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CTRI Number  CTRI/2021/02/031065 [Registered on: 08/02/2021] Trial Registered Prospectively
Last Modified On: 07/02/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Clinical evaluation of the alignment efficacy and pain with CuNiTi and Multistranded SS arch wires during initial orthodontic treatment- Randomised clinical trial.  
Scientific Title of Study   Clinical evaluation of the alignment efficacy and pain with CuNiTi and Multistranded SS arch wires during initial orthodontic treatment- Randomised clinical trial.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  obili Sobitha 
Designation  Post graduate student 
Affiliation  Narayana dental college and hospital 
Address  Department of orthodontics and dentofacial orthopaedics, Narayana dental college and hospital, chintareddypalem, Nellore. Andhra pradesh.
Rohini girls hostel, Narayana dental college and hospital, chintareddypalem, Nellore. Andhra pradesh.
Nellore
ANDHRA PRADESH
524004
India 
Phone  8328009575  
Fax    
Email  reddyshobitha489@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mandava prasad 
Designation  Professor and head of the department, orthodontics and dentofacial orthopaedics 
Affiliation  Narayana dental college and hospital 
Address  Department of orthodontics and dentofacial orthopaedics, room number : 6, Narayana dental college and hospital, chintareddypalem, Nellore. Andhra pradesh.

Nellore
ANDHRA PRADESH
524004
India 
Phone  9440976666  
Fax    
Email  mandavabruno9@gmail.com  
 
Details of Contact Person
Public Query
 
Name  S Gowri sankar 
Designation  professor, department of orthodontics and dentofacial orthopaedics 
Affiliation  Narayana dental college and hospital 
Address  Department of orthodontics and dentofacial orthopaedics, room number: 6. Narayana dental college and hospital, chintareddypalem, Nellore. Andhra pradesh.

Nellore
ANDHRA PRADESH
524004
India 
Phone  9440012443  
Fax    
Email  drgowrisankar@gmail.com  
 
Source of Monetary or Material Support  
O.Sobitha Department of orthodontics,Narayana dental college and hospital, Chintareddypalem, Nellore, Andhra pradesh. 
 
Primary Sponsor  
Name  O Sobitha 
Address  Department of orthodontics and dentofacial orthopaedic s, room number: 6, Narayana dental college and hospital, Chintareddypalem, Nellore, Andhra pradesh. 524004 
Type of Sponsor  Other [Self] 
 
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 
Obili Sobitha  Narayana dental college and hospital  Department of orthodontics, Room number :6, Narayana dental college and hospital, Chintareddypalem, Nellore, Andhra pradesh. 524004
Nellore
ANDHRA PRADESH 
8328009575

reddyshobitha489@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethical committee of Narayana dental college and hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: K006||Disturbances in tooth eruption,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  0.016inch Cu NiTi archwire   Copper nickel titanium wire used for decrowding of lower anterior teeth in the initial aligning and leveling phase. 
Comparator Agent  0.0175 inch Multistranded SS archwire  Multistranded SS wire used for decrowding of lower anterior teeth in the initial aligning and leveling phase. 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  20.00 Year(s)
Gender  Both 
Details  1. Patients of normal health with physical and mental fitness.
2. Age between 12 to 20 years
3. Patients with symmetrical jaws as assessed on orthopantamogram (OPG).
4. Confirmation that all permanent teeth have fully erupted from the second molar to second molar (with no extraction in the mandibular arch).
5. Mandibular anterior dental crowding (Little’s irregularity index (Little 1975) greater than 6mm)
6. No spaces in the mandibular arch.
7. (Patients with class I molar and skeletal relationship)
8. Patients with normal vertical growth pattern.
9. Normal Systemic and periodontal health.
 
 
ExclusionCriteria 
Details  1. Patients with systemic diseases or any drug therapy that interferes with orthodontic tooth movement.
2. Patients with any abnormal vertical growth pattern and horizontal growth pattern.
3. Patients with blocked out tooth in the lower anteriors.
4. Missing teeth except for third molars treatment with extractions (impacted or unerupted permanent teeth)
5. History of previous orthodontic treatment with either intra-oral or extra-oral appliances (including removable appliances, rapid palatal expansion appliances, or headgear) and functional appliances.
6. Craniofacial syndrome or Skeletal asymmetry (with cleft lip and palate, anomalies, and syndrome).
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Assessment of Alleviation of Crowding, intercanine width, interpremolar width, inter molar width, littles irregularity score.  preT0 (at the time of wire placement) and post treatment T6 (after 6 weeks) 
 
Secondary Outcome  
Outcome  TimePoints 
Assessment of pain perception  At 4hours (T1), 24hours (T2). 3days (T3), 1week (T4), 1 month (T5) and 6 weeks (T6) 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
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)   08/02/2021 
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="1"
Months="2"
Days="1" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
This was a randomized controlled trial having a parallel-arm design with an identical allocation ratio of one to one. All the patients were bonded with MBT prescription 0.022x0.028 inch slot (3M
unitek) brackets. The patients in group A and group B receives 0.016-inch Cu NiTi and 0.0175-inch Multi-stranded Stainless steel respectively at the initial appointment which is denoted as T0. The Little’s irregularity index was employed to assess the anterior crowding, Intercanine width, Interpremolar width and Intermolar width. at pre- treatment (T 1 ) and post-treatment (T 2 ) stage after 6 weeks.  Each of the recruited subject in the study were provided with a specifically designed Visual analogue scale (VAS) diary. They were requested to note the intensity of perceived pain (using the terms ‘0’- no pain to ‘100’- the highest pain) on a 10 cm VAS in the first month, at various time periods such as 4hours, 24hours, 3days, 1week,  1 month and 6 weeks.
 
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