Perception of pain, social and functional discomfort during orthodontic treatment

Introduction/Objective. Pain and social discomfort are common experiences after the insertion of a fixed orthodontic appliance. The aim of the study was to determine the intensity of pain during the first seven days after the placement of a fixed orthodontic appliance, the impact of orthodontic treatment on psychosocial component of the patient and daily life activities in the first month of therapy. Methods. The study included 60 randomly selected patients from the Department of Orthodontics, Faculty of Dental Medicine, Belgrade, Serbia, aged 15 to 20 years. After the insertion of a fixed orthodontic appliance, the patients were given a questionnaire form comprising questions related to the intensity of pain in the first seven days, function of speech and chewing, oral hygiene, injury of the oral mucosa, and social contacts. For the processing of results obtained from the questionnaire ?2 test was used. Results. The largest percentage of respondents (21.7%) rated pain with grade 1, while less than 10% of respondents gave grades 4, 6, 7, 9, and 10. Most of the participants (95%) answered that they had no difficulties with daily life activities caused by the fixed orthodontic appliance. Most respondents (91.7%) did not have any social discomfort, while a small percentage (8.3%) said they had these problems. Conclusion. General intensity of pain that respondents felt during the first seven days after the placement of a fixed orthodontic appliance was low to moderate. For most of the respondents there was no change in social behavior related to the psychosocial component. Except for changes in dietary habits and sores on the oral mucosa of the cheek in the first month of therapy, examines had no major problems with daily life activities.

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The Impact of Orthodontic Appliance on Body Weight Changes, Dietary Habits, and Self-Perceived Discomfort in Early Stages of Orthodontic Treatment

Global Journal of Health Science ◽

10.5539/gjhs.v10n9p11 ◽

2018 ◽

Vol 10 (9) ◽

pp. 11

Author(s):

Nancy Ajwa ◽

Lamya Makhdoum ◽

Hadeel Alkhateeb ◽

Alanoud Alsaadoun ◽

Samiah Alqutub ◽

...

Keyword(s):

Body Weight ◽

Orthodontic Treatment ◽

Pain Perception ◽

Dietary Habits ◽

Weight Changes ◽

Orthodontic Appliance ◽

Observational Prospective Cohort Study ◽

Patient Weight ◽

The Difference ◽

The Impact

AIMS: To assess and compare the changes in body weight, dietary habits, and pain perception of patient’s undergoing orthodontic treatment at the initial stage.MATERIAL & METHODS: This was an observational prospective cohort study to assess patient’s changes in body weight, dietary habits, and pain perception undergoing orthodontic treatment at the initial stage. Thirty patients who received orthodontic treatment “for the first time” and those who will get comprehensive orthodontic treatment within the age group of 18-30 years old including both genders were included in the study. The weight as well as dietary habits of patients were measured at the initial visit, “prior reserving of any the orthodontic treatment” as (T0). Re-evaluation of patient’s weight, dietary habits, and pain perception were re-assessed on the next visit” after fixed orthodontic appliance bonding” as (T1) one month later. The pain, discomfort, and dietary habits changes were evaluated using a validated questionnaire.RESULTS: The mean (SD) patient weight at first and second visit of orthodontic treatment was 67.43 (24.42) and 64.98 (22.7) kg respectively. The difference in the patient weight between first and second visit was statistically significant. Patients with discomfort and patients who used medication to relieve pain were reported to have more weight loss.CONCLUSIONS: This study confirms the initial loss of weight, pain and discomfort among patients who undergo orthodontic treatments. The findings of this study are of importance among the orthodontic centres and practitioners highlighting the importance of their guidance in structured diet planning and advice after treatment.

