Patients' and parents' concerns and decisions about orthodontic treatment

Kazanci, Fatih; Aydoğan, Cihan; Alkan, Özlem

doi:10.4041/kjod.2016.46.1.20

Cited by 36 publications

(36 citation statements)

References 22 publications

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“…7 About half of the videos were concerned with pain and discomfort during orthodontic treatment, due to the high magnitude of mechanical forces and the debonding procedure, which was in agreement with previous studies. 13,14 Surprisingly, only 7% of patients were concerned about esthetics, which was less compared with previous studies. 13,15 Orthodontic treatment is known to cause difficulty with eating.…”

Section: Discussioncontrasting

confidence: 58%

Quantitative and qualitative analyses of orthodontic-related videos on YouTube

Guo¹,

Yan²,

Li³

et al. 2020

The Angle Orthodontist

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Objectives To investigate content of orthodontic-related videos on YouTube to improve the understanding of orthodontic patients' perceptions and treatment experiences. Materials and Methods A systematic search was conducted on YouTube on March 20, 2018, and updated on August 4, 2019, to identify all relevant videos using search terms “orthodontic,” “orthodontics,” “braces,” and “orthodontic braces.” The data set was captured from YouTube Data API (Application Programming Interface) and stored in an Excel database using a query function written in Python. All videos captured were viewed and categorized by three independent dental investigators using thematic analysis. The top 100 videos (by view count) related to patients' treatment experience were further analyzed using discourse analysis. Results A total of 600 orthodontic videos were screened, and 546 were included in the study. Six main themes were identified: (1) individual review of orthodontic treatment (45.8%, n = 250), (2) entertainment (19.8%, n = 108), (3) education (18.3%, n = 100), (4) advertisements (6.6%, n = 36), (5) time lapse of orthodontic treatment (5.3%, n = 29), and (6) do-it-yourself orthodontics (4.2%, n = 23). Of the top 100 videos related to patient's individual review of treatment, patients' main focuses were on pain (24%), problems with chewing and swallowing (12%), and adhesive removal (10%). Conclusions Orthodontic-related YouTube videos are diverse in nature. The most common video category was video providing an individual review of orthodontic treatment experience. Other popular video categories included entertainment, education, and advertisements. A range of do-it-yourself YouTube videos were also identified. YouTube may provide an opportunity for orthodontic professionals to disseminate health information.

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Section: Discussioncontrasting

confidence: 58%

Quantitative and qualitative analyses of orthodontic-related videos on YouTube

Guo¹,

Yan²,

Li³

et al. 2020

The Angle Orthodontist

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show abstract

“…Females often complained of more severe pain than males. [1415] In contrast, other studies reported no difference in pain perception among both the genders. [161718] A study by Brown and Moerenhout[19] showed that adults are more likely to suffer from pain when compared to pre-adolescents and adolescents.…”

Section: Introductionmentioning

confidence: 95%

Pain and distress induced by elastomeric and spring separators in patients undergoing orthodontic treatment

AlBalbeesi

Huraib

Al-Nahas

et al. 2016

J Int Soc Prevent Communit Dent

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Aims and Objectives:The objective of the present investigation is to evaluate patients’ pain perception and discomfort, the duration of pain and the level of self-medication over time during tooth separation, and the effectiveness of elastomeric and spring types of orthodontic separators in Saudi population.Materials and Methods:The study group consisted of 30 female adolescent patients who had elastomeric/spring separators as part of their orthodontic treatment. A self-administrated questionnaire comprising 16 multiple choice questions and another with visual analog scale were used to record the patient's pain perceptions at 4 hours, 24 hours, 3 days, 5 days, and 7 days from the time of insertion. The level of pain and discomfort during these time periods were assessed by a visual analog scale. After a separation period of 7 days, the amount of separation was measured with a leaf gauge. Type and frequency of analgesic consumption was also recorded. The Statistical Package for the Social Sciences (SPSS) version 20 (IBM SPSS -Chicago, IL: SPSS Inc.,) was used for statistical analysis.Results:The data showed significant increase in the level of pain at 4 hours, 24 hours, and 3 days from separator placement. The elastomeric separators produced significantly more separation than the spring separators and also caused maximum pain during the first 3 days after insertion. However, there was no significant difference between the score of pain between two separators at all time intervals.Conclusion:Both elastomeric and spring separators showed comparative levels of pain and discomfort during the early phase of separation. Elastomeric separators were found to be more effective in tooth separation than spring separators. However, further studies are necessary to substantiate this preliminary observation.

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“…It depends on several factors such as age, sex, individual pain threshold, emotional state, stress, amount of applied force, cultural differences, and previous experiences of pain [1,2]. Pain complaints are a common feature during orthodontic treatment [3] directly influencing patient's satisfaction [4]. It is one of the main reasons for orthodontic treatment discontinuation [5].…”

Section: Introductionmentioning

confidence: 99%

Pain level between clear aligners and fixed appliances: a systematic review

et al. 2020

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Objectives: To assess if there is any difference in pain levels between orthodontic treatment with clear aligners or fixed appliances. Materials and methods: An electronic search was completed in PubMed, The Cochrane Database, Web of Science, Scopus, Lilacs, Google Scholar, Clinical Trials, and OpenGrey databases without any restrictions until February 2019. All comparative study types contrasting pain levels between clear aligners and fixed appliances were included. The risk of bias (RoB) was assessed using the Newcastle-Ottawa Scale, ROBINS-I-Tool, or ROB 2.0 according to the study design. The level of evidence was assessed through the GRADE tool. Results: After removal of duplicates, exclusion by title and abstract, and reading the full text, only seven articles were included. Five were prospective non-randomized clinical trials (CCT), one was a cross-sectional study, and one was a randomized clinical trial (RCT). Two studies presented a high RoB, three a moderate RoB, and two a low RoB (including the RCT). A meta-analysis was not performed because of clinical, statistical, and methodological heterogeneity. Most of the studies found that pain levels in patients treated with Invisalign were lower than those treated with conventional fixed appliances during the first days of treatment. Differences disappeared thereafter. No evidence was identified for other brands of clear aligners. Conclusions: Based on a moderate level of certainty, orthodontic patients treated with Invisalign appear to feel lower levels of pain than those treated with fixed appliances during the first few days of treatment. Thereafter (up to 3 months), differences were not noted. Malocclusion complexity level among included studies was mild. Pain is one of many considerations and predictability and technical outcome are more important, mainly considering that the difference does not seem to occur after the first months of the orthodontic treatment.

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Patients' and parents' concerns and decisions about orthodontic treatment

Cited by 36 publications

References 22 publications

Quantitative and qualitative analyses of orthodontic-related videos on YouTube

Quantitative and qualitative analyses of orthodontic-related videos on YouTube

Pain and distress induced by elastomeric and spring separators in patients undergoing orthodontic treatment

Pain level between clear aligners and fixed appliances: a systematic review

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