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trial will be done to evaluate the effect of archwire gauge on the rate of canine retraction, canine tip and torque, root resorption and loss of anchorage in maxillary dental protrusion cases requiring first premolars extraction.
Three working archwires of different gauges will be used during canine retraction; st.st 0.019×0.025" as a comparator, st.st 0.016×0.022" and st.st 0.017×0.025" wires as interventions. after levelling and alignment till reaching the working archwire, it will be left in place for a month then maxillary first premolars will be extracted and base line records will be taken(digital models, digital periapical radiographs and panorama). digital models will be taken monthly to measure rate of canine retraction for 6 months. after 6 month evaluation of anchorage loss, change in canine tip and torque will be done on last obtained digital model , panorama will be taken to evaluate the change in canine tip and digital periapical radiograph will be taken and compared with the preretraction radiograph to evaluate amount of root resorption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| st.st 0.019×0.025" wire | Active Comparator |
| |
| st.st 0.016×0.022" wire | Experimental |
| |
| st.st 0.017×0.025" wire | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| st.st 0.019×0.025" wire | Other | rectangular stainless steel wire that will be used during canine retraction after first premolars extraction |
|
| Measure | Description | Time Frame |
|---|---|---|
| rate of canine retraction | the distance that canine moved every month | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| change in canine tip | change in canine crown tipping to certain reference plane with the aid of cone beam computed tomography | 6 months |
| change in canine torque | change in canine crown and root torque to certain reference plane with the aid of cone beam computed tomography |
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Inclusion Criteria:
Exclusion Criteria:
adult female patients
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of dentistry, Cairo University | Cairo | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40131446 | Derived | Abdelkader ASM, Abd El-Ghafour M, Dehis HM, El Sharaby FA, Labib AH. Effect of archwire size on the rate of canine retraction in adult women : A randomized clinical trial. J Orofac Orthop. 2025 Mar 25. doi: 10.1007/s00056-025-00577-y. Online ahead of print. |
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Three groups of patients each receives different wire gauge during canine retraction phase during space closure.
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The outcome assessor is not informed about the gauge of the wire used for patients
| st.st 0.016×0.022" wire | Other | rectangular stainless steel wire that will be used during canine retraction after first premolars extraction |
|
| st.st 0.017×0.025" wire | Other | rectangular stainless steel wire that will be used during canine retraction after first premolars extraction |
|
| 6 months |
| loss of molar anchorage | assess from digital models if there is change in mesio-distal position of maxillary first molar | 6 months |
| amount of canine root resorption | assess amount of root resorption (if occurred) with the aid of cone beam computed tomography | 6 months |