Skip to main content
Top
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2023

29-09-2021 | Anxiety | Original Article

Influence of functional and esthetic expectations on orthodontic pain

Authors: Sawita Supakomonnun, Somsak Mitrirattanakul, Rochaya Chintavalakorn, Nuntinee Nanthavanich Saengfai

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 3/2023

Login to get access

Abstract

Objectives

To investigate the effect of orthodontic treatment outcome (OTO) expectations on the level of pain intensity experienced after orthodontic elastomeric separation (OES).

Materials and methods

A total of 100 orthodontic patients (74 female and 26 male, age 14 years and above) from the Faculty of Dentistry, Mahidol University were enrolled. Before OES, questionnaires were administered to obtain patients’ expectations regarding various aspects of OTO as well as OES pain expectations. Real-time self-reported pain intensity from OES at the maxillary and mandibular first permanent molars was obtained before and immediately after separator placement and at 6 h, 24 h, and then every day until day 7 after OES. Data were analyzed for the relationship between OTO expectations and OES pain intensity. The level of significance was set at 0.05.

Results

The maximum OES pain intensity occurred on day 2 after OES and gradually decreased to the pretreatment level on day 7. The degree of facial, tooth alignment, masticatory function improvement expectations, and a high level of OES pain expectations were significantly associated with the severity of OES pain after separator placement.

