ClinicalTrials.gg
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

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Jan 2024, registered Aug 2025).
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

In context

Lead sponsor

Sana'a University is the lead sponsor of 27 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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 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.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

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

06

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

07

Study locations

1 site
  • Deparyment of Orthodontics - Faculty of Dentistry- Sana'a University
    Sanaa, 967, Yemen
08

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

PDFs hosted by the registry, ClinicalTrials.gov.

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, Statistical analysis plan, Informed consent form

Time frame: Start Date: 01-Jan-2026 End Date: 31-Dec-2030

Access criteria: Qualified researchers who submit a valid research proposal will be able to access de-identified individual participant data, including digital models and treatment outcome measurements. Data will be available through a secure online repository upon approval of the research proposal.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2024 to primary completion in Apr 2025, 14 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 15, 2025
First posted
Aug 26, 2025
StartActual
Jan 30, 2024
Primary completionActual
Apr 11, 2025
CompletionActual
May 1, 2025
Last update
Sep 2, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

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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This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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