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Importance of Pain in Orthodontics

Year 2011, Volume: 38 Issue: 2 - Volume: 38 Issue: 2, 95 - 101, 01.05.2011

Abstract

Pain is an unpleasant sensory and emotional experience associated with cultural values, anxiety, inspiration and previous experiences. It has been declared that most orthodontic patients experience pain during treatment. The frequent complaints are discomfort, sensitivity and pain from teeth. The unpleasant feeling of pain has an adverse effect on patients’ attitude towards orthodontic treatment. This review aimed to evaluate information about pain and the related factors during orthodontic treatments

References

  • 1. Melzack R, Wall PD. Pain mechanism: a new theory. Science 1965; 150: 971-9.
  • 2. Kişnişçi R, Bulut ÖE, Bebek T. Dişhekimliğinde Ağrı, 1. Baskı, Türk Dişhekimleri Birliği, 2002.
  • 3. Fahimeh F, Zebarjad SM, Alizadeh S, Ahrari F. Pain reduction after initial archwire placement in orthodontic patients: A randomized clinical trial. Am J Dentofacial Orthop 2012; 141: 169-73.
  • 4. Murdock S, Phillips C, Khondker Z, Hershey HG. Treatment of pain after initial archwire placement: a noninferiority randomized clinical trial comparing over the counter analgesics and bite-wafer use. Am J Dentofacial Orthop 2010; 137: 316-23.
  • 5. Otasevic M, Naini FB, Gill DS, Lee RT. Prospective randomized clinical trial comparing the effects of a mascitory bite waffer and avoidance of hard food on pain associated with initial orthodontic tooth movement. Am J Dentofacial Orthop 2006; 130: 6.e9-e15.
  • 6. Okeson JP. Bell’s Orofacial Pain. 5th ed. Carol Stream, IL, Quintessence Publishing Co; 1995.
  • 7. Korszun A. Facial pain, depression and stres: connections and directions. J Oral Pathol Med 2002; 31 :615-9.
  • 8. Pilling LF. Psychosomatic aspects of facial pain. In: Alling CC, Mahan PE. Facial Pain. Ed. Philadelphia: Lea&Febiger 1977;p.213-26.
  • 9. Alhaija ESA, AlDaikki A, Al-Omairi MK, Al-Khateeb SN. The relationship between personality traits, pain perception and attitude toward orthodontic treatment. Angle Orthod 2010; 80: 1141-9.
  • 10. Rotter JB. Generalized expectancies fpr internal vs. external control of reinforcement. Psychol Monogr 1966; 80: 1-28.
  • 11. Riley JL, Robinson ME, Wise EA. Sex differences in the perception of noxious experimental stimuli. A metaanalysis. Pain 1998; 74: 181-7.
  • 12. Scheurer PA, Firestone A, Bürgin WB. Perception of pain as a result of orthodontic treatment with fix appliance. Eur J Orthod 1996; 18: 349-57.
  • 13. Bergius M, Kiliaridis S, Berggen U. Pain in orthodontics. A review and discussion of the literature. J Orofac Orthop 2000; 61: 125-37.
  • 14. Ngan P, Bradford K, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 1989; 96: 47-53.
  • 15. Scott P, Sherriff M, Dibiase AT, Cobourne MT. Perception of discomfort during initial orthodontic tooth alignment using a self-ligating or conventional bracket system: a randomized clinical trial. Eur J Orthod 2008; 30: 227-32.
  • 16. Fleming PS, Dibiase A, Sarri G, Lee RT.Pain experience during initial alignment with a self-ligating and a conventional fixed orthodontic appliance system. A randomized controlled clinical trial. Angle Orthod 2009; 79: 46-50.
  • 17. Pringle AM, Petrie A, Cunningham SJ,Mc Knight M. Prospective randomized clinical trial to compare pain levels associated with 2 orthodontic fixed bracked systems. Am J Orthod Dentofacial Orthop 2009; 136: 160-7.
  • 18. Jones ML. An investigation into the initial discomfort caused by placement of an archwire. Eur J Orthod 1984; 6: 48-54.
  • 19. Fernandes LM, Ogaard B, Skoglund L. Pain and discommfort experienced after placement of a conventional or a superelastic NiTi aligning archwire. A randomized clinical trial. J Orofac Orthop 1998; 59: 331-9.
  • 20. Brown DF, Moerenhout RG. The pain experience and psychological adjustment to orthodontic treatment of preadolescents, adolescents, and adults. Am J Orthod Dentofacial Orthop 1991; 100: 349-56.
