ni-ti closed Coil spring

EXPERIMENTAL

For canine retraction, Ni-Ti closed-coil springs will be randomly allocated to the right and left quadrants of both arches

Other: Ni-ti Closed-coil Spring

Elastomeric power chain

ACTIVE COMPARATOR

For canine retraction, elastomeric power chains will be randomly allocated to the right and left quadrants of both arches

Other: Elastomeric Power chain

Interventions

Ni-ti Closed-coil Spring OTHER

Ni-Ti closed-coil spring is a passive compressed spring made up of super elastic Nickel-titanium. Two eyelets are attached to each side of the coil to facilitate its application. The eyelets will be engaged in the hooks of the second premolar and canine brackets and will apply a force of 150 gm.

Also known as: closing coil, closing coil spring

Ni-ti closed Coil spring

Elastomeric Power chain OTHER

Elastomeric power chains are resilient and latex-free orthodontic materials. They are made up of elastic material and consist of many connected rings. Each ring is engaged in a bracket to apply a force of 175-300 gm.

Also known as: Power chain

Elastomeric power chain

Eligibility Criteria

• Age: 13 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients aged between 13 - 40 years
• Patients undergoing fixed orthodontic treatment
• Patients requiring all first premolars extraction as part of orthodontic treatment
• Patients with all permanent teeth present and erupted (except for second and third molars)
• All patients who will sign the informed consent/assent form

You may not qualify if:

• Patients with systemic diseases that can affect tooth movements
• Patients with uncontrolled periodontal disease
• Patients with craniofacial syndromes
• Pregnant or lactating mothers
• Patients with bracket failures greater than three times per bracket during the study
• Patients on medications that can affect tooth movements
• Patients with Nickel allergy

Sponsors & Collaborators

• Munnal Gulzar: lead

Related Publications (3)

• Wazwaz F, Seehra J, Carpenter GH, Papageorgiou SN, Cobourne MT. Duration of canine retraction with fixed appliances: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2023 Feb;163(2):154-172. doi: 10.1016/j.ajodo.2022.08.009. Epub 2022 Dec 1.

  PMID: 36464569 BACKGROUND

• Kulshrestha RS, Tandon R, Chandra P. Canine retraction: A systematic review of different methods used. J Orthod Sci. 2015 Jan-Mar;4(1):1-8. doi: 10.4103/2278-0203.149608.

  PMID: 25657985 BACKGROUND

• Makhlouf M, Aboul-Ezz A, Fayed MS, Hafez H. Evaluating the Amount of Tooth Movement and Root Resorption during Canine Retraction with Friction versus Frictionless Mechanics Using Cone Beam Computed Tomography. Open Access Maced J Med Sci. 2018 Feb 5;6(2):384-388. doi: 10.3889/oamjms.2018.066. eCollection 2018 Feb 15.

  PMID: 29531610 BACKGROUND

MeSH Terms

Conditions

Root Resorption; Gingivitis

Condition Hierarchy (Ancestors)

Tooth Resorption; Tooth Diseases; Stomatognathic Diseases; Infections; Gingival Diseases; Periodontal Diseases; Mouth Diseases

Study Officials

• Mubassar Fida, BDS,FCPS

  Aga Khan University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Munnal Gulzar, BDS

CONTACT

03343536106; munnal.gulzar@aku.edu

Mubassar Fida, BDS,FCPS

CONTACT

021-34866641; mubassar.fida@aku.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Co-Investigator

Study Record Dates

• First Submitted: August 16, 2024
• First Posted: August 23, 2024
• Study Start: March 1, 2025
• Primary Completion: September 1, 2025
• Study Completion: November 1, 2025
• Last Updated: January 30, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share