Pharmacological management of orthodontic pain
DOI:
https://doi.org/10.20453/reh.v34i3.5836Keywords:
pain, pain management, orthodonticsAbstract
Pain associated with orthodontic treatment, which is both frequent and challenging, primarily arises following procedures such as the placement of interproximal elastic separators and the installation of archwires. This pain is often due to inflammation of the periodontium, leading to discomfort. Effective pharmacological management is essential to enhance patient comfort throughout orthodontic treatment. Nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen are commonly employed due to their proven efficacy and safety profiles. These medications help reduce both inflammation and pain, thereby improving patient tolerance of orthodontic procedures. When selecting an analgesic, it is important to consider factors such as the intensity of pain, pre-existing medical conditions, and potential drug interactions. Careful and supervised use of these medications helps minimize risks and optimizes patient comfort during orthodontic care.
Downloads
References
Long H, Wang Y, Jian F, Liao LN, Yang X, Lai WL. Current advances in orthodontic pain. Int J Oral Sci [Internet]. 2016; 8(2): 67-75. Disponible en: https://doi.org/10.1038/ijos.2016.24
Topolski F, Moro A, Correr GM, Schimim SC. Optimal management of orthodontic pain. J Pain Res [Internet]. 2018; 11: 589-598. Disponible en: https://doi.org/10.2147/jpr.s127945
Krishnan V. Orthodontic pain: from causes to management--a review. Eur J Orthod [Internet]. 2007; 29(2): 170-179. Disponible en: https://doi.org/10.1093/ejo/cjl081
Gameiro GH, Schultz C, Trein MP, Mundstock KS, Weidlich P, Goularte JF. Association among pain, masticatory performance, and proinflammatory cytokines in crevicular fluid during orthodontic treatment. Am J Orthod Dentofacial Orthop [Internet]. 2015; 148(6): 967-973. Disponible en: https://www.ajodo.org/article/S0889-5406(15)00988-9/abstract
Johal A, Ashari AB, Alamiri N, Fleming PS, Qureshi U, Cox S, et al. Pain experience in adults undergoing treatment: a longitudinal evaluation. Angle Orthod [Internet]. 2018; 88(3): 292-298. Disponible en: https://doi.org/10.2319/082317-570.1
Erdinç AM, Dinçer B. Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod [Internet]. 2004; 26(1): 79-85. Disponible en: https://doi.org/10.1093/ejo/26.1.79
Tripathi T, Singh N, Rai P, Khanna N. Separation and pain perception of Elastomeric, Kesling and Kansal separators. Dent Press J Orthod [Internet]. 2019; 24(2): 42-48. Disponible en: https://doi.org/10.1590%2F2177-6709.24.2.042-048.oar
Bergius M, Berggren U, Kiliaridis S. Experience of pain during an orthodontic procedure. Eur J Oral Sci [Internet]. 2002; 110(2): 92-98. Disponible en: https://doi.org/10.1034/j.1600-0722.2002.11193.x
Shen H, Shao S, Zhang J, Wang Z, Lv D, Chen W, et al. Fixed orthodontic appliances cause pain and disturbance in somatosensory function. Eur J Oral Sci [Internet]. 2016; 124(1): 26-32. Disponible en: https://doi.org/10.1111/eos.12234
Rahman S, Spencer RJ, Littlewood SJ, O’Dywer L, Barber SK, Russell JS. A multicenter randomized controlled trial to compare a self-ligating bracket with a conventional bracket in a UK population: Part 2: Pain perception. Angle Orthod [Internet]. 2016; 86(1): 149-156. Disponible en: https://doi.org/10.2319/112414-838.1
Abdelrahman RS, Al-Nimri KS, Al Maaitah EF. Pain experience during initial alignment with three types of nickel-titanium archwires: a prospective clinical trial. Angle Orthod [Internet]. 2015; 85(6): 1021-1026. Disponible en: https://doi.org/10.2319/071614-498.1
