scholarly journals The correlation between pain perception among patients with six different orthodontic archwires and the degree of dental crowding

2015 ◽  
Vol 143 (3-4) ◽  
pp. 134-140 ◽  
Author(s):  
Evgenija Markovic ◽  
Janko Fercec ◽  
Ivana Scepan ◽  
Branislav Glisic ◽  
Nenad Nedeljkovic ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Pain Perception ◽  
Statistical Significance ◽  
Moderate Intensity ◽  
Mcgill Pain Questionnaire ◽  
Self Medication ◽  
Chi Square ◽  
Fixed Appliances ◽  
Orthodontic Archwires ◽  
Dental Crowding

Introduction. Forces generated in orthodontic treatment with fixed appliances create tension and compression zones in the periodontal ligament resulting in a painful experience for patients. In the first phase of orthodontic treatment, when leveling of teeth is needed, nickel-titanium (NiTi) archwires can be completely engaged in brackets, even in the cases of extreme crowding, exerting small forces. There is a great individual variation in the pain perception related to the application of orthodontic forces. Objective. The aim of this study was to investigate the pain perception among patients with dental crowding after insertion of six different NiTi orthodontic archwires as a part of fixed appliances in the first stage of orthodontic treatment. Methods. The study was conducted on a sample of 189 orthodontic patients receiving one of six different either superelastic or heat activated NiTi archwires, in the first phase of orthodontic treatment. Pain perception was evaluated in groups of patients with different degree of crowding. The modified McGill Pain Questionnaire with Visual Analogue Scale was used to evaluate the quality and intensity of pain. Statistical analysis was performed using simple descriptive statistics, and Pearson`s chi-square test with statistical significance of p<0.05. Results. Majority of patients reported pain as discomfort or pressure of moderate intensity caused by chewing or biting, started within 12 hours, carried on for 3-4 days, and decreased over time without self-medication. Conclusion. No correlation was found between pain perception among patients with different types of NiTi archwires and the degree of crowding.

scholarly journals Tooth alignment and pain experience with A-NiTi versus Cu-NiTi: a randomized clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fatemeh Azizi ◽  
Aida Extiari ◽  
Mohammad Moslem Imani
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Orthodontic Treatment ◽  
Pain Perception ◽  
Mcgill Pain Questionnaire ◽  
Dental Arch ◽  
Chi Square ◽  
Irregularity Index ◽  
Significant Difference ◽  
The Difference

Abstract Background Nickel-titanium (NiTi) archwires are routinely used for initial leveling and alignment of teeth in orthodontic treatment. This study aimed to clinically compare the level of pain and tooth alignment in orthodontic treatment with A-NiTi versus Cu-NiTi archwires. Methods In this parallel randomized clinical trial, 88 orthodontic patients (12–25 years) with an irregularity index > 2 mm in the anterior site of the lower dental arch who required non-extraction orthodontic treatment of the lower arch were randomized into two age- and sex-matched groups (n = 44) for treatment with A-NiTi and Cu-NiTi initial archwires. Each archwire was used for 6 weeks. After 6 weeks, the irregularity index was measured, and the level of pain was scored using the Modified McGill pain questionnaire (MPQ) and visual analog scale (VAS) according to the time of onset and duration of pain, and analgesic intake. Data were analyzed by paired t test, independent samples t test, and Chi-square test (P < 0.05). Results The irregularity index significantly decreased in both groups after 6 weeks of treatment (P < 0.001). However, the difference in this respect was not significant between the two groups (P > 0.05). Pain perception (P = 0.487), duration of pain (P = 0.546), and analgesic intake (P = 0.102) were not significantly different between the two groups either. Conclusion Both A-NiTi and Cu-NiTi archwires are equally effective for tooth alignment in the anterior site of the lower dental arch and have no significant difference with regard to the level of pain experienced by patients. Trial registration number: IRCT20190705044102N1 and Name of the registry: Iranian registry of clinical trials (https://irct.ir/) Date of registration: September, 26, 2019

scholarly journals Comparison of InvisalignⓇ Aligners versus Fixed Appliance Treatment in pain perception: a systematic review and meta-analysis