  • 21. Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment. A randomised controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop 1992; 102: 373-81.
  • 22. Jones M, Richmond S. Initial tooth movement: force application and pain- a relationship.Am J Orthod Dentofacial Orthop 1985; 88: 111-6.
  • 23. Erdinç AM, Dinçer B. Perception of pain during orthodontic teratment with fixed appliances. Eur J Orhod 2004; 26: 79-85.
  • 24. Tecco S, D’Attilio M, Tete S, Festa F. Prevalence and type of pain during conventional and self-ligating orthodontic treatment. Eur J Orthod 2009; 31: 380-4.
  • 25. Wu AKY, McGrath C, Wong RWK, Wiechmann D. A comparison of pain experienced bt patients treated with labial and lingual orthodontic appliances.Eur J Orthod 2010; 32: 403- 7.
  • 26. Bondemark L, Fredriksson K, Ilros S. Separation effect and perception of pain and discomfort from two types of orthodontic separators. World J Orthod 2004; 5: 172-6.
  • 27. Wilson S, Nygan P, Kess B. Time course of the discomfort in patients undergoing orthodontic treatment. Pediatr Dent 1989; 11: 107-10.
  • 28. Law SLS, Southard KS, Law AS. An evaluation of postoperative ibuprofen treatment of pain associated with orthodontic separator placement. Am J Orthod Dentofacial Orthop 2000; 118: 629-35.
  • 29. Bernhardt MK, Southard KA, Batterson K. The effect of preemptive and/or postoperative ibuprofen therapy for orthodontic pain. Am J Orthod Dentofacial Orthop 2001; 120: 20-27.
  • 30. Gianelly AA, Goldman HM. Tooth movement. In: biological basis of orthodontics. Ed. Philadelphia: Lea&Febiger 1971; pp 116-204.
  • 31. Smith BR, Flanary CM, Hurst LL, Rugh JD. Effects of orthodontic archwire changes on masseter muscle activity. Journal of Dental Research 1984; 63: 258.
  • 32. Tuncer Z, Özsoy FS, Polat Ö. Selfreported pain associated with the use of intermaxillary elastics compared to pain experienced after initial archwire placement. Angle Orthod 2011; 81: 807-11.
  • 33. Sergl HG, Klages U, Zentner A pain and discomfort during orthodontic treatment causative factors and effect on compliance. Am J Orthod Dentofacial Orthop 1998; 114: 684-91.
  • 34. Stewart FN, Kerr WJS, Taylor PJS. Appliance wear, the patient’s point of view. Eur J Orthod 1997; 19: 377-82.
  • 35. Mikinori O, Kamimura H, Al-Kalaly A, Nagayama K, Taira K, Nagata J, Miyawaki S. Pain intensity during the first 7 days following the application of light and heavy continuous forces. Eur J Orthod 2009; 31: 314-9.
  • 36. Mao JJ, Wang X, Kopher RA. Biomechanics of craniofacial sutures-orthopedic implications. Angle Orthod 2003; 73: 128-35.
  • 37. Handelman CS. Nonsurgical rapid maxillary alveolar expansion in adults: a clinical evaluation. Angle Orthod 1997; 67: 291-305.
  • 38. Schuster G, Borel SI, Schopf PM: Frequency of and complications in the use of RPE appliances-results of a survey in the Federal State of Hesse, Germany. J Orofac Orthop 2005; 66: 148-61.
  • 39. Ergolf RJ, Be Gole KA, Upshaw HS. Factors associated with orthodontic patient compliance with intra oral elastics and headgear wear. Am J Orthod Dentofacial Orthop 1990; 97: 336-48.
  • 40. Cureton SL. Headgear and pain. J Clin Orthod 1994; 28: 525-30.
  • 41. Nygan PW, Yiu C, Hagg U. Masticatory muscle pain before, during and after treatment with orthopedic protraction headgear: a pilot study. Angle Orthod 1997; 67: 433-8.
  • 42. Williams OL, Bishara SE. Patients discomfort levels at the time of debonding. . Am J Orthod Dentofacial Orthop 1992; 101: 313-7.
  • 43. Rinchuse DJ. Pain free debonding with occlusal rim wax. J Clin Orthod 1994; 28: 587-8.
  • 44. Krukemeyer AM, Arruda AO, Inglehart MR. Pain and Orthodontic Treatment. Angle Orthod 2009; 79: 1175-81.
  • 45. Firestone AR, Scheurer PA, Bürgin WB. Patients anticipation of pain and pain-related side effects, and their perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 1999; 21: 387-96.
  • 46. Güzeldemir ME. Pain Assessment Methods Sendrom 1995;11-21.