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Adjunctive orthodontic management of a missing upper right central incisor in a 12-year-old male using a fixed orthodontic appliance

Calabar Journal of Health Sciences ◽

10.25259/cjhs_39_2020 ◽

2021 ◽

Vol 5 ◽

pp. 31-34

Author(s):

Monica Ndudi Adekoya

Keyword(s):

Orthodontic Treatment ◽

Self Esteem ◽

Central Incisor ◽

Midline Shift ◽

Orthodontic Appliance ◽

Vertical Relationships ◽

Straight Wire ◽

Fixed Orthodontic Appliance ◽

Artificial Tooth

This article presents a successful orthodontic management of a 12-year-old male using a fixed orthodontic appliance (straight wire technique). His orthodontic treatment was hinged on creating enough space to accept an artificial tooth, correcting the horizontal and vertical relationships of the upper incisors to the lower and the midline shift. Ultimately, an esthetic smile was achieved; function and self-esteem were improved when the artificial tooth was finally fixed.

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Synkope, epileptischer oder psychogener Anfall? Der Weg zur richtigen Diagnose

DMW - Deutsche Medizinische Wochenschrift ◽

10.1055/a-0629-0362 ◽

2019 ◽

Vol 144 (12) ◽

pp. 835-841

Author(s):

Tobias Baumgartner ◽

Rainer Surges

Keyword(s):

Emergency Room ◽

Daily Life ◽

Epileptic Seizures ◽

Loss Of Consciousness ◽

Transient Loss Of Consciousness ◽

Daily Life Activities ◽

Transient Loss ◽

Impact On Treatment ◽

Key Features ◽

The Impact

AbstractTransient loss of consciousness (TLOC) is a frequent cause of referral to an emergency room. In view of the impact on treatment and the patients’ daily life activities (e. g. profession, driving license), an accurate and timely diagnosis is of uttermost importance. This article provides key features and suggests a practical step-by-step approach of how to differentiate syncope, epileptic and psychogenic non-epileptic seizures as the commonest causes of nontraumatic TLOC.

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Hubungan Pemakaian Jenis Sikat Gigi Dengan Status Gingiva Pada Siswa Pengguna Alat Orthodontik Cekat di Sekolah Menengah Atas

Journal of Oral Health Care ◽

10.29238/ohc.v6i1.322 ◽

2018 ◽

Vol 6 (1) ◽

pp. 1-7

Author(s):

Zul Afni ◽

Dwi Suyatmi ◽

Etty Yuniarly

Keyword(s):

Medical Personnel ◽

Population Based ◽

World Health ◽

Health Examination ◽

Oral Diseases ◽

Orthodontic Appliance ◽

Chi Square ◽

Cross Sectional ◽

The Impact ◽

Fixed Orthodontic Appliance

Dental and oral diseases are still suffered by 25,9 % of Indonesia's population. Based on that percentage 31,1 % are receiving treatment and treatment from dental medical personnel, while 68,9 % are not treated. The use of orthodontic devices has spread among teenagers, especially high school children aged 14-17 with the aim of following trends and lifestyles without thinking about the impact. According to World Health Organization, schools and adolescents are important target groups for an oral health examination. To know the correlation of use of toothbrush type with gingival status on fixed orthodontic user students. This research type is analytic observation with a cross-sectional design. This study was conducted in October-November 2017. The study population of this study is the students of class X who wear the fixed orthodontic appliance. Data analysis used chi-square. Respondents of fixed orthodontic appliance users orthodontic toothbrush are 60,5 %. Respondents of fixed orthodontic appliance users had a healthy gingival status is 57,9 %. The result of statistical analysis obtained significant value = 0,029<0,05. The type of toothbrush used has a correlation with the status of the gingiva on the students of a fixed orthodontic appliance.