2019 ◽  
Author(s):  
Dinis Pereira ◽  
Vanessa Machado ◽  
João Botelho ◽  
José João Mendes ◽  
Ana Sintra Delgado
Keyword(s):  
Systematic Review ◽  
Random Effects ◽  
Orthodontic Treatment ◽  
Pain Perception ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Multiple Time ◽  
Case Control Studies ◽  
Standard Material ◽  
Fixed Appliances

Abstract Background: This systematic review aimed to compare the pain discomfort levels between InvisalignⓇ aligners comparing with traditional fixed appliances at multiple time points, through Pain Visual Analog Scale (VAS). Methods: Four electronic databases (Pubmed, Medline, CENTRAL and Scholar) were searched up to February 2019. There were no restrictions on year and publication status. Randomized clinical trials (RCTs) and case-control studies comparing pain perception through VAS in patients treated with Invisalign aligners and with labial appliances were included. Risk of bias within and across studies was assessed using Cochrane tool and Newcastle-Ottawa Scale (NOS) approach. Random-effects meta-analysis were conducted. VAS score at 1, 3 and 7 days, and analgesic consumption was collected. Pairwise and Binary Random-Effects Meta-analyses were used to synthesize available data. Results: At the initial search, a total of 87 articles were retrieved. Following the review protocol, 4 articles met the inclusion criteria and were included, with a total of 214 participants (139 females, 75 males). All studies were considered of high methodological quality. The results demonstrate that Invisalign aligners seems to be associated with significantly less pain than fixed appliances at 7 days after beginning the orthodontic treatment, although at 1 and 3 days the pain experience was similar in both orthodontics appliances. In regard to the type of material, SmartTrackⓇ aligners appear to give significantly better comfort for orthodontic patients than previous standard material, being that 3 days after appliance’s insertion this pain differential becomes significant, and this difference is more pronounced at 7 days. Conclusion: Patients treated with Invisalign experience less pain discomfort than those treated with fixed appliances and consume less analgesics. Overall, Invisalign promotes better pain and discomfort experience for the patient in the course of orthodontic treatment. Larger RCTs are needed to definitely demonstrate these findings throughout the orthodontic treatment.

scholarly journals Self-medication: Prevalence among Undergraduates in Kathmandu Valley

2019 ◽  
pp. 1-13
Author(s):  
Kushalata Baral ◽  
Maginsh Dahal ◽  
Shreya Shrestha ◽  
Anup Adhikari
Keyword(s):  
Statistical Significance ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Kathmandu Valley ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
Chi Square Test ◽  
Source Of Information

Background: Self-medication is defined as the use of medicines to treat self-recognized or self-diagnosed conditions or symptoms, instead of seeking advice from professionals. Aim: Our study was aimed to assess knowledge, attitude and practice of self-medication among undergraduates in different colleges of Kathmandu valley. Methods: Descriptive cross-sectional study was carried out among undergraduates of Kathmandu valley. A semi-structured questionnaire was distributed to students in 4 different colleges. Chi-square test was used to determine statistical significance. Likert’s scale was used to measure attitude. Results: 240 students participated in this study. Totally, (92.9%) students had known and taken medicine without doctor’s prescription. More than half of the participants (56.6%) had good knowledge on self-medication and nearly three quarter (74.7%) of the respondents had a positive attitude regarding self-medication. Fever, cough/cold and aches/pain were the most common symptoms for self-medication, thus making antipyretics and analgesics the most popular self-medication drugs. Pharmacists and family were the major source of information regarding self-medication. Conclusion: Based on the findings, the prevalence of self-medication was high (94.9%). Majority respondents had good knowledge of the advantages and disadvantages of self-medication but still practiced it.

scholarly journals Resistance to sliding of orthodontic archwires under increasing applied moments

2020 ◽  
Vol 18 ◽  
pp. 228080002096802
Author(s):  
Ahmed Youssef ◽  
Carson Dennis ◽  
John P. Beyer ◽  
Thorsten Grünheid
Keyword(s):  
Stainless Steel ◽  
Material Properties ◽  
Gold Standard ◽  
Orthodontic Treatment ◽  
Current Gold Standard ◽  
Resistance To Sliding ◽  
Ceramic Brackets ◽  
Fixed Appliances ◽  
Orthodontic Archwires ◽  
Sliding Mechanics

