Antonio-Zancajo Laura, Montero Javier, Albaladejo Alberto, Oteo-Calatayud Maria Dolores, Alvarado-Lorenzo Alfonso
DDS, Professor in Orthodontic Posgraduate, Faculty of Medicine, University of Salamanca, Avenida Alfonso X el Sabio s/n, 37007 Salamanca, Spain.
DDS, Full Professor in Prosthodontics, Faculty of Medicine, University of Salamanca, Avenida Alfonso X el Sabio s/n, 37007 Salamanca, Spain.
J Clin Med. 2020 Jul 3;9(7):2088. doi: 10.3390/jcm9072088.
The aim of this study was to compare pain and its relationship with the oral quality of life of patients with different types of orthodontic appliances: conventional and conventional low-friction brackets, lingual brackets, and aligners. A prospective clinical study was carried out with a sample size of 120 patients (54 men, 66 women) divided into 4 groups of 30 patients each. The modified McGill questionnaire was used to measure pain at 4, 8, and 24 h and 2, 3, 4, 5, 6, and 7 days after the start of treatment, and the Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to measure the oral-health-related quality of life (OHRQoL) in the first month of treatment. The maximum peak of pain was obtained between 24 and 48 h of treatment. It was found that patients in the lingual orthodontic group described lower levels of pain at all times analyzed, and their scores in the total OHIP-14 indicated less impact on their oral quality of life (1.3 ± 1.2, < 0.01) compared with the other groups analyzed. There was little difference with the aligners group (Invisalign) (1.7 ± 1.9, < 0.01). The technique used influences the pain and quality of life of patients at the start of orthodontic treatment.
本研究的目的是比较不同类型正畸矫治器（传统矫治器和传统低摩擦托槽、舌侧托槽以及隐形矫治器）患者的疼痛情况及其与口腔生活质量的关系。开展了一项前瞻性临床研究，样本量为120例患者（54名男性，66名女性），分为4组，每组30例患者。采用改良的麦吉尔问卷在治疗开始后的4小时、8小时、24小时以及2天、3天、4天、5天、6天和7天测量疼痛情况，并在治疗的第一个月使用口腔健康影响程度量表-14（OHIP-14）问卷测量与口腔健康相关的生活质量（OHRQoL）。疼痛的最大峰值出现在治疗后的24至48小时之间。研究发现，在所有分析时间点，舌侧正畸组患者描述的疼痛程度较低，并且与其他分析组相比，他们在OHIP-14总分中的得分表明对其口腔生活质量的影响较小（1.3±1.2，<0.01）。与隐形矫治器组（隐适美）差异不大（1.7±1.9，<0.01）。所使用的技术会影响正畸治疗开始时患者的疼痛和生活质量。
