A Comparative Assessment of Postextraction Pain in Orthodontic Patients to Evaluate the Effects of Early Engagement of Tooth With Orthodontic Wires: A Single-Center Randomized Clinical Trial (RCT)

IF 2.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Clinical Practice Pub Date : 2025-04-04 DOI:10.1155/ijcp/5572808

Meenaz Karim, Irfan Qamruddin, Liszen Tang, Adam Husein, Mohammad Khursheed Alam, Danish Ali, Sarvaich Kumar

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Abstract

Introduction: The objective of this study was to investigate the effect of prior engagement of tooth with orthodontic appliance on postextraction pain among orthodontic patients.

Methods: In this randomized clinical trial, 44 patients, who needed bilateral extractions of first premolars in upper arches, were recruited. Patients were divided into two groups based on the timing of extractions. Group A needed extractions before alignment, while Group B needed extractions for retraction of anterior teeth. Group A was sent for extractions first, while Group B went for orthodontic bonding and banding procedures for orthodontic treatment. After series of aligning wires (0.014, 0.016, 17 × 25, 19 × 25 heat-activated NiTi and 19 × 25 SS), patients from Group B were sent for extractions. For pain assessment, an 11-point numerical rating scale (NRS) was given to record pain intensity at 2, 4, 8, 12, and then 24 h after extraction for the next 7 days. A nonparametric Mann–Whitney U test was used to compare the level of pain perception between males and females and between groups.

Results: Females in Group A reported greater pain (p < 0.05) at 2, 4, 8, 12, and 24 h, 2nd and 3rd day after extraction, while there was no gender dimorphism in Group B. Group A reported more pain at 2, 4, 8, and 12 h after extractions when compared with Group B (p < 0.05).

Conclusions: Early engagement of teeth with orthodontic appliances may potentially reduce postextraction pain in patients.

Trial Registration: ClinicalTrials.gov identifier: NCT06582836.

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一项单中心随机临床试验（RCT）：评价早期使用正畸金属丝固定牙齿对正畸患者拔牙后疼痛的影响

简介：本研究的目的是探讨牙齿与正畸器具事先接触对正畸患者拔牙后疼痛的影响。方法：随机选取44例需要双侧上牙弓第一前臼齿拔除的患者。根据拔牙时机将患者分为两组。A组矫直前拔牙，B组前牙后缩时拔牙。A组患者先拔牙，B组患者行正畸粘接、系带程序进行正畸治疗。B组患者经0.014、0.016、17 × 25、19 × 25热活化NiTi和19 × 25 SS系列对准丝后拔除。疼痛评估采用11分数值评定量表（NRS）记录拔牙后2、4、8、12、24 h的疼痛强度，持续7天。采用非参数Mann-Whitney U检验比较男性和女性以及组与组之间的疼痛感知水平。结果：A组女性疼痛加重(p <；p < 0.05)，拔牙后2、4、8、12、24 h、2、3 d， B组无性别二态性。与B组相比，A组在拔牙后2、4、8、12 h疼痛明显加重(p <；0.05)。结论：早期使用正畸矫治器可以潜在地减少患者拔牙后的疼痛。试验注册：ClinicalTrials.gov标识符：NCT06582836。

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来源期刊

International Journal of Clinical Practice 医学-医学：内科

CiteScore

5.30

自引率

0.00%

发文量

274

审稿时长

3-8 weeks

期刊介绍： IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.