scholarly journals Pain in Separation of the Molars among the Orthodontic patients

2019 ◽  
Vol 1 (1) ◽  
pp. 48-52
Author(s):  
Pushkar Manandhar ◽  
Anjana Rajbhandari ◽  
Resina Pradhan ◽  
Manju Bajracharya ◽  
Surendra Maharjan
Keyword(s):  
Orthodontic Treatment ◽  
Pain Perception ◽  
Assessment Tool ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Significant Difference ◽  
Perceived Pain ◽  
Orthodontic Patients ◽  
Spring Type ◽  
Orthodontic Separators

Introduction: Pain has been the most common and foremost reason for discontinuing the orthodontic treatment. The patients usually experience pain in Orthodontic treatment during separator placement, wire placement, headgear wear, and rapid palatal expansion. Placement of orthodontic separators (brass wire, elastomeric, spring-type steel separators, and latex elastics) results in a painful experience. Therefore the purpose of the study is to assess the pain perception among the patients seeking orthodontic treatment. Methods: This study was carried out amongst 120 (53 male and 67 female) patients seeking orthodontic treatment. Elastomeric separators were placed mesially and distally to the first molars and the participants were given a self-administrated Universal pain assessment Tool to document perceived pain and pain upon chewing, using a visual analog scale for seven days. Total scores were calculated and descriptive statistics in the form of a number (mean) and percentage were calculated. Results: This study showed a mean score for perceived pain of each day to be 7.16, 7.1, 6.05, 4.67, 3.69, 2.88, and 2.27 respectively with a mean of 4.831 +/- 1.273. Similarly, the mean score for pain on chewing was 8.21, 7.53, 6.62, 5.19, 4.38, 3.65, and 3 with a mean of 5.5119 +/- 1.269. Conclusions: There was a significant difference in pain perception among the male and female participants, females having higher pain perception. There was a significant difference in pain perception between the Adolescent and Adult in both normal life and during eating.

scholarly journals Anticipated Pain and Pain Experience Among Orthodontic Patients: Is there any Difference?

2013 ◽  
Vol 10 (2) ◽  
pp. 71-73 ◽  
Author(s):  
Dashrath Kafle ◽  
A Rajbhandari
Keyword(s):  
Analogue Scale ◽  
Orthodontic Treatment ◽  
Statistical Significance ◽  
Painful Procedure ◽  
Pain Experience ◽  
Male And Female ◽  
Orthodontic Therapy ◽  
Significant Difference ◽  
Perceived Pain ◽  
Orthodontic Patients

Background Orthodontic treatment is taken as a painful procedure by most of the patients. The pain can be experienced during different procedures like separator placement, banding, bonding, extraction as well as arch wire activation and debonding. There are very few studies done on the anticipated pain and pain experienced among mentioned orthodontic procedures. Objectives To compare the anticipated pain and pain experience among the patients going for comprehensive orthodontic treatment. Methods Total 45 patients going for comprehensive orthodontic therapy are enrolled into the study. They are given a 100mm Visual Analogue Scale (VAS) for pain. The anticipated pain as well as perceived pain after different orthodontic procedures are recorded on the VAS by patients and returned back to orthodontic office. The data are analyzed by SPSS 16.00 software by paired and independent t-test for the statistical significance. Results The result showed that there is significant difference between the anticipated pain before orthodontic treatment and the pain experienced following orthodontic treatment. It also showed that perception of pain between two sexes is significantly different. The comparison of anticipated pain among male and female does not show any significant difference, however the pain felt after separator placement as well as after orthodontic bonding is significantly different in two sexes. Conclusion The level of anticipated pain before orthodontic treatment is higher than the real pain experienced after orthodontic procedures. So it is better to counsel and explain the patients about the orthodontic treatment and procedures. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr – June 2012 | Page 71-73 DOI: http://dx.doi.org/10.3126/kumj.v10i2.7348

scholarly journals Perception of Pain resulting from Orthodontic Separators in Orthodontic Patients Visiting Dental Department at a Private Hospital

