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Comparison of Different Methods of Controlling Pain During Debonding of Orthodontic Brackets

Comparison of Different Methods of Controlling Pain During Debonding of Orthodontic Brackets

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05104190
Enrollment
148
Registered
2021-11-02
Start date
2019-01-01
Completion date
2020-06-24
Last updated
2021-11-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Analgesia, Orthodontic Appliance Complication

Keywords

Orthodontic pain

Brief summary

Purpose of this study was to evaluate different methods of controlling pain during debonding

Detailed description

Patients data was obtained from the Department of Orthodontics, Armed Forces Institute of Dentistry, Rawalpindi. One Hundred and ten patients were included in the study, which were divided into two groups, 55 patients in each group, based on method of controlling pain during debonding. To control pain during debonding in one group , teeth were stabilized with finger pressure with cotton between finger and teeth and then debonding using open mouth technique was done. In second group teeth were stabilized using a plastic wafer between maxillary and mandibular teeth and then debonding was done using closed mouth technique. In order to reduce biasness, all of the patients were debonded with same plier and with wires still ligated to brackets. With the help of VAS, pain score was measured after debonding. A single operator performed complete procedure of debonding and pain recording.

Interventions

OTHERStabilization of teeth during debonding using fingure pressure and elastic wafer

To control pain during debonding in one group , teeth were stabilized with finger pressure with cotton between finger and teeth and then debonding using open mouth technique was done. In second group teeth were stabilized using a plastic wafer between maxillary and mandibular teeth and then debonding was done using closed mouth technique. In order to reduce biasness, all of the patients were debonded with same plier and with wires still ligated to brackets. With the help of VAS, pain score was measured after debonding. A single operator performed complete procedure of debonding and pain recording.

Sponsors

Armed Forces Institute of Dentistry, Pakistan
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
13 Years to 21 Years
Healthy volunteers
Yes

Inclusion criteria

Patients between 13-21 years of age who can understand, assess, and answer the questionnaires. 2) No missing teeth except extracted premolars 3) Undergoing upper and lower fixed orthodontic treatment with Roth prescription 0.022-inch metal brackets . 4) Finishing arch wires present for at least two months

Exclusion criteria

1. The subjects with a previous history of facial or mandibular surgery or syndromes affecting the jaw or face . 2. Patient with history of jaw sugeries. 3. Patients with history of taking medicine periodically or in the last 24 hours (eg, painkillers, corticosteroids, and antiflu drugs), 4. Patient with history of debonded brackets and replacement. 5. Patient with history of tooth transplantation or microscrews placement.

Design outcomes

Primary

MeasureTime frameDescription
Measurement of painImmediatey after debondingUsing visual analogue scale pain was measured

Countries

Pakistan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026