Pain and Chewing Sensitivity During Fixed Orthodontic Treatment in Extraction and Non-Extraction Patients

Abstract

Purpose:The aim of this study was to evaluate the differences in pain perception and chewing sensitivity between extraction and non-extraction patients.Subjects and Methods:Thirty orthodontic patients (11 males, 19 females) were included in this study who were classified as extraction (n=15; 6 males, 9 females) and non-extraction patients (n=15; 7 males, 8 females). The mean age of patients were 15.10±1.83 years in non-extraction group and 15.44±0.75 years in extraction group. The patients were asked to complete the Visual Analogue Scale (VAS) questionnaire and they were asked to mark the presence or absence of sensitivity during 7 days after the first arch wire placement. Pain intensity comparison between groups was performed using the Mann-Whitney U test. The Friedman test was used to analyze within-group differences over time.Results:There were no significant differences in pain scores between the groups. Pain levels significantly decreased between day 1 and day 3 in both the groups. No differences were found in the chewing sensitivity between the non-extraction and extraction groups.Conclusion:No difference in the pain perception was observed between the extraction and non-extraction patients during the 7 days after arch wire placement.

Pain perception and personality trait toward orthodontic treatment

“…Pain perception is associated with age of the patient, pain threshold, motivation, psychological condition, and previous negative dental experience of the patient. [ 5 ] In our study, there was no statistically significant difference between male and females in both untreated and treated groups for pain perception [ Table 1 ]. Our results are in concurrence with results of Kadu et al and Abu Alhaija et al [ 1 2 ] In contrary to our results, Bergius et al observed higher pain perception in females compared to males.…”

“…[ 1 3 4 ] Fear of pain may avoid person from taking treatment or discontinuing the orthodontic treatment. [ 5 ] Ngan et al observed no significant difference between the gender for discomfort, and they observed a decrease in discomfort from initial time to 7 days after appliance insertion. [ 6 ] The main cause of pain during orthodontic treatment is force application to induce tooth movement.…”

The Impact of Orthodontic Treatment on Masticatory Performance: A Literature Review

“…Two studies assessed the change in occlusion and masticatory function post-orthodontic treatment and evaluated the self-perceived masticatory function with tested masticatory efficiency among both treated and untreated groups [25,26]. Thirteen studies evaluated the impact of orthodontic appliances and therapies on masticatory and swallowing functions [1,27], perceived and actual pain sensation [28][29][30], and other related aspects such as oral comfort, speech, and dietary habits [27,[31][32][33][34][35][36][37][38]. Two studies evaluated the masticatory performance and temporomandibular disorders (TMDs) in patients before and after orthodontic and orthognathic treatments [39] and the improvement of the masticatory movement in patients after orthognathic treatment [40].…”

Orthodontic pain in maxilla and mandible during the first week of orthodontic treatment

“…The strength of this investigation is in the homogenous study group and the possibility to consider maxillary and mandibular teeth as paired samples. It was reported that different archwire sizes 16,24 , bracket type or slot size [25][26][27] , as well as extractions 28 do not influence the pain intensity during the initial orthodontic treatment. Our Self-medication with analgesics after bonding was reported for both maxillary and mandibular teeth, starting with 32% and 44% of patients on day 1, respectively.…”