Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical Trial

Introduction: We aimed to assess pain levels and debonding forces using the Damon Clear debonding plier. Methods: Forty orthodontic patients aged 17 to 25 years were assigned to two groups for a split-mouth comparison: group A (control) (n = 40) utilized the bracket remover plier, while group B (n =...

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Main Authors: Hasanain L. Smaysim, Layth M.K. Nissan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Dental Hypotheses
Subjects:
Online Access:https://journals.lww.com/10.4103/denthyp.denthyp_76_23
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author Hasanain L. Smaysim
Layth M.K. Nissan
author_facet Hasanain L. Smaysim
Layth M.K. Nissan
author_sort Hasanain L. Smaysim
collection DOAJ
description Introduction: We aimed to assess pain levels and debonding forces using the Damon Clear debonding plier. Methods: Forty orthodontic patients aged 17 to 25 years were assigned to two groups for a split-mouth comparison: group A (control) (n = 40) utilized the bracket remover plier, while group B (n = 40) used the Damon Clear debonding plier with a third wedging arm. Prior to debonding, patients’ anxiety levels were evaluated using questionnaires. Pain perception was assessed using a Numerical Rating Scale, and the force required for debonding was measured using a force-sensitive prototype. Results: The mean debonding force did not differ significantly between the two groups (P = 0.53). However, group A exhibited significantly lower debonding pain scores compared to group B (P < 0.001). Conclusion: This study suggests that the traditional bracket remover plier may lead to reduced debonding pain levels compared to the novel debonding plier with a third wedging arm. Further research is necessary to explore the factors contributing to pain during debonding and to develop strategies for minimizing patient discomfort.
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spelling doaj-art-bb2c18289ec8400884d08c50caa160472025-08-20T02:10:43ZengWolters Kluwer Medknow PublicationsDental Hypotheses2155-82132025-01-011611310.4103/denthyp.denthyp_76_23Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical TrialHasanain L. SmaysimLayth M.K. NissanIntroduction: We aimed to assess pain levels and debonding forces using the Damon Clear debonding plier. Methods: Forty orthodontic patients aged 17 to 25 years were assigned to two groups for a split-mouth comparison: group A (control) (n = 40) utilized the bracket remover plier, while group B (n = 40) used the Damon Clear debonding plier with a third wedging arm. Prior to debonding, patients’ anxiety levels were evaluated using questionnaires. Pain perception was assessed using a Numerical Rating Scale, and the force required for debonding was measured using a force-sensitive prototype. Results: The mean debonding force did not differ significantly between the two groups (P = 0.53). However, group A exhibited significantly lower debonding pain scores compared to group B (P < 0.001). Conclusion: This study suggests that the traditional bracket remover plier may lead to reduced debonding pain levels compared to the novel debonding plier with a third wedging arm. Further research is necessary to explore the factors contributing to pain during debonding and to develop strategies for minimizing patient discomfort.https://journals.lww.com/10.4103/denthyp.denthyp_76_23orthodontic treatmentbrackets debondingdebonding forcedebonding pain
spellingShingle Hasanain L. Smaysim
Layth M.K. Nissan
Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical Trial
Dental Hypotheses
orthodontic treatment
brackets debonding
debonding force
debonding pain
title Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical Trial
title_full Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical Trial
title_fullStr Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical Trial
title_full_unstemmed Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical Trial
title_short Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical Trial
title_sort clinical assessment of pain levels and debonding forces using the damon clear debonding plier a split mouth controlled clinical trial
topic orthodontic treatment
brackets debonding
debonding force
debonding pain
url https://journals.lww.com/10.4103/denthyp.denthyp_76_23
work_keys_str_mv AT hasanainlsmaysim clinicalassessmentofpainlevelsanddebondingforcesusingthedamoncleardebondingplierasplitmouthcontrolledclinicaltrial
AT laythmknissan clinicalassessmentofpainlevelsanddebondingforcesusingthedamoncleardebondingplierasplitmouthcontrolledclinicaltrial