比较不同方法在去除正畸托槽过程中控制疼痛的效果。

Comparison Of Different Methods Of Controlling Pain During Debonding Of Orthodontic Brackets.

机构信息

Department of Orthodontics, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan.

出版信息

J Pak Med Assoc. 2023 Jul;73(7):1408-1411. doi: 10.47391/JPMA.6875.

DOI:10.47391/JPMA.6875

PMID:37469052

Abstract

OBJECTIVE

To compare the efficacy of finger pressure and plastic wafers in terms of pain control during debonding.

METHODS

This cross sectional study was conducted at the Department of Orthodontics, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan, from January to June 2020, and comprised patients of either gender aged 13-21 years who had completed fixed orthodontic treatment with 0.022 brackets of Roth prescription and required debonding. The patients was divided into two equal groups. In group A, teeth were stabilised with finger pressure with cotton between the finger and teeth, and then debonding was done using open mouth technique. In group B, teeth were stabilised using a plastic wafer between maxillary and mandibular teeth, and then debonding was done using closed mouth technique. Pain was assessed using a visual analogue scale VAS. Data was analysed using SPSS 23.

RESULTS

Of the 110 patients, each of the 2 groups had 55(50%) subjects. Overall, there were 35(32%) males and 75(68%) females. The mean age of the sample was 16±2.4 years. Mean pain scores among the males was 32.0±7.68 compared to 34.067±12.59 among the females (p>0.05). Subjects in group B had significantly less pain than those in group A (p<0.05).

CONCLUSION

Plastic wafer was found to be more effective in terms of controlling pain during debonding compared to finger pressure.

摘要

目的

比较手指施压和塑料薄片在去带过程中控制疼痛的效果。

方法

这是一项 2020 年 1 月至 6 月在巴基斯坦拉瓦尔品第武装部队牙科研究所正畸科进行的横断面研究，纳入完成了以罗特处方 0.022 托槽固定正畸治疗且需要去带的年龄在 13-21 岁的男女患者。患者被分为两组。在 A 组，用手指施压，手指和牙齿之间夹棉花来稳定牙齿，然后采用张口技术进行去带。在 B 组，用上颌和下颌牙齿之间的塑料薄片来稳定牙齿，然后采用闭口技术进行去带。使用视觉模拟量表（VAS）评估疼痛。使用 SPSS 23 进行数据分析。