ClinicalTrials.gg
Status unknownNCT05904587Updated Jun 15, 2023

Methods That Reduce Pain During Debonding Fixed Orthodontic Appliance

An interventional study of SureSmile® VPro™ and ortho technology, sports advantage, thermal forming soft EVA 3mm in Pain, sponsored by University of Baghdad. Status unknown at 1 site in Iraq. Open to participants aged 15 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-06-15.

Sponsored by University of Baghdad · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Jun 2023), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
15 Years to 30 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the effectiveness of four different methods (including the control group) in reducing pain during debonding of fixed orthodontic appliances in participants requiring the removal of their fixed orthodontic appliance.

The main question it aims to answer is which method (biting on a cotton roll, biting on a soft thermoplastic elastomeric sheet, and the use of low-level vibration in reducing pain during the debonding procedure) is most effective in reducing the patients' pain during debonding of conventional orthodontic fixed appliances.

Participants will be asked to give their pain score on a scale of 0 to 100 VAS (visual analogue scale) for every region of the dentition.

the researcher then will compare different scores of different methods to find the most effective method in reducing pain.

Read the detailed description

After signing the consent form, the patient will be tested using General Anxiety Disorder 7 (GAD-7) to reduce the effect of general anxiety on pain scores. GAD consists of 7 statements designed to measure anxiety. This will aid in identifying individuals who have severe anxiety disorder and exclude them from the study to ensure more accurate results.

Four debonding methods will be used in this study; Routine mechanical debonding with debonding plier with an open mouth, which will be used as control, and three other interventions to manage pain including biting on a cotton roll, biting on an elastomeric wafer, and using vibration. All of the procedures will be done with the archwire in situ and with minimal torsional force on the bracket.

For the control group, the debonding will be done with an open-mouth technique without any support applied to the teeth. The cotton roll method will be done by asking the patient to bite on the cotton roll firmly but not excessively during the debonding procedure.

As for the elastomeric wafer group the patient will bite on the wafer firmly during the debonding procedure, in a similar fashion the patient will bite on the mouthpiece of the VPro vibration device.

Pain will be estimated by using 100mm VAS and recording the results for each sextant, accompanied by the GAD-7 results and the patient's age and gender.

02

Conditions studied

  • Pain

Browse trials for

Keywords

  • pain and debonding
03

In context

Pain

2,450 studies on the registry are indexed under Pain; 945 are open to participants now.

This study's planned enrollment of 128 is above the median of 70 across 2,101 interventional studies indexed under Pain.

Browse Pain studies →

Lead sponsor

University of Baghdad is the lead sponsor of 166 studies on the registry; 65 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
15 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients between 15-30 years of age who could understand, assess, and answer the questionnaires.
  2. No history of taking medicine periodically or in the last 24 hours (e.g., painkillers, corticosteroids, and anti-flu drugs).
  3. No debonded brackets prior to debonding procedure.
  4. No missing teeth except extracted premolar.
  5. Undergoing upper and lower fixed orthodontic treatment with 0.022-inch metal brackets.
  6. Finishing arch wires present for at least two months.
  7. No craniofacial deformities that would affect the dentoalveolar bone quality (e.g., cleft lip and palate) .

Exclusion criteria

Exclusion Criteria:

  1. History of taking medicine periodically or in the last 24 h (e.g., analgesic, anti-inflammatory and anxiolytic).
  2. GAD-7 score of ˃8.
  3. Debonded brackets at the time of debonding.
  4. Missing teeth except for extracted premolars.
  5. Active periodontal problems (recession and mobility greater than Grade I),
  6. Heavily restored or root canal treated tooth.
  7. Craniofacial deformities that would affect dentoalveolar bone quality (e.g., cleft lip and palate).
  8. Surgical treatment (including impacted tooth removal) and presence of mini-screws.
  9. excessive gingival overgrowth.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
128 participants (estimated)

Study arms

  • No intervention
    open mouth debonding

    debonding of the bracket is done while the mouth of the patient is open and without any support to the teeth during the debonding procedure

  • Experimental
    biting on soft elastomeric wafer

    debonding of the bracket is done while the patient is biting on the preshaped soft elastomeric wafer (cut into a horseshoe shape) during the debonding procedure

    Other: ortho technology, sports advantage, thermal forming soft EVA 3mm

  • Experimental
    biting on cotton roll

    debonding of the bracket is done while the patient is biting on a cotton roll during the debonding procedure

    Other: cotton roll

  • Experimental
    biting on the mouthpiece of vibrational device

    debonding of the bracket is done while the patient is biting on the mouthpiece of the vibrational device (SureSmile® VPro™) delivering vibrations to the dentition during the debonding procedure

