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- DOI doi: 10.18231/j.jco.13092.1758355907
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CrossMark
- Citation
A comparative evaluation of different pain control methods during debonding of orthodontic brackets: An in vivo study
- Author Details:
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Vaibhav Kumar Choudhary *
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Madhur Navlani
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P.G. Makhija
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Amit Bhardwaj
Aim: The objective was to assess the influence of various pain control methods on patients’ perception of pain during debonding.
Settings and Design: A cross-sectional comparative study was carried out on 60 subjects (n = 60), comprising 46 females and 14 males, from our institution who were in the finishing stage and ready to be debonded. The participants were randomly divided into three groups: Finger Pressure (FP), Elastomeric Wafer (EW) and Stress Relief (SR).
Materials and Methods: For every tooth, pain perception was documented with the help of a 100 mm Visual Analog Scale (VAS). Pain Catastrophizing Scale (PCS) was further employed to assess the general cognitive-emotional attitude of patients toward pain. To maintain uniformity, a curved debonding plier was used for all procedures with the same operator and armamentarium across subjects.
Statistical Analysis Used: Inter and intra-group differences in pain scores were analyzed using the Kruskal–Wallis test. To evaluate correlations between VAS scores and the various pain point control methods, linear regression analysis was used.
Results: Inter-group analysis showed that FP group reported the lowest total pain scores (P = 0.043). Intra-group analysis indicated that significantly higher pain scores were observed in the mandibular anterior region across all three groups (P = 0.02). A moderate correlation was identified between pain control approaches and VAS scores.
Conclusions: The FP technique proved to be an effective strategy for reducing pain during debonding. Furthermore, anteriors when compared to posteriors in both arches were found to be more pain sensitive
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How to Cite This Article
Vancouver
Choudhary VK, Navlani M, Makhija P, Bhardwaj A. A comparative evaluation of different pain control methods during debonding of orthodontic brackets: An in vivo study [Internet]. J Contemp Orthod. 2025 [cited 2025 Oct 28];9(4):495-501. Available from: https://doi.org/doi: 10.18231/j.jco.13092.1758355907
APA
Choudhary, V. K., Navlani, M., Makhija, P., Bhardwaj, A. (2025). A comparative evaluation of different pain control methods during debonding of orthodontic brackets: An in vivo study. J Contemp Orthod, 9(4), 495-501. https://doi.org/doi: 10.18231/j.jco.13092.1758355907
MLA
Choudhary, Vaibhav Kumar, Navlani, Madhur, Makhija, P.G., Bhardwaj, Amit. "A comparative evaluation of different pain control methods during debonding of orthodontic brackets: An in vivo study." J Contemp Orthod, vol. 9, no. 4, 2025, pp. 495-501. https://doi.org/doi: 10.18231/j.jco.13092.1758355907
Chicago
Choudhary, V. K., Navlani, M., Makhija, P., Bhardwaj, A.. "A comparative evaluation of different pain control methods during debonding of orthodontic brackets: An in vivo study." J Contemp Orthod 9, no. 4 (2025): 495-501. https://doi.org/doi: 10.18231/j.jco.13092.1758355907