Background: Orthodontic treatment with fixed appliances involves sliding of brackets along archwires. These movements involve friction, which causes resistance to sliding. In addition, moments cause teeth to tip until binding occurs between the bracket and archwire. The manufacturer of a new TiMolium®Titanium archwire claims material properties superior to β-Titanium, potentially leading to reduced resistance to sliding. Objective: To compare TiMolium archwires with β-Titanium and stainless steel archwires as the current gold standard for sliding mechanics under application of an increasing moment. Materials and methods: A total of 120 stainless steel (Smartclip, 3M, Monrovia, CA) and ceramic self-ligating 0.022″-slot brackets (Clarity SL, 3M) were divided into six equal-sized groups. Resistance to sliding was tested with 0.019″ × 0.025″ TiMolium (TP Orthodontics, La Porte, IN), β-Titanium (3M), and stainless steel (3M) archwires using a custom-designed apparatus to simulate sliding mechanics and application of moments of 1000, 2000, and 3000 g-mm. Results: Using stainless steel brackets, the TiMolium archwires had significantly higher resistance to sliding than stainless steel archwires at all moments tested while there was no difference between TiMolium and β-Titanium. Using ceramic brackets, the resistance to sliding with TiMolium archwires was no different than with stainless steel archwires. Both TiMolium and stainless steel archwires showed significantly lower resistance to sliding than β-Titanium. Conclusion: TiMolium archwires have resistance to sliding intermediary to stainless steel and β-Titanium archwires when clinically relevant moments are applied. Used with the stainless steel brackets, they behave like β-Titanium, whereas used with the ceramic brackets, they behave more like stainless steel.

scholarly journals Comparison of personality traits, attitude toward orthodontic treatment, and pain perception and experience before and after orthodontic treatment

2014 ◽  
Vol 85 (3) ◽  
pp. 474-479 ◽  
Author(s):  
Elham S. Abu Alhaija ◽  
Mona A. Abu Nabaa ◽  
Emad F. Al Maaitah ◽  
Mahmoud K. Al-Omairi
Keyword(s):  
Personality Traits ◽  
Pain Score ◽  
Orthodontic Treatment ◽  
Pain Perception ◽  
Orthodontic Appliances ◽  
Chi Square ◽  
Experienced Pain ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Before And After

ABSTRACT Objective:  To compare personality traits, attitude toward orthodontic treatment, and pain perception and experience before and after orthodontic treatment. Materials and Methods:  One hundred subjects (50 male and 50 female) were included in this study. The mean (SD) age was 17.5 (2.05) years at T1 and 19.15 (2.32) years at T2. The instruments for data collection were questionnaires that included assessment of patients' personality traits, attitudes toward orthodontic treatment, and pain perception/experience. Subjects completed the questionnaires at two different times: before orthodontic treatment (T1) and after fixed orthodontic treatment (T2). Subjects were treated by fixed orthodontic appliances for an average (SD) period of 18.64 (0.35) months. Paired sample t-test and chi-square test were used to detect any differences. Results:  Significant changes in personality traits were detected after orthodontic treatment irrespective of gender. Neuroticism, openness, agreeableness, and conscientiousness scores were improved (P &lt; .001). A positive attitude toward orthodontic treatment was reported at T1 (4.31 [±1.26]) and improved at T2 (3.98 [±1.16]) irrespective of gender (P &lt; .05). The average (SD) expected pain score (T1) was 4.73 (1.88) and the average (SD) experienced pain score (T2) was 4.63 (1.58). Significant difference in the expected and experienced pain scores was not detected (P  =  .11). Conclusions:  Personality traits and attitude toward orthodontic treatment improved after orthodontic treatment. Reported actual pain experience during orthodontic treatment was similar to that expected before treatment.

scholarly journals Peak Level of Pain while uprighting Molars with Tri-helical Uprighting Spring

2016 ◽  
Vol 6 (2) ◽  
pp. 15-19
Author(s):  
Rajiv Yadav ◽  
Dennis C Lim
Keyword(s):  
Orthodontic Treatment ◽  
Pain Perception ◽  
Peak Level ◽  
Threshold Level ◽  
Pain Scale ◽  
Pain Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Positive Effects ◽  
Precautionary Measures

