Debonding, Orthodontic Brackets
Conditions
Keywords
orthodontic brackets, pain measurement, dental debonding
Brief summary
The present research aimed to thoroughly investigate the impact of bracket architecture on pain perception during active treatment, debonding, and adhesive removal.
Detailed description
100 consecutive patients who completed treatment with one of two bracket systems (2-slot brackets with integral base or conventional twin brackets with foil mesh) were included in this prospective clinical trial. Prior to the removal of brackets, participants were asked to evaluate the level of pain encountered throughout their orthodontic treatment with the fixed appliances, utilizing a 0-10 numerical rating scale, and to indicate the main cause of pain. Subsequently, brackets on the right side of both dental arches were debonded using the lift-off debonding instrument (LODI), while on the left side, the bracket removal pliers (BRP). The residual adhesive was removed through two methods (manual in the upper arch and rotary in the lower). The same scale was employed to assess pain levels during brackets and adhesive removal.
Interventions
DEVICEbracket removal pliers, LODI
Brackets on the right side of both dental arches were debonded using the lift-off debonding instrument (LODI), while on the left side, the bracket removal pliers (BRP). The residual adhesive was removed through two methods (manual in the upper arch and rotary in the lower). The same scale was employed to assess pain levels during brackets and adhesive removal.
Sponsors
Piotr Fudalej
Study design
Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* fixed appliance in both dental arches * brackets bonded using the Transbond XT adhesive system (3M Unitek, St. Paul, USA) following the manufacturer's instructions
Exclusion criteria
* periodontal disease * restorations or caries on buccal surfaces of the teeth, * consumption of analgesics within eight hours preceding the debonding appointment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain during active treatment | On the day of debondig (at the end of active treatment). | Numerical Rating Scale (0-10) was used to assess pain level during active treatment. |
| Pain during brackets removal | On the day of debondig (after debonding of each single bracket). | Numerical Rating Scale (0-10) was used to assess pain during brackets debonding. |
| Pain on adhesive removal | On the day of debondig (after adhesive removal in each quadrant). | Numerical Rating Scale (0-10) was used to assess pain during adhesive removal. |
Countries
Poland
Outcome results
None listed