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

Analgesia Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05104190
• Other study ID #: Orthodontic pain
• Status: Completed
• Phase: N/A
• Start date: January 1, 2019
• Est. completion date: June 24, 2020

Study information

• Verified date: October 2021
• Source: Armed Forces Institute of Dentistry, Pakistan
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 148
• Est. completion date: June 24, 2020
• Est. primary completion date: June 27, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 13 Years to 21 Years

Eligibility

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.

Related Conditions & MeSH terms

• Analgesia
• Orthodontic Appliance Complication

Intervention

Other:
• Stabilization 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.

Locations

Country	Name	City	State
Pakistan	Kashif Iqbal	Karachi	Sindh

Sponsors (1)

Lead Sponsor	Collaborator
Armed Forces Institute of Dentistry, Pakistan

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Measurement of pain	Using visual analogue scale pain was measured	Immediatey after debonding