The effects of menstrual phase on orthodontic pain following initial archwire engagement

Long, Hu; Gao, Meiya; Zhu, Yuanjun; Li, He; Zhou, Yang; Liao, Lina; Lai, Wenli

doi:10.1111/odi.12612

Cited by 7 publications

(5 citation statements)

References 42 publications

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“…Therefore, they report problems in their mouth cavities more frequently than men. [ 42 43 44 ] The average OP intensity and OHIP-14 score in female patients were found to be somewhat greater than in male patients in this research. This finding might be attributed to the uneven number of female and male respondents, which influenced data processing.…”

Section: Discussionmentioning

confidence: 45%

Orthodontic pain is related to oral health-related quality of life in orthodontic patients

Raevanisa,

Narmada,

Alida

et al. 2024

Journal of Orthodontic Science

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INTRODUCTION: Orthodontic pain (OP) is a subjective experience induced by prolonged force on the teeth in fixed orthodontic treatment. OP acts as a predictor of aspects related to oral health-related quality of life (OHRQOL). It is important to understand the extent of the impact of OP on a patient’s daily life, especially on stomatognathic function and social impact. OBJECTIVE: To assess the correlation between OP and OHRQOL in fixed orthodontic treatment patients. MATERIAL AND METHODS: The comparative pain rating scale is used to assess pain intensity, while the oral health impact profile-14 (OHIP-14) assesses the impact of OP severity on OHRQOL of 57 patients undergoing fixed orthodontic treatment in the early stages of treatment (1–3 months of treatment) at the Dental Hospital, Universitas Airlangga. Gender, age, and malocclusion classifications were also analyzed for their influence. The data were analyzed using Spearman correlation and two-way analysis of variance (ANOVA). RESULTS: In the initial phase of treatment, most of the patients (53%) experienced mild OP and moderate OP (39%), and OP was reduced over a week. The overall OHRQOL score was 17.4 ± 8, which indicates a negative impact on OHRQOL. There were also positive correlation dimensions of OHRQOL, which include the dimensions of physical limitations, psychological discomfort, and psychological limitations (r > 0.50). There was a significant difference between age groups in OP perception and OHRQOL (P < 0.05). CONCLUSIONS: There was a positive correlation between OP intensity and OHRQOL experienced by fixed orthodontic patients at the Dental Hospital, Universitas Airlangga.

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Section: Discussionmentioning

confidence: 45%

Orthodontic pain is related to oral health-related quality of life in orthodontic patients

Raevanisa,

Narmada,

Alida

et al. 2024

Journal of Orthodontic Science

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“…[29] In the present study, pain levels were measured after the activation of the orthodontic appliances. Long et al [2] examined pain levels after initial arch wire engagement. Similarly, Campos et al [28] assessed pain levels following orthodontic appliance activation.…”

Section: Discussionmentioning

confidence: 99%

“…However, orthodontic treatment inevitably has various side effects, such as pain. [1,2] Pain associated with orthodontic treatment is caused by inflammatory mediators such as cytokines and prostaglandins and occurs as a result of pressure put on the periodontal ligament and bone. [1] During orthodontic treatment, pain signals are sensed by nociceptors in the periodontal regions and sent to the trigeminal ganglia, trigeminal nucleus, ventroposterior nucleus, and then the sensory cortex.…”

Section: Introductionmentioning

confidence: 99%

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

Büyükbayraktar

Kuruca

2023

APOS

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Objectives: The objectives of this study were to evaluate how orthodontic treatment type, treatment need, and depression affect perceived pain intensity (PPI). Material and Methods: This prospective study included 172 patients (80 girls and 92 boys, mean age 14.32 ± 1.57 years) treated at the Sivas Cumhuriyet University Faculty of Dentistry, Department of Orthodontics. The patients were divided into three groups: the first group was treated with fixed orthodontic appliances, the second group was treated with twin blocks, and the third group was treated with rapid maxillary expansion and reverse headgear (RME/RH). Data were collected and classified with the Index of Orthodontic Treatment Need-Dental Health Component (DHC), Children’s Depression Scale, and Visual Analog Scale. PPI was recorded in the 1st week (T0), 2nd week (T1), the 1st month (T2), 2nd month (T3), 3rd month (T4), and the 6th month (T5). Results: PPI was higher in boys at T1 (P = 0.005) compared with girls. There was a significant difference of PPI between the treatment groups at T2 (P = 0.036), T3 (P = 0.012), T4 (P = 0.000), and T5 (P = 0.006). A statistically significant positive correlation was found between DHC and PPI at T3 (r = 0.182; P = 0.000), T4 (r = 0.161; P = 0.03), and T5 (r = 0.189; P = 0.000) time periods. There was no significant correlation between depression and PPI. Conclusion: Girls were more resistant to pain than boys. The type of treatment and the need for treatment both had an effect on PPI. Further studies are needed to investigate the effects of psychological states on PPI during orthodontic treatment.

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“…Orofacial pain, a constellation of various painful conditions in orofacial regions, includes migraine, trigeminal neuralgia, headaches, dental pain and tooth-movement pain (26,27). Of particular, orofacial pain induced by tooth movement is a type of in ammatory pain at periodontal tissues due to force application (25).…”

Section: Discussionmentioning

confidence: 99%

N/OFQ modulates orofacial pain induced by tooth movement through CGRP-dependent pathways

Yan

Han

Zhang

et al. 2020

Preprint

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Background: Nociceptin/orphanin FQ (N/OFQ) has been revealed to play bidirectional roles in orofacial pain modulation. Calcitonin gene-related peptide (CGRP) is a well-known pro-nociceptive molecule that participates in the modulation of orofacial pain. We aimed to determine the effects of N/OFQ on the modulation of orofacial pain and on the release of CGRP. Methods: Orofacial pain model was established by ligating springs between incisors and molars in rats for the simulation of tooth movement. The expression level of N/OFQ was determined and pain level scored in response to orofacial pain. Both agonist and antagonist of N/OFQ receptor were administered to examine their effects on pain and the expression of CGRP in trigeminal ganglia (TG). Moreover, gene therapy based on the overexpression of N/OFQ was delivered to validate the modulatory role of N/OFQ on pain and CGRP expression.Results: Tooth movement elicited orofacial pain and an elevation in N/OFQ expression. N/OFQ exacerbated orofacial pain and upregulated CGRP expression in TG, while UFP-101 alleviated pain and downregulated CGRP expression. N/OFQ-based gene therapy was successful in overexpressing N/OFQ in TG, which resulted in pain exacerbation and elevation of CGRP expression in TG. Conclusions: N/OFQ exacerbated orofacial pain possibly through upregulating CGRP.

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The effects of menstrual phase on orthodontic pain following initial archwire engagement

Abstract: We suggest that practitioners arrange female patients to receive initial archwire engagement during their follicular phases to relieve orthodontic pain.

Cited by 7 publications

References 42 publications

Orthodontic pain is related to oral health-related quality of life in orthodontic patients

Orthodontic pain is related to oral health-related quality of life in orthodontic patients

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

N/OFQ modulates orofacial pain induced by tooth movement through CGRP-dependent pathways

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