Ortodonti’de ağrının önemi

Year 2011, Volume: 38 Issue: 2 - Volume: 38 Issue: 2, 95 - 101, 01.05.2011

Abstract

Ağrı en genel anlamda, sıkıntı verici, hoşa gitmeyen duysal ve duygusal bir deneyim olup, kültürel değerler, anksiyete, dikkat, telkin ve geçmiş deneyimlere bağlı olarak değişim gösterebilmektedir. Ortodontik tedavi gören hastaların çoğunun tedavinin bazı safhalarında rahatsızlık duydukları bilinmektedir. Bu rahatsızlık duygusu çoğunlukla dişlerde basınç hissi, hassasiyet ve ağrı şeklinde olabilmektedir. Ağrı korkusu hastaların ortodontik tedavi görme isteklerini olumsuz yönde etkilemektedir. Bu derlemenin amacı, ağrı şikayeti ile ilgili bilgi vermek ve ortodontik tedavilerde karşılaşılabilen ağrı sebeplerinden bahsetmektir

References

  • 1. Melzack R, Wall PD. Pain mechanism: a new theory. Science 1965; 150: 971-9.
  • 2. Kişnişçi R, Bulut ÖE, Bebek T. Dişhekimliğinde Ağrı, 1. Baskı, Türk Dişhekimleri Birliği, 2002.
  • 3. Fahimeh F, Zebarjad SM, Alizadeh S, Ahrari F. Pain reduction after initial archwire placement in orthodontic patients: A randomized clinical trial. Am J Dentofacial Orthop 2012; 141: 169-73.
  • 4. Murdock S, Phillips C, Khondker Z, Hershey HG. Treatment of pain after initial archwire placement: a noninferiority randomized clinical trial comparing over the counter analgesics and bite-wafer use. Am J Dentofacial Orthop 2010; 137: 316-23.
  • 5. Otasevic M, Naini FB, Gill DS, Lee RT. Prospective randomized clinical trial comparing the effects of a mascitory bite waffer and avoidance of hard food on pain associated with initial orthodontic tooth movement. Am J Dentofacial Orthop 2006; 130: 6.e9-e15.
  • 6. Okeson JP. Bell’s Orofacial Pain. 5th ed. Carol Stream, IL, Quintessence Publishing Co; 1995.
  • 7. Korszun A. Facial pain, depression and stres: connections and directions. J Oral Pathol Med 2002; 31 :615-9.
  • 8. Pilling LF. Psychosomatic aspects of facial pain. In: Alling CC, Mahan PE. Facial Pain. Ed. Philadelphia: Lea&Febiger 1977;p.213-26.
  • 9. Alhaija ESA, AlDaikki A, Al-Omairi MK, Al-Khateeb SN. The relationship between personality traits, pain perception and attitude toward orthodontic treatment. Angle Orthod 2010; 80: 1141-9.
  • 10. Rotter JB. Generalized expectancies fpr internal vs. external control of reinforcement. Psychol Monogr 1966; 80: 1-28.
  • 11. Riley JL, Robinson ME, Wise EA. Sex differences in the perception of noxious experimental stimuli. A metaanalysis. Pain 1998; 74: 181-7.
  • 12. Scheurer PA, Firestone A, Bürgin WB. Perception of pain as a result of orthodontic treatment with fix appliance. Eur J Orthod 1996; 18: 349-57.
  • 13. Bergius M, Kiliaridis S, Berggen U. Pain in orthodontics. A review and discussion of the literature. J Orofac Orthop 2000; 61: 125-37.
  • 14. Ngan P, Bradford K, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 1989; 96: 47-53.
  • 15. Scott P, Sherriff M, Dibiase AT, Cobourne MT. Perception of discomfort during initial orthodontic tooth alignment using a self-ligating or conventional bracket system: a randomized clinical trial. Eur J Orthod 2008; 30: 227-32.
  • 16. Fleming PS, Dibiase A, Sarri G, Lee RT.Pain experience during initial alignment with a self-ligating and a conventional fixed orthodontic appliance system. A randomized controlled clinical trial. Angle Orthod 2009; 79: 46-50.
  • 17. Pringle AM, Petrie A, Cunningham SJ,Mc Knight M. Prospective randomized clinical trial to compare pain levels associated with 2 orthodontic fixed bracked systems. Am J Orthod Dentofacial Orthop 2009; 136: 160-7.
  • 18. Jones ML. An investigation into the initial discomfort caused by placement of an archwire. Eur J Orthod 1984; 6: 48-54.
  • 19. Fernandes LM, Ogaard B, Skoglund L. Pain and discommfort experienced after placement of a conventional or a superelastic NiTi aligning archwire. A randomized clinical trial. J Orofac Orthop 1998; 59: 331-9.
  • 20. Brown DF, Moerenhout RG. The pain experience and psychological adjustment to orthodontic treatment of preadolescents, adolescents, and adults. Am J Orthod Dentofacial Orthop 1991; 100: 349-56.
  • 21. Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment. A randomised controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop 1992; 102: 373-81.
