ORTHODONTİC PAIN

Abstract

The most common orthodontic treatment is pain and it is closely related to both clinicians and patients. Orthodontic patients experience varying degrees of pain and discomfort during the treatment. Patients may experience pain after orthodontic applications such as separation, arch wire implementation, the implementation of removable appliances, activation of fixed/removable appliances and debonding. Pressure, ischemia, inflammation and edema occurs in the region of the force applied. Tension and pressure areas of the periodontal ligament causes pain. Orthodontic pain can be classified according to the force applied and time. The most common method of assessing pain in which patients score their pain experience is NRS. Nonsteroidal anti-inflammatory drugs NSAID is the most preferred method for pain control during the orthodontic treatment. Anesthetic gel, bite wafers, transcutaneous electrical nerve stimulation, the use of low level laser and vibration alert methods have also been proposed for pain control during orthodontic treatment. The purpose of this paper is to examine the pain/discomfort experienced during orthodontic treatment, it’s causes and treatment methods.

Keywords

• Orthodontic pain, pain control

Ortodontik ağrı

Abstract

Ortodontik tedavinin en sık görülen yan etkisi olan ağrı hem klinisyenleri hem de hastaları yakından ilgilendirir. Ortodonti hastaları, tedavi süresince değişen derecelerde ağrı ve rahatsızlık hissi yaşarlar. Seperasyon, ark uygulanması, aktivasyonu ve debonding gibi ortodontik uygulamalar sonrasında hastada bir miktar ağrı görülebilir. Kuvvet uygulanan bölgede basınç, iskemi, Periodontal ligamentte gerilim ve basınç alanları oluşarak ağrıya neden olur. Ortodontik ağrı uygulanan sınıflandırılabilir. Ağrıyı değerlendirmede en yaygın metod NRS adlı hastaların ağrılarını skorladığı sistemdir. Ortodontik tedavi sırasında ağrı kontrolünde steroid olmayan antienflamatuar ilaçlar NSAI en yaygın tercih edilen yöntemdir. Ayrıca anestezik jel, ısırma mumu, transkütanöz elektriksel sinir stimülasyonu, düşük seviyede lazer kullanımı ve titreşimsel uyarı yöntemleri de önerilmiştir. Bu derlemenin amacı ortodontik tedavi sırasında görülen ağrı/rahatsızlık hissini, nedenlerini ve tedavi yöntemlerini incelemektir.

Keywords

• Ortodontik ağrı, ağrı kontrolü

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