2018 ◽  
Vol 20 (4) ◽  
pp. 150-154
Author(s):  
Anshu Piya ◽  
B.V. Shrestha ◽  
J. Acharya
Keyword(s):  
Orthodontic Treatment ◽  
Pain Perception ◽  
Age Groups ◽  
Medical College ◽  
Continuous Type ◽  
Orthodontic Patients ◽  
Permanent Molars ◽  
Orthodontic Separators ◽  
Patients Experience ◽  
Age Range

Pain is a response, which varies from one individual to another. Factors such as age, gender, magnitude of force applied, emotional status, individual pain threshold, etc., might affect pain. Patients who desire for orthodontic treatment are often afraid of having pain and discomfort during various stages of orthodontic treatment. This has become one of the most commonly reported complaint and reason for discontinuing orthodontic treatment. This study aims at examining the intensity of pain in orthodontic patients’ experience following the insertion of separators attending Department of Orthodontics in Nepal Medical College. Eighty six patients (26 males and 60 females) who came to department of orthodontics for fixed orthodontic treatment were selected with age range of 15-26 years. Elastomeric separators were placed mesially and distally to the upper and lower first permanent molars in all patients. Following placement of separator, the patients were given self‑administrated questionnaires and they were properly instructed on how to answer the questions. Descriptive statistics of different factors for pain perception were assessed using SPSS 16. Most of the patients had pain on second day of separator placement and among them females experienced more pain than males. Then pain slowly decreased after day 3 and disappeared after day 5. More females experienced continuous type of pain and took analgesics compared to males. Results showed that pain began a few hours after application of orthodontic force and lasted for around 5 days. Most of the patients reported pain during eating and chewing on second day and had to change their food habits into softer one. Younger age group patients experienced more pain compared to older age groups.

Influence of acetaminophen on performance during time trial cycling

2010 ◽  
Vol 108 (1) ◽  
pp. 98-104 ◽  
Author(s):  
Alexis R. Mauger ◽  
Andrew M. Jones ◽  
Craig A. Williams
Keyword(s):  
Perceived Exertion ◽  
Pain Perception ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Time Trial ◽  
Pain Tolerance ◽  
Rating Of Perceived Exertion ◽  
Significant Difference ◽  
Perceived Pain ◽  
Condition B

To establish whether acetaminophen improves performance of self-paced exercise through the reduction of perceived pain, 13 trained male cyclists performed a self-paced 10-mile (16.1 km) cycle time trial (TT) following the ingestion of either acetaminophen (ACT) or a placebo (PLA), administered in randomized double-blind design. TT were completed in a significantly faster time ( t12 = 2.55, P < 0.05) under the ACT condition (26 min 15 s ± 1 min 36 s vs. 26 min 45 s ± 2 min 2 s). Power output (PO) was higher during the middle section of the TT in the ACT condition, resulting in a higher mean PO ( P < 0.05) (265 ± 12 vs. 255 ± 15 W). Blood lactate concentration (B[La]) and heart rate (HR) were higher in the ACT condition (B[La] = 6.1 ± 2.9 mmol/l; HR = 87 ± 7%max) than in the PLA condition (B[La] = 5.1 ± 2.6 mmol/l; HR = 84 ± 9%max) ( P < 0.05). No significant difference in rating of perceived exertion (ACT = 15.5 ± 0.2; PLA = 15.7 ± 0.2) or perceived pain (ACT = 5.6 ± 0.2; PLA = 5.5 ± 0.2) ( P > 0.05) was observed. Using acetaminophen, participants cycled at a higher mean PO, with an increased HR and B[La], but without changes in perceived pain or exertion. Consequently, completion time was significantly faster. These findings support the notion that exercise is regulated by pain perception, and increased pain tolerance can improve exercise capacity.

scholarly journals The success and effectiveness of miniscrew-assisted rapid palatal expansion are age- and sex-dependent

