A Comparative Evaluation of Different Pain Control Methods During Debonding of Orthodontic Brackets: An In Vivo Study.

Authors: Dr Vaibhav Kumar Choudhary, Dr P.G. Makhija, Dr Madhur Navlani, Dr Amit Bhardwaj, Dr Rakesh Thukral

DOI: 10.18231/j.jco.13092.1758355907

Keywords: Finger Pressure, Elastomeric Wafer, Stress Relief, Pain control,Orthodontic debonding

Abstract: Aim: To determine the effect of different pain control methods, on the patient’s pain perception during debonding of orthodontic brackets Settings and Design: A comparative cross-sectional study performed on a sample of 60 patient’s (n=60) including 14 males and 46 females obtained from our institution, who were ready for debonding were divided into three groups i.e Finger Pressure(FP), Elastomeric Wafer(EW) and Stress Relief(SR). Methods and Material: An 100mm Visual Analog Scale(VAS) was used to record the pain intensity for each teeth. Another scale known as Pain Catestrophizing Scale(PCS) was used to evaluate the patient’s general attitude towards pain perception. Curved debonding plier was used for debonding. The armamentarium and operator was kept same for all the patients. Statistical analysis used: Kruskalwallis test was used for inter and intra-group comparison of pain scores, Linear regression analysis was performed to find any correlation between the VAS score and the pain control methods. Results: Lowest total pain score was recorded in FP group P = 0.043 on intergroup comparison, on intra-group comparison higher pain scores were recorded in lower anterior region P = 0.02 in all three groups. And moderate correlation was found between VAS score and pain control methods. Conclusions: FP is an effective method of pain control. And teeth in the anterior region of lower and upper arches are more sensitive to pain.