Pain perception among patients treated with passive self-ligating fixed appliances and Invisalign® aligners during the first week of orthodontic treatment
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: This study was performed to compare the perception of pain between patients treated with passive self-ligating fixed appliances and those treated with Invisalign aligners. Methods: This prospective study conducted in Saudi Arabia used an estimated sample of 64 patients from a private dental clinic. After obtaining written informed consent, the patients were divided into two groups; one group (n = 32) was treated using passive self-ligating fixed appliances and the other group (n = 32) using Invisalign® aligners. Immediately after fitting the appliances, the patients’ perception of pain was evaluated through a closeended and coded self-administrated questionnaire by using a visual analog scale (VAS). Their responses were recorded at 4 hours, 24 hours, day 3, and day 7. Mann-Whitney U-test, Kruskal-Wallis test, and Pearson’s chi-square test were performed for statistical analysis. Results: A lower percentage of patients treated with Invisalign aligners reported pain than did patients treated with passive selfligating fixed appliances, and these differences were statistically significant (p = 0.001). Similarly, the mean VAS score for the Invisalign group was significantly lower than that for the passive self-ligating fixed appliance group at different intervals during the first week of treatment. The intensity of pain with both appliances peaked at 24 hours (mean VAS score, 3.87) and was lowest (mean VAS score, 1.62) on day 7. Conclusions: During the first week of orthodontic treatment, patients treated with Invisalign aligners reported lower pain than did those treated with passive self-ligating fixed appliances.
Abstract
Objective: This study was performed to compare the perception of pain between patients treated with passive self-ligating fixed appliances and those treated with Invisalign aligners. Methods: This prospective study conducted in Saudi Arabia used an estimated sample of 64 patients from a private dental clinic. After obtaining written informed consent, the patients were divided into two groups; one group (n = 32) was treated using passive self-ligating fixed appliances and the other group (n = 32) using Invisalign® aligners. Immediately after fitting the appliances, the patients’ perception of pain was evaluated through a closeended and coded self-administrated questionnaire by using a visual analog scale (VAS). Their responses were recorded at 4 hours, 24 hours, day 3, and day 7. Mann-Whitney U-test, Kruskal-Wallis test, and Pearson’s chi-square test were performed for statistical analysis. Results: A lower percentage of patients treated with Invisalign aligners reported pain than did patients treated with passive selfligating fixed appliances, and these differences were statistically significant (p = 0.001). Similarly, the mean VAS score for the Invisalign group was significantly lower than that for the passive self-ligating fixed appliance group at different intervals during the first week of treatment. The intensity of pain with both appliances peaked at 24 hours (mean VAS score, 3.87) and was lowest (mean VAS score, 1.62) on day 7. Conclusions: During the first week of orthodontic treatment, patients treated with Invisalign aligners reported lower pain than did those treated with passive self-ligating fixed appliances.
참고문헌 (35)
- Christensen L, "Adults seeking orthodontic treatment: expectations, periodontal and TMD issues", Br Dent J, 218, pp.111~117 (2015)[DOI]
- Fatih Kazancı, "Patients’ and parents’ concerns and decisions about orthodontic treatment", 대한치과교정학회지, 46(1), pp.20~26 (2016), 대한치과교정학회
- Oliver RG, "Attitudes to orthodontic treatment", Br J Orthod, 12, pp.179~188 (1985)[DOI]
- Kvam E, "Traumatic ulcers and pain in adults during orthodontic treatment", Community Dent Oral Epidemiol, 17, pp.154~157 (1989)[DOI]
- Lew KK, "Attitudes and perceptions of adults towards orthodontic treatment in an Asian community", Community Dent Oral Epidemiol, 21, pp.31~35 (1993)[DOI]
- Scheurer PA, "Perception of pain as a result of orthodontic treatment with fixed appliances", Eur J Orthod, 18, pp.349~357 (1996)[DOI]
