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正畸调整相关疼痛与不适的评估

Evaluation of Pain and Discomfort Associated with Orthodontic Adjustments.

作者信息

Mohanty Biswaroop, Chekka Manjunath, Sowmya Cherukupalli, Khurana Rattan, Manga Udayini Monica, Varma Datla Praveen Kumar, Somaraj Vinej

机构信息

Department of Orthodontics, Kalinga Institute of Dental Sciences, K.I.I.T University, Bhubaneswar, Odisha, India.

Professor and HOD, Department of Orthodontics and Dentofacial Orthopaedics, Tirumala Dental College, Bardipur, Nizamabad, Telangana, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2400-S2402. doi: 10.4103/jpbs.jpbs_269_24. Epub 2024 Jul 31.

Abstract

BACKGROUND

Orthodontic treatment is commonly associated with pain and discomfort, impacting patient experience and treatment compliance. Understanding the factors influencing pain perception is crucial for improving pain management strategies during orthodontic adjustments.

METHODS

Pain levels were assessed using a " (VAS)" before and after each adjustment session. Qualitative data were collected through semi-structured interviews conducted immediately post-adjustment. Statistical analyses were performed to compare mean pain scores before and after adjustments, and thematic analysis was conducted to identify common themes in qualitative data.

RESULTS

Quantitative analysis revealed a significant increase in mean pain scores following orthodontic adjustments ( < 0.001). Qualitative analysis identified themes related to pain experiences, including anticipation of discomfort, adaptation over time, and coping strategies employed by patients.

CONCLUSION

Orthodontic adjustments induce varying levels of pain and discomfort among patients. By integrating quantitative and qualitative assessments, this study provides comprehensive insights into patient experiences during orthodontic treatment, informing strategies for pain management and patient care.

摘要

背景

正畸治疗通常会伴有疼痛和不适,这会影响患者体验和治疗依从性。了解影响疼痛感知的因素对于改善正畸调整期间的疼痛管理策略至关重要。

方法

在每次调整 session 前后使用“视觉模拟评分法(VAS)”评估疼痛程度。定性数据通过调整后立即进行的半结构化访谈收集。进行统计分析以比较调整前后的平均疼痛评分,并进行主题分析以确定定性数据中的共同主题。

结果

定量分析显示正畸调整后平均疼痛评分显著增加(<0.001)。定性分析确定了与疼痛经历相关的主题,包括对不适的预期、随时间的适应以及患者采用的应对策略。

结论

正畸调整会在患者中引起不同程度的疼痛和不适。通过整合定量和定性评估,本研究提供了对正畸治疗期间患者体验的全面见解,为疼痛管理和患者护理策略提供了依据。

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本文引用的文献

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Cellular, molecular, and tissue-level reactions to orthodontic force.细胞、分子和组织水平对正畸力的反应。
Am J Orthod Dentofacial Orthop. 2006 Apr;129(4):469.e1-32. doi: 10.1016/j.ajodo.2005.10.007.
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Perception of discomfort by patients undergoing orthodontic treatment.正畸治疗患者的不适感知
Am J Orthod Dentofacial Orthop. 1989 Jul;96(1):47-53. doi: 10.1016/0889-5406(89)90228-x.

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