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THE IMPACT OF COGNITIVE IMPAIRMENT AFTER STROKE ON QUALITY OF LIFE AND DAILY LIFE ACTIVITIES

International journal of Research science and Management - September-2020 ◽

10.29121/ijrsm.v7.i8.2020.2 ◽

2020 ◽

Vol 7 (8) ◽

pp. 6-11

Keyword(s):

Quality Of Life ◽

Cognitive Impairment ◽

Daily Living ◽

Daily Life ◽

Cross Sectional Study ◽

Cross Sectional ◽

Post Stroke ◽

Daily Life Activities ◽

The Impact

Stroke is a major cause of death and disability worldwide. Cognitive impairment is commonly seen after stroke and might significantly affect the functional outcome. The study aimed to investigate the impact of cognitive impairment after stroke on quality of life and daily life activities. This was a cross-sectional study involving 38 post stroke patients, consisted of 23 males (60.5%) and 15 females (39.5%). All patients underwent neuropsychology examination and assessment of quality of life and activity daily living. The proportion of post-stroke cognitive impairment was 44.7%. Cognitive impairment after stroke affects several domains, including attention, memory, executive function and visuospatial. Cognitive impairment was significantly associated with worse performance in daily life activities

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Immunoexpression of cytokeratin 19 in oral swab from fixed orthodontic appliance users

Padjadjaran Journal of Dentistry ◽

10.24198/pjd.vol19no3.14156 ◽

2007 ◽

Vol 19 (3) ◽

Author(s):

Dwi Mutia Ramdhini ◽

S. Sunardhi Widyaputra ◽

Murnisari Dardjan

Keyword(s):

Oral Mucosa ◽

Immunohistochemical Method ◽

Cytokeratin 19 ◽

Orthodontic Appliances ◽

Orthodontic Appliance ◽

Oral Swab ◽

Descriptive Research ◽

Fixed Orthodontic Appliances ◽

Fixed Orthodontic Appliance ◽

Number Of Cells

The use of fixed orthodontic appliances can improve someone's mastication, speech and appearance. However, this appliance acts as a strange object that may cause irritation to the mucosa epithelial of oral cavity, because of the friction and pressure from the components of the fixed orthodontic appliances which are in direct contact with the oral mucosa. Irritation in the oral mucosa could stimulate the increase of cytokeratin. The appearance of cytokeratin is then used to identify the condition of these cells. This study was a descriptive research to find the expression of cytokeratin 19 with immunohistochemical method in oral mucosa epithelial of fixed orthodontic appliances users. Sample in this study was chosen from 30 fixed orthodontic appliances users. The result of this study was determined by calculating the number of positive cells (brown), compared with total number of cells. The account of positive cells would present the reaction of the epithelial cells according to the inflamation stage which caused by the use of orthodontic appliances. As a conclusion of this study, the use of fixed orthodontic appliances may cause changes in epithelial mucosa which form an adaptation process by increasing the number of progenitor cells marked by cytokeratin 19.

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Orthodontic Treatment in a Class I Bimaxillary Protrusion Malocclusion: Clinical and Cephalmomeric Results

Orthodontic Journal of Nepal ◽

10.3126/ojn.v1i1.9369 ◽

2011 ◽

Vol 1 (1) ◽

pp. 56-59 ◽

Cited By ~ 1

Author(s):

Jagan Nath Sharma

Keyword(s):

Case Report ◽

Soft Tissue ◽

Orthodontic Treatment ◽

Class I ◽

Treatment Results ◽

Orthodontic Appliance ◽

Soft Tissue Profile ◽

The Face ◽

Bimaxillary Protrusion ◽

Fixed Orthodontic Appliance

Esthetically pleasing face with harmonious soft tissue profile, stable occlusion and pleasant smile are important goals of orthodontic treatment. This case report along with the treatment results is of Class I bimaxillary protrusion malocclusion treated with fixed orthodontic appliance after extraction of all first premolars. The orthodontic treatment involving extraction of premolars brought about good esthetic changes in the face and dentition resulting into improvement in the soft tissue profile, occlusion and attainment of a more harmonious smile and dentofacial esthetics.

