A
bstract
Aim
This study aimed to study the intensity and duration of patients’ pain perception after placement of elastomeric separators and the effects of various methods to reduce the pain.
Materials and methods
Elastomeric separators were placed on either side of first molars in 120 patients which were divided into 4 groups. Patients in group I were control group, group II underwent low-level LASER therapy, group III were subjected to topical anesthetic gel, and group IV underwent TENS (transcutaneous electric nerve stimulation). And then they were asked to measure pain using a visual analog scale (VAS) at 5 intervals of time, i.e., immediately after separator placement, after day 1, day 2, day 3, and day 4.
Results
Turkey's
post hoc
test showed that pain score after immediate placement of separators was found to be the least in the anesthetic gel than that in other groups and pain score was least in the LASER group out of all four groups on day 1, 2, 3, and 4.
Conclusion
It was found that low-level LASER therapy was more effective in reducing pain after placement of elastomeric separators.
How to cite this article
Oza MJ, Desai H, Iyengar SS,
et al.
Comparative Study of Effects of LASER, TENS, and Anesthetic Gel for Controlling Pain after Placement of Elastomeric Separators: A Clinical Trial. Int J Clin Pediatr Dent 2020;13(S-1):S82–S86.
Background and objectives: Interproximal enamel stripping is in practice clinically in orthodontics to obtain more space to align crowded teeth. Any product that might prevent mineral loss and promote remineralization is worth investigating. Therefore, the aim of this study was to investigate and to compare the effects of a commercial paste of xylitol and fluoride application after interproximal stripping of enamel surfaces. Method: sixteen patients undergoing orthodontic treatment participated in this study. For each patient, the extraction of 4 first premolars was part of orthodontic treatment plan. The patients were segregated into 4 groups of 4 patients. In group 1, no stripping was performed, and the teeth were removed immediately. In group 2, the stripped teeth were extracted after exposure to oral conditions for 3 months. In groups 3 and 4, xylitol toothpaste or fluoride was applied to the stripped surfaces for 3 months, respectively, before the teeth were extracted. Microhardness values were evaluated with anova one-way analysis of variance and tukey HSD tests. Result: stripping decreased the microhardness of the enamel. However, the mean values of enamel microhardness increased after the xylitol and fluoride gel application. Fluoride showed marginally more amount of remineralization than xylitol which is statistically significant. (p<0.001) Conclusion: Based on the findings of this in vivo study, it can be
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