Pain and discomfort during orthodontic treatment: Causative factors and effects on compliance
Pain and discomfort during orthodontic treatment: Causative factors and effects on compliance
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DOI：
10.1016/s0889-5406(98)70201-x
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发表时间：
1998-12-01
影响因子：
3
通讯作者：
Zentner, A
中科院分区：
文献类型：
--
作者：
Sergl, HG;Klages, U;Zentner, A
正畸患者在治疗过程中会经历不同程度的疼痛和不适。本研究的目的是跟踪新矫治器植入后的适应进展，并研究所戴矫治器类型与疼痛或不适之间的关系，疼痛感觉与治疗态度之间的关系及其对患者依从性的影响。疼痛和不适的84例患者进行正畸治疗，他们对治疗的态度，并遵守评估7天，14天，6周，3个月，6个月后，装置插入，使用专门设计的协议，问卷调查，和评级量表。结果表明，在放置矫治器后的前3至5天内，患者对疼痛和不适的适应发生。佩戴功能性或固定矫治器的患者所经历的疼痛和不适的严重程度显著高于使用上部和/或下部可移动板治疗的患者。根据所谓的控制点理论，患者对他们错牙合畸形的严重程度有更高的个人感知，并表现出内控取向的态度特征，似乎适应得更快，疼痛更少。这项研究的结果还表明，接受正畸矫治器和治疗一般可以预测的数额最初的疼痛和不适的经验。
Orthodontic patients experience pain and discomfort to a varying degree during the course of treatment. The aims of the present investigation were to follow the progress of adaptation after insertion of new appliances and to study the relationships between the type of appliance worn and pain or discomfort experienced, between pain sensations and attitude toward the treatment and their effects on patients' compliance. Pain and discomfort experienced by 84 patients undergoing orthodontic treatment, their attitude toward the treatment, and compliance were assessed 7 days, 14 days, 6 weeks, 3 months, and 6 months after appliance insertion, using specially designed protocols, questionnaires, and rating scales. Evaluation of the results showed that an adaptation to pain and discomfort occurred during the first 3 to 5 days after placement of the appliance. The severity of pain and discomfort experienced by the patients wearing functional or fixed appliances was significantly higher than by those treated with upper and/or lower removable plates. Patients who had higher personal perception of the severity of their malocclusion and displayed attitudes characteristic for internal control orientation according to the so-called locus of control theory, seemed to adapt faster and have less pain. The results of this study also indicate that acceptance of orthodontic appliances and treatment in general may be predicted by the amount of initial pain and discomfort experienced.