Lorek Monika, Jarząbek Anna, Sycińska-Dziarnowska Magdalena, Gołąb Sylwia, Krawczyk Konrad, Spagnuolo Gianrico, Woźniak Krzysztof, Szyszka-Sommerfeld Liliana
Private Clinic HaLo Ortho, Gniezno, Poland.
Laboratory of Paediatric Dentistry, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Front Neurol. 2024 Nov 27;15:1469992. doi: 10.3389/fneur.2024.1469992. eCollection 2024.
Orthodontic treatment is frequently correlated with different levels of discomfort and pain, caused by the application of forces to move the teeth. The mechanism of orthodontic pain is based on the initially activation of sensory receptors in periodontal tissues which results in a cascade of nociceptive pain processing and transduction in both the central and peripheral nervous systems that is finally experienced by patients. The perception of pain is subjective and varies among people, as it is influenced by both general and individual elements. This systematic review aims to synthesize existing knowledge on the association between patients' personality traits and pain perception during orthodontic treatment, and its influence on the success of orthodontic therapy.
The search strategy included the databases PubMed, Scopus, Embase, and Web of Science. The inclusion criteria were studies examining the correlation between personality traits and pain perception in patients undergoing orthodontic treatment. The quality of the studies was assessed using the Newcastle-Ottawa Scale (NOS).
The search strategy yielded 301 potential articles, with 10 papers meeting the inclusion criteria. Five studies were judged at a low risk of bias and another five studies were assessed as having a moderate risk of bias. Most of the studies reported relationship between personality traits and pain perception during orthodontic treatment, as well as treatment attitudes, and post-treatment satisfaction.
Patients' psychological characteristics seems to affect pain perception and other factors associated with orthodontic treatment. Given that several studies were judged to have a moderate risk of bias, as well as high heterogeneity among studies, further research is needed.
The systematic review was registered in PROSPERO database (CRD42024537185).
正畸治疗常常与不同程度的不适和疼痛相关，这是由施加力移动牙齿所引起的。正畸疼痛的机制基于牙周组织中感觉受体的初始激活，这会导致在中枢和外周神经系统中一系列伤害性疼痛处理和传导，最终患者会感受到疼痛。疼痛的感知是主观的，因人而异，因为它受到一般和个体因素的影响。本系统评价旨在综合现有关于正畸治疗期间患者人格特质与疼痛感知之间的关联及其对正畸治疗成功的影响的知识。
检索策略包括PubMed、Scopus、Embase和Web of Science数据库。纳入标准为研究正畸治疗患者人格特质与疼痛感知之间的相关性。使用纽卡斯尔-渥太华量表（NOS）评估研究质量。
检索策略产生了301篇潜在文章，其中10篇符合纳入标准。五项研究被判定为低偏倚风险，另外五项研究被评估为具有中度偏倚风险。大多数研究报告了正畸治疗期间人格特质与疼痛感知、治疗态度以及治疗后满意度之间的关系。
患者的心理特征似乎会影响疼痛感知以及与正畸治疗相关的其他因素。鉴于几项研究被判定为具有中度偏倚风险，且研究之间存在高度异质性，因此需要进一步研究。
该系统评价已在PROSPERO数据库（CRD42024537185）中注册。
