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Prediction of prolonged pain experiences during orthodontic treatment

Journal article
Authors Marianne Bergius
Anders G Broberg
Magnus Hakeberg
Ulf Berggren
Published in American Journal of Orthodontics and Dentofacial Orthopedics
Volume 133
Issue 3
Pages 339.e1-339.e8
ISSN 1097-6752
Publication year 2008
Published at Institute of Odontology
Department of Psychology
Pages 339.e1-339.e8
Language en
Keywords orthodontics, pain, prediction, personality factors
Subject categories Orthodontics


INTRODUCTION: In this study, we investigated prolonged pain reactions in teenage orthodontic patients during a common orthodontic treatment. The aim was to examine factors predicting pain at the end of a follow-up week after placement of elastic separators. METHODS: Fifty-five patients (ages, 12-18 years) were included. Baseline assessments were made of perceived intensity of general and dental pain experiences, motivation for treatment, dental anxiety, and personality factors (self-esteem and temperament). Pain intensity was assessed on a visual analog scale, and pain medications were recorded. The patients were separated into pain and no-pain groups according to pain experiences at day 7. RESULTS: The pain group (mainly girls) had significantly higher ratings of treatment pain than in the non-pain group at all times measured except for the treatment day. Bivariate and multiple logistic regressions showed significant predictive power from motivation, dental anxiety, activity temperament, and vaccination pain. CONCLUSIONS: In this adolescent patient sample, low motivation for orthodontic treatment, high ratings of vaccination pain, elevated dental anxiety level, and low activity temperament characterized patients reporting pain 1 week after the elastic separators were placed.

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