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Aligning ArchwiresNCT05391542

Effectiveness of Tubular Coaxial Nickel-titanium and Copper Nickel-titanium Orthodontic Aligning Archwires

A study testing aligning archwires in people with Aligning Archwires, run by University of Baghdad at 1 site in Iraq.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will be done to compare the effectiveness of using coaxial tubular superelastic nickel-titanium and copper-nickel-titanium archwires during the initial phase of orthodontic treatment regarding alignment efficiency, pain perception, and root resorption. Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Aligning Archwires
What is being tested?
aligning archwires
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
1 siteIraq
Study dates
28 Feb 2022to 15 Oct 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Patients indicated for fixed appliance orthodontic treatment with 5-9 mm crowding of mandibular anterior teeth according to Little's irregularity index (LII).
  • Presence of all the mandibular permanent teeth, except the third molars.
  • Overbite and overjet that do not interfere with bracket placement on mandibular anterior teeth.
  • No history of trauma or root resorption in the mandibular incisors.

Who cannot join

  • Previous orthodontic treatment.
  • Less than 5 mm of mandibular incisors crowding (LII).
  • Severe crowding which requires treatment by extraction of premolars in the mandibular arch.
  • Blocked-out teeth that cannot be engaged with the aligning archwire.
  • Prior experience of periodontal disease and loss of attachment.

Trial locations and contacts

1 site in 1 country.

Iraq1 site
  • Baghdad college of dentistry

    Baghdad, 10047

Other trials in Iraq

About this study

Official title: Effectiveness of Tubular Coaxial Nickel-titanium and Copper Nickel-titanium Orthodontic Aligning Archwires: A Randomized Clinical Trial

This study will be done to compare the effectiveness of using coaxial tubular superelastic nickel-titanium and copper-nickel-titanium archwires during the initial phase of orthodontic treatment regarding alignment efficiency, pain perception, and root resorption.

Read the detailed description

This will be a prospective blinded non-stratified randomized clinical trial , parallel group trial with equal randomization (1:1 allocation ratio), different private clinics and general hospitals will allocate patients for this trial. The patients will be initially assessed for eligibility to be included in the study by the investigator. Those who will meet the inclusion criteria will be informed about the nature of the study verbally to take the initial approval for participation. The patients were asked to read the patient information sheet carefully at home and inform the investigator about their decision of participation at the subsequent appointment and to sign consent form sheet in case of agreement.

The patients will be treated using MBT prescription brackets with 0.022-inch slot (Pinnacle®, Ortho Technology, USA). Initially, teeth polishing will be performed with pumice and rubber cup, followed by water rinsing and air drying

All the participants will receive the same treatment. At the day of bonding, the first archwire will be placed for each group. Eight weeks later it will be replaced by the next size archwire for another eight weeks. Archwires will be tied to the bracket using elastomeric ligatures. Any debonding during treatment should be considered an emergency and re-bonded within 24 hours, otherwise the case will be dropout. A good alginate impression for the lower arch should be taken pre-treatment and after 4, 8, 12 and 16 weeks and a stone study model is obtained. Periapical X-ray for the mandibular central incisors will be taken pre-treatment and after 16 weeks. The participants will be given visual analog scale to record their pain p during the first week after each archwire placement.

Being tested
aligning archwires

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • aligning archwiresOther

    At the day of bonding, 0.016-inch archwire will be placed for the TuNT group. Eight weeks later it will be replaced by the 0.018-inch archwire for another eight weeks. While, for the CuNT group, 0.014-inch archwire will be placed at the day of bonding and eight weeks later it will be replaced by the 0.018-inch archwire for another eight weeks. Archwires will be tied to the bracket by elastomeric modules which will be changed every 4 weeks. A good-quality alginate impression for the lower arch should be taken pre-treatment and after 4, 8, 12 and 16 weeks and a stone study model is obtained. Periapical X-ray for the mandibular central incisors will be taken pre-treatment and after 16 weeks. The participants will be provided by a visual analog scale (0-10) to record their pain perception during the first week after each wire placement.

