Patients' Perceptions Regarding Microimplant as Anchorage in Orthodontics

Abstract

Objective: To determine patients' expectations, acceptance, and experience of pain with microimplant surgery compared to other orthodontic procedures. Materials and Methods: Seventy-eight microimplants were placed in 37 patients as an anchorage unit for orthodontic treatment. Patients were asked to rate anticipated pain and pain experienced with various orthodontic procedures (tooth extraction, insertion of separators, initial tooth alignment, and microimplant surgery) on a visual analog scale (VAS) over a 7-day period. One month after insertion of microimplants, patients were asked to rate their acceptance of the procedure using a structured questionnaire. Results: Unlike other orthodontic procedures, patients expected to experience a significantly higher level of pain with microimplant surgery than they experienced (P Ͻ .001). The postoperative pain experienced decreased continuously from day 1 to day 7 for all orthodontic procedures (P Ͻ .05). The total area under the curve (AUC) of pain experienced over the 7-day period was significantly larger for initial tooth alignment than for microimplant surgery (P Ͻ .05). Most patients were satisfied with the microimplant surgery (76%) and would recommend it to a friend or family member (78%). Conclusions: Patients tended to overestimate the pain anticipated with microimplant surgery. Patients were accepting of the surgery and would recommend it to others.

Patient Expectations, Acceptance and Preferences in Treatment with Orthodontic Mini-implants

“…The difference between these two screws (self-cutting and self-drilling) has been examined biomechanically and histologically in several study levels [15]. The success rate and degree of post-operative discomfort after mini-implant insertion has been briefly investigated [3,22,24,47]. Nevertheless, there is still no study comparing the two methods from the patient's perspective and this is also true regarding injection techniques.…”

“…Auf biomechanischer sowie histologischer Ebene ist der Unterschied der verschiedenen Schrauben (selbstschneidend/selbstbohrend) bereits in einigen Studien untersucht worden [15]. Die Erfolgsrate sowie postoperative Beschwerden nach der Mini-Implantatinsertion wurden bereits teilweise untersucht [3,22,24,47]. Trotzdem liegen bislang keine Studien vor, in denen die beiden Methoden aus der Perspektive der Patienten miteinander verglichen werden.…”

“…Information about pain caused by mini-implants is scarce [13,24,33] as few studies have addressed the postoperative discomfort caused by mini-implants [22]. Together with assessing treatment efficacy it is also necessary to examine to what extent patients can tolerate the intended treatment processes [13].…”

“…Über den durch Mini-Implantate verursachten Schmerz ist noch wenig bekannt [13,24,33], da sich bisher nur wenige Studien mit postoperativem, durch Mini-Implantate hervorgerufenem Unbehagen beschäftigen [22]. Neben der Beurteilung der Effektivität der Behandlung ist es notwendig zu untersuchen, bis zu welchem Ausmaß die Patienten in der Lage bzw.…”

Patients' perception and satisfaction with apicoectomy

“…In order to make this endodontic surgical procedure available to future patients and dentists unfamiliar with the procedure, it would be valuable to assess apicoectomy not only from a scientific point of view, but also from the patients who underwent the procedure. [6][7][8] This study investigated the patient' s perception and satisfaction for apicoectomy with retrofilling by survey.…”