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Comprehensive comparison of canine retraction using NiTi closed coil springs vs elastomeric chains:: A split-mouth randomized controlled trial
Authors:Haya A Barsoum  Hend S ElSayed  Fouad A El Sharaby  Juan Martin Palomo  Yehya A Mostafa
Abstract:ObjectivesTo compare canine retraction using NiTi closed coil springs vs elastomeric chains comprehensively in a split-mouth randomized controlled trial.Materials and MethodsThe canines in 64 quadrants were randomly retracted into the first premolar extraction spaces using NiTi closed coil springs or elastomeric chains, in the maxilla and mandible. The retraction force was 150 g. Cone beam computed tomography scans and study models were obtained before the start of canine retraction and 6 months later. The rate and total amount of canine retraction, canine rotation, tipping, and root resorption were evaluated. A visual analogue scale was used to evaluate patients'' pain experience.ResultsThe two methods were statistically similar for dental changes, rate of canine retraction, and root resorption. However, patients reported significantly more days of pain with the elastomeric chain compared to the NiTi closed coil springs.ConclusionsWithin the constraints of the current study, using either NiTi closed coil springs or elastomeric chains as force delivery systems for canine retraction results in no significant difference in the rate of canine retraction, tipping, rotation, or root resorption. Pain experience during retraction using elastomeric chains is more significant yet needs further investigation.
Keywords:Canine retraction  Coil springs  Elastomeric chains  Root resorption  Pain
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