2021 ◽  
Author(s):  
Ji Yoon Jeon ◽  
Sung-Hwan Choi ◽  
Chooryung Judi Chung ◽  
Kee-Joon Lee
Keyword(s):  
Success Rate ◽  
Older Age ◽  
Chronological Age ◽  
Linear Regression Models ◽  
Exact Test ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Basal Bone ◽  
Significant Difference ◽  
Age And Sex

Abstract Objectives This study aimed to assess the success rate and the amount of suture separation after the miniscrew-assisted rapid palatal expansion (MARPE) procedure in relation to the chronological age and sex of the patients. Materials and methods The periapical radiographs of 215 subjects (95 male; 120 female; range, 6–60 years) who had undergone MARPE treatment were retrospectively analyzed. The success of suture separation was determined and, in suture-separated subjects, the amount of suture separation was evaluated by suture separation ratio calculated from the periapical radiograph obtained after active expansion. Association tests were performed using linear-by-linear association, the Jonckheere-Terpstra test, Fisher’s exact test, and the Mann–Whitney U test, and linear regression models were also developed. Results The success rate of suture separation was 61.05% in male, 94.17% in female, and 79.53% in both sexes. There was a statistically significant association between older age and suture nonseparation in male (p < 0.001), but not in female (p = 0.221). In suture-separated subjects, there was a statistically significant trend toward a low amount of suture separation with older age subgroups in both sexes (p < 0.001); however, there was no statistically significant difference in the amount of suture separation between male and female in all age subgroups. Conclusions Older patients treated with MARPE, particularly in male, may have a reduced likelihood of both success in suture separation and sufficient basal bone expansion. Clinical relevance This study demonstrates that clinicians should consider that the success rate of MARPE and the amount of suture separation may depend on chronological age and sex.

scholarly journals Effects of rapid maxillary expansion on nasal mucociliary clearance

2015 ◽  
Vol 86 (2) ◽  
pp. 250-254
Author(s):  
Hasan Babacan ◽  
Cenk Doruk ◽  
Ismail Onder Uysal ◽  
Salim Yuce
Keyword(s):  
Orthodontic Treatment ◽  
Mucociliary Clearance ◽  
Systemic Disease ◽  
Rapid Maxillary Expansion ◽  
Control Group ◽  
Maxillary Expansion ◽  
Positive Effects ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
Nasal Mucociliary Clearance

ABSTRACT Objective:  To evaluate the changes in nasal mucociliary clearance in orthodontic patients after rapid maxillary expansion (RME) therapy. Materials and Methods:  Forty-two children (25 boys and 17 girls) participated in this study. The RME group consisted of 21 patients (mean age, 13.8 years), who had undergone RME at the initiation of orthodontic treatment. The control group consisted of 21 subjects (mean age, 13.6 years), who were attending the department of orthodontics for active orthodontic treatment. The nasal mucociliary clearance was assessed by the saccharin test. Saccharin transit times (STTs) were measured for each treated subject before expansion (T1), after RME (T2), and after a 3-month retention period (T3). Records were obtained at the same time intervals for each group. Results:  The STT decreased significantly in the RME group after expansion and retention (P &lt; .05). A statistically significant difference was found when the STTs of the control and RME groups were compared after expansion and retention (P &lt; .05). Conclusions:  The STTs of young orthodontic patients with maxillary narrowness and without any history of nasal or systemic disease were within normal limits. However, RME increased the mucociliary clearance in patients who had maxillary narrowness, having positive effects on nasal physiology and increasing nasal cavity volume.

scholarly journals Oral Findings in a Typical Case of Achondroplasia

2003 ◽  
Vol 31 (3) ◽  
pp. 236-238 ◽  
Author(s):  
P Celenk ◽  
S Arici ◽  
C Celenk
Keyword(s):  
Orthodontic Treatment ◽  
Typical Case ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Posterior Teeth ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Clinical Interest