Introduction: Orthodontic treatment has clear positive effects on a patient’s physiological, functional, esthetic, psychological, and social health. However the most common and problematic sequel of orthodontic treatment is pain and discomfort.Objectives: To find out exact time of peak level of pain while uprighting molars for a week time with loop uprighting mechanics and weather the pain was associated with intake of pain medication.Materials & Method: A cross-sectional analytical study was performed on finally selected thirty orthodontic patients with uprighting molars with age range of 10-40 years from of the Department of Orthodontics, University of the East, Philippines. Digitest Electricpulp tester was used to calibrate subjects with similar pain threshold level. An optimal molar uprighting force of 100 grams was employed with a customized tri-helical molar uprighting springs made with 0.016X0.022” stainless steel archwire. Measurement was done using tension gauge. Simultaneously 12 thermometer pain scale and 6 questionnaires forms were given to the subjects which were to be completed within 7 days based on their pain perception. The data were analyzed with Wilcoxon rank sum test, Chi-square test.Result: Maximum pain was felt on day-1 during evening at 9:40 pm, which was strongly associated with intake of pain medication on day-1 with gradual decrease over a period of week.Conclusion: There is a great need of precautionary measures like pain medication to avoid disturbance from daily activities of patients undergoing orthodontic treatment. 

scholarly journals Clinicians' Choices in Selecting Orthodontic Archwires

2013 ◽  
Vol 59 (4) ◽  
pp. 212-218
Author(s):  
Pop Silvia-Izabella ◽  
Păcurar Mariana ◽  
Bratu Dana Cristina ◽  
Pop Rv ◽  
Chibelean Manuela
Keyword(s):  
Stainless Steel ◽  
Titanium Alloy ◽  
Orthodontic Treatment ◽  
Nickel Titanium ◽  
Beta Titanium ◽  
Personal Opinion ◽  
Fixed Appliances ◽  
Round Section ◽  
Orthodontic Archwires ◽  
Niti Wires

Abstract Objective: The aim of this study was to assess the choices made by clinicians in selecting archwires during the initial, intermediate and final stages of orthodontic treatment with fixed appliances. Methods: We carried out a questionnaire-based study at the Orthodontics and Pedodontics Clinic Târgu Mureș, between March 2012 and September 2012. The questionnaires consisted of two parts: the first included questions related to the dimension, alloy used in fabrication, section (round or rectangular) and manufacturer of the archwires used by the orthodontists in their orthodontic practice, the second part was concerned with their personal opinion about the physical properties and disadvantages of the archwires. Results: From a total number of 90 distributed questionnaires, 62 were returned. The majority of clinicians are using stainless steel (SS) and nickel-titanium alloy (NiTi) wires in their fixed orthodontic treatments, very few are using beta-titanium (Beta Ti), copper nickel-titanium (Co- NiTi) and esthetic archwires. The preferred dimension seem to be 0.022 inches in the appliance system. Regarding the wire dimensions, 0.014, 0.016 inch wires are mostly used from the round section group and 0.016 × 0.022 inch, 0.017 × 0.025 inch from the rectangular ones. Conclusions: There is a general lack of agreement between the clinicians surveyed regarding the properties of an ideal archwire and the disadvantages of the used wires. The most frequently used alloys seemed to be the SS and NiTi

scholarly journals INFLUENCIA DEL ESTILO DE VIDA EN EL ESTADO DE SALUD DE LOS ADULTOS MAYORES.

2020 ◽  
Vol 5 (4) ◽  
pp. 18
Author(s):  
Erika Toapaxi ◽  
Yeisy Guarate ◽  
Nadihezka Cusme
Keyword(s):  
Older Adults ◽  
Fruits And Vegetables ◽  
Statistical Significance ◽  
Demographic Data ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference

