An in vivo Study of the Feasibility of Different Methods after Debonding of Orthodontic Brackets

Aim: The objective of this study is to evaluate and compare the levels of discomfort thorough Visual analogue scale (VAS) experienced during debonding using three different methods, as well as the adhesive remnant index (ARI) scores.

Materials and Methods: 50 female patients from a single clinic were studied in the study, with a mean age of 24 years and 5 months. Lift-off debonding instrument, straight cutter and Howe plier were the three methods used to study during debonding of orthodontic appliances. Discomfort levels were measured using a visual analogue scale at the end of debonding in each quadrant (VAS). ARI was used to investigate the remaining adhesive on the enamel surface.

Results: The Straight cutter technique resulted in much greater pain scores. The Lift off debonding instrument method was the least discomfort causing method .The three approaches utilised by ARI yielded significantly varied findings.

Conclusion: When the Lift off debonding instrument method was utilised, the patients showed the least amount of discomfort.