Perceptions of pain levels and chewing impairment among adolescents undergoing orthodontic treatment with fixed appliances.

  • Yasmin Pissolati Mattos Bretz Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Saul Martins Paiva Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Elizabeth Maria Bastos Lages Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Lucas Guimarães Abreu Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
DOI: https://doi.org/10.17126/joralres.2018.023

Abstract

Aim: The aim of this cohort study was to evaluate the perceptions of adolescents regarding pain levels and chewing impairment throughout the first 12 months of orthodontic treatment with fixed appliances. Methods: A total of 120 adolescents aged 11 and 12 years undergoing orthodontic treatment at the Faculty of Dentistry of the Federal University of Minas Gerais participated in this study. Malocclusion was evaluated by means of the Dental Aesthetic Index. Pain level and degree of chewing impairment were evaluated by means of two questions selected from the short form of the Child Perceptions Questionnaire (CPQ11-14). Each question had five response options with the following scoring system: never (0), once or twice (1), sometimes (2), often (3) and every day/almost every day (4). Both questions were answered by the adolescents at four different times: before fixed appliances’ placement (T1), one month after banding and fixed appliances’ bonding (T2), four months after banding and fixed appliances’ bonding (T3), and 12 months after banding and fixed appliances’ bonding (T4). Results: The mean age of adolescents was 11.39 (±0.68). Significant differences were observed for pain levels (p=0.038) and chewing impairment (p=0.020) over the study period. Pain levels at T1 were significantly lower than at T2 (p=0.038) and T4 (p=0.020). Chewing impairment at T1 was significant lower than at T2 (p<0.001), T3 (p=0.014) and T4 (p=0.005). Conclusion: Adolescents undergoing orthodontic treatment with fixed appliances present an increase in pain levels and in chewing impairment.

