Assessment of pain experience in adults and children after bracket bonding and initial archwire insertion

Admin Dental Press

Edition V18N05 | Year 2013 | Editorial Original Article | Pages 32 to 37

Marcio José Da Silva Campos , Marcelo Reis Fraga , Nádia Rezende Barbosa Raposo , Ana Paula Ferreira , Robert Willer Farinazzo Vitral

Introduction: Ninety five percent of orthodontic patients routinely report pain, due to alterations in the periodontal ligament and surrounding soft tissues, with intensity and prevalence varying according to age.
Objective: This study aimed to assess toothache and buccal mucosal pain in adults and children during two initial phases of the orthodontic treatment.
Methods: The intensity of toothache and buccal mucosal pain reported by 20 patients, 10 children (11-13 years) and 10 adults (18-37 years) was recorded with the aid of a Visual Analog Scale (VAS), during 14 days ? 7 days with bonded brackets only and 7 days with the initial archwire inserted.
Results: There was no significant difference in pain intensity among adults and children. After bracket bonding, 50% of the children and 70% of the adults reported pain. 70% of both groups reported pain after initial archwire insertion. While adults reported constant, low intensity, buccal mucosal pain, the children showed great variation of pain intensity, but with a trend towards decreasing pain during the assessment period. After initial archwire insertion the peaks of toothache intensity and prevalence occurred 24 hours in children and 48 hours in adults.
Conclusions: In general, children reported pain less frequently than adults did, though with greater intensity.

Pain, Orthodontic treatment, Visual Analog Scale,

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