Conclusion

Esthetic and functional expectations of OTO were significantly associated with OES pain intensity. Thus, knowledge about esthetic and functional expectations may help to predict patient’s pain response to orthodontic treatment.
Literature
1.
go back to reference Krishnan V (2007) Orthodontic pain: from causes to management—a review. Eur J Orthod 29(2):170–179CrossRefPubMed Krishnan V (2007) Orthodontic pain: from causes to management—a review. Eur J Orthod 29(2):170–179CrossRefPubMed
2.
go back to reference Wang J, Jian F, Chen J, Ye NS, Huang YH, Wang S et al (2012) Cognitive behavioral therapy for orthodontic pain control: a randomized trial. J Dent Res 91(6):580–585CrossRefPubMed Wang J, Jian F, Chen J, Ye NS, Huang YH, Wang S et al (2012) Cognitive behavioral therapy for orthodontic pain control: a randomized trial. J Dent Res 91(6):580–585CrossRefPubMed
3.
go back to reference Banerjee S, Banerjee R, Shenoy U, Agarkar S, Bhattacharya S (2018) Effect of orthodontic pain on quality of life of patients undergoing orthodontic treatment. Indian J Dent Res 29(1):4–9CrossRefPubMed Banerjee S, Banerjee R, Shenoy U, Agarkar S, Bhattacharya S (2018) Effect of orthodontic pain on quality of life of patients undergoing orthodontic treatment. Indian J Dent Res 29(1):4–9CrossRefPubMed
4.
go back to reference Beck VJ, Farella M, Chandler NP, Kieser JA, Thomson WM (2014) Factors associated with pain induced by orthodontic separators. J Oral Rehabil 41(4):282–288CrossRefPubMed Beck VJ, Farella M, Chandler NP, Kieser JA, Thomson WM (2014) Factors associated with pain induced by orthodontic separators. J Oral Rehabil 41(4):282–288CrossRefPubMed
6.
go back to reference Bergius M, Berggren U, Kiliaridis S (2002) Experience of pain during an orthodontic procedure. Eur J Oral Sci 110(2):92–98CrossRefPubMed Bergius M, Berggren U, Kiliaridis S (2002) Experience of pain during an orthodontic procedure. Eur J Oral Sci 110(2):92–98CrossRefPubMed
7.
go back to reference Bergius M, Kiliaridis S, Berggren U (2000) Pain in orthodontics. A review and discussion of the literature. J Orofac Orthop 61(2):125–137CrossRefPubMed Bergius M, Kiliaridis S, Berggren U (2000) Pain in orthodontics. A review and discussion of the literature. J Orofac Orthop 61(2):125–137CrossRefPubMed
8.
go back to reference Bos A, Hoogstraten J, Prahl-Andersen B (2005) Attitudes towards orthodontic treatment: a comparison of treated and untreated subjects. Eur J Orthod 27(2):148–154CrossRefPubMed Bos A, Hoogstraten J, Prahl-Andersen B (2005) Attitudes towards orthodontic treatment: a comparison of treated and untreated subjects. Eur J Orthod 27(2):148–154CrossRefPubMed
9.
go back to reference McNeil DW, Helfer AJ, Weaver BD, Graves RW, Kyle BN, Davis AM (2011) Memory of pain and anxiety associated with tooth extraction. J Dent Res 90(2):220–224CrossRefPubMed McNeil DW, Helfer AJ, Weaver BD, Graves RW, Kyle BN, Davis AM (2011) Memory of pain and anxiety associated with tooth extraction. J Dent Res 90(2):220–224CrossRefPubMed
11.
go back to reference Sayers MS, Newton JT (2006) Patients’ expectations of orthodontic treatment: part 1—development of a questionnaire. J Orthod 33(4):258–269CrossRefPubMed Sayers MS, Newton JT (2006) Patients’ expectations of orthodontic treatment: part 1—development of a questionnaire. J Orthod 33(4):258–269CrossRefPubMed
12.
go back to reference Yao J, Li D‑D, Yang Y‑Q, McGrath CPJ, Mattheos N (2016) What are patients’ expectations of orthodontic treatment: a systematic review. BMC Oral Health 16(1):19CrossRefPubMedPubMedCentral Yao J, Li D‑D, Yang Y‑Q, McGrath CPJ, Mattheos N (2016) What are patients’ expectations of orthodontic treatment: a systematic review. BMC Oral Health 16(1):19CrossRefPubMedPubMedCentral
13.
go back to reference Markovic E, Fercec J, Scepan I, Glisic B, Nedeljkovic N, Juloski J et al (2015) The correlation between pain perception among patients with six different orthodontic archwires and the degree of dental crowding. Srp Arh Celok Lek 143(3–4):134–140CrossRefPubMed Markovic E, Fercec J, Scepan I, Glisic B, Nedeljkovic N, Juloski J et al (2015) The correlation between pain perception among patients with six different orthodontic archwires and the degree of dental crowding. Srp Arh Celok Lek 143(3–4):134–140CrossRefPubMed
14.
go back to reference Johal A, Ashari AB, Alamiri N, Fleming PS, Qureshi U, Cox S et al (2018) Pain experience in adults undergoing treatment: a longitudinal evaluation. Angle Orthod 88(3):292–298CrossRefPubMedPubMedCentral Johal A, Ashari AB, Alamiri N, Fleming PS, Qureshi U, Cox S et al (2018) Pain experience in adults undergoing treatment: a longitudinal evaluation. Angle Orthod 88(3):292–298CrossRefPubMedPubMedCentral
15.
