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CompletedNCT07141836CRESTUpdated Sep 2, 2025

Effectiveness of Elastic Chains Versus Elastics in Maxillary Canine Retraction

An interventional study of Elastomeric chain and Elastics in Elastic Chains and Elastics, sponsored by Sana'a University. Completed at 1 site in Yemen. Open to participants aged 14 Years to 25 Years. Per ClinicalTrials.gov, last updated 2025-09-02.

Sponsored by Sana'a University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
14 Years to 25 Years
Sex
All
01

Study summary

This clinical study aimed to evaluate the effectiveness of Elastics and Elastic chains in maxillary canine retraction. Participants of this study were patients undergoing maxillary canine retraction after first premolar extraction. The study aimed to determine an effective method for better controlling tooth movement.

This study was initiated on 01-2024. Initially, I was not aware of the importance of early registration on ClinicalTrials.gov. Registration was completed after the study began to ensure transparency and adherence to ethical guidelines. All study procedures and protocols have been conducted under the supervision of the academic advisor. All study procedures and protocols have been followed according to institutional and ethical guidelines

Read the detailed description

This split-mouth Randomized clinical trial was conducted on 33 patients who needed maxillary canine retraction. Participants were randomly selected one side to receive an elastic chain and the other for elastics, as a method for canine retraction. The intervention period lasted for 15 weeks, and the elastics were replaced by the patient every three days, while elastic chains were exchanged by the principal investigator at 5-week appointments. The type of movement that occurred with each method was evaluated to measure the rate of tooth movement, tipping, and rotation resulting. The study was conducted under the supervision and approval of the Research Ethics Committee at Sana'a University, Faculty of Dentistry. All procedures were performed according to the approved protocol, ensuring participant safety and data accuracy.

02

Conditions studied

  • Elastic Chains
  • Elastics

Keywords

  • Elastics
  • Elastomeric chains
  • Randomized clinical trial
  • Split mouth
  • Digital models
  • Canine retraction
03

Who can participate

Ages eligible
14 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients' treatment required 1st premolar extractions in the maxillary arch and space closure involving canine retraction.
  • Teeth in the buccal segments were without any gross anatomic root anomalies as determined by panoramic radiographs.
  • There is no gross evidence of asymmetric bone loss in the buccal segments of a given arch as determined by panoramic radiographs.
  • Crown/root ratios of contralateral canines and premolars are within 3 mm of one another as determined by panoramic radiographs.

Exclusion criteria

Exclusion Criteria:

  • Patients with gross anatomical anomalies in upper maxillary canines
  • Patients with growth and development problems.
  • Evidence of bone loss.
  • Presence of Impacted Canine.
  • History of long-term use of NSAIDs and corticosteroids or drugs affect bone metabolism. Patients who reported any medication interfering with bone metabolism or patients with severe skeletal discrepancies indicated for orthognathic treatment.
  • Patients with latex materials allergy.
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Elastic chains

    This side received maxillary canine retraction using elastic chains

    Procedure: Elastomeric chain

  • Experimental
    Elastics

    This side received maxillary canine retraction with Elastics on the contralateral side of the arch

    Procedure: Elastics

Interventions

  • ProcedureElastomeric chain

    Elastic chain used to apply force that is capable of canine retraction. The chains were attached between canine bracket and molar band on the side that selected Randomly.

    Also known as: Elastic chains, Power chain

  • ProcedureElastics

    Elastics were used to bring a continuous force for maxillary canine retraction in orthodontic patients. Elastics were stretched between the canine bracket and the molar band to retract the canine distally

    Also known as: Elastic band, Intramaxillary elastic

05

What researchers measure

Primary outcomes

  1. Rate of maxillary canine retraction by elastics and elastic chains on each side

    The canine retraction rate was measured on superimposed digital casts of pre and post retraction models.

    Time frame: Difference between pe and post retraction canine position during 15 weeks

  2. Measurement of the Tipping movement occurred by each method

    Tipping angle on each side was measured on Orthopantomograms (OPG).

    Time frame: Pre and post retraction during 15 weeks

  3. Measurements of rotation resulted by elastic and elastic chain

    The rotational angle was measured on each side by the digital models

    Time frame: Pre and post-retraction during 25 weeks

06

Study locations

1 site
  • Deparyment of Orthodontics - Faculty of Dentistry- Sana'a University
    Sanaa, 967, Yemen
07

References and documents

Publications

  • Jagtap SB, Bhosale VI, Patil AS. Comparative evaluation of interrupted and intermittent forces on canine retraction: an in vivo study. Folia Med (Plovdiv). 2021 Oct 31;63(5):686-691. doi: 10.3897/folmed.63.e54247. PubMed 35851202 ↗

Study documents

  • Protocol and informed consent form · Jan 30, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — I plan to share de-identified individual participant data (IPD) related to the main outcomes of this study. The data will be available upon reasonable request and after the results are published. Only researchers with valid proposals will be allowed access. Data will be shared through secure methods and only for academic purposes

Supporting information: Study protocol, Sap, Icf

08

Registry details

Key details

Study ID
NCT07141836
Lead sponsor
Sana'a University
Responsible party
Asraa Haleem Mohamed Tah (Resident in orthodontics, Sana'a University) — Principal investigator
First posted
Aug 26, 2025
Start date
Jan 30, 2024
Primary completion
Apr 11, 2025
Completion
May 1, 2025
Last update
Sep 2, 2025

Study contacts

Asraa H Taha, MSc Student
principal investigator · Faculty of Dentistry - Sana'a University
Reema A Al-Eriani, PhD of Pedodontics
study director · Faculty of Dentistry- Sana'a University
Ghamdan A Al-Harazi, PhD of Orthodontics
study director · Faculty of Dentistry- Sana'a University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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