EVALUATION OF PAIN ASSESSMENT USING A NEUROMODULATION DEVICE AFTER SEPARATOR PLACEMENT: AN IN-VIVO STUDY

This prospective split mouth study, 2 quadrants of the patient’s mouth having  randomly assigned into Experimental and Control groups.To investigate patient discomfort after separator placement during orthodontic treatment, patients will be  treated with a split-mouth design where one side of the arch will be treated with neuromodulation device with on mode (Experimental group) and  the other half of the arch with just mechanical application of the device with no current (Control group) . During the whole process, the patient will not be aware that in which side of the mouth the device will be used with on mode and which side with no current.The device will be switched on by pressing the single press button. A blue light will be seen that will stay on for 1 second which means the device is powered on. Once the blue light starts blinking, the device will be ready to use. Will place the two metal probes on the gingival area of the tooth visualizing the roots of the tooth for 20 seconds. Device movement will be done both in horizontal and vertical direction gently for 20 seconds each.    The patient will be asked to rate the intensity of pain after neuromodulation device application immediately after placement of separators then after 4 hours , 24 hours and 48 hours on a Wong-Baker smiley scale and Numeric Rating Scale (NRS)