    Device: SureSmile® VPro™

Interventions

  • DeviceSureSmile® VPro™

    the pain is recorded when the patient is biting on the mouthpiece of the device during the debonding procedure

  • Otherortho technology, sports advantage, thermal forming soft EVA 3mm

    the pain is recorded when the patient is biting on the EVA sheet during the debonding procedure

  • Othercotton roll

    the pain is recorded when the patient is biting on the cotton roll during the debonding procedure

06

What researchers measure

Primary outcomes

  1. pain during debonding of conventional fixed orthodontic appliance

    pain will be estimated using 0-100 VAS (visual analogue scale) of each segment of the dentition during the debonding procedure

    Time frame: Intraprocedural

Secondary outcomes

  1. the dentition segment with the highest pain scores

    will be measured statistically

    Time frame: Intraprocedural

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • 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 Sep 21;41(5):486-494. doi: 10.1093/ejo/cjz013. PubMed 30934051 ↗
  • Bavbek NC, Tuncer BB, Tortop T, Celik B. Efficacy of different methods to reduce pain during debonding of orthodontic brackets. Angle Orthod. 2016 Nov;86(6):917-924. doi: 10.2319/020116-88R.1. Epub 2016 May 12. PubMed 27172508 ↗
  • Celebi, F. (2021) Evaluation of the effects of cotton roll-biting on debonding pain: a split-mouth study. South European Journal of Orthodontics And Dentofacial Research, 8, 1-7.
  • Gupta SP, Rauniyar S, Prasad P, Pradhan PMS. A randomized controlled trial to evaluate the effectiveness of different methods on pain management during orthodontic debonding. Prog Orthod. 2022 Mar 1;23(1):7. doi: 10.1186/s40510-022-00401-y. PubMed 35229220 ↗
  • Jaypapal, J., Maheshwari, U. and Vijayalakshmi, V. (2020) Comparison of pain perception during debonding between conventional and vibratory therapy. Annals of the Romanian Society for Cell Biology, 24, 701-715.
  • Kilinc DD, Sayar G. Evaluation of pain perception during orthodontic debonding of metallic brackets with four different techniques. J Appl Oral Sci. 2019 Jan 7;27:e20180003. doi: 10.1590/1678-7757-2018-0003. PubMed 30624460 ↗
  • 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. doi: 10.1186/s40510-015-0088-7. Epub 2015 Jun 17. PubMed 26081783 ↗
  • Williams OL, Bishara SE. Patient discomfort levels at the time of debonding: a pilot study. Am J Orthod Dentofacial Orthop. 1992 Apr;101(4):313-7. doi: 10.1016/S0889-5406(05)80324-5. PubMed 1558060 ↗
  • Musawi AI, Kadhum AS. Effectiveness of high-frequency vibration, cotton rolls and elastomeric wafers in alleviating debonding pain of orthodontic metal brackets: a randomized clinical trial. Sci Rep. 2024 Oct 24;14(1):25160. doi: 10.1038/s41598-024-75725-2. PubMed 39448724 ↗

Individual participant data

Plan to share: Yes — Data obtained through this study may be provided to qualified researchers with an academic interest in pain and debonding of conventional fixed orthodontic appliances. Data or samples shared will be coded, with no PHI included. Approval of the request and execution of all applicable agreements (i.e. a material transfer agreement) are prerequisites to the sharing of data with the requesting party.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data requests can be submitted starting 9 months after article publication and the data will be made accessible for up to 24 months. Extensions will be considered on a case-by-case basis

Access criteria: Access to trial IPD can be requested by qualified researchers engaging in independent scientific research and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA)

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2023 (actual). Primary completion is estimated for Oct 2023, 6 months after the start.

Of 1,253 non-industry interventional studies with no phase under Pain, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 29. This study's planned 6 months is below that.

Counting every sponsor, half of 1,276 studies reached it within 11 months; a quarter within 5 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 4, 2023
First posted
Jun 15, 2023
StartActual
Mar 19, 2023
Primary completionEst.
Oct 1, 2023
CompletionEst.
Nov 1, 2023
Last update
Jun 15, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 15, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05904587
Responsible party
Alhasan Ibraheem Ali (B.D.S., University of Baghdad) — Principal investigator
First posted
Jun 15, 2023
Start date
Mar 19, 2023
Primary completion
Oct 1, 2023 (estimated)
Completion
Nov 1, 2023 (estimated)
Last update
Jun 15, 2023

Study contacts

Alhasan I Ali, B.D.S.
Contact
alhassan.ali22031@codental.uobaghdad.edu.iq
7505959112 ext. +964
Ammar S Kadhum, Asst. Prof.
Contact
ammar.ortho@codental.uobaghdad.edu.iq
7702500415 ext. +964
Ammar S Kadhum, Asst. Prof.
study director · University of Baghdad

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion