Erdinç Aslihan M Ertan, Dinçer Banu
Department of Orthodontics, Faculty of Dentistry, University of Ege, Bornova, Izmir, Turkey.
Eur J Orthod. 2004 Feb;26(1):79-85. doi: 10.1093/ejo/26.1.79.
The aims of this study were to investigate the initial time at which pain occurs after insertion of two initial wires of different sizes, the duration of the pain, the areas affected within the mouth, the level of self-medication, the effect of this pain on daily life, and whether gender is important in the perception of pain. The study group consisted of 109 patients (52 boys, 57 girls) with a mean chronological age of 13.6 years for boys and 14.7 years for girls. Insertion of either a 0.014 or 0.016 inch wire was by random selection. Following insertion of the archwires, a questionnaire comprising a total of 49 questions was given to the patients. They described the time of initial pain in the first question, answered the next 24 questions as 'yes' or 'no', and used a visual analogue scale for the final 24 questions. No significant differences were found in terms of gender, in the perception period of initial pain as regards the areas affected within the mouth or the effect of pain on daily living when the 0.014 and 0.016 inch wire groups were compared at 6 hours, 1, 2, 3, 4, 5, 6 and 7 days. At 24 hours, which was found to be statistically significant, more pain relief was used in the 0.014 inch archwire group. The results show that in both groups, initial pain was perceived at 2 hours, peaked at 24 hours and had decreased by day 3.
本研究的目的是调查在植入两根不同尺寸的初始弓丝后疼痛出现的初始时间、疼痛持续时间、口腔内受影响的区域、自我用药情况、这种疼痛对日常生活的影响，以及性别在疼痛感知中是否起重要作用。研究组由109名患者组成（52名男孩，57名女孩），男孩的平均实际年龄为13.6岁，女孩为14.7岁。随机选择植入0.014英寸或0.016英寸的弓丝。在植入弓丝后，向患者发放了一份共包含49个问题的问卷。他们在第一个问题中描述了初始疼痛的时间，对接下来的24个问题回答“是”或“否”，并对最后24个问题使用视觉模拟量表。在6小时、1天、2天、3天、4天、5天、6天和7天对0.014英寸和0.016英寸弓丝组进行比较时，在性别、口腔内受影响区域的初始疼痛感知期或疼痛对日常生活的影响方面未发现显著差异。在具有统计学意义的24小时时，0.014英寸弓丝组使用了更多的止痛措施。结果表明，在两组中，初始疼痛均在2小时时被感知，在24小时时达到峰值，并在第3天时有所减轻。
