Pain in the Separation of Molars among the Orthodontic Patients

  • Pushkar Manandhar People’s Dental College and Hospital
  • Anjana Rajbhandari
  • Resina Pradhan
  • Manju Bajracharya
  • Surendra Maharjan
Keywords: Pain, Separators, Universal pain assessment tool, Molar, Pain Perception

Abstract

DOI: https://doi.org/10.46405/ejms.v1i1.13

Introduction: Pain has been the most common and foremost reason for
discontinuing the orthodontic treatment. The patients usually experience the
pain in Orthodontic treatment during separator placement, wire placement,
headgear wear, and rapid palatal expansion. Placement of orthodontic separators
(brass wire, elastomeric, spring-type steel separators, and latex elastics) results in
a painful experience. Therefore the purpose of the study is to assess the pain
perception among the patients seeking orthodontic treatment.

Methods: This study was carried out amongst 120 (53 male and 67 female) patients
seeking orthodontic treatment. Elastomeric separators were placed mesially and
distally to the first molars and the participants were given self-administrated
Universal pain assessment Tool to document perceived pain and pain upon
chewing, using a visual analog scale for seven days. Total scores were calculated
and descriptive statistics in the form of a number (mean) and percentage were
calculated.

Results: This study showed a mean score for the perceived pain of each day to be
7.16, 7.1, 6.05, 4.67, 3.69, 2.88, and 2.27 respectively with mean of 4.831 +/-
1.273. Similarly, the mean score for pain on chewing was 8.21, 7.53, 6.62, 5.19,
4.38, 3.65, and 3 with a mean of 5.5119 +/- 1.269.

Conclusions: There was a significant difference in pain perception among the
male and female participants, females having higher pain perception. There was
a significant difference in pain perception between the Adolescent and Adult in
both normal life and during eating.

Published
2020-05-29
How to Cite
Manandhar, P., Rajbhandari, A., Pradhan, R., Bajracharya, M., & Maharjan, S. (2020). Pain in the Separation of Molars among the Orthodontic Patients. Europasian Journal of Medical Sciences, 1(1), 48-52. Retrieved from http://nepmed.nhrc.gov.np/index.php/EJMS/article/view/799

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