Efficacies of Four Different Types of Orthodontic Separators Pertaining Separation, Change in Micro flora and Pain Perception - A Cumulative Comparative Clinical Research

Abstract

Objective

Aim of the present clinical research was to compare, analyze and evaluate the amount of separating efficiencies of four different types of commonly used orthodontic separators; evaluate pain perception brought about by the periodontium and count the increase in the growth of common oral microfloral colonies in pre and post placement phases of the separators.

Material and Method

A sample group of 30 periodontally healthy patients, irrespective of gender, between 16 to 25 years, who had never undergone orthodontic treatment, were selected. Elastomeric, Brasswire, Kesling and Kansal Separators were selected for the study. PDL pain perception was evaluated by Visual Analogue Scale (VAS) and a Questionnaire. Microflora count was analysed by Multi-viewing microscope.

Result

Mean separation created by Elastomeric, Brass, Kesling and Kansal Separators were 0.0457 mm, 0.0390 mm, 0.0437mm and 0.0390 mm respectively with maximum separation on day-1 and minimum on day-3. Elastomeric Separators caused maximum and Kesling caused minimum pain. There was almost 50% increase in the microbial count post separator placement.

Conclusion

Elastomeric Separators showed highest mean separation in comparison to other separators and recorded highest pain perception. Maximum pain was observed on the 1^st day and minimum on the 3^rd day. Significant increase in microflora was recorded pre and post placement of the separators.