Evaluation of pain intensity in patients treated with aligners and conventional fixed appliances: Randomized clinical trial

Casteluci, Cleomária Evelyn Vieira Freire; Oltramari, Paula Vanessa Pedron; Conti, Paulo César Rodrigues; Bonjardim, Leonardo Rigoldi; Almeida–Pedrin, Renata Rodrigues de; Fernandes, Thaís Maria Freire; Almeida, Márcio Rodrigues de; Conti, Ana Cláudia de Castro Ferreira

doi:10.1111/ocr.12431

Cited by 13 publications

(16 citation statements)

References 34 publications

(145 reference statements)

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“…These results were found for both jaws, confirming that higher pain intensity leads to more frequent selfmedication. The frequency of self-medication with analgesics in this sample was comparable to previous studies [19][20][21] .…”

Section: Resultssupporting

confidence: 90%

Orthodontic pain in maxilla and mandible during the first week of orthodontic treatment

Juloski¹,

Vasovic²,

Vučić³

et al. 2022

Balkan J Dent Med

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Background/Aim: This investigation aimed to evaluate the intensity of self-reported pain and frequency of self-medication with analgesics during the initial phase of orthodontic treatment with fixed appliances and to compare possible differences between the maxillary and mandibular teeth. Material and Methods: In this observational clinical trial 68 patients had similar orthodontic forces (the same bracket-slot and prescription, archwire size and material, and treatment plan) applied on maxillary and mandibular teeth. The patients recorded pain intensity and use of analgesics for the first seven days of treatment. Comparisons between maxillary and mandibular teeth regarding the pain intensity and self-medication frequency were performed by Wilcoxson Signed Ranks Test and McNamara Test for Matched Pairs, respectively. Results: The patients reported moderate pain in both jaws which decreased significantly with each day of treatment. Still, during the initial three days of treatment intensity of pain for maxillary teeth was significantly lower compared to the mandibular teeth. Patients reported analgesics consumption for both jaws, without a statistically significant difference between them. Conclusions: The patients have reported orthodontic pain of higher intensity in the mandibular arch compared to the maxillary arch during the initial phase of orthodontic treatment with fixed appliances.

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Section: Resultssupporting

confidence: 90%

Orthodontic pain in maxilla and mandible during the first week of orthodontic treatment

Juloski¹,

Vasovic²,

Vučić³

et al. 2022

Balkan J Dent Med

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“…As in the present study, other authors obtained statistically significant differences when comparing pain scores between patients with aligners and patients with fixed multibracket appliances. In this study, patients with aligners indicated a lower level of pain compared to those in [34,35]. Fujiyama K et al also observed that patients with aligners described a lower level of pain in the first phases of orthodontic treatment compared to those with conventional fixed appliances.…”

Section: Discussionsupporting

confidence: 57%

Comparative Analysis of Periodontal Pain Using Two Different Orthodontic Techniques, Fixed Multibrackets and Removable Aligners: A Longitudinal Clinical Study with Monthly Follow-Ups for 12 Months

et al. 2021

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The aim of this study was to evaluate the perception of periodontal pain in patients treated with either fixed multibrackets or removable alignment systems with a monthly follow-up over a period of twelve months. Materials and Methods: This longitudinal clinical study comprised a sample of 140 patients (72 women; 68 men) divided into two groups of 70 patients each: the bracket group (BG) with conventional fixed brackets using the MBT technique with a 0.022″ slot and the Invisalign group (IG) with aligners (Invisalign). The visual analog scale (VAS) was used to quantify patient-reported pain. Pain analysis was conducted monthly at 4 (T1), 8 (T2), and 24 h (T3) post-follow-up as well as at 2 (T4), 3 (T5), 4 (T6), 5 (T7), 6 (T8), and 7 days (T9) post-follow-up during the first twelve months after starting orthodontic treatment. Results: Statistically significant differences (p < 0.05) were observed between both study groups in the mean pain scores on the visual analog scale (VAS) during the twelve-month follow-up period, except for during the eighth month of treatment. In the first month, the group with conventional brackets reported higher pain scores. From the second month onwards, we observed that patients with aligners described a higher level of pain compared to the group of patients with conventional brackets. In both experimental groups, though at different evaluation periods, we found that the peak of maximum pain occurred between 24 and 48 h (T3–T4) after monthly follow-up appointments; from this point, the pain decreased until reaching minimum values from the fifth day onwards (T7). Conclusions: In the first month of treatment, the patients with conventional fixed multibrackets reported the highest levels of pain compared to those with removable aligners. From the second month on, this trend changed. The patients with removable aligners reported the highest levels of pain. Therefore, the orthodontic system used influenced the perception of pain in patients.

