Prediction of prolonged pain experiences during orthodontic treatment

Bergius, Marianne,1950Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology (author)

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.

Broberg, Anders G,1950Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology(Swepub:gu)xbroan (author)
Hakeberg, Magnus,1954Jönköping University,Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,HHJ. Centrum för oral hälsa,HHJ, Avdelningen för naturvetenskap och biomedicin(Swepub:hj)hakm (author)
Berggren, Ulf,1948Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology(Swepub:gu)xbeulf (author)
Göteborgs universitetInstitutionen för odontologi (creator_code:org_t)

In:American Journal of Orthodontics and Dentofacial Orthopedics: Elsevier BV133:31097-67520889-5406

By the author/editor: Bergius, Mariann ...; Broberg, Anders ...; Hakeberg, Magnus ...; Berggren, Ulf, 1 ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Dentistry

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