An investigation into the initial discomfort caused by placement of an archwire

Jones, M. L.

doi:10.1093/ejo/6.1.48

“…[10][11][12][13][14][15] It has been found 10,16,17 that pain is present within 4 hours after the orthodontic procedure and continues for at least 24 hours, dissipating by day 7 after the orthodontic procedure. This is in agreement with the findings of other studies, 5,18 which have found the greatest need for analgesics to exist within 3 days after archwire placement. Bergius et al 19 found that 87% of participants reported pain on the first evening, but the most intense pain was reported to occur the day after archwire placement.…”

Section: Introductionsupporting

confidence: 93%

Effectiveness of piroxicam and ibuprofen premedication on orthodontic patients' pain experiences

Kohli

¹

,

Kohli

²

2011

The Angle Orthodontist

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Objective: To compare the effectiveness of preoperative administration of ibuprofen and piroxicam on orthodontic pain experienced after separator placement. Materials and Methods: Ninety patients aged between 13 years 9 months and 18 years 2 months who were to undergo fixed appliance orthodontic treatment were enrolled in this double-blind, parallel-arm, prospective study. Patients were evenly and randomly distributed to any of three experimental groups, as follows: (1) administration of placebo, (2) administration of 400 mg ibuprofen, and (3) administration of 20 mg piroxicam; medications were administered 1 hour before separator placement. The pain perceived was recorded by the patients on a linear and graded Visual Analogue Scale at time intervals of 2 hours; 6 hours; nighttime on the day of appointment; 24 hours after the appointment; and 2 days, 3 days, and 7 days after separator placement during each of the four activities (viz, chewing, biting, fitting front teeth, and fitting back teeth). Results:The results revealed that preoperative administration of 20 mg of piroxicam 1 hour prior to separator placement resulted in a significant decrease in pain levels at 2 hours, 6 hours, nighttime, and 24 hours and on the second and third days after separator placement, compared to patients on a placebo or ibuprofen. Conclusions: Premedication with 20 mg of piroxicam results in significantly decreased pain experienced, compared to premedication with 400 mg of ibuprofen or placebo. Usage of 20 mg of piroxicam 1 hour prior to separator placement is recommended. (Angle Orthod. 2011;81:1097-1102

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“…3 Compared to the pain associated with dental extraction, the pain following placement of an archwire was reported to be more intense and of longer duration. 2 The variations in individual responses to insertion of orthodontic archwires have led several groups of investigators to look for factors that could be helpful in predicting which patients will experience the most pain. Discomfort may be influenced by a number of factors, including the force generated by the archwire, 8 Burstone 9 identified an immediate pain response related to the periodontal ligament being compressed immediately after archwire placement, and a latter response "hyperalgesia," related to changes in the blood flow and correlated with the presence of prostaglandins, substance P, and other substances.…”

Section: Introductionmentioning

confidence: 99%

Pain experience during initial alignment with three types of nickel-titanium archwires: A prospective clinical trial

Abdelrahman

¹

,

Al-Nimri

²

,

Maaitah

³

2015

The Angle Orthodontist

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Objective: To clinically evaluate the pain intensity during the week following initial placement of three different orthodontic aligning archwires. Materials and Methods: A consecutive sample of 75 patients requiring upper and lower fixed orthodontic appliances were alternately allocated into three different archwires (0.014-inch superelastic NiTi, 0.014-inch thermoelastic NiTi or 0.014-inch conventional NiTi). Assessments of pain/discomfort were made on a daily basis over the first 7-day period after bonding by means of visual analog scale and consumption of analgesics. The maximum pain score was recorded. The possible associations between age, gender, degree of crowding, and teeth irregularity and the pain intensity were also examined. Demographic and clinical differences between the three groups were compared with chi-square test or analysis of variance (ANOVA) test. Results: No statistically significant differences were found in the pain intensity when the three aligning NiTi archwires were compared (P 5 .63). No significant differences in pain perception were found in terms of gender, age, lower arch crowding, and incisor irregularity. The intake of analgesics was the least in the superelastic NiTi group. Conclusions: The three forms of NiTi wires were similar in terms of pain intensity during the initial aligning stage of orthodontic fixed appliance therapy. Gender, age, and the degree of crowding have no effect on the perceived discomfort experienced by patients undergoing fixed orthodontic treatment. (Angle Orthod. 2015;85:1021-1026

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“…1 The prevalence and magnitude of pain has been studied by several groups of researchers. [2][3][4][5][6] Ninetyone percent of orthodontic patients reported some degree of pain and discomfort at some stage during treatment. 1 Patients reported variable degrees of pain, with some patients reporting no pain at all.…”

Section: Introductionmentioning

confidence: 99%

Pain experience during initial alignment with three types of nickel-titanium archwires: A prospective clinical trial

Abdelrahman

¹

,

Al-Nimri

²

,

Maaitah

³

2015

The Angle Orthodontist

3

1

0

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Objective: To clinically evaluate the pain intensity during the week following initial placement of three different orthodontic aligning archwires. Materials and Methods: A consecutive sample of 75 patients requiring upper and lower fixed orthodontic appliances were alternately allocated into three different archwires (0.014-inch superelastic NiTi, 0.014-inch thermoelastic NiTi or 0.014-inch conventional NiTi). Assessments of pain/discomfort were made on a daily basis over the first 7-day period after bonding by means of visual analog scale and consumption of analgesics. The maximum pain score was recorded. The possible associations between age, gender, degree of crowding, and teeth irregularity and the pain intensity were also examined. Demographic and clinical differences between the three groups were compared with chi-square test or analysis of variance (ANOVA) test. Results: No statistically significant differences were found in the pain intensity when the three aligning NiTi archwires were compared (P 5 .63). No significant differences in pain perception were found in terms of gender, age, lower arch crowding, and incisor irregularity. The intake of analgesics was the least in the superelastic NiTi group. Conclusions: The three forms of NiTi wires were similar in terms of pain intensity during the initial aligning stage of orthodontic fixed appliance therapy. Gender, age, and the degree of crowding have no effect on the perceived discomfort experienced by patients undergoing fixed orthodontic treatment. (Angle Orthod. 2015;85:1021-1026

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An investigation into the initial discomfort caused by placement of an archwire

Cited by 139 publications

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Effectiveness of piroxicam and ibuprofen premedication on orthodontic patients' pain experiences

Effectiveness of piroxicam and ibuprofen premedication on orthodontic patients' pain experiences

Pain experience during initial alignment with three types of nickel-titanium archwires: A prospective clinical trial

Pain experience during initial alignment with three types of nickel-titanium archwires: A prospective clinical trial

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