PAIN AND CHEWING SENSITIVITY DURING FIXED ORTHODONTIC TREATMENT IN EXTRACTION AND NON-EXTRACTION PATIENTS

Yıl 2017, Cilt: 51 Sayı: 2, 23 - 28, 02.04.2017

Gülşilay Sayar

Öz

Purpose: The aim of this study was to evaluate the differences in pain perception and chewing sensitivity between extraction and non-extraction patients.

Subjects and Methods: Thirty orthodontic patients (11 males, 19 females) were included in this study who were classified as extraction (n=15; 6 males, 9 females) and non-extraction patients (n=15; 7 males, 8 females). The mean age of patients were 15.10±1.83 years in non-extraction group and 15.44±0.75 years in extraction group. The patients were asked to complete the Visual Analogue Scale (VAS) questionnaire and they were asked to mark the presence or absence of sensitivity during 7 days after the first arch wire placement. Pain intensity comparison between groups was performed using the Mann-Whitney U test. The Friedman test was used to analyze within-group differences over time.

Results: There were no significant differences in pain scores between the groups. Pain levels significantly decreased between day 1 and day 3 in both the groups. No differences were found in the chewing sensitivity between the non-extraction and extraction groups.

Conclusion: No difference in the pain perception was observed between the extraction and non-extraction patients during the 7 days after arch wire placement.

Anahtar Kelimeler

Orthodontic treatment, brackets; pain; mastication; visual analogue scale; tooth extraction

Kaynakça

• Furstman L, Bernick S. Clinical considerations of the periodontium. Am J Orthod 1972;61(2):138-155.
• Graber Vanasdrall, Vig KW. Orthodontics current principles and techniques. St. Louis: Missouri: Elsevier Mosby, 2009.
• Karthi M, Anbuslevan GJ, Senthilkumar KP, Tamizharsi S, Raja S, Prabhakar K. Nsaids in orthodontic tooth movement. J Pharm Bioallied Sci 2012;4(Suppl 2):S304-306.
• Proffit W. Contemporary orthodontics. 3rd ed. St Louis: Mosby, 2000. pp. 302-305.
• Bergius M, Berggren U, Kiliaridis S. Experience of pain during an orthodontic procedure. Eur J Oral Sci 2002;110(2):92-98.
• Bergius M, Broberg AG, Hakeberg M, Berggren U. Prediction of prolonged pain experiences during orthodontic treatment. Am J Orthod Dentofacial Orthop 2008;133(3):339 e331-338.
• Scheurer PA, Firestone AR, Burgin WB. Perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 1996;18(4):349-357.
• Patel V. Non-completion of orthodontic treatment: a study of patient and parental factors contributing to discontinuation in the hospital sevice and specialist practice [thesis]. Heath Park: University of Wales; 1989.
• Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment: A randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop 1992;102(4):373-381.
• Jones ML. An investigation into the initial discomfort caused by placement of an archwire. Eur J Orthod 1984;6(1):48-54.
• Kohli SS, Kohli VS. Effectiveness of piroxicam and ibuprofen premedication on orthodontic patients' pain experiences. Angle Orthod 2011;81(6):1097-1102.
• Berkley KJ. Sex differences in pain. Behav Brain Sci 1997;20(3):371-380; discussion 435-513.
• Unruh AM. Gender variations in clinical pain experience. Pain 1996;65(2-3):123-167.
• Erdinc AM, Dincer B. Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod 2004;26(1):79-85.
• Ngan P, Kess B, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 1989;96(1):47-53.
• Krishnan V. Orthodontic pain: From causes to management--a review. Eur J Orthod 2007;29(2):170-179.
• Yassaei S, Vahidi A, Farahat F. Comparison of the efficacy of calcium versus acetaminophen on reduction of orthodontic pain. Indian J Dent Res 2012;23(5):608-612.
• Ogura M, 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(3):314-319.
• Gianelly AA, Goldman HM (eds). Tooth movement. Biological basis of orthodontics. Philadelphia: Lea and Febiger, 1971. pp. 116-204.
• Huskisson EC. Visual analogue scale. Melzack R, editor. In: Pain measurement and assessment. New York: Raven Press, 1983. pp. 33-37.
• Xiaoting L, Yin T, Yangxi C. Interventions for pain during fixed orthodontic appliance therapy. A systematic review. Angle Orthod 2010;80(5):925-932.
• Jones ML, Richmond S. Initial tooth movement: Force application and pain--a relationship? Am J Orthod 1985;88(2):111-116.
• Otasevic M, Naini FB, Gill DS, Lee RT. Prospective randomized clinical trial comparing the effects of a masticatory bite wafer and avoidance of hard food on pain associated with initial orthodontic tooth movement. Am J Orthod Dentofacial Orthop 2006;130(1):6 e9-15.
• 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(2):172-176.
• Polat O, Karaman AI. Pain control during fixed orthodontic appliance therapy. Angle Orthod 2005;75(2):214-219.
• 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(4):380-384.