International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 1, Issue 3 | Research Article | Open Access

Comparison of Preliminary Orientation of Patients Receiving Orthodontic FixedDevice Therapy with A Self-Ligating Approach &ATraditional Preadjusted Edgewise BracketTechnique to See IfAny Discernible Differences in Suffering & Discomfort Could be Discovered

Ali Asger Nakib*

Department of Dentistry Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India

*Correspondence to: Ali Asger Nakib 

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Aim: To compare the preliminary orientation of patients receiving orthodontic fixed device therapy with a self-ligating approach and a traditional preadjusted edgewise bracket technique to see if any discernible differences in suffering and discomfort could be discovered.

Methods and Materials: Patients who met the criteria repeatedly were rotated between the two groups. 0.022 inch MBT preadjusted edgewise orthodontic brackets were used to bond the members of group I. Individuals in group II were joined with 0.022 inch. 60 people (34 females and 26 men) made up the final sample; their ages ranged from 16 to 27 years, with an average of 21.54 years (standard deviation: 5.37). Thirty people made up each group. Between groups, the bonding process was standardised. The patients were handed printed sheets to record their VAS scores at the conclusion of the initial appointment. To determine whether the teeth were sore and whether the brackets felt more or less comfortable on the lips, the patients were called back within the first few days of bracket insertion.

Results: In the current study, 60 participants were divided into two separate groups of 30 each, and data sheets were filled out with the VAS scores, pain attributes, and pain medications utilised as stated by the participants. The mean age of the patients in both groups at the beginning of treatment was similar. In Group I, the VAS score was recorded at a minimum of 0, and that in Group II, it was recorded at a maximum of 5. Most people experienced pain "while biting," but no one ever experienced shooting pain. For the timeframe of the first archwire, two patients in Group I and four patients in Group II disclosed no pain

Conclusion: In general, pain levels were higher during the first five days after initial archwire implantation, independent of the type of appliance utilised (conventional or self ligating). In both groups, women showed more discomfort than men did. In the current investigation, patients in both groups reported that the disengagement of the archwire was not unpleasant. Both traditional and self-ligating pain experienced in the current investigation are statistically insignificant.


Pain; Orthodontic treatment


Ali Asger Nakib, Moazzam Jawaid. Comparison of Preliminary Orientation of Patients Receiving Orthodontic Fixed Device Therapy with A Self-Ligating Approach and A Traditional Preadjusted Edgewise Bracket Technique to See If Any Discernible Differences in Suffering and Discomfort Could be Discovered. Int Clinc Med Case Rep Jour. 2022;1(3):1-7.