激活方案对上颌快速扩弓期间疼痛感知的影响。
Influence of activation protocol on perceived pain during rapid maxillary expansion.
作者信息
Baldini Alberto, Nota Alessandro, Santariello Claudia, Assi Valentina, Ballanti Fabiana, Cozza Paola
机构信息
a PhD Student, Department of Orthodontics, University of Rome Tor Vergata, Rome, Italy.
b Postgraduate Student, Department of Orthodontics, University of Rome Tor Vergata, Rome, Italy.
出版信息
Angle Orthod. 2015 Nov;85(6):1015-20. doi: 10.2319/112114-833.1. Epub 2015 Mar 10.
OBJECTIVE
To investigate the influence of two different activation protocols on the timing and intensity of pain during rapid maxillary expansion (RME).
MATERIALS AND METHODS
A total of 112 prepubertal patients (54 males and 58 females, mean age 11.00 ± 1.80 years) with constricted maxillary arches underwent RME with two different activation protocols (group 1: one activation/day; group 2: two activations/day). Patients were provided with a numeric rating scale (NRS) and the Faces Pain Scale (FPS) to correctly assess their daily pain.
RESULTS
Subjects treated with RME at two activations/day reported statistically significantly greater amounts of pain than subjects treated with RME at one activation/day. Differences related to gender and skeletal maturity were found.
CONCLUSION
The choice of activation protocol influences the perceived pain during RME, and less daily expansion is correlated to less pain. Pain reported during RME could be influenced by skeletal maturity and gender of the subjects under treatment.
目的
探讨两种不同扩弓激活方案对快速上颌扩弓（RME）过程中疼痛发生时间和强度的影响。
材料与方法
选取112例青春期前上颌缩窄患者（男54例，女58例，平均年龄11.00±1.80岁），采用两种不同的激活方案进行RME治疗（第1组：每天激活1次；第2组：每天激活2次）。为患者提供数字评定量表（NRS）和面部疼痛量表（FPS），以正确评估其每日疼痛情况。
结果
每天激活2次进行RME治疗的受试者报告的疼痛量在统计学上显著高于每天激活1次进行RME治疗的受试者。发现了与性别和骨骼成熟度相关的差异。
结论
激活方案的选择会影响RME过程中感知到的疼痛，每日扩弓量越少，疼痛越少。RME过程中报告的疼痛可能受治疗对象的骨骼成熟度和性别的影响。
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