Cuoghi Osmar A, Topolski Francielle, de Faria Lorraine P, de Mendonça Marcos R
Department of Pediatric and Community Dentistry, Dental School of Araçatuba, Univ Estadual Paulista - UNESP (São Paulo State University), Araçatuba, São Paulo, Brazil.
Department of Orthodontics, Dental School of Araçatuba Univ Estadual Paulista - UNESP (São Paulo State University) Araçatuba, São Paulo, Brazil; Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Infantil e Social -Disciplina de Ortodontia Preventiva - UNESP, Araçatuba, São Paulo, Brazil, Phone: +551836363236, e-mail:
J Contemp Dent Pract. 2016 Sep 1;17(9):713-720. doi: 10.5005/jp-journals-10024-1918.
To evaluate the correlation between pain and tissue damage in response to orthodontic tooth movement (OTM), such as hyalinization and external apical root resorption (EARR).
The literature review was used as a methodological strategy, following the knowledge development process - constructivist (ProKnow-C). Study axes were defined and keywords that best represented each axis were selected. The terms were submitted to an adherence test and validation, resulting in 12 keyword combinations. Searches were carried out in the most representative databases for the selected terms, without restriction as for language or publication dates. Retrieved studies were filtered using the EndNote X6 program and classified according to analysis of title, abstract, and keywords. The final portfolio of articles was submitted to bibliometric and systematic analysis.
A total of 1,091 studies were retrieved, out of which 719 were repeated and 335 were removed in the classification stage. A total of 37 articles remained in the final portfolio. Only one article was in line with the purpose of this study, indicating absence of correlation between pain and EARR in response to OTM.
Further studies are necessary to confirm whether orthodontic pain might serve as a criterion for the use of appropriate mechanical forces, contributing to minimize tissue damage following OTM.
This article presents a systematic literature review, in which scientific evidence of the correlation between pain and tissue damage during orthodontic movement was studied, providing a scientific answer for the following question: Is pain reported by patients associated with application of inappropriate orthodontic force? Thus, it aims at aiding the orthodontist in the definition of clinical parameters for the use of optimal orthodontic force.
评估正畸牙齿移动（OTM）过程中疼痛与组织损伤（如透明样变和根尖外吸收（EARR））之间的相关性。
采用文献综述作为方法策略，遵循知识发展过程——建构主义（ProKnow-C）。定义了研究轴并选择了最能代表每个轴的关键词。这些术语经过了依从性测试和验证，得到了12个关键词组合。在最具代表性的数据库中对选定术语进行检索，不受语言或出版日期限制。使用EndNote X6程序对检索到的研究进行筛选，并根据标题、摘要和关键词分析进行分类。对最终的文章集进行文献计量学和系统分析。
共检索到1091项研究，其中719项重复，在分类阶段剔除335项。最终文章集中共有37篇文章。只有一篇文章符合本研究目的，表明OTM过程中疼痛与EARR之间不存在相关性。
需要进一步研究以确认正畸疼痛是否可作为使用适当机械力的标准，有助于减少OTM后的组织损伤。
本文进行了系统的文献综述，研究了正畸移动过程中疼痛与组织损伤之间相关性的科学证据，并为以下问题提供科学答案：患者报告的疼痛是否与不适当正畸力的应用有关？因此，旨在帮助正畸医生确定使用最佳正畸力的临床参数。
