Sultan Hareem, Pervez Hana, Maqsood Sidra, Zeeshan Wajeeh Syed
Department of Orthodontics, Dow International Dental College, Dow University of Health Sciences, Karachi, Pakistan.
Department of Orthodontics, Jinnah Medical and Dental College, Karachi, Pakistan.
Korean J Orthod. 2023 Sep 25;53(5):298-306. doi: 10.4041/kjod22.257.
Pain following the insertion of separators and archwires varies with age, sex, race, ethnicity, threshold, and health status. This study aimed to evaluate the characteristics of pain in orthodontic patients after the insertion of elastomeric separators, its effects on daily life, and its association with age and sex in a population not previously studied in this regard.
A cross-sectional study of 130 patients undergoing orthodontic treatment included collecting data on demographics, pain experienced following the placement of separators, time of onset, duration, characteristics, change in dietary pattern or chewing side, intake of analgesics, and severity of pain on the Wong Baker's scale. The results are reported as counts and percentages. Associations between sex and age were evaluated using Pearson's chi-square test.
Among the 130 patients, 56.2% were 9-20 years old, 63.8% experienced pain following the insertion of separators, 22.9% had their first episode of pain at 4 hours, 56.6% experienced intermittent pain, and 37.3% experienced discomfort; 18.1% males and 81.9% females experienced pain following the insertion of separators. Pearson's chi-square test showed a significant association between pain and sex ( = 0.04). Most patients (37.3%) reported "hurts little more" for pain intensity on Wong Baker's scale and 21.7% reported all four quadrants as sites of pain.
The pain experienced after separator insertion was associated with sex and age. Females experienced more pain than males and patients between the age range of 21 and 36 years suffered more pain during mastication than between 9 and 20 years old.
放置分离器和弓丝后的疼痛因年龄、性别、种族、民族、痛阈和健康状况而异。本研究旨在评估在正畸患者中放置弹性分离器后的疼痛特征、其对日常生活的影响以及在这方面此前未研究过的人群中疼痛与年龄和性别的关联。
对130名接受正畸治疗的患者进行横断面研究，包括收集人口统计学数据、放置分离器后经历的疼痛、疼痛发作时间、持续时间、特征、饮食模式或咀嚼侧的变化、镇痛药的摄入以及Wong Baker面部表情量表上的疼痛严重程度。结果以计数和百分比形式报告。使用Pearson卡方检验评估性别与年龄之间的关联。
在130名患者中，56.2%为9至20岁，63.8%在放置分离器后经历疼痛，22.9%在4小时时首次出现疼痛发作，56.6%经历间歇性疼痛，37.3%经历不适；18.1%的男性和81.9%的女性在放置分离器后经历疼痛。Pearson卡方检验显示疼痛与性别之间存在显著关联（ = 0.04）。大多数患者（37.3%）在Wong Baker面部表情量表上报告疼痛强度为“稍痛”，21.7%报告所有四个象限均为疼痛部位。
放置分离器后经历的疼痛与性别和年龄有关。女性比男性经历更多疼痛，并且21至36岁的患者在咀嚼时比9至20岁的患者遭受更多疼痛。
