Firestone A R, Scheurer P A, Bürgin W B
Department of Orthodontics, University of Bern, Switzerland.
Eur J Orthod. 1999 Aug;21(4):387-96. doi: 10.1093/ejo/21.4.387.
The aim of this study was to investigate the relationship between (i) the pain and its side effects, anticipated by patients before orthodontic therapy, and (ii) the reported pain and its effects after the placement of initial archwires. Before treatment, 50 adolescent patients (median age 13.6 years, range 8.9-39.3 years, 28 female, 22 male) completed a questionnaire concerning their facial and dental appearance, and their expectations regarding pain, its influence on their daily lives, and changes in their facial and dental appearance as a result of orthodontic treatment. In the week following insertion of the initial archwires the patients completed a series of eight questionnaires, where they reported the level of pain experienced and its influence on their daily lives. In the week after archwire insertion, the maximum pain levels reported did not differ statistically from the anticipated pain levels. Patients significantly under-estimated the changes they would have to make in their diet as a response to pain after archwire insertion. Patients who anticipated a greater effect of pain on their leisure activities and those who had a history of frequent headaches reported higher levels of pain and more disruption of their daily lives as a result of pain. This pattern of response is consistent with a medical model where anxious patients and those with a history of chronic pain reported more pain after surgery.
（i）正畸治疗前患者预期的疼痛及其副作用，以及（ii）初始弓丝放置后报告的疼痛及其影响。治疗前，50名青少年患者（年龄中位数13.6岁，范围8.9 - 39.3岁，女性28名，男性22名）完成了一份关于其面部和牙齿外观的问卷，以及他们对疼痛、疼痛对其日常生活的影响以及正畸治疗后面部和牙齿外观变化的期望。在插入初始弓丝后的一周内，患者完成了一系列八份问卷，报告了所经历的疼痛程度及其对日常生活的影响。在弓丝插入后的一周内，报告的最大疼痛程度与预期疼痛程度在统计学上无差异。患者显著低估了在弓丝插入后因疼痛而需要在饮食方面做出的改变。预期疼痛对其休闲活动影响更大的患者以及有频繁头痛病史的患者报告的疼痛程度更高，且疼痛对其日常生活的干扰更大。这种反应模式与医学模型一致，即在该模型中，焦虑患者和有慢性疼痛病史的患者术后报告的疼痛更多。