  • 22. Jones M, Richmond S. Initial tooth movement: force application and pain- a relationship.Am J Orthod Dentofacial Orthop 1985; 88: 111-6.
  • 23. Erdinç AM, Dinçer B. Perception of pain during orthodontic teratment with fixed appliances. Eur J Orhod 2004; 26: 79-85.
  • 24. Tecco S, D’Attilio M, Tete S, Festa F. Prevalence and type of pain during conventional and self-ligating orthodontic treatment. Eur J Orthod 2009; 31: 380-4.
  • 25. Wu AKY, McGrath C, Wong RWK, Wiechmann D. A comparison of pain experienced bt patients treated with labial and lingual orthodontic appliances.Eur J Orthod 2010; 32: 403- 7.
  • 26. Bondemark L, Fredriksson K, Ilros S. Separation effect and perception of pain and discomfort from two types of orthodontic separators. World J Orthod 2004; 5: 172-6.
  • 27. Wilson S, Nygan P, Kess B. Time course of the discomfort in patients undergoing orthodontic treatment. Pediatr Dent 1989; 11: 107-10.
  • 28. Law SLS, Southard KS, Law AS. An evaluation of postoperative ibuprofen treatment of pain associated with orthodontic separator placement. Am J Orthod Dentofacial Orthop 2000; 118: 629-35.
  • 29. Bernhardt MK, Southard KA, Batterson K. The effect of preemptive and/or postoperative ibuprofen therapy for orthodontic pain. Am J Orthod Dentofacial Orthop 2001; 120: 20-27.
  • 30. Gianelly AA, Goldman HM. Tooth movement. In: biological basis of orthodontics. Ed. Philadelphia: Lea&Febiger 1971; pp 116-204.
  • 31. Smith BR, Flanary CM, Hurst LL, Rugh JD. Effects of orthodontic archwire changes on masseter muscle activity. Journal of Dental Research 1984; 63: 258.
  • 32. Tuncer Z, Özsoy FS, Polat Ö. Selfreported pain associated with the use of intermaxillary elastics compared to pain experienced after initial archwire placement. Angle Orthod 2011; 81: 807-11.
  • 33. Sergl HG, Klages U, Zentner A pain and discomfort during orthodontic treatment causative factors and effect on compliance. Am J Orthod Dentofacial Orthop 1998; 114: 684-91.
  • 34. Stewart FN, Kerr WJS, Taylor PJS. Appliance wear, the patient’s point of view. Eur J Orthod 1997; 19: 377-82.
  • 35. Mikinori O, Kamimura H, Al-Kalaly A, Nagayama K, Taira K, Nagata J, Miyawaki S. Pain intensity during the first 7 days following the application of light and heavy continuous forces. Eur J Orthod 2009; 31: 314-9.
  • 36. Mao JJ, Wang X, Kopher RA. Biomechanics of craniofacial sutures-orthopedic implications. Angle Orthod 2003; 73: 128-35.
  • 37. Handelman CS. Nonsurgical rapid maxillary alveolar expansion in adults: a clinical evaluation. Angle Orthod 1997; 67: 291-305.
  • 38. Schuster G, Borel SI, Schopf PM: Frequency of and complications in the use of RPE appliances-results of a survey in the Federal State of Hesse, Germany. J Orofac Orthop 2005; 66: 148-61.
  • 39. Ergolf RJ, Be Gole KA, Upshaw HS. Factors associated with orthodontic patient compliance with intra oral elastics and headgear wear. Am J Orthod Dentofacial Orthop 1990; 97: 336-48.
  • 40. Cureton SL. Headgear and pain. J Clin Orthod 1994; 28: 525-30.
  • 41. Nygan PW, Yiu C, Hagg U. Masticatory muscle pain before, during and after treatment with orthopedic protraction headgear: a pilot study. Angle Orthod 1997; 67: 433-8.
  • 42. Williams OL, Bishara SE. Patients discomfort levels at the time of debonding. . Am J Orthod Dentofacial Orthop 1992; 101: 313-7.
  • 43. Rinchuse DJ. Pain free debonding with occlusal rim wax. J Clin Orthod 1994; 28: 587-8.
  • 44. Krukemeyer AM, Arruda AO, Inglehart MR. Pain and Orthodontic Treatment. Angle Orthod 2009; 79: 1175-81.
  • 45. Firestone AR, Scheurer PA, Bürgin WB. Patients anticipation of pain and pain-related side effects, and their perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 1999; 21: 387-96.
  • 46. Güzeldemir ME. Pain Assessment Methods Sendrom 1995;11-21.
There are 46 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Sıla Çağlayan This is me

Burcu Balos Tuncer This is me

Publication Date May 1, 2011
Published in Issue Year 2011 Volume: 38 Issue: 2 - Volume: 38 Issue: 2

Cite

Vancouver Çağlayan S, Balos Tuncer B. Ortodonti’de ağrının önemi. EADS. 2011;38(2):95-101.