American Journal of Orthodontics and Dentofacial Orthopedics
Pain and discomfort during orthodontic treatment: Causative factors and effects on compliance☆,☆☆,★
Section snippets
Subjects
Eighty-four patients (39 males, 45 females; mean age, 12.8 ± 4.1 years) undergoing orthodontic treatment participated in the study. Among these patients, 25 were provided with one removable plate, 31 with two removable plates simultaneously for both jaws, 14 received functional appliances, and the other 14 received full bonded fixed appliances. Twenty-seven of the overall 84 subjects received their very first appliance in the course of treatment; the remaining 57 patients had their second or
Longitudinal Analysis of Adaptation
The changes in perception of pain and discomfort after appliance insertion are shown separately for each type of appliance in Figs 1 to 4.
DISCUSSION
The aims of the present investigation were to follow up the progress of adaptation after insertion of new appliances and to study the relationships between the type of appliance worn and pain or discomfort experienced, between pain sensations and attitudes toward the treatment and their effects on patients’ compliance. In this study, data were collected with self-monitoring daily protocols that are regarded as useful and valid methods to study patients’ experience and behavior during treatment.
CONCLUSION
Taken together, the results of this study imply that patient attitude may predict the amount of discomfort occurring during treatment, which in turn, may predict patient acceptance of appliance and treatment on the whole and his/her compliance.
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a Professor and Chairman, Department of Orthodontics, University of Mainz, Germany. b Clinical Psychologist, Department of Orthodontics, University of Mainz, Germany. c Lecturer, Department of Orthodontics, University of Mainz, Germany.
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Reprint requests to: Professor H. G. Sergl, Poliklinik für Kieferorthopädie, Klinikum der Johannes Gutenberg-Universität Mainz, Augustusplatz 2, 55101 Mainz, Germany
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