Evaluation of the effects of cotton roll-biting on debonding pain: a split-mouth study
Abstract
Introduction: Debonding pain is an unpleasant sensation that is frequently encountered during debonding procedure.
Aim of the study: To investigate the effectiveness of cotton roll-biting on pain caused by the debonding procedure.
Materials and methods: 102 patients (61 females, 41 males) who were at the debonding stage in orthodontic treatment were included in the research. The study was planned using a split-mouth design: one side of the jaw was the study, and the other side was the control. The anxiety level of participants was measured before debonding. On the study side, debonding was performed while patients were biting a cotton roll. On the control side, debonding was implemented as a routine debonding procedure. Study and control sides were assigned differently in each successive patient. The debonding pain of each tooth was recorded using the Visual Analog Scale prepared separately for each tooth. Shapiro–Wilk and Mann–Whitney U tests were used for statistical analysis. For both gender groups, patients were sequenced according to the average amount of pain per tooth. Subsequently, statistical analysis was repeated by using 50% of patients suffering more pain.
Results: In the lower second premolar tooth, a statistically significant difference was detected. Pain scores were statistically higher in the study side for this tooth. No statistically significant differences were found for all other teeth.
Conclusions: Cotton roll-biting has no alleviating effect on debonding pain. When debonding is performed gently using a squeezing action without applying torsional forces, additional pain relief methods are not required.
References
2. Bergius M, Berggren U, Kiliaridis S. Experience of pain during an orthodontic procedure. Eur J Oral Sci. 2002;110:92-8.
3. Lew KK. Attitudes and perceptions of adults toward orthodontic treatment in an Asian community. Community Dent Oral Epidemiol. 1993;21:31-5.
4. O’Connor PJ. Patients’ perceptions before, during, and after orthodontic treatment. J Clin Orthod. 2000;34:591-2.
5. Patel V. Noncompletion of active orthodontic treatment. Br J Orthod. 1992;19:47-54.
6. Krishnan V. Orthodontic pain: from causes to management—a review. Eur J Orthod. 2007;29:170-9.
7. Williams OL, Bishara SE. Patient discomfort levels at the time of debonding: a pilot study. Am J Orthod Dentofacial Orthop. 1992;101:313-7.
8. Pithon MM, Santos Fonseca Figueiredo D, Oliveira DD, Coqueiro Rda S. What is the best method for debonding metallic brackets from the patient's perspective? Prog Orthod. 2015;16:17.
9. Priya, A., Jain, R.K. and Santhosh Kumar, M.P. Efficacy of different methods to reduce pain during debonding of orthodontic brackets. Drug invent Today. 2018; 10:1700–3.
10. Almuzian M, Rizk MZ, Ulhaq A, Alharbi F, Alomari S, Mohammed H. Effectiveness of different debonding techniques and adjunctive methods on pain and discomfort perception during debonding fixed orthodontic appliances: a systematic review. Eur J Orthod. 2019;41:486-94.
11. Mangnall LA, Dietrich T, Scholey JM. A randomized controlled trial to assess the pain associated with the debond of orthodontic fixed appliances. J Orthod. 2013;40:188-96.
12. Bavbek NC, Tuncer BB, Tortop T, Celik B. Efficacy of different methods to reduce pain during debonding of orthodontic brackets. Angle Orthod. 2016;86:917-24.
13. Kilinç DD, Sayar G. Evaluation of pain perception during orthodontic debonding of metallic brackets with four different techniques. J Appl Oral Sci. 2019;27:e20180003.
14. Todd KH, Funk DG, Funk JP, Bonacci R. The clinical significance of reported changes in pain seventy. Acad Emerg Med. 1995;2:369-70.
15. Beck AT, Brown G, Steer RA, Eidelse JI, Riskind JH. Differentianing anxiety and depression, a test of the cognitive content-specifity hypothesis. J Abnorm Psychol. 1987;96:179-85.
16. Smarr K, Keefer A. Measures of depression and depressive symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9). Arthritis Care Res. 2011;63:454-66.
17. Gameiro GH, Schultz C, Trein MP, Mundstock KS, Weidlich P, Goularte JF. Association among pain, masticatory performance, and proinflammatory cytokines in crevicular fluid during orthodontic treatment. Am J Orthod Dentofacial Orthop. 2015;148:967-73.
18. Celebi F, Turk T, Bicakci AA. Effects of low-level laser therapy and mechanical vibration on orthodontic pain caused by initial archwire. Am J Orthod Dentofacial Orthop. 2019;156:87-93.
19. Ngan P, Kess B, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop. 1989;96:47–53.
20. Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop. 1992:102;373-81.
21. Sandhu SS, Leckie G. Diurnal variation in orthodontic pain: clinical implications and pharmacological management. Semin Orthod. 2018:24;217-24.
22. Bergius M, Kiliardis S, Berggren U. Pain in orthodontics: a review and discussion of the literature . J Orofac Orthop. 2000;61:125–37.
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