Traumatic ulcers and pain in adults during orthodontic treatment

Kvam, Einar; Bondevik, Olav; Gjerdet, Nils Roar

doi:10.1111/j.1600-0528.1989.tb00012.x

“…12 Other studies related the complaints arising from orthodontic therapy and showed that ulcers were the most annoying treatment factor, cited by 47% of respondents, followed by the discomfort caused by appliance activation, with 38% of complaints. 11 Orthodontics still has few resources for the adequate management of these complications.…”

Section: Resultsmentioning

confidence: 99%

Expectations of orthodontic treatment in adults: the conduct in orthodontist/patient relationship

Souza¹,

Oliveira²,

Pinheiro³

et al. 2013

Dental Press J. Orthod.

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Introduction:The high demand for orthodontic treatment, evidenced over the last few decades, has been justified mainly by the greater importance given to facial esthetics, influencing individual's self esteem. However, the professional frequently does not meet all the patient's expectations, for not establishing good communication and not knowing about the critical points during orthodontic treatment. Objective: The aim of this study was to elucidate patients' desires and doubts regarding orthodontic treatment, by means of a survey applied to 60 adult patients. Results: The analysis of results revealed that most individuals (38.3 %) noticed treatment success after its conclusion. Occlusion deviation was pointed out by 66.7 % as the main reason for seeking treatment, and esthetics ranked as second (with 48.3 %). Treatment time was considered within the prediction by 46.7% of the interviewees and the results were judged as very good by 43.3 %. The social relations of most participants were not affected by treatment (73.3 %). Also, 58.3 % of the interviewees reported pain as the main complaint and 53.3 % found it difficult to use dental floss. Most participants saw the orthodontist as a professional who was concerned about their health (76.7 %), and believed that he/she was more able to treat them (96.6 %) when compared with the general practitioner. Conclusion: The orthodontist/ patient relationship enables an understanding of the expectations regarding orthodontic treatment, resulting in greater motivation and cooperation, leading to a successful outcome. » The author reports no commercial, proprietary or financial interest in the products or companies described in this article.original article Introdução: a elevada procura por tratamentos ortodônticos, evidenciada nas últimas décadas, justifica-se principalmente pela maior importância à estética facial, influenciando a autoestima do indivíduo. Entretanto, muitas vezes o profissional não atinge todas as expectativas esperadas pelo paciente, por não estabelecer uma correta comunicação e conhecer os pontos críticos durante o tratamento ortodôntico. Objetivo: esse estudo objetivou elucidar os anseios e dúvidas de pacientes em relação ao tratamento ortodôntico por meio da aplicação de questionário a 60 pacientes adultos. Resultados: a análise dos resultados revelou que a maioria dos indivíduos (38,3%) percebeu êxito após a finalização da terapêutica. O desvio da oclusão foi apontado por 66,7% como principal motivo de procura pelo tratamento, e, em segundo lugar, 48,3% pela estética. O tempo de tratamento foi considerado dentro do previsto por 46,7% dos entrevistados e os resultados foram julgados como muito bons para 43,3%. As relações sociais da maioria dos participantes não foram afetadas pelo tratamento (73,3%), sendo que 58,3% dos entrevistados relataram a dor como queixa principal, e 53,3% encontraram dificuldades no uso do fio dental. A maioria dos participantes vê o ortodontista como um profissional preocupado com sua saúde (76,7%), e acredita que é mais apto...

