Initial tooth movement: Force application and pain—A relationship?

Jones, M. L.; Richmond, Stephen

doi:10.1016/0002-9416(85)90234-9

“…This is in disagreement with previous research that has shown patients over the age 16 years to have higher pain scores 3 and those under the age 13 years to experience less pain. 6 CONCLUSIONS N No significant difference between the three types of NiTi archwires (conventional, superelastic and thermoelastic) was found in pain intensity experienced by patients during initial tooth alignment.…”

Section: Discussioncontrasting

confidence: 99%

“…The majority of patients (95%) reported pain 24 hours following the insertion of a fixed orthodontic appliance. 3,6,7 Adults reported higher degree of pain than children. 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.…”

Section: Introductionmentioning

confidence: 98%

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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“…3,6,7 Adults reported higher degree of pain than children. 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.…”

Section: Introductionmentioning

confidence: 98%

“…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

View full text Add to dashboard Cite

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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“…Several studies have described patients' responses to fixed orthodontic appliances. These .studies report that pain begins a few hours after application of an orthodontic force and lasts approximately 5 days (Jones, 1984;Jones and Richmond, 1985;Sinclair et al, 1986;Feinmann et al, 1987;Kvam et al, 1987Kvam et al, , 1989Ngan et al, 1989;Wilson et al, 1989;Jones and Chan, 1992). There is less unanimity about the question of how fast pain starts and whether or not the force magnitude, the sex and the age of the patient influence the outcome of pain reports.…”

Section: Introductionmentioning

confidence: 99%

Perception of pain as a result of orthodontic treatment with fixed appliances

Scheurer

¹

,

Firestone

²

,

Bürgin

³

1996

The European Journal of Orthodontics

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SUMMARY The aims of this study were to investigate the intensity, location and duration of patients' discomfort following insertion of orthodontic appliances, and to examine for interactions between patient age, gender, appliance type and the perception of pain. After insertion of orthodontic appliances, 170 patients received eight questionnaires, one they completed and returned after 4 h, then one daily for 7 days. The respondents' ages ranged from 8-53 years (median age 13 years 7 months); 45 per cent were male and 55 per cent female. Of the patients, 65 per cent reported pain after 4 hand 95 per cent after 24 h. After 7 days, 25 per cent of the patients still reported discomfort. Patients' pain intensity scores were significantly higher for the anterior than for the posterior teeth. On day 1, 16 per cent took analgesics and 18 per cent reported being awakened the first night. Comparing a 2 x 4 appliance, a full appliance in one arch and in both arches, no statistical differences were found for reported pain frequency, general intensity of pain, pain at the teeth, discomfort when biting and chewing and analgesic consumption. The perception of general pain intensity, analgesic consumption, pain when eating and the influence of discomfort on daily life were all significantly greater in girls than in boys. Patients younger than 13 years reported pain significantly less frequently than the older patients. The highest frequency of pain was found in the group of 13-16 year olds. The pain intensity did not differ among the age groups.

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Initial tooth movement: Force application and pain—A relationship?

Cited by 79 publications

References 9 publications

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

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

Perception of pain as a result of orthodontic treatment with fixed appliances

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