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“…According to the systematic review carried out by Long et al in 2013, the degree of pain that occurs in lingual orthodontic and conventional orthodontic treatments is similar [ 50 ]. In a randomized clinical trial recently published by Casteluci et al, where they compared the intensity of pain between fixed appliances and aligners, they concluded that it was similar and mild–moderate with both techniques [ 51 ]. The same happens between conventional fixed orthodontics and low friction [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

“…Some authors found no differences in pain intensity and age or sex of the patients in adult patients [ 14 , 26 , 46 , 57 , 58 ]. We can also add that this was a short-term study, the reason being that the first week was when patients felt the greatest pain and it decreased as months passed during orthodontic treatment [ 51 ]. Long-term studies are needed to see the different behavior that different orthodontic techniques may have in reference to periodontal pain.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Periodontal Pain According to the Type of Precision Orthodontic Appliances: Vestibular, Lingual and Aligners. A Prospective Clinical Study

Antonio-Zancajo

Montero

Garcovich

et al. 2021

Biology

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The objective of this prospective clinical study was to analyze the pain (intensity, location and type) that patients presented after the placement of different types of orthodontic appliances: conventional, low friction, lingual and aligners. The sample consisted of 120 patients divided into four groups: conventional (CON), low friction (LF), lingual (LO) and aligners (INV). The participants were given the Short-Form McGill Pain Questionnaire (Ortho-SF-MPQ), where they had to record the pain intensity (no pain, mild, moderate or intense) and the periodontal location at different time points, from the first 4 h to 7 days after the start of treatment. In all the study groups, the most frequent location was both anterior arches, with maximum values between 56.7% (CON group at 24 h) and 30% (LO group at 4 h). The “whole mouth” and “complete lower arch” locations were indicated only by the patients in the lingual group. Regarding pain intensity, the patients reported a higher percentage of mild–moderate pain during the first 3 days of treatment (96.7% in LO at 4 h, 86.7% in CON, 83.3% in LF and 90% in INV at 24 h); later, the reported pain decreased to no pain/mild pain, especially in the lingual group, until reaching values close to zero at 7 days post-treatment. The most frequent type of pain was acute in the low friction and lingual groups (with maxima of 60% and 46.7% at 24 h, respectively). On the contrary, in the conventional (36.7% at 4 h) and Invisalign (40% at 24 h) groups, the sensitive type was the most frequent. There are differences regarding periodontal pain in its intensity, location and type according to the use of different orthodontic techniques.

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Evaluation of pain intensity in patients treated with aligners and conventional fixed appliances: Randomized clinical trial

Cited by 13 publications

References 34 publications

Orthodontic pain in maxilla and mandible during the first week of orthodontic treatment

Orthodontic pain in maxilla and mandible during the first week of orthodontic treatment

Comparative Analysis of Periodontal Pain Using Two Different Orthodontic Techniques, Fixed Multibrackets and Removable Aligners: A Longitudinal Clinical Study with Monthly Follow-Ups for 12 Months

Comparative Analysis of Periodontal Pain According to the Type of Precision Orthodontic Appliances: Vestibular, Lingual and Aligners. A Prospective Clinical Study

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