Pain and discomfort during orthodontic treatment: Causative factors and effects on compliance

Sergl, H. G.; Klages, U.; Zentner, Andrej

doi:10.1016/s0889-5406(98)70201-x

Cited by 244 publications

(214 citation statements)

References 20 publications

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“…Patients who have an internal control inclination are known to adapt faster and have less pain during orthodontic treatment, 13 but, because they also complain freely, they can create an unfavorable impression on the clinical staff. 15,16 The assessment of patient compliance is primarily the rater's subjective opinion.…”

Section: Discussionmentioning

confidence: 99%

“…10 Moreover, an internal control disposition is associated with different social behavior, higher academic performance, and other achievement-related activities. 11,12 Patients who have internal LOC are known to adapt faster, have less pain during orthodontic treatment, 13 and tend to cooperate better than those with an external LOC. 14 However, they also more actively express their complaints about treatment 15,16 ; this can make an unfavorable impression on clinical staff.…”

mentioning

confidence: 99%

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Patient compliance and locus of control in orthodontic treatment: A prospective study

Lee

Ahn

Kim

2008

American Journal of Orthodontics and Dentofacial Orthopedics

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Introduction: Increased understanding of orthodontic patients will improve communication between dentist and patient; this is important for an optimal treatment outcome. In this prospective study, we addressed the relationship between patient compliance and locus of control (LOC) characteristics and evaluated posttreatment changes in LOC profiles. Methods: Two types of LOC questionnaires, the Rotter internal control scale (RICS) and the Nowicki-Strickland external control scale (NSECS), were given to 561 patients before conventional orthodontic treatment. After orthodontic treatment, the same questionnaires were readministered, and patient compliance was evaluated by an orthodontist and 3 dental hygienists. LOC scores were calculated at the end of the examination period. The difference in LOC between the good and poor compliance groups, and the posttreatment changes in LOC were evaluated. Results: There was no significant difference in RICS and NSECS profiles between the good and poor compliance groups. NSECS decreased significantly after orthodontic treatment, but there were no significant changes in RICS. Conclusions: Patient compliance appears to be a complex factor that cannot be predicted by LOC evaluation before orthodontic treatment. Patients who underwent orthodontic treatment showed decreased external control dispositions. (Am J Orthod Dentofacial Orthop 2008;133:354-8)

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Patient compliance and locus of control in orthodontic treatment: A prospective study

Lee

Ahn

Kim

2008

American Journal of Orthodontics and Dentofacial Orthopedics

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“…[2][3][4][5] Almost all patients (95%) report and suffer pain or discomfort 24 hours after insertion of fixed appliances, and fixed appliances may produce higher pain responses than removable appliances. [6][7][8] Pain scores tend to be higher in anterior than in posterior teeth. 4 Several studies have pointed out that pain associated with orthodontic treatment has a potential impact on daily life, primarily as psychological discomfort.…”

Section: Introductionmentioning

confidence: 98%

A randomized controlled trial of self-perceived pain, discomfort, and impairment of jaw function in children undergoing orthodontic treatment with fixed or removable appliances

Wiedel

Bondemark

2015

The Angle Orthodontist

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Objective: To compare patients' perceptions of fixed and removable appliance therapy for correction of anterior crossbite in the mixed dentition, with special reference to perceived pain, discomfort, and impairment of jaw function. Materials and Methods: Sixty-two patients with anterior crossbite and functional shift were recruited consecutively and randomized for treatment with fixed appliances (brackets and archwires) or removable appliances (acrylic plates and protruding springs). A questionnaire, previously found to be valid and reliable, was used for evaluation at the following time points: before appliance insertion, on the evening of the day of insertion, every day/evening for 7 days after insertion, and at the first and second scheduled appointments (after 4 and 8 weeks, respectively). Results: Pain and discomfort intensity were higher for the first 3 days for the fixed appliance. Pain and discomfort scores overall peaked on day 2. Adverse effects on school and leisure activities were reported more frequently in the removable than in the fixed appliance group. The fixed appliance group reported more difficulty eating different kinds of hard and soft food, while the removable appliance group experienced more speech difficulties. No significant intergroup difference was found for self-estimated disturbance of appearance between the appliances. Conclusions: The general levels of pain and discomfort were low to moderate in both groups. There were some statistically significant differences between the groups, but these were only minor and with minor clinical relevance. As both appliances were generally well accepted by the patients, either fixed or removable appliance therapy can be recommended. (Angle Orthod. 2016;86:324-330.)

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“…For instance, the treatment will be longer if an extraction protocol is necessary 36 . Likewise, extraoral forces can be used in more complex situations such as significantly increased overjet, or when it is necessary to retract all the teeth in the arch, to limit mesial tooth displacement caused by premature extraction of temporary teeth, to redirect the growth pattern or to correct intermaxillary relationships 31 . In cases that are even more complex, such as facial dimorphism, orthognathic surgical procedures are necessary, as it is impossible to solve the problem with conventional orthodontics or by modifying the growth pattern 38 .…”

Section: Clinical Conditionsmentioning

confidence: 99%

“…It has also been found that patients with a greater awareness of the severity of their malocclusion seem to adapt more quickly and have less discomfort 31 . Therefore, they respond better to the treatment.…”

Section: Psychological Factorsmentioning

confidence: 99%

Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Decisiones terapéuticas en Ortodoncia

Matthews

Cartes‐Velásquez

2017

Odontoestomatología

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Abstract:There is an immense variety of orthodontic techniques. Each of them has specific uses and indications from which to select the most appropriate options for each clinical situation. The aim of this article is to review the recent literature on the factors that influence or explain the therapeutic decisions made in dentistry with a focus on orthodontics. It has been found that the education received, individual preferences and the mastery of different techniques, features and personal values, as well as the clinical and economic situation of the patient, the health system and the dentist-patient relationship take on a major role in the treatment selected. Ethical and social principles, such as behavioral theories, are applicable to these professional aspects. It is important to understand the decision-making process and the selection of treatments because of the impact they have on patient care and satisfaction, on reaching the therapeutic objectives, on how public health services work, and on the quality of services. There are currently few studies that focus on the process of clinical decision-making. Therefore, it is necessary to expand the scope of research, including qualitative research, in order to better understand decision-making.

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Pain and discomfort during orthodontic treatment: Causative factors and effects on compliance

Cited by 244 publications

References 20 publications

Patient compliance and locus of control in orthodontic treatment: A prospective study

Patient compliance and locus of control in orthodontic treatment: A prospective study

A randomized controlled trial of self-perceived pain, discomfort, and impairment of jaw function in children undergoing orthodontic treatment with fixed or removable appliances

Factores que influyen las decisiones terapéuticas en Ortodoncia: Revisión de la literatura. Decisiones terapéuticas en Ortodoncia

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