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CTRI Number  CTRI/2026/02/105032 [Registered on: 27/02/2026] Trial Registered Prospectively
Last Modified On: 27/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Biological
Diagnostic
Dentistry 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Patient Pain and Time Outcomes with Different Archwires in Orthodontic Crowding Treatment 
Scientific Title of Study   Comparative evaluation of time taken and pain perception in unraveling of crowding using different archwires during orthodontic treatment an in vivo study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ekta Suman 
Designation  Post graduate student  
Affiliation  Kalka dental college 
Address  Department of orthodontics and dentofacial orthopedics room number 9 Kalka Dental college meerut

Meerut
UTTAR PRADESH
250103
India 
Phone  9743137638  
Fax    
Email  ektasumann@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shipra nagar  
Designation  head of the department  
Affiliation  kalka dental college,meerut 
Address  Department of Orthodontics ,kalka dental college,meerut 250103 uttar pradesh

Meerut
UTTAR PRADESH
250103
India 
Phone  9971822949  
Fax    
Email  shipray@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Shipra nagar  
Designation  head of the department  
Affiliation  kalka dental college,meerut 
Address  Department of Orthodontics ,kalka dental college,meerut 250103 uttar pradesh

Meerut
UTTAR PRADESH
250103
India 
Phone  9971822949  
Fax    
Email  shipray@yahoo.com  
 
Source of Monetary or Material Support  
Department of orthodontics and dentofacial orthopedics room number 9 Kalka dental college Meerut Uttar pradesh India Pin code 250103  
 
Primary Sponsor  
Name  Kalka dental college  
Address  Delhi meerut bypass road 250103 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
shipra nagar  Kalka dental college  Department of orthodontics and dentofacial orthopedics Room number 9 Pin code 250103
Meerut
UTTAR PRADESH 
9971822949

shipray@yahoo.com  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  malocclusion 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Coaxial NiTi Group super cable  The study aims to compare the efficacy of different aligning archwires during the decrowding of mandibular anterior teeth it will also evaluate changes in intercanine width during the leveling and alignment phase in addition the study will compare the amount of time required for alignment and the pain perception experienced among all the groups as these outcomes will be assessed at time intervals of 4 weeks at 8 weeks and at 12 weeks 
Intervention  Superelastic NiTi Copper NiTi   The study aims to compare the efficacy of different aligning archwires during the decrowding of mandibular anterior teeth it will also evaluate changes in intercanine width during the leveling and alignment phase in addition the study will compare the amount of time required for alignment and the pain perception experienced among all the groups as these outcomes will be assessed at time intervals of 4 weeks at 8 weeks and at 12 weeks 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Patient with the age range of 15 to 30 years
patient has permanent dentition
mild crowding in mandibular anterior segment and having Littles irregularity index more than 3mm
eruption of all mandibular teeth which excluding 3rd molars with no spacing between them
No relevant medical history.
No previous orthodontic treatment.
No therapeutic intervention planned involving inter-maxillary, intra-maxillary, intraoral or extraoral appliances such as lingual holding arch expander during the study period.
 
 
ExclusionCriteria 
Details  Patient with compromised periodontal health.
No previous history of any orthodontic treatment.
No missing or impacted tooth except 3rd molar.
Patien t with abnormality in shape, size and form of teeth.
Patient with any Craniofacial abnormality.
Patient on Non-steroidal anti-inflammatory drugs therapy.

 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the efficacy of different aligning arch wires during decrowding of mandibular anterior teeth  At the time of bonding 0 week at 4 th week 8 th week and at 12 th week 
 
Secondary Outcome  
Outcome  TimePoints 
To compare inter canine width  At the time of Bonding 0 week at 4th week 8 th week and at 12th week 
To compare amount of time taken and perception of pain  At the time of Bonding 0 week at 4th week 8 th week and at 12th week 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   23/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response (Others) - 

  6. For how long will this data be available start date provided 12-02-2026 and end date provided 12-02-2028?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Introduction 

The main goal of orthodontics is to identify and treat malocclusion in order to achieve a stable occlusion that is both aesthetically pleasing and functional proper tooth alignment is essential for general maintenance function and beauty as well as for maintaining and recovering oral health before nickel titanium niti arch wires were introduced orthodontists preferred stainless steel ss arch wires recent data indicate that the addition of cu to niti alloy results in a reduced transformation hysteresis a superelastic plateau and a more constant temperature
coaxial tubular superelastic niti wire was just released reduced treatment time improved spring back resistance to deformation and low force delivery are just a few of its many advantages over single stranded superelastic niti

 Aim and objectives   

To compare the efficacy of different aligning arch wires during decrowding of mandibular anterior teeth and to compare changes in inter canine width and to compare amount of time taken and perception of pain

Method 

 A total of 45 patients will be  allocated for the study and will be divided into 3 groups  group a superelastic niti  group b cuniti and group c tubular suber cable depending upon the type of arch wires used during initial levelling and aligning and pretreatment records will made and the severity of crowding will be determined using littles irregularity index and bonding of the arch will be  done and initial arch wire will be  ligated at Tat the time of bonding  after bonding a reminder call will be  given after 24hrs of ligation to patients for pain perception after  4 weeks patient will be recalled and same wire was religated intra oral records will be  made again and little irregularity index  pain perception will be recorded this procedure will be  repeated on every 4 weeks until 12 week

 


 
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