Introducción: El estilo de vida es aquella elección consciente o inconsciente de practicar ciertos comportamientos que se van adquiriendo con el paso del tiempo y que en ocasiones son difíciles de modificar, influyendo principalmente en la salud. Objetivo: Analizar el estilo de vida y su influencia en el estado de salud de los adultos mayores del Sector la Unión, Provincia de Cotopaxi, Ecuador. Métodos: Estudio cuantitativo, correlacional, transversal, con una muestra censal de 35 adultos mayores, se aplicó el instrumento fantástico y el cuestionario Salud SF-12, ambos instrumentos válidos y confiables. Los datos obtenidos fueron procesados a través del software estadístico PSPP, por medio del cálculo de la distribución numérica, porcentual y la prueba de Chi Cuadrado, con significancia estadística (p<0.05). Resultados: En los datos demográficos predominan el sexo en 63%, 71% son indígenas, el 44% con edad entre 60-70 años, en los adultos mayores predominó el estilo de vida bueno con una diferencia significativa p<0,05 en relación al estilo de vida fantástico y regular, en la alimentación la mayoría consume dietas hiposódicas y bajas en grasas, mantienen un peso adecuado, automedicación ocasional y 43% presenta dolor corporal que dificulta un poco sus labores. Conclusiones: La población mantiene un estilo de vida adecuado, sin embargo, se evidenció debilidades que se deben fortalecer con actividades educativas de promoción de salud como el poco consumo frutas y verduras, hábitos cafeicos frecuentes. Palabras clave: adulto mayor, estilo de vida, hábitos saludables, alimentación.  ABSTRACT Introduction: The lifestyle is that conscious or unconscious choice to practice certain behaviors that are acquired over time and that are sometimes difficult to modify, mainly influencing health. Objective: To analyze the lifestyle and its influence on the health status of the elderly in the Sector La Unión, Province of Cotopaxi, Ecuador. Methods: Quantitative, correlational, cross-sectional study, with a census sample of 35 older adults, the fantastic instrument and the SF-12 Health questionnaire were applied, both valid and reliable instruments. The data obtained were processed through the PSPP statistical software, through the calculation of the numerical distribution, percentage and the Chi Square test, with statistical significance (p <0.05). Results: In the demographic data, sex predominates in 63%, 71% are indigenous, 44% aged between 60-70 years, in older adults the good lifestyle predominated with a significant difference p <0.05 in relation to a fantastic and regular lifestyle, most of them consume low-sodium and low-fat diets, maintain an adequate weight, occasional self-medication and 43% have body pain that makes their work a little difficult. Conclusions: The population maintains an adequate lifestyle, however, weaknesses were evidenced that should be strengthened with educational activities to promote health such as low consumption of fruits and vegetables, frequent coffee habits. Keywords: elderly, lifestyle, healthy habits, eating

scholarly journals Effect of clear aligner therapy on the buccolingual inclination of mandibular canines and the intercanine distance

2015 ◽  
Vol 86 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Thorsten Grünheid ◽  
Sara Gaalaas ◽  
Hani Hamdan ◽  
Brent E. Larson
Keyword(s):  
Orthodontic Treatment ◽  
Statistical Significance ◽  
Cone Beam ◽  
Fixed Appliance ◽  
Before And After ◽  
Fixed Appliances ◽  
Clear Aligner ◽  
Intercanine Distance

ABSTRACT Objective:  To compare the changes in buccolinugal inclination of mandibular canines and intercanine distance in patients treated with clear aligners to those treated with preadjusted edgewise appliances. Materials and Methods:  The buccolingual inclination of mandibular canines and the intercanine distance were measured on pre- and posttreatment cone-beam computed tomograms of 30 patients who had been treated with clear aligners and 30 patients who had been treated with fixed preadjusted edgewise appliances. Differences between the aligner and fixed appliance groups and between pre- and posttreatment measurements were tested for statistical significance. Results:  In both groups, most of the mandibular canines had positive buccolingual inclinations (ie, their crowns were positioned lateral to their roots) both before and after treatment. While there was no difference between the groups pretreatment, the posttreatment buccolingual inclination was significantly greater in the aligner group. In the fixed appliance group, the canines became more upright with treatment, while the buccolingual inclination did not change significantly in the clear aligner group. The intercanine distance did not differ between the groups either before or after treatment. However, it increased significantly over the course of treatment in the aligner group, whereas it did not change significantly in the fixed appliance group. Conclusions:  Orthodontic treatment with clear aligners tends to increase the mandibular intercanine distance with little change in inclination in contrast to treatment with fixed appliances, which leaves the intercanine distance unchanged but leads to more upright mandibular canines.

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