Abstract:Analgesics are more effective at reducing pain following orthodontic treatment than placebo or no treatment. Low-quality evidence did not show a difference in effectiveness between systemic NSAIDs compared with paracetamol, or topical NSAIDs compared with local anaesthetic. More high-quality research is needed to investigate these comparisons, and to evaluate pre-emptive versus post-treatment administration of analgesics.
“…Assessing these aspects with remote controls is complicated. Pain during orthodontic treatment that arises at specific stages of device activation, somehow predictable in advance, can be treated pharmacologically safely and effectively [26].…”
To assess the possibility of controlling patients at a distance according to principles of teleorthodontics to understand its possible usefulness in the future routine activity and the impact pandemic may have had on different types of orthodontic treatments. Material and Methods: One hundred orthodontic patients (57 F, 43 M, age 7-46) during quarantine were checked through videocalls and photos sent by patients following proper instructions. Three groups have been distinguished based on the type of therapy: A-fixed appliances; B-removable appliances; C-clear aligners. Relevant events about dental and gingival health, integrity of appliances, orthodontic therapies related symptoms and overall progress of treatments were recorded. Results: A and B groups reported higher percentages of gingival inflammation (27 and 22%), dental plaque (16 and 13%), deciduous tooth loss (8 and 16%). Bracket and attachment detachment were the most frequent events in A and C groups (22 and 23%). Pain and discomfort were reported in A and B groups (35 and 32%). Therapies continued to progress better in C (51% improved dental alignment) and B (31% improved malocclusions) groups. Conclusion: Orthodontics is safe and allows during emergencies to postpone checks. Everyday mobile-technology is useful in managing orthodontic patients unable to carry out in-person control. When their effectiveness equals other systems, treatments with clear aligners without attachments should be preferred in patients unavailable for regular checks.
“…Assessing these aspects with remote controls is complicated. Pain during orthodontic treatment that arises at specific stages of device activation, somehow predictable in advance, can be treated pharmacologically safely and effectively [26].…”
To assess the possibility of controlling patients at a distance according to principles of teleorthodontics to understand its possible usefulness in the future routine activity and the impact pandemic may have had on different types of orthodontic treatments. Material and Methods: One hundred orthodontic patients (57 F, 43 M, age 7-46) during quarantine were checked through videocalls and photos sent by patients following proper instructions. Three groups have been distinguished based on the type of therapy: A-fixed appliances; B-removable appliances; C-clear aligners. Relevant events about dental and gingival health, integrity of appliances, orthodontic therapies related symptoms and overall progress of treatments were recorded. Results: A and B groups reported higher percentages of gingival inflammation (27 and 22%), dental plaque (16 and 13%), deciduous tooth loss (8 and 16%). Bracket and attachment detachment were the most frequent events in A and C groups (22 and 23%). Pain and discomfort were reported in A and B groups (35 and 32%). Therapies continued to progress better in C (51% improved dental alignment) and B (31% improved malocclusions) groups. Conclusion: Orthodontics is safe and allows during emergencies to postpone checks. Everyday mobile-technology is useful in managing orthodontic patients unable to carry out in-person control. When their effectiveness equals other systems, treatments with clear aligners without attachments should be preferred in patients unavailable for regular checks.
“…A suggested medication is anti-inflammatory drugs and muscle relaxants such as nonsteroidal anti-inflammatory drugs to ease pain and swelling in the acute phase. 17 …”
Section: Suggestions For Acute Musculoskeletal Pain Management Durmentioning
Coronavirus disease 2019 has severely affected public health. Under social distancing and lockdown policies, patients with musculoskeletal pain have fewer opportunities than usual to receive routine medical care for pain management in hospitals. Therefore, we provided some suggestions for such patients to manage musculoskeletal pain and techniques that may be performed at home during this period.
“…56 The role of pre-emptive analgesia for the pain experienced when undergoing orthodontic treatment was explored as part of a recent Cochrane Systematic Review. 57 The authors found that using pre-emptive ibuprofen one hour before separator placement reduced pain intensity at two…”
Post-operative pain is an area of oral surgery that concerns both patients and practitioners. Adequate management of pain and anxiety in oral surgery is an essential component of any oral surgery service. In this paper, we explore the science behind pain and the drugs available to manage post-operative pain. Discussion is focussed on the analgesics available on the dental practitioners' formulary and the evidence base supporting their use. We explore the beneficial and adverse effects of these analgesics. We also discuss recent controversies relating to non-steroidal anti-inflammatory drugs and opioids. Based on the evidence available, we have developed a protocol to assist practitioners when advising and prescribing analgesics for their patients.
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