DEBONDİNG İŞLEMİ SIRASINDA İLK HİSSEDİLEN AĞRININ VAS İLE DEĞERLENDİRİLMESİ

Abstract

Amaç: Bu prospektif klinik araştırmanın amacı sabit ortodontik tedavinin final aşaması olan debonding işlemi sırasında hastaların ilk hissettikleri ağrıyı değerlendirmektir. Materyal-Metod: Ortodontik debonding uygulanan 26'sı kadın, 15'i erkek toplam 41 hasta (yaş ortalaması 16,44±3,43) çalışmaya alındı. Dört (4) lateral diş için 100 mm Görsel Analog Skala (VAS) kullanılarak hastaların ortodontik debonding sırasındaki ilk hissettikleri ağrı kaydedildi. Veriler IBM SPSS Version 22.0 programında Mann Whitney U testi ve Wilcoxon testi kullanılarak değerlendirildi. Anlamlılık düzeyi (p<0.05) olarak belirlendi. Bulgular: Yapılan değerlendirmeler sonucunda kadın ve erkeklerin lateral dişlerinin debondingi sırasındaki ilk ağrı hissettikleri VAS skorları değerleri birbiri ile karşılaştırıldığı zaman istatistik bakımından anlamlı olmadığı görüldü. (p>0,05) Sonuç: Ortodontik debonding sırasında hissedilen ağrı hafif ve geçici olup klinik olarak önemsiz bulunmuştur.

Keywords

• Ağrı
• Debonding
• Görsel Analog Skala
• Sabit Apareyler

References

1. 1. Mangnall L A R, Dietrich T, Scholey J M. A randomized controlled trial to assess the pain associated with the debond of orthodontic fixed appliances. Journal of Orthodontics 2013; 40 (3): 188-196.
2. 2. Kumar K H EP. Definition of pain and classification of pain disorders. J Adv Clin Res Insights. 2016;3:87-90.
3. 3. Pau A K H, Croucher R MW. Prevalence estimates and associated factors for dental pain: A review. Oral Heal Prev Dent. 2003;1:209-220.
4. 4. Dumbryte I, Linkeviciene L, Linkevicius T, Malinauskas M. Does orthodontic debonding lead to tooth sensitivity? Comparison of teeth with and without visible enamel microcracks. Am J Orthod Dentofacial Orthop 2017; 151:284-91.
5. 5. Kılınç D D, Sayar G. Evaluation of pain perception during orthodontic debonding of metallic brackets with four different techniques. J Appl Oral Sci 2019; 27: e20180003.
6. 6. Erdur E A, Akın M, Cime L, İleri Z. Evaluation of Enamel Surface Roughness after Various Finishing Techniques for Debonding of Orthodontic Brackets. Turk J Orthod 2016; 29 (1): 1-5.
7. 7. Pithon M M, Figueiredo D S F, Oliveira D D CRS. What is the best method for debonding metallic brackets from the patient’s perspective? Prog Orthod. 2015;16:17:1-6.
8. 8. V K. Orthodontic pain: from causes to management -a review. Eur J Orthod. 2007;29(2):170-179.

9. 9. Bergius M, Broberg A G, Hakeberg M BU. Prediction of prolonged pain experiences during orthodontic treatment. Am J Orthod Dentofac Orthop. 2008;133(3):339.e1-339.e8.
10. 10. Almuzian M, Rizk M Z, Ulhaq A, Alharbi F, Alomari S MH. Effectiveness of different debonding techniques and adjunctive methods on pain and discomfort perception during debonding fixxed orthodontic appliances: a systematic review. Eur J Orthod. 2019;1:1–9.
11. 11. Jones M CC. The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofac Orthop. 1992;102:373-381.
12. 12. Scott P, Sherriff M, DiBiase A T CMT. 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(3):227-232.
13. 13. Erdinç A M E DB. Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod. 2004;26:79-85.
14. 14. Çınarsoy Cigerim S KF. Ortodontik Tedaviye Kabul Edilen Hastaların Dental Korku ve Ortodontik Anksiyete Seviyeleri Arasındaki İlişkinin İncelenmesi. Selçuk Dent J. 2021;8(113-119.).
15. 15. AlSayed Hasan M M A, Sultan K HO. Evaluating low-level laser therapy effect on reducing orthodontic pain using two laser energy values: a split-mouth randomized placebo-controlled trial. Eur J Orthod. 2018;40(1):23-28.
16. 16. Williams O L BSE. Patient discomfort levels at the time of debonding: a pilot study. Am J Orthod Dentofac Orthop. 1992;101:313-319.
17. 17. Ngan P, Kess B WS. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofac Orthop. 1989;96(1):47-53.
18. 18. Nakada N, Uchida Y, Inaba M, Kaetsu R, Shimizu N, Namura Y MM. Pain and removal force associated with bracket debonding: a clinical study. J Appl Oral Sci. 2021;29:e20200879.
19. 19. Normando T S, Calçada F S, Ursi W J, Normando D. Patients’ report of discomfort and pain during debonding of orthodontic brackets: a comparative study of two methods. World J Orthod 2010; 11(4): e29-34.