Evaluation of Pain and Discomfort Associated with Orthodontic Adjustments

Author:

Mohanty Biswaroop1,Chekka Manjunath2,Sowmya Cherukupalli3,Khurana Rattan4,Manga Udayini Monica5,Datla Praveen Kumar Varma6,Somaraj Vinej7

Affiliation:

1. Department of Orthodontics, Kalinga Institute of Dental Sciences, K.I.I.T University, Bhubaneswar, Odisha, India

2. Professor and HOD, Department of Orthodontics and Dentofacial Orthopaedics, Tirumala Dental College, Bardipur, Nizamabad, Telangana, India

3. Department of Orthodontics, Panineeya Dental College and Hospital, Hyderabad, Telangana, India

4. Department of Orthodontics and Dentofacial Orthopaedics, Rayat Bahra Dental College and Hospital, Rayat Bahra University, Mohali, Punjab, India

5. Department of Orthodontics, Kamineni Institute of Dental Sciences, Narketpally, Telangana, India

6. Department of Orthodontics, Vishnu Dental College, Vishnupur, Bhimavaram, Andhra Pradesh, India

7. Department of Public Health Dentistry, Rajas Dental College and Hospital, Tirunelveli, Tamil Nadu, India

Abstract

ABSTRACT Background: Orthodontic treatment is commonly associated with pain and discomfort, impacting patient experience and treatment compliance. Understanding the factors influencing pain perception is crucial for improving pain management strategies during orthodontic adjustments. Methods: Pain levels were assessed using a “Visual Analog Scale (VAS)” before and after each adjustment session. Qualitative data were collected through semi-structured interviews conducted immediately post-adjustment. Statistical analyses were performed to compare mean pain scores before and after adjustments, and thematic analysis was conducted to identify common themes in qualitative data. Results: Quantitative analysis revealed a significant increase in mean pain scores following orthodontic adjustments (P < 0.001). Qualitative analysis identified themes related to pain experiences, including anticipation of discomfort, adaptation over time, and coping strategies employed by patients. Conclusion: Orthodontic adjustments induce varying levels of pain and discomfort among patients. By integrating quantitative and qualitative assessments, this study provides comprehensive insights into patient experiences during orthodontic treatment, informing strategies for pain management and patient care.

Publisher

Medknow

Reference12 articles.

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4. Cellular, molecular, and tissue-level reactions to orthodontic force;Krishnan;Am J Orthod Dentofacial Orthop,2006

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