| 1. |
- Bergius, Marianne, 1950, et al.
(författare)
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Prediction of prolonged pain experiences during orthodontic treatment
- 2008
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Ingår i: American Journal of Orthodontics and Dentofacial Orthopedics. - : Elsevier BV. - 1097-6752 .- 0889-5406. ; 133:3
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: In this study, we investigated prolonged pain reactions in teenage orthodontic patients during a common orthodontic treatment. The aim was to examine factors predicting pain at the end of a follow-up week after placement of elastic separators. METHODS: Fifty-five patients (ages, 12-18 years) were included. Baseline assessments were made of perceived intensity of general and dental pain experiences, motivation for treatment, dental anxiety, and personality factors (self-esteem and temperament). Pain intensity was assessed on a visual analog scale, and pain medications were recorded. The patients were separated into pain and no-pain groups according to pain experiences at day 7. RESULTS: The pain group (mainly girls) had significantly higher ratings of treatment pain than in the non-pain group at all times measured except for the treatment day. Bivariate and multiple logistic regressions showed significant predictive power from motivation, dental anxiety, activity temperament, and vaccination pain. CONCLUSIONS: In this adolescent patient sample, low motivation for orthodontic treatment, high ratings of vaccination pain, elevated dental anxiety level, and low activity temperament characterized patients reporting pain 1 week after the elastic separators were placed.
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| 2. |
- Bergius, Marianne, 1950, et al.
(författare)
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Experience of pain during an orthodontic procedure
- 2002
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Ingår i: European Journal of Oral Sciences. - 0909-8836. ; 110:2, s. 92-98
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated pain experiences during a common orthodontic treatment. Fifty-five patients (12–18 yr) starting treatment due to crowding were included. Molar elastic separators were inserted bilaterally, and telephone interviews were made during evenings for a week. Pain intensity was assessed on a VAS scale, and pain medications were recorded. Forty-eight patients (87%) reported pain the first evening. The highest intensity of pain was reached the day after placement of separators (VAS mean=43.7). At day 7, 42% of the patients still reported pain. Pain medication was used by 27% of the patients during the first 2 d, after which no patients used painkillers. While motivational factors and reasons for seeking treatment did not influence pain assessments, patients taking pain medication made significantly higher pain ratings during the days medication was used. Girls made significantly higher pain ratings during the later phase (day 3–7) of the follow-up week. Statistically significant relationships were found between 'late' VAS assessments and reported level of previous general pain experiences. The perceived pain from separators was comparable to previous general and dental pain experiences. It was concluded that pain is common after a simple procedure such as placement of molar separators. The experience of pain varied substantially among subjects. The intensity of pain was gradually reduced, but still more than 40% of the teenagers reported some pain after 1 week.
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| 3. |
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| 4. |
- Bergius, Marianne, 1950, et al.
(författare)
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Ortodonti i relation till oral funktion : Orthodontics in relation to oral function
- 2007
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Ingår i: Tandläkartidningen. ; 99:2, s. 52-59
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Tidskriftsartikel (refereegranskat)abstract
- The association between the activity of masticatory muscles and craniofacial development has been studied in humans as well as in animals. The common finding of these investigations is that the muscles closing the mandible influence the transversal and the vertical dimensions of the craniofacial skeleton. The loading of the facial bones due to masticatory muscle function may stimulate sutural growth and increase bone apposition, leading in turn to an increase of the transversal growth of the maxilla and broader bone bases for the dental arches. The big functional demands of the masticatory muscles are often associated with anterior growth rotation pattern and well-developed angular, coronoid, and condylar processes in the mandible. Individuals with disabilities have an increased prevalence of malocclusion and poor oral function. Behavioural problems and deviating orofacial growth and function will complicate the orthodontic treatment. But with behavioural and various treatment modifications, those patients can achieve a well adopted orthodontic treatment. The treatment may improve the facial appearance, achieving a better mouth closure and improve the possibilities of eating and speaking. The development and critical evaluation of treatment methods aiming towards normalizing craniofacial and occlusal development is essential. Modified functional appliances such as the "mandibular repositioning appliance" (MRA) has in placebo-controlled studies been shown to reduce periods of respiratory arrest and snoring in patients with mild sleep apnea. This method may also be an alternative in more severe cases where patients do not accept treatment with continuous overpressured air (CPAP). Successful treatment of sleep apnea must be based on a close cooperation of dentists with knowledge in this field and doctors at sleep apnea clinics. Effects and side effects of treatment must be supervised during extended periods of time.
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| 5. |
- Kiliaridis, Stavros, 1955, et al.
(författare)
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Pain and discomfort in orthodontics.
- 2004
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Ingår i: Graber, T. M., Eliades,T. & Athanasiou, A.E. (red). Risk management in orthodontics: experts guide to malpractice. - Chicago : Quintessence. - 0867154314
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 6. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Barns och ungdomars smärtupplevelser vid tandvård
- 2005
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Ingår i: Tandläkartidningen. - 0039-6982. ; 97:13, s. 52-58
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Tidskriftsartikel (refereegranskat)abstract
- Smärta förekommer ofta i barntandvården som en procedursmärta som kan framkallas vid instrumentanvändning och invasiv behandling. Trots det är systematisk kunskap om detta område begränsad eller till och med bristfällig. Smärta är ett komplicerat fenomen som man kan lägga såväl biologiska som psykologiska och sociala aspekter på. Yttre och inre negativa faktorer hos indiven kan samspela med procedursmärta och bidra till negativa erfarenheter av tandvård, rädsla och på sikt även dålig munhälsa. De fl esta aspekter av tandbehandling av barn och ungdomar berörs såväl inom allmän som specialiserad vård. En ökad förståelse och kunskap om smärta och barns upplevelser av den är förutsättningen för ett bättre omhändertagande. Denna översikt behandlar aspekter på barn och ungdomars smärtupplevelser inom tandvården med inriktning på smärta som är relaterad till vårdsituationen. Artikeln tar även upp skattning av smärta och smärtbehandling i samband med tandvård.
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| 7. |
- Krekmanova, Larisa, 1959, et al.
(författare)
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Everyday- and dental-pain experiences in healthy Swedish 8-19 year olds: an epidemiological study.
- 2009
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Ingår i: International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children. - 1365-263X. ; 19:6, s. 438-47
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Very little is known about children's everyday pains and dental treatment pains. A child's gender, age, and level of dental anxiety are factors that could interplay with the perception of pain and are thus worth studying. AIM: The objectives of this study were to investigate the frequency and reported intensity levels of children's everyday- and dental-pain experiences, and to study the reported pains in relation to gender, age, and dental anxiety. DESIGN: Three hundred and sixty-eight consecutive patients (8-19 years, mean age 13.5 years) from three different Public Dental Service were recruited. Pain ratings were obtained using McGrath's Children's Pain Inventory list and some additional items. Dental anxiety was estimated by the Dental Anxiety Scale. RESULTS: Most frequently experienced everyday pains were headache and tummy/stomach ache. Among dental treatment events, dental injection was reported to be most often ranked as painful, and more frequently by girls. Both dental and everyday pains were rated higher grouping children with high dental anxiety. CONCLUSIONS: The frequency of pain experiences are the same in Swedish children as in other populations. There is a relation between dental anxiety and the perception of pain.
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