This study aims to find the best method to reduce pain during braces removal. We are comparing transcutaneous electrical nerve stimulation (TENS), high-frequency vibration, and a control group with no additional intervention.
People who have completed orthodontic treatment and need their braces removed can take part. Participants will be randomly assigned to one of the three groups. The vibration device will be applied during the braces removal, while TENS will be applied just before the procedure.
Before the procedure, participants' anxiety will be measured using the Modified Dental Anxiety Scale (MDAS). During and after the procedure, pain will be assessed using a Visual Analog Scale (VAS) from 0 to 100, and participants will rate their satisfaction using a Numerical Rating Scale (NRS) from 0 to 10.
The purpose of this research is to help orthodontists identify the method that makes braces removal less uncomfortable, more tolerable, and more satisfying for patients.
Patients scheduled for fixed orthodontic appliance removal.
Permanent dentition present, including both anterior and posterior teeth.
Age between 15-35 years.
Ability to provide informed consent and comply with study procedures.
Patients with craniofacial anomalies, systemic conditions affecting pain perception, or taking medications influencing nociception.
Teeth with extensive restorations or prostheses that prevent standard bracket debonding.
Patients with known allergy or contraindication to TENS or vibration devices.
Pregnant women.