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Completed

NCT Number: NCT06481761

The Effectiveness of Double-slot Brackets Versus Single-slot Brackets on the Rate of Canine Retraction

The aim of this Randomized clinical trial is to compare the efficacy of the double slot brackets compared to single slot-brackets in producing a controlled rate of upper canine retraction into premolar extraction space.

patients will be randomly divided into one of the two groups, CBCT (cone beam computed tomography) and dental models will be taken for each patient Pre-retraction and following the study completion.

The rate of retraction will be evaluated for both groups as well as Amount of canine root movement and molar anchorage loss will be also assessed.

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Key information

Age range

16 year–26 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Cairo University

Giza, 12613, Egypt

About this study

Eligible patients will be examined for fulfilling the inclusion criteria. All the recruited patients need extraction of upper first premolars followed by canine retraction with maximum anchorage.

The patients will be randomly allocated to one of the two groups; either Double slot brackets or single slot-brackets group.

In Double slot bracket group, Canine retraction will be made on two 0.016'' StSt (stainless steel) round wires, each in one of the slots of the double slot brackets. while in single slot-bracket group, Retraction will be made on one 0.017''×0.025'' rectangular StSt arch wire .

The patients will be seen on a monthly basis for follow up visit for reactivation of retraction to maintain constant force during the study. An impression will be taken for the patients every visit, fabricated dental models will be digitally scanned. The scanned models will be used to monitor the rate of canine retraction.

Every patient will be asked to take a CBCT image of the upper arch pre Retraction and after the completion of study duration (3 months). After data collection, assessors will carry on the measurements blindly. Statistical analysis of the data will be done and the results will be compared to evaluate the effectiveness of both techniques for canine retraction.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Good oral hygiene.
  • Adult Male or Female patients with an age range of 16-26 years old.
  • Full set of permanent dentition(excluding third molar).
  • Any kind of malocclusion requiring first premolar extraction and canine retraction.
  • Patients with type/pattern of crowding that allows leveling and alignment before premolar extraction

Exclusion criteria

  • History of previous orthodontic treatment.
  • Craniofacial deformity.
  • Systematic disease or administrating drugs affecting tooth movement.
  • Poor oral health.

Treatment and study plan

Double-slot brackets

Device

Miniscrews will be inserted in the buccal alveolar bone between first and second molars bilaterally and ligated to second premolar.

Canine Retraction using Nickel titanium closed-coil springs delivering a force of 150 gram, extending the spring between the canine and first molar hooks.

retraction on double 0.016'' Stainless steel round wires in both slots of the double slot brackets.

Re-activation of the coil spring will be done in the follow up visits to maintain a constant force through the study.

Single-slot brackets

Device

Miniscrews will be inserted in the buccal alveolar bone between first and second molars bilaterally and ligated to second premolar.

Canine Retraction using Nickel titanium closed-coil springs delivering a force of 150 gram, extending the spring between the canine and first molar hooks.

retraction on single 0.017x0.022'' Stainless steel wire. Re-activation of the coil spring will be done in the follow up visits to maintain a constant force through the study.

Primary outcomes

  1. rate of canine retraction

    Time frame: 3 months

    millimeters through superimposed digital models taken for each patient monthly at the follow up visits.

Secondary outcomes

  1. Total distance moved by the maxillary canine tip

    Time frame: 3 months

    movement in millimeters through superimposed pre- and post-retraction digital models.

  2. Amount of canine root movement

    Time frame: 3 months

    millimeters through pre and post retraction CBCT (cone beam computed tomography) images of the upper arch

  3. the change in Maxillary canine Torque

    Time frame: 3 months

    angular change through comparing pre- and post-retraction CBCT

  4. change in maxillary canine tipping

    Time frame: 3 months

    angular change through comparing pre- and post-retraction CBCT

  5. The changes in maxillary canine rotation

    Time frame: 3 months

    angular change through superimposed pre- and post-retraction digital models.

  6. Amount of maxillary canine root resorption

    Time frame: 3 months

    millimeters through pre and post retraction CBCT (cone beam computed tomography) images of the upper arch

  7. Molar cusp anchorage loss

    Time frame: 3 months

    millimeters through superimposed digital models taken for each patient monthly at the follow up visits. and pre and post retraction CBCT images

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

The Effectiveness of Double-slot Brackets Versus Single-slot Brackets on the Rate of Canine Retraction: A Randomized Clinical Trial

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jul 1, 2024
Registry last updated
Jun 26, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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