References

1. Abreu LG, Melgaço CA, Abreu MH, Lages EM, Paiva SM. Agreement between adolescents and parents/caregivers in rating the impact of malocclusion on adolescents’ quality of life. Angle Orthod. 2015;85(5):806–11.
2. Abreu LG, Melgaço CA, Bastos Lages EM, Paiva SM. Impact of malocclusion on adolescents’ oral health-related quality of life. Gen Dent. 2016;64(6):e1–e5.
3. Abreu LG, Melgaço CA, Abreu MH, Lages EM, Paiva SM. Perception of parents and caregivers regarding the impact of malocclusion on adolescents’ quality of life: a cross-sectional study. Dental Press J Orthod. 2016;21(6):74–81.
4. Seehra J, Fleming PS, Newton T, DiBiase AT. Bullying in orthodontic patients and its relationship to malocclusion,self-esteem and oral health-related quality of life. J Orthod. 2011;38(4):247–56.
5. Jung MH. An evaluation of self-esteem and quality of life in orthodontic patients: effects of crowding and protrusion. Angle Orthod. 2015;85(5):812–9.
6. Zhang M, McGrath C, Hägg U. The impact of malocclusion and its treatment on quality of life: a literature review. Int J Paediatr Dent. 2006;16(6):381–7.
7. Abreu LG, Lages EM, Abreu MH, Pereira LJ, Paiva SM. Preadolescent’s oral health-related quality of life during the first month of fixed orthodontic appliance therapy. J Orthod. 2013;40(3):218–24.
8. Abreu LG, Melgaço CA, Lages EM, Abreu MH, Paiva SM. Effect of year one orthodontic treatment on the quality of life of adolescents, assessed by the short form of the Child Perceptions Questionnaire. Eur Arch Paediatr Dent. 2014;15(6):435–41.
9. Abreu LG, Melgaço CA, Abreu MH, Lages EM, Paiva SM. Parent-assessed quality of life among adolescents undergoing orthodontic treatment: a 12-month follow-up. Dental Press J Orthod. 2015;20(5):94–100.
10. Anderson LE, Arruda A, Inglehart MR. Adolescent patients’ treatment motivation and satisfaction with orthodontic treatment. Do possible selves matter? Angle Orthod. 2009;79(5):821–7.
11. Zhang M, McGrath C, Hägg U. Changes in oral health-related quality of life during fixed orthodontic appliance therapy. Am J Orthod Dentofacial Orthop. 2008;133(1):25–9.
12. Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop. 1992;102(4):373–81.
13. Weldring T, Smith SM. Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs). Health Serv Insights. 2013;6:61–8.
14. Anbuselvan GJ, Raja S, Vilvanathan P, Megabob N, Prabhakar K. Changing concepts of positive patient communication in dentistry and orthodontics: South Indian perspective. J Pharm Bioallied Sci. 2013;5(Suppl 1):S109–12.
15. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344–9.
16. Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th Ed. Copenhagen, Munksgaard: Blackwell Publishing ; 2007.
17. World Health Organization (WHO) Oral health surveys: basic methods. 4th Ed. Geneva: World Health Organization; 1997.
18. Löe h. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol. 1967;38(6):610–6.
19. Jenny J, Cons NC. Establishing malocclusion severity levels on the Dental Aesthetic Index (DAI) scale. Aust Dent J. 1996;41(1):43–6.
20. Jokovic A, Locker D, Guyatt G. Short forms of the Child Perceptions Questionnaire for 11-14-year-old children (CPQ11-14): development and initial evaluation. Health Qual Life Outcomes. 2006;4:4.
21. Torres CS, Paiva SM, Vale MP, Pordeus IA, Ramos-Jorge ML, Oliveira AC, Allison PJ. Psychometric properties of the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - short forms. Health Qual Life Outcomes. 2009;7:43.
22. Reddy RK, Katari PK, Bypureddy TT, Anumolu VN, Kartheek Y, Sairam NR. Forces in initial archwires during leveling and aligning: An in-vitro study. J Int Soc Prev Community Dent. 2016;6(5):410–6.
23. Baricevic M, Mravak-Stipetic M, Majstorovic M, Baranovic M, Baricevic D, Loncar B. Oral mucosal lesions during orthodontic treatment. Int J Paediatr Dent. 2011;21(2):96–102.
24. Felemban NH, Al-Sulaimani FF, Murshid ZA, Hassan AH. En masse retraction versus two-step retraction of anterior teeth in extraction treatment of bimaxillary protrusion. J Orthod Sci. 2013;2(1):28–37.
25. Tuncer Z, Ozsoy FS, Polat-Ozsoy O. Self-reported pain associated with the use of intermaxillary elastics compared to pain experienced after initial archwire placement. Angle Orthod. 2011;81(5):807–11.
26. Magalhães IB, Pereira LJ, Andrade AS, Gouvea DB, Gameiro GH. The influence of fixed orthodontic appliances on masticatory and swallowing threshold performances. J Oral Rehabil. 2014;41(12):897–903.
27. Abed Al Jawad F, Cunningham SJ, Croft N, Johal A. A qualitative study of the early effects of fixed orthodontic treatment on dietary intake and behaviour in adolescent patients. Eur J Orthod. 2012;34(4):432–6.
28. Carr KM, Fields HW Jr, Beck FM, Kang EY, Kiyak HA, Pawlak CE, Firestone AR. Impact of verbal explanation and modified consent materials on orthodontic informed consent. Am J Orthod Dentofacial Orthop. 2012;141(2):178–86.
29. Noble J. Managing pain or discomfort caused by orthodontic appliances. J Can Dent Assoc. 2013;79:d45.
30. Wiedel AP, Bondemark L. A randomized controlled trial of self-perceived pain, discomfort, and impairment of jaw function in children undergoing orthodontic treatment with fixed or removable appliances. Angle Orthod. 2016;86(2):324–30.
31. Al-Kharboush GH, Asimakopoulou K, AlJabaa AH, Newton JT. The role of social comparison in social judgments of dental appearance: An experimental study. J Dent. 2017;61:33–8.
32. Pachêco-Pereira C, Abreu LG, Dick BD, De Luca Canto G, Paiva SM, Flores-Mir C. Patient satisfaction after orthodontic treatment combined with orthognathic surgery: A systematic review. Angle Orthod. 2016;86(3):495–508.
Published
2018-03-27
How to Cite
MATTOS BRETZ, Yasmin Pissolati et al. Perceptions of pain levels and chewing impairment among adolescents undergoing orthodontic treatment with fixed appliances.. Journal of Oral Research, [S.l.], v. 7, n. 3, p. 102-107, mar. 2018. ISSN 0719-2479. Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2018.023>. Date accessed: 25 apr. 2024. doi: https://doi.org/10.17126/joralres.2018.023.
Citation Formats
Issue
Vol 7 No 3
Section
Articles

Keywords

adolescent; pain; chewing; fixed appliance therapy.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. © 2024.