Clinical Assessment of Pain Levels and Debonding Forces Using the Damon Clear Debonding Plier: A Split-Mouth, Controlled Clinical Trial

Introduction: We aimed to assess pain levels and debonding forces using the Damon Clear debonding plier. Methods: Forty orthodontic patients aged 17 to 25 years were assigned to two groups for a split-mouth comparison: group A (control) ( n = 40) utilized the bracket remover plier, while group B ( n = 40) used the Damon Clear debonding plier with a third wedging arm. Prior to debonding, patients’ anxiety levels were evaluated using questionnaires. Pain perception was assessed using a Numerical Rating Scale, and the force required for debonding was measured using a force-sensitive prototype. Results: The mean debonding force did not differ significantly between the two groups ( P = 0.53). However, group A exhibited significantly lower debonding pain scores compared to group B ( P < 0.001). Conclusion: This study suggests that the traditional bracket remover plier may lead to reduced debonding pain levels compared to the novel debonding plier with a third wedging arm. Further research is necessary to explore the factors contributing to pain during debonding and to develop strategies for minimizing patient discomfort.