Study groups in NCT05391542
Study groupRoleWhat they receive
Coaxial tubular superelastic nickel-titanium Group (TuNT)Experimental0.016-inch coaxial tubular superelastic nickel-titanium archwire (TuNT) (Speed tubular supercable, Speed System™ Orthodontics, Ontario, Canada) will be placed in mandibular arch at the day of bonding. Eight weeks later it will be replaced by the 0.018-inch archwire for another eight weeks
Receives: Other: aligning archwires
Copper-nickel-titanium Group (CuNT)Experimental0.014-inch Copper-nickel-titanium archwire (CuNT) (Damon Optimal-Force Copper Ni-Ti®, Ormco, Glendora, Calif) will be placed in mandibular arch at the day of bonding. Eight weeks later it will be replaced by the 0.018-inch archwire for another eight weeks.
Receives: Other: aligning archwires

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in alignment of anterior teeth will be measured using Little's irregularity index

    A good-quality alginate impression for the lower arch should be taken pre-treatment and after 4, 8, 12 and 16 weeks and a stone study model is obtained. This study model which should be free from any discrepancy (such as bubbles) will be used to measure Little's irregularity index using a digital Vernier caliper to calculate the amount of mesial and distal contact displacement from the mesial contact surface of right mandibular canine to that on the other side, to the nearest 0.01 mm. The sum of these measurements represents the amount of Little's irregularity index.

    Measured: 16 weeks

Secondary outcomes (2)
  1. Root resorption using the scoring index that was provided by Malmgren et al. (1982)

    Root resorption will be evaluated for the mandibular central incisors using periapical radiographs with digital sensors, and the worst score for either left or right central will be taken using the scoring index by Malmgren et al. (1982):

    • Grade 1: Irregular apical root contour.
    • Grade 2: Minor apical root resorption, a small area of root loss amounting to less than 2 mm.
    • Grade 3: Severe apical root resorption from 2 mm to one third of the original root length.
    • Grade 4: Extreme apical root resorption exceeding one third of the original root length.

    Measured: 16 weeks

  2. pain perception using visual analog scale

    Evaluations of pain/discomfort will be made in the evening on a daily basis over the first seven days after bonding using a 10-point visual analog scale (VAS) with 0 refers to "no pain" and 10 refers to "intolerable pain". The participants will be reminded daily by a phone call or a text message to mark the recording sheet and will be asked to bring it on their next appointment.

    Measured: 1st week after each wire placement.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 May 2022
  2. Study start28 Feb 2022
  3. Primary completion15 Oct 2022
  4. Study completion15 Oct 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The patients will be treated with straight wire appliance using MBT prescription brackets with 0.022-inch slot (Pinnacle®, Ortho Technology, USA). Initially, teeth polishing will be performed with pumice and rubber cup, followed by water rinsing and air drying Archwire sequence for each group will be as follows: 1. Coaxial tubular superelastic nickel-titanium Group (TuNT) (Speed tubular supercable, Speed System™ Orthodontics, Ontario, Canada): * 0.016-inch * 0.018-inch 2. Copper-nickel-titanium Group (CuNT) (Damon Optimal-Force Copper Ni-Ti®, Ormco, Glendora, Calif): * 0.014-inch * 0.018-inch Allocation Concealment: This will be achieved using sequentially numbered, opaque and sealed envelopes which will be numbered according to the study numbers. Each envelope includes the treatment allocation card (group 1 or 2) and the related archwires.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05391542
Sponsor's protocol ID
599422
Status last verified
May 2023
First submitted
16 May 2022
Last updated
11 May 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Atik E, Gorucu-Coskuner H, Akarsu-Guven B, Taner T. A comparative assessment of clinical efficiency between premium heat-activated copper nickel-titanium and superelastic nickel-titanium archwires during initial orthodontic alignment in adolescents: a randomized clinical trial. Prog Orthod. 2019 Dec 16;20(1):46. doi: 10.1186/s40510-019-0299-4.

    PubMed 31840204
  • Azizi F, Extiari A, Imani MM. Tooth alignment and pain experience with A-NiTi versus Cu-NiTi: a randomized clinical trial. BMC Oral Health. 2021 Sep 6;21(1):431. doi: 10.1186/s12903-021-01789-5.

