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Pain intensity and control with fixed orthodontic appliance therapy (A clinical comparative study on Iraqi sample)

Author: Hayder Fadhil Saloom حيدر فاضل سلوم
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 3 Pages: 122-128
Publisher: Baghdad University جامعة بغداد


Background: The purpose of this prospective, randomized clinical trial was to investigate the level and intensity ofpatients` pain and discomfort, and to compare between the use of Bite Wafer and Paracetamol in reducing painand discomfort associated with initial orthodontic tooth movement in both adolescents and adults.Sample: 110 subjects with two age groups, 52 adolescents with age range from 12 to less than 18 years and 58 adultswith age range 18-24 years, successfully completing the study. For each subject fixed orthodontic appliance (Roth0.022) was bonded and round 0.014 NiTi arch wire was ligated with elastic ligature. The subjects in the Bite Wafergroup were instructed to chew on it whenever they feel pain for the next 7 days, and document the time andeffectiveness of it in the questionnaire. The Paracetamol group subjects instructed to use Paracetamol 500mg torelive pain and record times and effectiveness of its use in questionnaire.Results: The peak of pain was occurred in the first day and declined gradually till totally disappeared at the sixth dayafter initial arch wire placement. A marked reduction of pain intensity was noticed in both adolescents and adultsgroups, using Bite Wafer, from the first to the sixth day which is much higher than Paracetamol group especially inadolescents. No gender differences (P>0.05) was noticed in this study.Conclusion: Although both Bite Wafer and Paracetamol reduced pain gradually, Bite Wafer reduced pain moreobviously and safely in comparison to Paracetamol especially in adolescents


pain --- Wafer --- orthodontic

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