Evaluation of pain experienced by orthodontic patients following elastomeric separator insertion: A cross-sectional study
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Objective: Pain following the insertion of separators and archwires varies with age, sex, race, ethnicity, threshold, and health status. This study aimed to evaluate the characteristics of pain in orthodontic patients after the insertion of elastomeric separators, its effects on daily life, and its association with age and sex in a population not previously studied in this regard. Methods: A cross-sectional study of 130 patients undergoing orthodontic treatment included collecting data on demographics, pain experienced following the placement of separators, time of onset, duration, characteristics, change in dietary pattern or chewing side, intake of analgesics, and severity of pain on the Wong Baker’s scale. The results are reported as counts and percentages. Associations between sex and age were evaluated using Pearson’s chi-square test. Results: Among the 130 patients, 56.2% were 9–20 years old, 63.8% experienced pain following the insertion of separators, 22.9% had their first episode of pain at 4 hours, 56.6% experienced intermittent pain, and 37.3% experienced discomfort; 18.1% malesand 81.9% females experienced pain following the insertion of separators. Pearson’s chi-square test showed a significant association between pain and sex (P = 0.04). Most patients (37.3%) reported “hurts little more” for pain intensity on Wong Baker’s scale and 21.7% reported all four quadrants as sites of pain. Conclusions: The pain experienced after separator insertion was associated with sex and age. Females experienced more pain than males and patients between the age range of 21 and 36 years suffered more pain during mastication than between 9 and 20 years old.
Abstract
Objective: Pain following the insertion of separators and archwires varies with age, sex, race, ethnicity, threshold, and health status. This study aimed to evaluate the characteristics of pain in orthodontic patients after the insertion of elastomeric separators, its effects on daily life, and its association with age and sex in a population not previously studied in this regard. Methods: A cross-sectional study of 130 patients undergoing orthodontic treatment included collecting data on demographics, pain experienced following the placement of separators, time of onset, duration, characteristics, change in dietary pattern or chewing side, intake of analgesics, and severity of pain on the Wong Baker’s scale. The results are reported as counts and percentages. Associations between sex and age were evaluated using Pearson’s chi-square test. Results: Among the 130 patients, 56.2% were 9–20 years old, 63.8% experienced pain following the insertion of separators, 22.9% had their first episode of pain at 4 hours, 56.6% experienced intermittent pain, and 37.3% experienced discomfort; 18.1% malesand 81.9% females experienced pain following the insertion of separators. Pearson’s chi-square test showed a significant association between pain and sex (P = 0.04). Most patients (37.3%) reported “hurts little more” for pain intensity on Wong Baker’s scale and 21.7% reported all four quadrants as sites of pain. Conclusions: The pain experienced after separator insertion was associated with sex and age. Females experienced more pain than males and patients between the age range of 21 and 36 years suffered more pain during mastication than between 9 and 20 years old.
참고문헌 (27)
- Srinivasa N. Raja, "The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises", Pain, 161(9), pp.1976~1982 (2020), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Dashrath Kafle, "Anticipated Pain and Pain Experience Among Orthodontic Patients: Is there any Difference?", Kathmandu University Medical Journal, 10(2), pp.71~73 (2013), Nepal Journals Online (JOL)[DOI]
- Omair M. Bukhari, "Factors affecting patients' adherence to orthodontic appointments", American Journal of Orthodontics and Dentofacial Orthopedics, 149(3), pp.319~324 (2016), Elsevier BV[DOI]
- Iacopo Cioffi, "Effect of somatosensory amplification and trait anxiety on experimentally induced orthodontic pain", European Journal of Oral Sciences, 124(2), pp.127~134 (2016), Wiley[DOI]
- Anita M. Unruh, "Gender variations in clinical pain experience", Pain, 65(2), pp.123~167 (1996), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Fatih Kazancı, "Patients’ and parents’ concerns and decisions about orthodontic treatment", 대한치과교정학회지, 46(1), pp.20~26 (2016), 대한치과교정학회
- Malcolm Jones, "The pain and discomfort experienced during orthodntic treatment: A randomized controlled clinical trial of two intial aligning arch wires", American Journal of Orthodontics and Dentofacial Orthopedics, 102(4), pp.373~381 (1992), Elsevier BV[DOI]
- Wilson S, "Time course of the discomfort in young patients undergoing orthodontic treatment", Pediatr Dent, 11, pp.107~110 (1989)
- Marianne Bergius, "Pain in orthodontics", Journal of Orofacial Orthopedics, 2000, pp.61(2), 125~137[DOI]
- A. M. Ertan Erdinc, "Perception of pain during orthodontic treatment with fixed appliances", The European Journal of Orthodontics, 26(1), pp.79~85 (2004), Oxford University Press (OUP)[DOI]
- Catherine Giannopoulou, "Pain Discomfort and Crevicular Fluid Changes Induced by Orthodontic Elastic Separators in Children", The Journal of Pain, 7(5), pp.367~376 (2006), Elsevier BV[DOI]
- Marie SS, "Vibratory stimulation as a method of reducing pain after orthodontic appliance adjustment", J Clin Orthod, 37, pp.205~208 (2003)
- Proffit WR, "Contemporary orthodontics" (1992), Mosby-Year Book
- Hwang JY, "Effectiveness of thera-bite wafers in reducing pain", J Clin Orthod, 28, pp.291~292 (1994)
- White LW, "Pain and cooperation in orthodontic treatment", J Clin Orthod, 18, pp.572~575 (1984)
- Asiry MA, "Perception of pain and discomfort from elastomeric separators in Saudi adolescents", Saudi Med J, 35, pp.504~507 (2014)
- Coté CJ, "A practice of anesthesia for infants and children" (2009), Elsevier Health Sciences
- Bondemark L, "Separation effect and perception of pain and discomfort from two types of orthodontic separators", World J Orthod, 5, pp.172~176 (2004)
- Scheurer PA, "Perception of pain as a result of orthodontic treatment with fixed appliances", Eur J Orthod, 18, pp.349~357 (1996)
- Farronato G, "Oral tissues and orthodontic treatment : common side effects", Minerva Stomatol, 62, pp.431~446 (2013)
- Shi Q, "Does low level laser therapy relieve the pain caused by the placement of the orthodontic separators?--a meta-analysis", Head Face Med, 11, pp.28~ (2015)
- HanaO Al-Balbeesi, "Pain and distress induced by elastomeric and spring separators in patients undergoing orthodontic treatment", Journal of International Society of Preventive and Community Dentistry, 6(6), pp.549~553 (2016), Medknow[DOI]
- Peter Ngan, "Perception of discomfort by patients undergoing orthodontic treatment", American Journal of Orthodontics and Dentofacial Orthopedics, 96(1), pp.47~53 (1989), Elsevier BV[DOI]
- Marianne Bergius, "Experience of pain during an orthodontic procedure", European Journal of Oral Sciences, 110(2), pp.92~98 (2002), Wiley[DOI]
- Lucete M. Fernandes, "Pain and discomfort experienced after placement of a conventional or a superelastic NiTi aligning archwire", Journal of Orofacial Orthopedics, 1998, pp.59(6), 331~339[DOI]
- Nalbantgil D, "Perception of pain and discomfort during tooth separation", Aust Orthod J, 25, pp.110~115 (2009)
- AbdullahM Aldrees, "Intensity of pain due to separators in adolescent orthodontic patients", journal of orthodontic science, 4(4), pp.118~ (2015), Medknow[DOI]