    PubMed 34488744
  • Berger J, Waram T. Force levels of nickel titanium initial archwires. J Clin Orthod. 2007 May;41(5):286-92. No abstract available.

    PubMed 17652862
  • Fleming PS, Johal A. Self-ligating brackets in orthodontics. A systematic review. Angle Orthod. 2010 May;80(3):575-84. doi: 10.2319/081009-454.1.

    PubMed 20050755
  • Gil FJ, Planell JA. Effect of copper addition on the superelastic behavior of Ni-Ti shape memory alloys for orthodontic applications. J Biomed Mater Res. 1999;48(5):682-8. doi: 10.1002/(sici)1097-4636(1999)48:53.0.co;2-m.

    PubMed 10490682
  • Jian F, Lai W, Furness S, McIntyre GT, Millett DT, Hickman J, Wang Y. Initial arch wires for tooth alignment during orthodontic treatment with fixed appliances. Cochrane Database Syst Rev. 2013 Apr 30;2013(4):CD007859. doi: 10.1002/14651858.CD007859.pub3.

    PubMed 23633347
  • Kapila S, Sachdeva R. Mechanical properties and clinical applications of orthodontic wires. Am J Orthod Dentofacial Orthop. 1989 Aug;96(2):100-9. doi: 10.1016/0889-5406(89)90251-5.

    PubMed 2667330
  • Mahmoudzadeh M, Farhadian M, Alijani S, Azizi F. Clinical comparison of two initial arch wires (A-NiTi and Heat Activated NiTi) for amount of tooth alignment and perception of pain: A randomized clinical trial. Int Orthod. 2018 Mar;16(1):60-72. doi: 10.1016/j.ortho.2018.01.007. Epub 2018 Feb 23.

    PubMed 29478933
  • Montasser MA, Keilig L, Bourauel C. Archwire diameter effect on tooth alignment with different bracket-archwire combinations. Am J Orthod Dentofacial Orthop. 2016 Jan;149(1):76-83. doi: 10.1016/j.ajodo.2015.06.026.

    PubMed 26718381
  • Nabbat SA, Yassir YA. A clinical comparison of the effectiveness of two types of orthodontic aligning archwire materials: a multicentre randomized clinical trial. Eur J Orthod. 2020 Dec 2;42(6):626-634. doi: 10.1093/ejo/cjz102.

    PubMed 32011678
  • Papageorgiou SN, Konstantinidis I, Papadopoulou K, Jager A, Bourauel C. A systematic review and meta-analysis of experimental clinical evidence on initial aligning archwires and archwire sequences. Orthod Craniofac Res. 2014 Nov;17(4):197-215. doi: 10.1111/ocr.12048. Epub 2014 May 29.

    PubMed 24889143
  • Rucker BK, Kusy RP. Theoretical investigation of elastic flexural properties for multistranded orthodontic archwires. J Biomed Mater Res. 2002 Dec 5;62(3):338-49. doi: 10.1002/jbm.10325.

    PubMed 12209919
  • Sebastian B. Alignment efficiency of superelastic coaxial nickel-titanium vs superelastic single-stranded nickel-titanium in relieving mandibular anterior crowding: a randomized controlled prospective study. Angle Orthod. 2012 Jul;82(4):703-8. doi: 10.2319/072111-460.1. Epub 2011 Oct 19.

    PubMed 22011096
  • Wang Y, Liu C, Jian F, McIntyre GT, Millett DT, Hickman J, Lai W. Initial arch wires used in orthodontic treatment with fixed appliances. Cochrane Database Syst Rev. 2018 Jul 31;7(7):CD007859. doi: 10.1002/14651858.CD007859.pub4.

    PubMed 30064155
  • Malmgren O, Goldson L, Hill C, Orwin A, Petrini L, Lundberg M. Root resorption after orthodontic treatment of traumatized teeth. Am J Orthod. 1982 Dec;82(6):487-91. doi: 10.1016/0002-9416(82)90317-7.

    PubMed 6961819

Questions about this trial

What is this clinical trial studying?

A study testing aligning archwires in people with Aligning Archwires, run by University of Baghdad at 1 site in Iraq.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Iraq. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in alignment of anterior teeth will be measured using Little's irregularity index (time frame: 16 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05391542, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 May 2023.

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