Evaluation of pain perception during orthodontic debonding of metallic brackets with four different techniques

Abstract

ObjectiveThe aim of this study was to evaluate patients’ pain levels during four different debonding procedures. The null hypothesis was that the pain perception of the patients undergoing four different debonding applications was not statistically significant different.Material and MethodsOne hundred and twenty orthodontic patients who underwent orthodontic debonding were included in this study. The patients were randomly divided into 4 groups according to technique used in the patients. Debonding groups were as follows: Group 1) Conventional debonding group, Group 2) Medication group (acetaminophen was given 1 hour before debonding), Group 3) Soft bite wax group, and Group 4) Soft acrylic bite wafer group. The patients’ levels of anxiety and fear of pain were evaluated before debonding, and Numerical Rating Scale (NRS) was applied to evaluate their pain perception during debonding. Mann-Whitney U and Kruskal–Wallis tests were used to evaluate non-normally distributed data. Categorical data analysis were carried by chi-square and McNemar tests. The significance level was set at p<0.05.ResultsAnxiety scores of the patients were not statistically significant between both genders and debonding groups. In the quadrants in which the patients were perceived, the highest pain level was in the left side of the mandible. The teeth in which the highest pain level was perceived were the lower left and upper right lateral incisors. Although there was no statistically significant difference among the pain scores of the patients in each group, quadrant scores of female patients showed significant differences, being the lowest scores in the soft bite wax group.ConclusionsMajority of the patients had no fear of pain before debonding. Pain levels of the patients in the conventional debonding group were not significantly different from those of the other groups, except quadrant scores of females in the soft bite wax group. The null hypothesis was accepted.

Comparative Evaluation of Different Numerical Pain Scales Used for Pain Estimation during Debonding of Orthodontic Brackets

“…There have been similar studies conducted across other regions involving various debonding methods in which anxiety scores across different genders have not turned out significantly different [ 34 ]. The patients' attitude towards pain depends on varied conditions such as using different hand instruments at debonding, cultural background, intake of analgesics, the periodontal condition of teeth, practitioner's experience, and position of patient and practitioner; the relation of all these parameters to pain perception can be the matter of further study.…”

Skausmas Ir Diskomfortas Ortodontinio Gydymo Breketų Sistema Metu

“…Diskomforto pojūtis šios procedūros metu priklauso nuo dviejų pagrindinių dalykų: danties paslankumo ir jėgos tipo. Periodonto struktūrų išsidėstymas leidžia atsispirti intruzinėms kramtymo jėgoms, todėl intruzinės jėgos panaudojimas nuimant breketus sukelia mažiau skausmo, lyginant su mezialinėmis, distalinėmis, facialinėmis, lingvalinėmis ar ekstruzinėmis jėgomis [4,10]. Gydytojai ortodontai, norėdami sumažinti diskomfortą breketų nuėmimo metu, turėtų stabilizuoti dantis pirštu arba paprašyti paciento sukąsti vatos volelį [10].…”

Evaluation of the effects of cotton roll-biting on debonding pain: a split-mouth study

“…10 In the existing literature, there are just a few articles that investigate the effects of techniques that provide an intrusive force on the teeth. [11][12][13] A systematic review, published in 2019 by Almuzian et al, was able to present just two studies related to providing intrusive force. [10][11][12] As a result of our research, we were able to access one additional article published recently.…”