Pain perception of orthodontic treatment – A cross-sectional study

Pain Perception of Orthodontic Treatment

  • Mazia Jawaid Registrar Orthodontics Department,BUMDC
  • Tabassum Ahsan Qadeer Department of Orthodontics,Bahria University Medical and Dental College,Karachi
  • Muhammad Faisal Fahim Researcher, Bahria University College of Physical Therapy, Bahria University Medical and Dental College, Karachi
Keywords: Fixed Orthodontic Appliances, Procedural Pain, Corrective Orthodontics, Dental Bonding, Orthodontic Brackets, Orthodontic Wires

Abstract

Objectives: The objectives were to evaluate the intensity of pain perceived 24 hours following insertion of fixed orthodontic appliance components i-e separators, bands and brackets.

Methods: This cross-sectional study conducted at a Dental College in Karachi (July 2017-March 2018) investigated the amount of pain perceived during different stages of fixed orthodontic treatment. The inclusion criteria were healthy individuals without systemic disease, age 13-26 years, fixed orthodontic treatment candidates having healthy permanent first molars. The exclusion criteria were missing permanent first molars, patients requiring brass wire separators instead of elastomeric separators and molar tubes instead of bands, ongoing or previous periodontal disease and syndromic patients. Pain intensity was assessed in ninety eight patients using a Numeric Rating scale (NRS) at baseline (T0) before insertion, and 24 hours after insertion (T1) of a component. This procedure was repeated six times, twice each for separators, bands and brackets. Scoring was done on the NRS from 0 to 10 where 0 indicated no pain and 10 indicated worst pain possible.

Results: A significant difference in perceived pain was found between baseline and after 24 hours of placement of all components (P-value 0.000). Odds ratio indicated that males were at a greater risk to feel pain than females at baseline and after 24 hours of insertion of all components. Mann-Whitney U test showed that the most painful components at baseline were bands (Mean value=0.56) and after 24 hours were brackets (Mean value 6.25).

Conclusions: Significant increase in pain was noted 24 hours after insertion of separators, bands and brackets. The most painful components were bands at baseline and brackets after 24 hours of insertion. There were no significant variations in pain perception based on age. However, males perceived higher pain than females both at baseline and after 24 hours.

doi: https://doi.org/10.12669/pjms.36.2.619

How to cite this:
Jawaid M, Qadeer TA, Fahim MF. Pain perception of orthodontic treatment – A cross-sectional study. Pak J Med Sci. 2020;36(2):160-165. doi: https://doi.org/10.12669/pjms.36.2.619

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Tabassum Ahsan Qadeer, Department of Orthodontics,Bahria University Medical and Dental College,Karachi

Associate Professor and Head ,Department of Orthodontics, Bahria University Medical and Dental College, Karachi.

Muhammad Faisal Fahim, Researcher, Bahria University College of Physical Therapy, Bahria University Medical and Dental College, Karachi

Researcher, Bahria University College of Physical Therapy, Bahria University Medical and Dental College, Karachi

Published
2019-12-15
How to Cite
Jawaid, M., Ahsan Qadeer, T., & Fahim, M. F. (2019). Pain perception of orthodontic treatment – A cross-sectional study. Pakistan Journal of Medical Sciences, 36(2). https://doi.org/10.12669/pjms.36.2.619
Section
Original Articles