go back to reference Bondemark L, Fredriksson K, Ilros S (2004) Separation effect and perception of pain and discomfort from two types of orthodontic separators. World J Orthod 5(2):172–176PubMed Bondemark L, Fredriksson K, Ilros S (2004) Separation effect and perception of pain and discomfort from two types of orthodontic separators. World J Orthod 5(2):172–176PubMed
16.
go back to reference Nalbantgil D, Cakan DG, Oztoprak MO, Arun T (2009) Perception of pain and discomfort during tooth separation. Aust Orthod J 25(2):110–115PubMed Nalbantgil D, Cakan DG, Oztoprak MO, Arun T (2009) Perception of pain and discomfort during tooth separation. Aust Orthod J 25(2):110–115PubMed
17.
go back to reference Michelotti A, Farella M, Martina R (1999) Sensory and motor changes of the human jaw muscles during induced orthodontic pain. Eur J Orthod 21(4):397–404CrossRefPubMed Michelotti A, Farella M, Martina R (1999) Sensory and motor changes of the human jaw muscles during induced orthodontic pain. Eur J Orthod 21(4):397–404CrossRefPubMed
18.
go back to reference Ngan P, Kess B (1989) Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod 96(1):47–53CrossRef Ngan P, Kess B (1989) Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod 96(1):47–53CrossRef
20.
go back to reference Polat O, Karaman AI (2005) Pain control during fixed orthodontic appliance therapy. Angle Orthod 75(2):214–219PubMed Polat O, Karaman AI (2005) Pain control during fixed orthodontic appliance therapy. Angle Orthod 75(2):214–219PubMed
22.
go back to reference Andersson V, Otterstrom-Rydberg E, Karlsson AK (2015) The importance of written and verbal information on pain treatment for patients undergoing surgical interventions. Pain Manag Nurs 16(5):634–641CrossRefPubMed Andersson V, Otterstrom-Rydberg E, Karlsson AK (2015) The importance of written and verbal information on pain treatment for patients undergoing surgical interventions. Pain Manag Nurs 16(5):634–641CrossRefPubMed
23.
go back to reference Tulloch JF, Shaw WC, Underhill C, Smith A, Jones G, Jones M (1984) A comparison of attitudes toward orthodontic treatment in British and American communities. Am J Orthod 85(3):253–259CrossRefPubMed Tulloch JF, Shaw WC, Underhill C, Smith A, Jones G, Jones M (1984) A comparison of attitudes toward orthodontic treatment in British and American communities. Am J Orthod 85(3):253–259CrossRefPubMed
24.
go back to reference Breece GL, Nieberg LG (1986) Motivations for adult orthodontic treatment. J Clin Orthod 20(3):166–171PubMed Breece GL, Nieberg LG (1986) Motivations for adult orthodontic treatment. J Clin Orthod 20(3):166–171PubMed
25.
go back to reference Firestone A, Scheurer P, Bürgin W (1999) Patients’ anticipation of pain and pain-related side effects, and their perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 21(4):387–396CrossRefPubMed Firestone A, Scheurer P, Bürgin W (1999) Patients’ anticipation of pain and pain-related side effects, and their perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 21(4):387–396CrossRefPubMed
26.
go back to reference Sergl HG, Klages U, Zentner A (1998) Pain and discomfort during orthodontic treatment: causative factors and effects on compliance. Am J Orthod Dentofacial Orthop 114(6):684–691CrossRefPubMed Sergl HG, Klages U, Zentner A (1998) Pain and discomfort during orthodontic treatment: causative factors and effects on compliance. Am J Orthod Dentofacial Orthop 114(6):684–691CrossRefPubMed
27.
go back to reference Bergius M, Broberg AG, Hakeberg M, Berggren U (2008) Prediction of prolonged pain experiences during orthodontic treatment. Am J Orthod Dentofacial Orthop 133(3):339.e1–339.e8CrossRefPubMed Bergius M, Broberg AG, Hakeberg M, Berggren U (2008) Prediction of prolonged pain experiences during orthodontic treatment. Am J Orthod Dentofacial Orthop 133(3):339.e1–339.e8CrossRefPubMed
28.
go back to reference Wang J, Tang X, Shen Y, Shang G, Fang L, Wang R et al (2015) The correlations between health-related quality of life changes and pain and anxiety in orthodontic patients in the initial stage of treatment. Biomed Res Int 2015:7 Wang J, Tang X, Shen Y, Shang G, Fang L, Wang R et al (2015) The correlations between health-related quality of life changes and pain and anxiety in orthodontic patients in the initial stage of treatment. Biomed Res Int 2015:7
Metadata
Title
Influence of functional and esthetic expectations on orthodontic pain
Authors
Sawita Supakomonnun
Somsak Mitrirattanakul
Rochaya Chintavalakorn
Nuntinee Nanthavanich Saengfai
Publication date
29-09-2021
Publisher
Springer Medizin
Keyword
Anxiety
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 3/2023
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-021-00355-6

Other articles of this Issue 3/2023

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2023 Go to the issue

Mitteilungen der DGKFO

Mitteilungen der DGKFO