A randomized clinical trial investigating pain associated with superelastic nickel-titanium and multistranded stainless steel archwires during the initial leveling and aligning phase of orthodontic treatment

Satpal Singh Sandhu, Jasleen Sandhu

Research output: Contribution to journalArticle (Academic Journal)peer-review

21 Citations (Scopus)

Abstract

OBJECTIVE: To investigate and compare the effects of superelastic nickel-titanium and multistranded stainless steel archwires on pain during the initial phase of orthodontic treatment.

DESIGN: A double-blind two-arm parallel design stratified randomized clinical trial.

SETTING: A single centre in India between December 2010 and June 2012. A total of 96 participants (48 male and 48 females; 14.1±2.1 years old) were randomized (stratified on age, sex and initial crowding) to superelastic nickel-titanium or multistranded stainless steel archwire groups using a computer-generated allocation sequence.

METHODS: We compared 0.016-inch superelastic nickel-titanium and 0.0175-inch multistranded stainless steel wires in 0.022-inch slot (Roth prescription) preadjusted edgewise appliances. The follow-up period was 14 days. Outcome was assessed with a visual analogue scale at baseline and 32 pre-specified follow-up points. Data was analyzed using mixed-effects model analysis.

RESULTS: One participant was lost to follow up and 10 were excluded from the analysis due to bond failure or incomplete questionnaire answers. Ultimately, 85 participants (42 males and 43 females; 14.1±2.0 years old) were analysed for the final results. No statistically significant difference was found for overall pain [F value = 2.65, degrees of freedom (df) = 92.6; P = 0.1071]. However, compared to multistranded stainless steel wires, pain in subjects with superelastic nickel-titanium archwires was significantly greater at 12 h (t = 2.34; P = 0.0193), as well as at day 1 in the morning (t = 2.21, P = 0.0273), afternoon (t = 2.11, P = 0.0346) and at bedtime (t = 2.03, P = 0.042).

CONCLUSION: For overall pain, there was no statistically significant difference between the two wires. However, subjects with superelastic nickel-titanium archwires had a significantly higher pain at peak level.

Original languageEnglish
Pages (from-to)276-85
Number of pages10
JournalJournal of Orthodontics
Volume40
Issue number4
DOIs
Publication statusPublished - Dec 2013

Keywords

  • Adolescent
  • Child
  • Dental Alloys
  • Double-Blind Method
  • Elasticity
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Malocclusion
  • Nickel
  • Orthodontic Appliance Design
  • Orthodontic Brackets
  • Orthodontic Wires
  • Pain
  • Pain Measurement
  • Stainless Steel
  • Surface Properties
  • Time Factors
  • Titanium
  • Tooth Movement
  • Visual Analog Scale

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