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Quantitative Light-induced Fluorescence-Digital as an oral hygiene evaluation tool to assess plaque accumulation and enamel demineralization in orthodontics

The Angle Orthodontist ◽

10.2319/092415-648.1 ◽

2016 ◽

Vol 86 (6) ◽

pp. 991-997 ◽

Cited By ~ 10

Author(s):

Cara C. Miller ◽

Girvan Burnside ◽

Susan M. Higham ◽

Norah L. Flannigan

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Visual Aids ◽

Evaluation Tool ◽

Orthodontic Appliance ◽

Duration Of Treatment ◽

Prospective Randomized Clinical Trial ◽

Clinical Benefits ◽

To Receive ◽

Fixed Orthodontic Appliance

ABSTRACT Objective: To assess the use of Quantitative Light-induced Fluorescence-Digital as an oral hygiene evaluation tool during orthodontic treatment. Materials and Methods: In this prospective, randomized clinical trial, 33 patients undergoing fixed orthodontic appliance treatment were randomly allocated to receive oral hygiene reinforcement at four consecutive appointments using either white light (WL) or Quantitative Light-induced Fluorescence-Digital (QLF) images, taken with a device, as visual aids. Oral hygiene was recorded assessing the QLF images for demineralization, by fluorescence loss (ΔF), and plaque coverage (ΔR30). A debriefing questionnaire ascertained patient perspectives. Results: There were no significant differences in demineralization (P = .56) or plaque accumulation (P = .82) between the WL and QLF groups from T0 to T4. There was no significant reduction in demineralization, ΔF, in the WL, or the QLF group from T0–T4 (P > .05); however, there was a significant reduction in ΔR30 plaque scores (P < .05). All the participants found being shown the images helpful, with 100% of the QLF group reflecting that it would be useful to have oral hygiene reinforcement for the full duration of treatment compared with 81% of the WL group (OR 2.3; P < .05). Conclusions: Quantitative Light-induced Fluorescence-Digital can be used to detect and monitor demineralization and plaque during orthodontics. Oral hygiene reinforcement at consecutive appointments using WL or QLF images as visual aids is effective in reducing plaque coverage. In terms of clinical benefits, QLF and WL images are of similar effectiveness; however, patients preferred the QLF images.

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Evaluation of a prevention programme efficiency for patients with fixed orthodontic appliances

Vojnosanitetski pregled ◽

10.2298/vsp1103214m ◽

2011 ◽

Vol 68 (3) ◽

pp. 214-219 ◽

Cited By ~ 4

Author(s):

Sava Matic ◽

Mirjana Ivanovic ◽

Predrag Nikolic

Keyword(s):

Oral Hygiene ◽

Orthodontic Treatment ◽

Control Group ◽

Orthodontic Appliances ◽

Orthodontic Appliance ◽

Fixed Orthodontic Appliances ◽

The Difference ◽

School Of Dentistry ◽

Fixed Orthodontic Appliance ◽

Experimental Group

Background/Aim. Orthodontic treatment enables the establishment of functional occlusion and improvement of oral health, however, it increases the risk of periodontal disease development. The aim of this paper was to examine the efficiency of the applied programme for the prevention of gingivitis in children undergoing the fixed orthodontic appliance therapy and to determine the most efficient devices and techniques for maintaining oral hygiene during orthodontic treatment. Methods. The study included 80 patients of both genders - 60 patients comprised the experimental group and 20 patients comprised the control group. All of them were patients of the Clinic for Orthodontics at the School of Dentistry in Belgrade, aged between 13 and 18. The Silness-L?e Plaque Index (PI) was utilised for the assessment of oral hygiene quality and Silness-L?e Gingival Index (GI) and M?hlemann Papilla Bleeding Index (PBI) were utilised for the assessment of gingival state. Checkups were conducted as a single-blind study at the beginning and after the first, the third and the sixth month of the preventive and prophylactic programme. Results. During the observed period, a statistically significant change in PI, GI and PBI values was noticed (p < 0.005), as well as the difference in the dynamics of value changes during the periods between the observed groups. Conclusion. The preventive programme, applied to children undergoing the fixed orthodontic appliance therapy, had a positive effect both on oral hygiene quality and gingival state. The values of the examined parameters of the patients from the experimental group were significantly lower in comparison with those of the patients from the control group. The most efficient combination of devices for oral hygiene during orthodontic treatment was: a Curaprox CP5460 toothbrush, CD Ortho 60 orthodontic toothbrush and Curaprox CPS 14 interdental brush.

