A randomized, single-blind, placebo-controlled trial to evaluate the effectiveness of verbal behavior modification and acetaminophen on orthodontic pain

Author:

Kaur Harsimrat1,Bansal Naveen2,Abraham Reji3

Affiliation:

1. PhD Student, Department of Orthodontics, University of Alberta, Edmonton, Canada.

2. Professor and Head, Department of Orthodontics, Genesis Institute of Dental Sciences, Ferozepur, India.

3. Professor and Head, Department of Orthodontics, Sri Hasanamba Dental College, Hassan, India.

Abstract

ABSTRACT Objectives: To evaluate the effectiveness of verbal behavior modification, acetaminophen, and the combined effectiveness of verbal behavior modification along with acetaminophen on orthodontic pain. Materials and Methods: One hundred and forty orthodontic fixed appliance patients were randomly assigned to four groups. Group A was administered acetaminophen, group B was given verbal behavior modification, group C was administered acetaminophen as well as verbal behavior modification, and group D was placebo-controlled. A visual analog scale was used to assess pain intensity after 1 week of separator placement. Results: Group A had less mean pain intensity when compared to group B at 6 hours (P < .001) and at 1 (P < .001) and 2 (P = .002) days. Group C patients encountered less mean pain intensity when compared to group B patients at 6 hours (P < .001) and at 1 (P < .001), 2 (P < .001), and 4 (P = .001) days. There was a statistically significant difference between groups A and C (group C experienced less pain intensity) after 6 hours (P = .004) and at day 4 (P = .009) after separator placement. Conclusions: Acetaminophen is the main agent of orthodontic pain reduction after separator placement, with verbal behavior serving as an adjunct to it.

Publisher

The Angle Orthodontist (EH Angle Education & Research Foundation)

Subject

Orthodontics

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