We report a 16-year-old boy who had all the typical manifestations of achondroplasia but also had a skeletal and dental class III malocclusion, a narrow maxilla, macroglossia and an open bite between the posterior teeth. The narrow maxilla and bilateral cross-bite were treated with rapid palatal expansion. The open bite and irregular teeth were corrected with fixed orthodontic treatment, taking account of the macroglossia. This case is of clinical interest since dental class III malocclusion, posterior open bite, macroglossia and benign migratory glossitis have not previously been reported in achondroplasia.

scholarly journals PATIENT AND PARENT MOTIVATION FOR ORTHODONTIC TREATMENT AND AGREEMENT BETWEEN ORTHODONTIST, PARENT, PATIENT PERCEPTION USING IOTN AC

2017 ◽  
Vol 27 (1) ◽  
pp. 57-62
Author(s):  
Donata Petronytė ◽  
Giedrė Trakinienė
Keyword(s):  
Orthodontic Treatment ◽  
Subjective Evaluation ◽  
Motivating Factors ◽  
Research Subjects ◽  
Significance Level ◽  
Parents And Children ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
The Aesthetic ◽  
Motivating Factor

Objectives. Key motivating factors for getting an orthodontic consultation of orthodontic patients up to 18 years old together with their parents, as well as fears, relating to orthodontic treatment, were evaluated during the research study. A subjective evaluation of aesthetic component was performed by parents, children and the orthodontist. Material and Methods. After obtaining the permit of the Bioethics Centre (No. BEC- OF- 804) in LSMUL KK Orthodontic clinic, patients and parents, who came to the initial consultation, were interviewed. Patients and parents were selected by a random sampling. Research subjects received 2 separate questionnaires, which were filled in by patient himself, his parents. Furthermore, the aesthetic component of the patient was evaluated by the patient, his parents and the examiner. Data analysis was performed using a statistical SPSS 22 package. Significance level 0.05 was chosen. Results. Key motivating factor for orthodontic treatment was aesthetic in the group of patients and parents. The majority of children and parents, who took part in the research, do not have any fears relating to orthodontic treatment. Patients appear to evaluate condition of their teeth more positively than their parents (p<0.05). Both parents and children evaluate condition of teeth more positively than the examiner (p<0.05). Conclusions. The aesthetic factor remains the most important motivation for orthodontic treatment; there is usually no fear, relating to orthodontic treatment, present at the beginning of the treatment. There is a significant difference of subjective aesthetic evaluation of teeth condition between subjects and the orthodontist.

scholarly journals Treatment of Maxillary Retrusion-Face Mask with or without RPE?

2018 ◽  
Vol 22 (2) ◽  
pp. 93-97 ◽  
Author(s):  
Elona Kongo
Keyword(s):  
Treatment Protocol ◽  
Face Mask ◽  
Maxillary Incisor ◽  
Class Iii ◽  
Skeletal Class ◽  
Maxillary Protraction ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Significant Difference ◽  
Incisor Inclination

SummaryBackground/Aim: Maxillary transverse deficiency often combines with retruded maxillary skeletal position causing a skeletal class III malocclusion. In these cases combination of rapid palatal expander and a facial mask to protract the maxilla is a very effective treatment protocol. When the maxilla is not deficient is it necessary to use palatal expansion before protracting? Should we use this combination because it has been proved to be effective? The aim of this paper is to show that maxillary protraction is also effective when applied without expanding the maxilla although there are some statistically significant changes.Material and Methods: Two groups of 20 patients each, were created for this study. The first group were treated with rapid palatal expansion and face mask. In the second group, patients were treated only with face mask.Results: Measurements made at T0 (prior to treatment) and those at T1 (after treatment) were statistically analyzed. At the end of the treatment patients of the 1st group showed significant difference for the values of SNA, SNB, ANB angles (p=0.000). Significant changes were observed also for the second group (SNA, SNB, ANB). The only differences between the two groups were observed regarding SNA angle (p=0.040) and maxillary incisor inclination (p=0.028).Conclusions: At the end of treatment, all patients showed skeletal class III correction and improved facial appearance. Significant changes of SNA angle were observed for each group. There were also significant changes in the position of the mandible. These changes contributed in skeletal class III correction but there was no significant difference between them.

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.

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