Assessment of Pain When Removing Metallic Brackets for Orthodontic Patients Using Two Removal Methods

Launched by DAMASCUS UNIVERSITY · Mar 11, 2025

Keywords

ClinConnect Summary

Pain is a subjective experience that can vary widely among individuals. It is influenced by several factors, including age, gender, personal pain threshold, psychological and social conditions, past negative experiences, and the degree of force applied.

Although various methods for bracket debonding, such as ultrasonic instrumentation, lasers, and electro-thermal debonding, are documented in the literature, hand tools like Weingart pliers remain among the most practical solutions. This study focused on using Weingart pliers to compare the pain scores in two techniques-open mouth and biting...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients aged 16 to 25 years,
• • Undergoing orthodontic treatment with MBT prescription 0.022-inch metal brackets with a single-mesh base (Pinnacle®, MBT compatible 0.022, OrthoTechnology™, Florida, USA) who were in the final stage of their treatment and planned for debonding,
• • The brackets bonded with the same bonding cement (Ivoclar Heliosit Orthodontic Adhesive Composite) and the same primer (Ivoclar Vivadent Tetric N-Bond),
• • Absence of debonded brackets at the debonding process,
• • The 0.017 × 0.025-inch stainless steel finishing archwires in their places for at least one month,
• • Good occlusal relationships and strong intercuspation,
• • No recent use of medications such as painkillers or corticosteroids in the last day,
• • Absence of acute or chronic dental pain induced by periodontal/periapical lesions or caries,
• • There is an absence of a history of surgical treatment, including impacted tooth eruption, tooth transplantation, or the presence of mini-screws.
• Exclusion Criteria:
• • Presence of any craniofacial syndromes or systemic diseases
• • Previous facial trauma
• • Previous orthodontic treatment