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“…Assuming patients do not grind or clench their teeth all night, the time sleeping with the teeth within the freeway-space gives the appliances the opportunity to act more, which may lead to a perception of greater discomfort in the morning. Other investigators (Kvam et al, 1989;Jones and Chan, 1992) found that 22-28 per cent of patients reported sleep disturbances due to pain from orthodontic appliances. In our sample 18 per cent reported being awakened the first night with pain from the appliance.…”

Section: Pain Sitesmentioning

confidence: 99%

Perception of pain as a result of orthodontic treatment with fixed appliances

Scheurer

¹

,

Firestone

²

,

Bürgin

³

1996

The European Journal of Orthodontics

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SUMMARY The aims of this study were to investigate the intensity, location and duration of patients' discomfort following insertion of orthodontic appliances, and to examine for interactions between patient age, gender, appliance type and the perception of pain. After insertion of orthodontic appliances, 170 patients received eight questionnaires, one they completed and returned after 4 h, then one daily for 7 days. The respondents' ages ranged from 8-53 years (median age 13 years 7 months); 45 per cent were male and 55 per cent female. Of the patients, 65 per cent reported pain after 4 hand 95 per cent after 24 h. After 7 days, 25 per cent of the patients still reported discomfort. Patients' pain intensity scores were significantly higher for the anterior than for the posterior teeth. On day 1, 16 per cent took analgesics and 18 per cent reported being awakened the first night. Comparing a 2 x 4 appliance, a full appliance in one arch and in both arches, no statistical differences were found for reported pain frequency, general intensity of pain, pain at the teeth, discomfort when biting and chewing and analgesic consumption. The perception of general pain intensity, analgesic consumption, pain when eating and the influence of discomfort on daily life were all significantly greater in girls than in boys. Patients younger than 13 years reported pain significantly less frequently than the older patients. The highest frequency of pain was found in the group of 13-16 year olds. The pain intensity did not differ among the age groups.

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“…Several studies have described patients' responses to fixed orthodontic appliances. These .studies report that pain begins a few hours after application of an orthodontic force and lasts approximately 5 days (Jones, 1984;Jones and Richmond, 1985;Sinclair et al, 1986;Feinmann et al, 1987;Kvam et al, 1987Kvam et al, , 1989Ngan et al, 1989;Wilson et al, 1989;Jones and Chan, 1992). There is less unanimity about the question of how fast pain starts and whether or not the force magnitude, the sex and the age of the patient influence the outcome of pain reports.…”

Section: Introductionmentioning

confidence: 99%

Perception of pain as a result of orthodontic treatment with fixed appliances

Scheurer

¹

,

Firestone

²

,

Bürgin

³

1996

View full text Add to dashboard Cite

SUMMARY The aims of this study were to investigate the intensity, location and duration of patients' discomfort following insertion of orthodontic appliances, and to examine for interactions between patient age, gender, appliance type and the perception of pain. After insertion of orthodontic appliances, 170 patients received eight questionnaires, one they completed and returned after 4 h, then one daily for 7 days. The respondents' ages ranged from 8-53 years (median age 13 years 7 months); 45 per cent were male and 55 per cent female. Of the patients, 65 per cent reported pain after 4 hand 95 per cent after 24 h. After 7 days, 25 per cent of the patients still reported discomfort. Patients' pain intensity scores were significantly higher for the anterior than for the posterior teeth. On day 1, 16 per cent took analgesics and 18 per cent reported being awakened the first night. Comparing a 2 x 4 appliance, a full appliance in one arch and in both arches, no statistical differences were found for reported pain frequency, general intensity of pain, pain at the teeth, discomfort when biting and chewing and analgesic consumption. The perception of general pain intensity, analgesic consumption, pain when eating and the influence of discomfort on daily life were all significantly greater in girls than in boys. Patients younger than 13 years reported pain significantly less frequently than the older patients. The highest frequency of pain was found in the group of 13-16 year olds. The pain intensity did not differ among the age groups.

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Traumatic ulcers and pain in adults during orthodontic treatment

Cited by 75 publications

References 9 publications

Expectations of orthodontic treatment in adults: the conduct in orthodontist/patient relationship

Expectations of orthodontic treatment in adults: the conduct in orthodontist/patient relationship

Perception of pain as a result of orthodontic treatment with fixed appliances

Perception of pain as a result of orthodontic treatment with fixed appliances

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