Evaluation of Perceived Pain During the First Week of Rapid Maxillary Expansion Treatment

Abstract

Objective:The aims of this study were to investigate the time at which pain started, the duration and intensity of the pain, the teeth affected in the mouth and whether sex was important in the perception of pain during the first week of rapid maxillary expansion (RME) treatment. MaterialsandMethods:Sixty-two patients, 30 boys (mean age 12.91±0.70 years), 32 girls (mean age 13.16±0.52) undergoing RME treatment with an acrylic-bonded appliance was surveyed. The appliance was activated with two turns per day. The patient's pain response was measured for each day in the morning and evening for a week using the Facial Pain Scale-Revised. Results: Pain was reported by 66.12 per cent of patients after first activation of expansion appliance. No sex difference was found for percentage of patients reporting pain. At the posterior teeth, there were statistically significant results between the mean pain scores on days 2 and 6 in the morning and on days 1 and 6 in the evening for male patients. Conclusion: Most of the patients undergoing RME treatment perceived pain, especially during the early phase of expansion. The maximum levels of pain were perceived during the first 5 days and showed variability among patients.Amaç: Bu çalışmanın amacı hızlı maksiller genişletme (HMG) tedavisinin ilk haftasında ağrının başladığı zamanı, ağrının süresi ve yoğunluğunu, ağızda etkilenen dişleri ve cinsiyetin ağrı algısındaki önemini araştırmaktır. Gereç ve Yöntemler: Akrilik bonded aparey ile HMG tedavisi uygulanan 30 erkek (ortalama yaş 12,91±0,70 yıl), 32 kız (ortalama yaş 13,16±0,52), 62 hasta araştırmada yer almıştır. Aparey günde iki tur aktive edilmiştir. Hastanın ağrı yanıtı Yüz Ağrı Skalası-Revize versiyonu kullanılarak bir hafta boyunca her gün sabah ve akşam ölçülmüştür. Bulgular: Genişletme apareyinin ilk aktivasyonundan sonra hastaların %66,12'si tarafından ağrı rapor edilmiştir. Cinsiyetler arasında ağrı bildiren hastaların yüzdeleri bakımından herhangi bir fark bulunamamıştır. Arka dişlerde, sabah 2. ve 6. günlerde, akşam 1. ve 6. günlerde ortalama ağrı skorları arasında erkek hastalarda istatistiksel olarak anlamlı sonuçlar vardır. Sonuç: HMG tedavisi gören hastaların çoğu, özellikle genişletmenin erken evresinde ağrı hissetmiştir. Maksimum ağrı seviyeleri ilk 5 gün boyunca algılanmış ve hastalar arasında değişkenlik göstermiştir.

The effects of orthodontic treatment type, depression, and treatment need on perceived pain intensity

“…[7] e studies have revealed that gender is not a significant factor in reporting pain. [26,27] e present study's data show that boys had significantly higher rates of pain than girls in 2 nd week. According to Campos et al, [28] the level of pain differed significantly by gender.…”

“…It has been reported that the majority of RME patients experience pain, particularly during the early stages of expansion. [26] Here, we observed that the highest level of pain was detected during the 1 st week of expansion and gradually decreased over time.…”

Pain during Rapid Maxillary Expansion: A Systematic Review

“…Regarding study design, five studies were randomized clinical trials [ 2 , 12 , 15 , 16 , 17 ], one was a prospective study [ 3 ], one was a parallel cohort study [ 1 ], and one was divided into two phases, the first of which was a randomized, controlled clinical trial and the second of which was a prospective case series (The authors decided to include the second part of this study in the review too because, although it was defined as a prospective case series, a statistical analysis of the data was still performed) [ 9 ]. For two studies, the study design was not clearly defined by the authors [ 5 , 10 ].…”

“…Rapid maxillary expansion (RME) is an orthodontic–orthopedic treatment routinely performed worldwide in growing subjects with transversal deficiency of the maxillary arch, with or without a crossbite [ 1 , 2 , 3 , 4 ]. This treatment can be performed in primary, mixed, or permanent dentition [ 1 , 5 , 6 ].…”

“…Patients often report having pain or discomfort during the active phase of RME [ 3 , 5 ], especially during the first activations. The literature suggests that pain is the most commonly reported symptom, with a frequency of >90% among children [ 2 , 12 ].…”