Comparative analysis of periodontal pain and quality of life in patients with fixed multibracket appliances and aligners (Invisalign®): longitudinal clinical study

Abstract

Backgrounds The aim of this longitudinal clinical study is to analyse and compare according to location, degree and type, the pain presented by patients during their first year of treatment, as well as the quality of oral life after the placement of two types of orthodontic appliances: conventional brackets and removable Invisalign ® aligners. Methods The sample consisted of 140 patients grouped into 2 study groups of 70 patients each. The first group (brackets group- BG), with fixed multibracket appliances, using the MBT technique and a 0.022” slot. The second group (invisaling group- IG), in treatment with removable aligners (IG), using the Invisalign ® system. They were providen with a questionnare where they had to record the degree (mild, moderate or intense), the type and location of the pain monthly during the first year of treatment. The second form was the Spanish version of the OHIP-14, oral quality of life questionnaire, which was provided the twelfth month after the start of treatment. Results In both groups, we found that the most frequent location of pain occurred during the first phase: mandibular for the IG group and maxillary in the BG group. Throughout the whole analysis, the intensity was mild-moderate with lower values in the conventional brackets’ group. The BG group reported acute pain while the IG group reported sensitive pain during the first month; later both reported sensitive pain. Conclusions There are differences in terms of periodontal pain in its degree, location, and type according to the different orthodontic techniques used. Trial registration The study was approved by the bioethics committee of the University of Salamanca (USAL_20/516).

The Relationship between Personality Profiles and the Esthetic Perception of Orthodontic Appliances

“…The different perceptions of the esthetic and functional priorities of dentists and patients can lead patients away from accepting proposed treatment plans. It is therefore important, on the one hand, to identify the most relevant parameters that allow increasing the satisfaction of patients undergoing treatments and, on the other hand, that promote receptiveness of the patients, namely convincing those with higher esthetic standards and in more advanced age groups, who are usually more distant from this type of treatment option [ 16 – 18 ].…”