Trial reportThe Journal of international medical research2025
Effect of cotton roll biting on pain perception during orthodontic bracket debonding using Weingart pliers: A randomized controlled trial.
Trial report in The Journal of international medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
ObjectiveThis study aimed to evaluate the effectiveness of biting on a cotton roll in reducing pain during metal bracket removal using a Weingart plier compared with the conventional method.MethodsThis two-arm, parallel-group, randomized controlled trial included 36 patients (11 males and 25 females) with a mean age of 20.5 ± 3.08 years (range: 16-25 years). The study was conducted among patients who had completed orthodontic treatment with a fixed appliance using MBT prescription 0.022-inch metal brackets featuring a single-mesh base (Pinnacle®, MBT compatible 0.022, OrthoTechnology™, Florida, USA), and they were referred for metal bracket debonding. Brackets were removed using a Weingart plier, and participants were randomly assigned to one of two groups: the open-mouth group and the biting-on-a-cotton-roll group. Pain intensity was assessed for each tooth using a visual analog scale (0-100 mm) immediately after each bracket removal. Pain levels were compared between the two groups, between the upper and lower jaws, and across sexes.ResultsPatients in both groups reported pain levels ranging from mild to mild-moderate, with lower mean pain levels observed in the biting-on-a-cotton-roll group compared with the open-mouth group. Significant differences in mean pain scores were found between the open-mouth group and biting-on-a-cotton-roll group in the upper and lower incisors (13.61 and 13.19,
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