Ecological momentary assessment of pain in adolescents undergoing orthodontic treatment using a smartphone app

Hoy, William Sew; Antoun, Joseph; Lin, Wei; Chandler, Nicholas; Merriman, Tony R.; Farella, Mauro

doi:10.1053/j.sodo.2018.04.002

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…Pain at teeth has been shown to peak some 24 to 48 hours after orthodontic adjustment appointments, which then gradually decreases and returns to baseline within five to seven days 4 . This pattern of pain following orthodontic adjustments is consistent with the time course found in a previously published study 11 …”

Section: Introductionsupporting

confidence: 88%

“…This study utilised an ecological momentary assessment approach via a smartphone app to investigate a patient's pain experience with fixed orthodontic appliances over a three‐day period. This method has been previously shown to be promising and effective method of measuring pain during orthodontic treatment 11 . Utilising an electronic method of self‐reported pain allowed participants to record their pain experiences ‘in real‐time, in real‐world settings, over time and across contexts’ 39 .…”

Section: Discussionmentioning

confidence: 99%

“…In a pilot study, we investigated the association between certain genetic polymorphisms and the patient's pain experience during fixed orthodontic treatment. 29 The preliminary findings indicated that individuals with the genotype AA of the COMT gene (rs464310) and CG of the HTR2A gene (rs93116233) could experience significantly more pain during fixed orthodontic treatment.…”

Section: Introductionmentioning

confidence: 98%

“…4 This pattern of pain following orthodontic adjustments is consistent with the time course found in a previously published study. 11 Historically, the intensity of pain was thought to be directly related to the amount of tissue damage, 12 but this cannot explain the wide range of pain perception. Nowadays, it is commonly accepted that psychological factors may be more important determinants of pain perception.…”

Section: Introductionmentioning

confidence: 99%

“… 4 This pattern of pain following orthodontic adjustments is consistent with the time course found in a previously published study. 11 …”

Section: Introductionmentioning

confidence: 99%

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Factors associated with orthodontic pain

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Section: Introductionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

“… 4 This pattern of pain following orthodontic adjustments is consistent with the time course found in a previously published study. 11 …”

Section: Introductionmentioning

confidence: 99%

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Factors associated with orthodontic pain

et al. 2021

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Does long-term use of pain relievers have an impact on the rate of orthodontic tooth movement? A systematic review of animal studies

Makrygiannakis

Kaklamanos

Athanasiou

2018

European Journal of Orthodontics

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Summary Background Pain relief drugs are used and misused widely and may theoretically affect the events leading to orthodontic tooth movement. Objective To systematically investigate and appraise the quality of the available evidence regarding the effect of pain relief medications on the rate of orthodontic tooth movement. Search methods Search without restrictions in eight databases (including grey literature) and hand searching until October 2018. Selection criteria Animal controlled studies investigating the effect of pain relievers on the rate of orthodontic tooth movement. Data collection and analysis Following study retrieval and selection, relevant data were extracted and the risk of bias was assessed using the SYRCLE’s risk of bias tool. Results Fourteen studies were finally identified, most of which at unclear risk of bias. Ibuprofen and loxoprofen did not show any significant effects on the rate of orthodontic tooth movement, whereas indomethacin, ketorolac, morphine, and high doses of etoricoxib were found to decrease it. Inconsistent or conflicting effects were noted after the administration of acetaminophen, acetylsalicylic acid, celecoxib, meloxicam, and tramadol. The quality of the available evidence was considered at best as low. Conclusions Long-term consumption of pain relievers may affect the rate of orthodontic tooth movement. The orthodontist should be capable of identifying patients taking pain relievers independently of orthodontic treatment and consider the possible implications. Trial registration PROSPERO (CRD42017078208).

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Do analgesics used for the pain experienced after orthodontic procedures affect tooth movement rate? A systematic review based on animal studies

Kaklamanos

Makrygiannakis²,

Athanasiou

2019

Orthod Craniofacial Res

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Background Using analgesics for a short period to relieve the pain following specific orthodontic procedures is common. Such medications may influence orthodontic tooth movement biochemical pathways; however, the information originating from human studies is limited. Objectives To systematically investigate current evidence from animal experiments on the effect of administering analgesics for a few days, which is consistent with usual clinical practice, on the speed of orthodontic tooth movement. Search methods Eight databases were searched without restrictions, and hand searching was conducted until June 2019. Selection criteria Animal controlled studies assessing the short‐term impact of analgesics that can be consumed for orthodontic pain on the speed of orthodontic tooth movement. Data collection and analysis Subsequent to retrieving relevant studies and information extraction, the SYRCLE’s Risk of Bias Tool was used for risk of bias assessment. Results Finally, seven studies were selected, and most of them were assessed at unclear risk of bias. Short‐term administration of acetaminophen did not affect significantly the speed of tooth movement, while ibuprofen and indomethacin were reported to decrease it. After administering acetylsalicylic acid and celecoxib, the noted effects were inconsistent. The quality of the available evidence for the animal setting was considered as moderate at most. Conclusions Consuming specific analgesics for a few days may influence the speed of orthodontic tooth movement in animals. Clinicians should be aware of the relevant implications and be capable to identify those substances that may not interfere with treatment processes.

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Ecological momentary assessment of pain in adolescents undergoing orthodontic treatment using a smartphone app

Cited by 5 publications

References 20 publications

Factors associated with orthodontic pain

Factors associated with orthodontic pain

Does long-term use of pain relievers have an impact on the rate of orthodontic tooth movement? A systematic review of animal studies

Do analgesics used for the pain experienced after orthodontic procedures affect tooth movement rate? A systematic review based on animal studies

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