Diurnal variation in orthodontic pain: Clinical implications and pharmacological management

Sandhu, Satpal S; Leckie, George

doi:10.1053/j.sodo.2018.04.003

Cited by 6 publications

(6 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some controversy exists regarding differences in pain perception between the sexes. Evidence showing no differences in perception [7,9,11,13] and females experiencing greater levels of pain [22,23] is available. Fixed orthodontic appliances have been associated with pain causation in almost all studies, but data for pain perception using clear aligners is less in comparison.…”

Section: Background and Aimsmentioning

confidence: 99%

Comparison of pain levels in patients treated with 3 different orthodontic appliances - a randomized trial

Diddige¹,

Negi²,

Kiran³

et al. 2020

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Background and aims. To compare pain levels experienced during initial alignment with three different orthodontic appliance types and to correlate pain with male and female differences, if any. Methods. A prospective, randomized 3- arm parallel trial allocated 36 adult orthodontic patients into three appliance groups: MBT 0.022” slot (Mini Twin, Ormco, Glendora, USA), self ligating 0.022" slot Damon 3MX (Ormco, Glendora, USA) and clear aligners (Smile align, Mumbai, India). The level of discomfort was assessed through a questionnaire based on the visual analogue scale at four hours, twenty four hours, third and seventh day after appliance placement. Results. Patients treated with clear aligners reported less pain than patients treated with conventional and self ligating fixed appliances. Patients treated with MBT conventional appliances showed greater pain levels than Damon appliances. A significantly higher visual analogue scale score was observed at 24 hours and the least visual analogue scale scores on the seventh day post appliance placement. Conclusion. During the first week of orthodontic treatment, patients treated with clear aligners reported lower pain than those treated with conventional and self-ligating appliances.

show abstract

Section: Background and Aimsmentioning

confidence: 99%

Comparison of pain levels in patients treated with 3 different orthodontic appliances - a randomized trial

Diddige¹,

Negi²,

Kiran³

et al. 2020

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

show abstract

“… Thus, by eliminating the conventional 6–8 hourly intake of analgesics, the understanding of diurnal fluctuations in pain might not only boost the effectiveness but also limit adverse effects. [ 21 ] In a trial performed on healthy subjects, pain threshold was seen to rise more quickly and significantly during the day when a placebo was labeled as an analgesic than it does at night. This highlights the importance of the timing of placebo administration in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Chronodentistry through orthodontic perspective: A literature reviews

Soans,

Gauthami,

Krishnamurthy

et al. 2023

J Orthodont Sci

View full text Add to dashboard Cite

The human body possesses a unique set of machinery called the molecular/biological clocks that function on a regular 24-h basis forming a circadian rhythm (CR). This aids in coordinating the human biological system with ever-changing environmental conditions, thereby maintaining a balance in its functioning. The central/core component of this system is known to be in the suprachiasmatic nucleus of the hypothalamus with a few aides in the periphery. The periodontal ligament in humans, being one of the dynamic oral tissues, has been shown to exhibit this self-sustained, innate oscillatory behavior that has gained significant attention from dental surgeons. Though substantial evidence regarding its precise role in maintaining circadian periodicity is still unclear, its indispensable role in dentofacial functioning cannot be denied. This review is an attempt in bringing to light the possible role of circadian periodicity in the functioning of oral tissues in the field of orthodontics with a special focus on its role in bone remodeling, orthodontic tooth movement, orthopedic and functional appliances, pain management, and their clinical implications. This could provide a better understanding of the various physiologic and pathologic processes and help us refine our approach toward orthodontic diagnosis and therapeutics. This review would therefore serve as an overview, opening more avenues for further research on this topic that can greatly help the orthodontic fraternity.

show abstract

“…It was stated that the intensity of orthodontic pain fluctuates over the course of a day and this factor may cause a contradiction in the results of pain studies. 20,21 The debonding procedures in this study were always performed at mid-day; thus, the potential effect of diurnal variation was prevented. When the data was obtained, it was observed that the pain scores of the control side were already lower in most of the patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effects of cotton roll-biting on debonding pain: a split-mouth study

Çelebi

2021

sejodr

View full text Add to dashboard Cite

Introduction: Debonding pain is an unpleasant sensation that is frequently encountered during debonding procedure. Aim of the study: To investigate the effectiveness of cotton roll-biting on pain caused by the debonding procedure. Materials and methods: 102 patients (61 females, 41 males) who were at the debonding stage in orthodontic treatment were included in the research. The study was planned using a split-mouth design: one side of the jaw was the study, and the other side was the control. The anxiety level of participants was measured before debonding. On the study side, debonding was performed while patients were biting a cotton roll. On the control side, debonding was implemented as a routine debonding procedure. Study and control sides were assigned differently in each successive patient. The debonding pain of each tooth was recorded using the Visual Analog Scale prepared separately for each tooth. Shapiro–Wilk and Mann–Whitney U tests were used for statistical analysis. For both gender groups, patients were sequenced according to the average amount of pain per tooth. Subsequently, statistical analysis was repeated by using 50% of patients suffering more pain. Results: In the lower second premolar tooth, a statistically significant difference was detected. Pain scores were statistically higher in the study side for this tooth. No statistically significant differences were found for all other teeth. Conclusions: Cotton roll-biting has no alleviating effect on debonding pain. When debonding is performed gently using a squeezing action without applying torsional forces, additional pain relief methods are not required.

show abstract

Diurnal variation in orthodontic pain: Clinical implications and pharmacological management

Cited by 6 publications

References 27 publications

Comparison of pain levels in patients treated with 3 different orthodontic appliances - a randomized trial

Comparison of pain levels in patients treated with 3 different orthodontic appliances - a randomized trial

Chronodentistry through orthodontic perspective: A literature reviews

Evaluation of the effects of cotton roll-biting on debonding pain: a split-mouth study

Contact Info

Product

Resources

About