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Material and practices This cohort study included 44 patients elderly 18 to 35 yrs . old; undergoing fixed orthodontic treatment. Patients of the input team obtained a composite resin bite raiser (3M Espe, St. Paul, USA) over their particular first mandibular molars along with fixed orthodontic appliances (slot 0.022 × 0.030", 3M Unitek, Monrovia, Calif), although the control group only received a fixed orthodontic device. Soreness amounts utilizing the artistic analog scale (VAS), nutrition