Aksoy Alev, Cesur Mine Geçgelen, Dağdeviren Birsen Harun, Özkaynak Yasemin Alpağan, Karacin Gizem, Gültekin Fatih
Department of Orthodontics, Süleyman Demirel University School of Medicine, Isparta, Turkey.
Department of Orthodontics, Adnan Menderes University School of Dentistry, Aydın, Turkey.
Turk J Orthod. 2019 Mar;32(1):34-40. doi: 10.5152/TurkJOrthod.2019.18043. Epub 2019 Jan 21.
We assessed pain and anxiety using psychological testing instruments (State-Trait Anxiety Inventory for Children, visual analog scale) and a physiological testing instrument (salivary cortisol hormone level) after the insertion of orthodontic appliances and during the initial alignment phase of orthodontic treatment.
The study group involved two groups matched according to age and gender. Group 1 used 0.016-, 0.016×0.016-, and 0.16×0.22-inch and Group 2 used 0.014-, 0.016-, and 0.016×0.016-inch superelastic nickel-titanium archwires in the initial alignment phase of treatment. Pain and anxiety instruments were applied, and saliva samples were collected from the patients before and after molar band insertions, and bracket and initial archwire placement, and 7 days after the initial bonding and archwire replacements.
Cortisol levels and state anxiety scores revealed statistically significant differences within groups (p<0.01, p<0.05). No significant differences were found between Group 1 and Group 2 in cortisol hormone levels, anxiety scores, or pain measurements (p>0.05). Although not statistically significant, the most severe pain was measured in the posterior teeth after band insertion and in the anterior teeth after the first archwire insertion (p>0.05).
Orthodontic appliances and the initial alignment phase of orthodontic treatment affect patients' anxiety and cortisol hormone levels. Both archwires were equally effective with regard to perceived pain, anxiety, and stress hormone levels.
我们使用心理测试工具（儿童状态-特质焦虑量表、视觉模拟量表）和生理测试工具（唾液皮质醇激素水平），在正畸矫治器置入后以及正畸治疗的初始排齐阶段评估疼痛和焦虑情况。
研究组包括根据年龄和性别匹配的两组。在治疗的初始排齐阶段，第1组使用0.016英寸、0.016×0.016英寸和0.16×0.22英寸的超弹性镍钛弓丝，第2组使用0.014英寸、0.016英寸和0.016×0.016英寸的超弹性镍钛弓丝。应用疼痛和焦虑评估工具，并在患者置入磨牙带环前后、粘接托槽和初始弓丝时以及初始粘接和弓丝更换7天后采集唾液样本。
皮质醇水平和状态焦虑评分在组内显示出统计学显著差异（p<0.01，p<0.05）。第1组和第2组在皮质醇激素水平、焦虑评分或疼痛测量方面未发现显著差异（p>0.05）。虽然无统计学意义，但在置入带环后后牙以及首次置入弓丝后前牙测得的疼痛最为严重（p>0.05）。
正畸矫治器和正畸治疗的初始排齐阶段会影响患者的焦虑和皮质醇激素水平。两种弓丝在感知疼痛、焦虑和应激激素水平方面效果相当。
