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Self-reported pain during different phases of orthodontic treatment with fixed appliance: A multi-centre randomized controlled trial in adolescents with crowding.
Johansson, Kristina; Matilainen, Linda Bokander; Wiaderny, Michal; Berlin, Henrik; Klingberg, Gunilla; Ghiasi, Houda; Brechter, Anna; Paulsson, Liselotte.
Afiliación
  • Johansson K; Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Matilainen LB; Department of Orthodontics, Östersund Hospital, Östersund, Sweden.
  • Wiaderny M; Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Berlin H; Department of Orthodontics, Folktandvården Dalarna, Falun, Sweden.
  • Klingberg G; Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Ghiasi H; Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Brechter A; Private Orthodontic Practice, Bernhold Ortodonti, Helsingborg, Sweden.
  • Paulsson L; Private Orthodontic Practice, Bernhold Ortodonti, Helsingborg, Sweden.
Orthod Craniofac Res ; 27(4): 560-571, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38389292
ABSTRACT

OBJECTIVES:

To compare self-reported pain levels across various treatment phases using passive self-ligating (Damon) and conventional (Victory) standardized fixed appliance systems. MATERIALS AND

METHODS:

Adolescents (12-17 years old) with crowding and displaced teeth, planned for non-extraction treatment, were recruited from four orthodontic clinics. They were randomized into stratified blocks (11 ratio) using concealed allocation to receive Damon Q™ (34 boys, 28 girls) or Victory™ (39 boys, 31 girls). Pain and analgesic intake were assessed on seven different occasions with validated self-report questionnaires using a 10-grade scale.

RESULTS:

Of the 132 patients included, six were lost to follow up. Clinically relevant mean pain scores (≥4) were registered in both groups after bonding upper and lower arches and after insertion of 0.019 × 0.025 stainless steel archwire. The highest mean scores were reported on day two after bonding the upper arch (Damon 5.96, Victory 7.18, P = .011). In both groups, at least 40% reported taking analgesics during various treatment phases. The Damon group reported a lower intake of analgesics on days one and two (P = .042 and .037) after treatment initiation. In the entire sample, boys reported significantly higher mean pain scores than girls on the second and third days after bonding (P = .008 and .026, respectively).

CONCLUSIONS:

Lower pain levels were reported from the Damon group after bonding. In general, boys reported higher pain than girls did. Clinicians and adolescents need to be aware that clinically relevant pain levels can be expected not only after bonding but also in later phases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dimensión del Dolor / Autoinforme / Aparatos Ortodóncicos Fijos / Maloclusión Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Orthod Craniofac Res Asunto de la revista: ODONTOLOGIA / ORTODONTIA Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dimensión del Dolor / Autoinforme / Aparatos Ortodóncicos Fijos / Maloclusión Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Orthod Craniofac Res Asunto de la revista: ODONTOLOGIA / ORTODONTIA Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido