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ZENODO
Article . 2026
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2026
License: CC BY
Data sources: Datacite
ZENODO
Article . 2026
License: CC BY
Data sources: Datacite
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Effectiveness of different archwire sequences during orthodontic treatment: randomised control trial

Authors: zubair sharif1, Faiza Imtiaz2, Sohail Fareed3, Awais Hussain4;

Effectiveness of different archwire sequences during orthodontic treatment: randomised control trial

Abstract

Selection of archwire sequence plays a critical role in determining the efficiency, biological response, and patient experience during fixed orthodontic treatment. This randomized controlled trial evaluated the effectiveness of two commonly used archwire sequences in achieving dental alignment and reducing treatment-related discomfort. A total of 120 patients requiring comprehensive fixed appliance therapy were randomly allocated into two groups: a conventional nickel–titanium to stainless steel sequence and a modified superelastic nickel–titanium sequence. Primary outcomes included rate of dental alignment measured using Little’s Irregularity Index and treatment efficiency over the first six months. Secondary outcomes included pain intensity and chairside adjustment time. The modified superelastic sequence demonstrated significantly faster alignment at 12 and 24 weeks (p < 0.001) and lower mean pain scores during initial stages (p = 0.002). No significant difference was observed in overall bracket failure rates. These findings indicate that archwire sequencing influences early treatment efficiency and patient comfort. This study provides novel randomized evidence supporting optimized archwire selection to enhance biologic response and clinical efficiency in orthodontic therapy.

Keywords

orthodontic archwires; alignment efficiency; randomized controlled trial.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average