Kaur H, Bansal N, Abraham R. A randomized, single-blind, placebo-controlled trial to evaluate the effectiveness of verbal behavior modification and acetaminophen on orthodontic pain. Angle Orthod [Internet]. 2019; 89(4): 617-623. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117197/
Polat O, Karaman AI. Pain control during fixed orthodontic appliance therapy. Angle Orthod [Internet]. 2005; 75(2): 214-219. Disponible en: https://meridian.allenpress.com/angle-orthodontist/article/75/2/214/57717/Pain-Control-During-Fixed-Orthodontic-Appliance
Xiaoting L, Yin T, Yangxi C. Interventions for pain during fixed orthodontic appliance therapy. Angle Orthod [Internet]. 2010; 80(5): 925-932. Disponible en: https://meridian.allenpress.com/angle-orthodontist/article/80/5/925/58422/Interventions-for-pain-during-fixed-orthodontic
Kim SJ, Seo JT. Selection of analgesics for the management of acute and postoperative dental pain: a mini-review. J Periodontal Implant Sci [Internet]. 2020; 50(2): 68-73. Disponible en: https://doi.org/10.5051/jpis.2020.50.2.68
Del Muro-Casas FE, Gómez-Coronado K, Rodríguez-Guajardo NA, Varela-Parga M, Luengo-Ferreira JA, Medrano-Rodríguez JC. COX-2 inhibitors in dental pain management. Int J Odontostomatol [Internet]. 2018; 12(3): 225-227. Disponible en: https://dx.doi.org/10.4067/S0718-381X2018000300225
Sandhu SS, Piepho HP, Khehra HS. Comparing the effectiveness profile of pharmacological interventions used for orthodontic pain relief: an arm-based multilevel network meta-analysis of longitudinal data. Eur J Orthod [Internet]. 2017; 39(6): 601-614. Disponible en: https://doi.org/10.1093/ejo/cjw088
Salmassian R, Oesterle LJ, Shellhart WC, Newman SM. Comparison of the efficacy of ibuprofen and acetaminophen in controlling pain after orthodontic tooth movement. Am J Orthod Dentofacial Orthop [Internet]. 2009; 135(4): 516-521. Disponible en: https://www.ajodo.org/article/S0889-5406(08)01246-8/abstract
Carrasco-Labra A, Polk DE, Urquhart O, Aghaloo T, Claytor JW, Dhar V, et al. Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in children. J Am Dent Assoc [Internet]. 2023; 154(9): 814-825.e2. Disponible en: https://doi.org/10.1016/j.adaj.2023.06.014
Campos LA, Santos-Pinto A, Marôco J, Campos JA. Pain perception in orthodontic patients: a model considering psychosocial and behavioural aspects. Orthod Craniofac Res [Internet]. 2019; 22(3): 213-221. Disponible en: https://doi.org/10.1111/ocr.12315
Chumpitaz VM, Soldevilla L, Chuquihuaccha V, Mallma A, Rodríguez M, Tauquino F, et al. Efecto de los antiinflamatorios no esteroideos AINEs, analgésicos y coxibs sobre la magnitud del movimiento dentario ortodóntico. Odontol Sanmarquina [Internet]. 2014; 17(1): 16. Disponible en: https://doi.org/10.15381/os.v17i1.9764
Corrêa AS, Almeida VL, Lopes BM, Franco A, De Matos FR, Quintans-Júnior LJ, et al. The influence of non-steroidal anti-inflammatory drugs and paracetamol used for pain control of orthodontic tooth movement: a systematic review. An Acad Bras Ciênc [Internet]. 2017; 89(4): 2851-2863. Disponible en: https://doi.org/10.1590/0001-3765201720160865
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 : Pablo Alonso López Beraún, César Franco, Abraham Meneses
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the copyright and cede to the journal the right of first publication, with the work registered with the Creative Commons License, which allows third parties to use what is published as long as they mention the authorship of the work, and to the first publication in this journal.