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Uji pelepasan ion nikel dan kromium pada beberapa braket stainless steel yang direndam di air laut

e-GIGI ◽

10.35790/eg.4.1.2016.11062 ◽

2016 ◽

Vol 4 (1) ◽

Author(s):

Cliff G. Lombo ◽

P. S. Anindita ◽

Juliatri .

Keyword(s):

Stainless Steel ◽

Orthodontic Treatment ◽

Soft Tissues ◽

Sea Water ◽

Control Group ◽

Orthodontic Appliance ◽

Orthodontic Bracket ◽

Vis Spectroscopy ◽

Main Components ◽

Fixed Orthodontic Appliance

Abstract: Orthodontics is the branch of dentistry that studies about how to prevent, protect, and care of malocclusion involving teeth, as well as skeletal and soft tissues of dentofacial region. Fixed orthodontic appliance is one of the means used to achieve the treatment goal. The use of orthodontic bracket is one of the main components in fixed orthodontic treatment which serves to deliver the required force on the teeth. This study aimed to determine the amount of Cr and Ni ions released from the stainless steel bracket (brand A, B, and C) immersed in sea water. This was a laboratory experimental study with a pre-experimental and nonequivalent control group designs. Samples were assayed using UV-Vis spectroscopy to determine the release of the metals: nickel and chromium. The samples consisted of 4 kinds of brand bracket immersed in sea water for 48 hours at a temperature of 37ºC. The results showed that the release of nickel and chromium ions in sea water varied in each sample. In sample A, the release of nickel 0.096 ppm and of chromium 0.202 ppm. In sample B, the release of nickel 0.154 ppm and of chromium 0.027 and. In sample C, the release of nickel 0,066 ppm and of chromium 0,019 ppm. The release of chromium in each sample was higher than the release of nickel. The results showed that there was no particular pattern of the released ions. This might be due to the different composition of the stainless steel brackets depending on the terms of each manufacturer.Keywords: bracket stainless steel, nickel and chromium, UV-Vis spectroscopy, seawaterAbstrak: Ortodonsia adalah cabang dari ilmu kedokteran gigi yang mempelajari tentang cara mencegah, melindungi, dan merawat maloklusi yang melibatkan gigi geligi, skeletal, dan jaringan lunak regio dentofasial. Alat ortodontik cekat merupakan salah satu cara yang digunakan untuk mencapai tujuan perawatan ontodontik. Penggunaan braket ortodonti merupakan salah satu komponen utama dalam perawatan ortodonti cekat yang berfungsi untuk menghantarkan gaya yang diperlukan pada gigi. Penelitian ini bertujuan untuk mengetahui besarnya ion Cr dan Ni yang terlepas pada braket stainless steel merek A, B, dan C yang direndam dalam air laut. Jenis penelitian yang digunakan ialah eksperimental laboratorik dengan rancangan pra eksperimental serta desain penelitian nonequivalent control group. Sampel diuji menggunakan spektroskopi UV-Vis untuk mengetahui pelepasan logam nikel dan cromium. Sampel terdiri dari 4 macam merek braket direndam dalam air laut selama 48 jam pada suhu 37ºC. Hasil penelitian menunjukkan terdapat pelepasan logam nikel dan kromium dalam air laut yang bervariasi di tiap sampel. Sampel A memiliki pelepasan nikel 0,096 ppm dan kromium 0,202 ppm; sampel B memiliki pelepasan nikel 0,154 ppm dan kromium 0,027; sampel C memiliki pelepasan nikel 0,066 ppm dan kromium 0,019 ppm. Pelepasan kromium pada tiap sampel lebih tinggi dibandingkan dengan pelepasan nikel. Hasil penelitian tidak menunjukan pola tertentu. Hal ini dapat disebabkan karena komposisi yang berbeda-beda dari braket stainless steel tergantung ketentuan masing-masing pembuatnya.Kata kunci: braket stainless steel, nikel dan cromium, spektroskopi UV-Vis, air laut

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