- O'Connor PJ, "Patients' perceptions before, during, and after orthodontic treatment", J Clin Orthod, 34, pp.591~592 (2000)
- Ngan P, "Perception of discomfort by patients undergoing orthodontic treatment", Am J Orthod Dentofacial Orthop, 96, pp.47~53 (1989)[DOI]
- Stewart FN, "Appliance wear: the patient's point of view", Eur J Orthod, 19, pp.377~382 (1997)[DOI]
- Sergl HG, "Pain and discomfort during orthodontic treatment: causative factors and effects on compliance", Am J Orthod Dentofacial Orthop, 114, pp.684~691 (1998)[DOI]
- Miles PG, "A clinical trial of Damon 2 vs conventional twin brackets during initial alignment", Angle Orthod, 76, pp.480~485 (2006)
- Pringle AM, "Prospective randomized clinical trial to compare pain levels associated with 2 orthodontic fixed bracket systems", Am J Orthod Dentofacial Orthop, 136, pp.160~167 (2009)[DOI]
- Tecco S, "Prevalence and type of pain during conventional and self-ligating orthodontic treatment", Eur J Orthod, 31, pp.380~384 (2009)[DOI]
- Scott P, "Perception of discomfort during initial orthodontic tooth alignment using a self-ligating or conventional bracket system: a randomized clinical trial", Eur J Orthod, 30, pp.227~232 (2008)[DOI]
- Fleming PS, "Pain experience during initial alignment with a self-ligating and a conventional fixed orthodontic appliance system. A randomized controlled clinical trial", Angle Orthod, 79, pp.46~50 (2009)[DOI]
- Rahman S, "A multicenter randomized controlled trial to compare a self-ligating bracket with a conventional bracket in a UK population: Part 2: Pain perception", Angle Orthod, 86, pp.149~156 (2016)[DOI]
- Bertl MH, "A prospective randomized split-mouth study on pain experience during chairside archwire manipulation in selfligating and conventional brackets", Angle Orthod, 83, pp.292~297 (2013)[DOI]
- Miller KB, "A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment", Am J Orthod Dentofacial Orthop, 131, pp.302.e1~302.e9 (2007)
- Boyd RL, "Esthetic orthodontic treatment using the invisalign appliance for moderate to complex malocclusions", J Dent Educ, 72, pp.948~967 (2008)
- Shalish M, "Adult patients' adjustability to orthodontic appliances. Part I: a comparison between Labial, Lingual, and <TEX>$Invisalign^{TM}$<", TEX>, 2012, pp.34, 724~730
- Fujiyama K, "Analysis of pain level in cases treated with Invisalign aligner: comparison with fixed edgewise appliance therapy", Prog Orthod, 15, pp.64~ (2014)[DOI]
- White DW, "Discomfort associated with Invisalign and traditional brackets: a randomized, prospective trial", Angle Orthod, 87, pp.801~808 (2017)[DOI]
- Gomez SL, "Comparison of frictional resistance among conventional, active and passive selfligating brackets with different combinations of arch wires: a finite elements study", Acta Odontol Latinoam, 29, pp.130~136 (2016)
- Noordzij M, "Sample size calculations: basic principles and common pitfalls", Nephrol Dial Transplant, 25, pp.1388~1393 (2010)[DOI]
- Bergius M, "Pain in orthodontics. A review and discussion of the literature", J Orofac Orthop, 61, pp.125~137 (2000)[DOI]
- Krishnan V, "Orthodontic pain: from causes to management--a review", Eur J Orthod, 29, pp.170~179 (2007)[DOI]
- Philip BK, "Parametric statistics for evaluation of the visual analog scale", Anesth Analg, 71, pp.710~ (1990)[DOI]
- Jones M, "The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires", Am J Orthod Dentofacial Orthop, 102, pp.373~381 (1992)[DOI]
- Bondemark L, "Separation effect and perception of pain and discomfort from two types of orthodontic separators", World J Orthod, 5, pp.172~176 (2004)
- Jones ML, "An investigation into the initial discomfort caused by placement of an archwire", Eur J Orthod, 6, pp.48~54 (1984)[DOI]
- Fernandes LM, "Pain and discomfort experienced after placement of a conventional or a superelastic NiTi aligning archwire. A randomized clinical trial", J Orofac Orthop, 59, pp.331~339 (1998)[DOI]
- Erdinc AM, "Perception of pain during orthodontic treatment with fixed appliances", Eur J Orthod, 26, pp.79~85 (2004)[DOI]
- Krishnan V, "Cellular, molecular, and tissue-level reactions to orthodontic force", Am J Orthod Dentofacial Orthop, 129, pp.469.e1~469.e32 (2006)
- Nedwed V, "Motivation, acceptance and problems of invisalign patients", J Orofac Orthop, 66, pp.162~173 (2005)[DOI]
- Polat O, "Pain control during fixed orthodontic appliance therapy", Angle Orthod, 75, pp.214~219 (2005)
