Prediction of pain in orthodontic patients based on preoperative pain assessment

Zheng, Baoyu; Ren, Manman; Lin, Feiou; Yao, Linjie

doi:10.2147/ppa.s101391

Cited by 9 publications

(13 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Self-reported pain was reduced after archwire placements as the individual's pain tolerance increased. This experiment might help highlight an individual’s variations and preferred method of pain management [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Methodologies in Orthodontic Pain Management: A Review

Hussain¹,

Toubity²,

Elias³

2017

TODENTJ

View full text Add to dashboard Cite

Introduction:Patients experience pain and discomfort during active orthodontic treatment with fixed appliances. Pain is considered a subjective response to noxious stimuli. It can vary from person to person and is influenced by certain factors such as age, gender, previous pain experiences, stress or anxiety, and type of appliance.Objective:The objective of this literature review was to discuss conventional versus recently introduced treatment modalities used in pain management for orthodontic patients.Discussion:According to the reviewed articles, both pharmacological and non-pharmacological methods were introduced in orthodontic pain management. However, orthodontists must use their best professional judgment to assess each case individually and select an appropriate treatment modality based on pain threshold level of an individual.Conclusion:Nevertheless, further investigations are required in this field.

show abstract

Section: Introductionmentioning

confidence: 99%

Methodologies in Orthodontic Pain Management: A Review

Hussain¹,

Toubity²,

Elias³

2017

TODENTJ

View full text Add to dashboard Cite

show abstract

“…Various factors need to be considered in determining the main cause of orthodontic pain, which include the ability of patients to adapt after the insertion new appliances, type of appliances, degrees of pain and discomfort, patient's attitude towards the treatment and their effects on patient's compliance. [5] The type of appliances may have significant effects on the patient's speech and swallowing, while patient's expectation of a good dental treatment and better appearance can lead to feeling of oral restriction and low self-confidence in public. Patient's experience with initial pain and discomfort can contribute to the acceptance of orthodontic treatment in general.…”

Section: …………………………………………………………………………………………………… Introduction:-mentioning

confidence: 99%

“…A report by Melzack R (1965) stated that orthodontic pain is commonly associated with sensory perceptions of intensity and discomfort, along with cognitive, emotional and environmental factors. [5,7,8] The cognitive factors of pain often include patient's anticipation, memory of past experiences and attention. [5,9] Various researches have been done to determine the correlation of orthodontic pain with psychological factors and personal traits, which requires substantial resources to obtain and evaluate the data from patients.…”

mentioning

confidence: 99%

“…[5,7,8] The cognitive factors of pain often include patient's anticipation, memory of past experiences and attention. [5,9] Various researches have been done to determine the correlation of orthodontic pain with psychological factors and personal traits, which requires substantial resources to obtain and evaluate the data from patients. [2,5,10] 44% of the participants state that patients normally experience "mild" pain or discomfort in most cases of orthodontic pain, followed by 42% of them who rate the severity of pain as "moderate and only 14% of the total participants have seen patients with complaints of "severe" orthodontic pain.…”

mentioning

confidence: 99%

“…[5,9] Various researches have been done to determine the correlation of orthodontic pain with psychological factors and personal traits, which requires substantial resources to obtain and evaluate the data from patients. [2,5,10] 44% of the participants state that patients normally experience "mild" pain or discomfort in most cases of orthodontic pain, followed by 42% of them who rate the severity of pain as "moderate and only 14% of the total participants have seen patients with complaints of "severe" orthodontic pain. It has been reported that mild-to-severe pain can be seen in approximately 90% of patients seeking orthodontic treatment [1,2] The result in Figure 4 suggests that most cases of orthodontic pain begin within 24 hours as stated by 64% of the participants.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Predicting Factors of Orthodontic Pain - A Survey.

LiyanaHannahBintiIzhamAkmal¹,

Pandian²

2019

IJAR

View full text Add to dashboard Cite

Aim: To evaluate pain and discomfort experience by patients undergoing orthodontic treatment with different appliances after insertion and factors associated with orthodontic pain and to determine the factors associated with orthodontic pain and its effects on the quality of life of patients. Background: Fear of pain during dental treatment is one of the major factors which prevent a patient from seeking orthodontic treatment. Pain and discomfort are commonly associated with orthodontic movement of teeth. Studies have shown that approximately 95% of orthodontic patients complained of pain during orthodontic treatment with 10% interrupting their treatment due to pain experienced during treatment. Pain is highly subjective as it may differ from one patient to another, in which some patients experience high levels of pain while others complain of just mild discomfort. It is very important for dentists to follow the progress of adaptation after insertion of new appliances and examine any pain or discomfort experienced by the patients. Materials and Methods: A questionnaire-based study was done among dental students, practitioners and patients. A total of 100 participants took part in the survey. The participants were divided into 2 groups, Group 1 and 2. Group 1 consists of dental students and practitioners while Group 2 consists of dental patients. Each group was provided with a list of 10 questions related to pain during orthodontic treatment. Data was collected and statistic analysis was done. Results: Moderate pain is most probably experienced by patients (62%). Sensory perception of intensity and discomfort is considered as the main factor (52%). Mold pain is commonly reported (44%). Most cases begin within 24 hours (64%) and usually subside within 24 hours (45%). Pain sensitivity is commonly associated with orthodontic pain (44%). Tests on anxiety level and dental fear is usually preferred (52%). Patient's compliance remains good (36%). NSAIDs is the best treatment of orthodontic pain (64%). Patients are well-informed of the whole procedure (82%). 8 is the moderate score of orthodontic pain (56%). Patients experience pain within 2 to 3 days (72%) with complains of moderate pain (94%). Most patients are relaxed and calm before treatment (78%) and some without negative experiences with dental procedure previously (76%).

show abstract

The Cold Pressor Test as a Predictor of Prolonged Postoperative Pain, a Prospective Cohort Study

2016

View full text Add to dashboard Cite

IntroductionPresently, it is difficult to predict which patients are at increased risk of ongoing pain problems postoperatively. This study followed a group of patients from the week before their operation until 3 months after it, to identify potential risk variables.MethodsFifty-four patients undergoing moderate-major gynaecological surgery at Christchurch Women’s Hospital were recruited and assessed preoperatively over an 11-week period. At this initial assessment, participants were subjected to a cold pressor test (CPT). Telephonic follow-up was conducted at 6 weeks and 3 months postoperatively, to determine pain status. Information regarding the type of operation and surgical approach was collected from hospital records.ResultsPain threshold (time taken to report the onset of pain), as measured by the CPT, was significantly predictive of prolonged pain outcomes (area under the curve = 0.80, 95 % CI 0.66, 0.95). Pain tolerance (total time taken to end the CPT voluntarily) was similarly predictive but non-significant (area under the curve = 0.69, 95 % CI 0.47, 0.90).ConclusionThe preoperative cold pressor test shows some promise for predicting ongoing postoperative pain. However, more research is needed to determine the clinical significance of these findings in larger samples and how they could be incorporated into clinical practice.

show abstract

Prediction of pain in orthodontic patients based on preoperative pain assessment

Cited by 9 publications

References 33 publications

Methodologies in Orthodontic Pain Management: A Review

Methodologies in Orthodontic Pain Management: A Review

Predicting Factors of Orthodontic Pain - A Survey.

The Cold Pressor Test as a Predictor of Prolonged Postoperative Pain, a Prospective Cohort Study

Contact Info

Product

Resources

About