Control of orthodontic pain.
Control of orthodontic pain.
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控制正畸疼痛。
DOI：
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发表时间：
1992
期刊：
影响因子：
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通讯作者：
M. Brandt
中科院分区：
文献类型：
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作者：
K. Simmons;M. Brandt
正畸是一种选择性的牙科手术，通常认为涉及疼痛。在某些个体中，正畸牙齿移动引起的疼痛可能是整个治疗的主要负面因素。意识到这一事实的临床医生可以尝试预防疼痛，而不是在疼痛出现后改善疼痛，并帮助患者获得更积极的体验。正畸力应保持在适当的水平，并注意防止因过度咬合而造成的创伤。在怀疑会引起明显疼痛刺激的手术中（如在未分离的牙齿上强制使用带环，移除固定扩张器，初始放置弓丝或舌弓），或在特别敏感的患者中，可能需要使用镇痛剂。这些药物应在手术前和手术后至少24小时服用。对乙酰氨基酚推荐用于幼儿，而非甾体类抗炎药适用于老年患者。
Orthodontics is an elective dental procedure generally believed to involve pain. In certain individuals, the pain caused by orthodontic tooth movement can be a major negative component of the entire therapy. Clinicians who are aware of this fact can attempt to prevent pain rather than ameliorate it once it is present and help make the experience a more positive one for the patient. Orthodontic forces should be kept at suitable levels and care taken to prevent trauma due to hyperocclusion. In procedures suspected to cause significant painful stimuli (such as forcing bands on unseparated teeth, removal of fixed expanders, initial placement of archwires, or lingual arches), or in particularly sensitive patients, the use of analgesics may be indicated. These agents should be taken prior to the procedure and for a minimum of 24 hours following the procedure. Acetaminophen is recommended in young children, while nonsteroidal anti-inflammatory agents are indicated in older patients.