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Comparative Evaluation of Different Numerical Pain Scales Used for Pain Estimation during Debonding of Orthodontic Brackets

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TLDR
In this article, the effect of different pain control methods during debonding of orthodontic brackets was analyzed using Visual Analog Scale (VAS) and Pain Catastrophizing Scale (PCS) scales.
Abstract
Introduction. Patients experience various levels of discomfort during orthodontic treatment, i.e., after placement of separators, orthodontic implant placement, and archwire placement and during debonding. Various pain control methods have been developed to relive pain during debonding, i.e., finger pressure (FP), elastomeric wafer (EW), and stress relief (SR). Aim. To analyse various pain scales commonly used to determine the effect of different pain control methods during debonding of orthodontic brackets. Study Design. A comparative cross-sectional study performed on a sample of 60 patients (n = 60) including 14 males and 46 females who were ready for debonding and who were divided into three groups, i.e., finger pressure (FP), elastomeric wafer (EW), and stress relief (SR). Materials and Methods. A 100 mm Visual Analog Scale (VAS) was used to record the pain intensity for each tooth. Another scale known as Pain Catastrophizing Scale (PCS) was used to evaluate the patient’s general attitude towards pain perception. The armamentarium and operator were kept same for all the patients. Statistical analysis used was the Kruskal–Wallis test, used for intergroup and intragroup comparison of pain scores. Results. Lowest total pain score was recorded in the FP group ( ) on intergroup comparison, while on intragroup comparison, higher pain scores were recorded in lower anterior region ( ) in all three groups. There was no significant difference between the pain scores reported by the male and female subjects. Conclusion. FP is an effective method of pain control. And teeth in the anterior region of lower and upper arches are more sensitive to pain. In terms of cognitive-affective constructs, although the VAS has been widely used in previous studies, the PCS has been detailed to show the most reliable association with physical discomfort and emotional distress.

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Citations
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Journal ArticleDOI

A randomized controlled trial to evaluate the effectiveness of different methods on pain management during orthodontic debonding

TL;DR: In this paper , the effectiveness of different methods on pain management during debonding and its association with gender and location was evaluated and the results showed that the use of finger pressure can be used effectively for pain management.
Journal ArticleDOI

A randomized controlled trial to evaluate the effectiveness of different methods on pain management during orthodontic debonding

TL;DR: In this article , the effectiveness of different methods on pain management during debonding and its association with gender and location was evaluated and the results showed that the use of finger pressure can be used effectively for pain management.
Journal ArticleDOI

Comparison Of Different Methods Of Controlling Pain During Debonding Of Orthodontic Brackets.

TL;DR: In this paper , the authors compared the efficacy of finger pressure and plastic wafers in terms of pain control during debonding, and found that the plastic wafer was more effective in controlling pain compared to finger pressure.
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Self-ligating brackets do not reduce discomfort or pain when compared to conventional orthodontic appliances in Class I patients: a clinical study.

TL;DR: In this article , the authors compared the intensity, location, and short-term impact of periodontal discomfort/pain, as well as the related functional parameters of bite force and masticatory efficiency, between self-ligating and conventional orthodontic appliances.

Are We Hearing Right? The Negative Impact of New SARS-CoV-2 Preventive Measures and Prolonged Use of Treatment Modalities during Orthodontic Treatment

TL;DR: Dentistry has already been demonstrated to be one of the most hazardous occupations because of the high risk of infections, and an Orthodontist must protect their eyes and mouth from potentially hazardous situations and the ears to prevent hearing damage.
References
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Journal ArticleDOI

The Pain Catastrophizing Scale: Development and validation.

TL;DR: In this paper, the Pain Catastrophizing Scale (PCS) was administered to 425 undergraduates and a three component solution comprising (a) rumination, (b) magnification, and (c) helplessness.
Journal ArticleDOI

Theoretical perspectives on the relation between catastrophizing and pain.

TL;DR: It is suggested that catastrophizing might best be viewed from the perspective of hierarchical levels of analysis, where social factors and social goals may play a role in the development and maintenance of catastrophize, whereas appraisal-related processes may point to the mechanisms that link catastrophization to pain experience.
Journal ArticleDOI

Clinical Significance of Reported Changes in Pain Severity

TL;DR: The minimum clinically significant change in patient pain severity measured with a 100-mm visual analog scale was 13 mm, and studies of pain experience that report less than a 13-mm change in pain severity, although statistically significant, may have no clinical importance.
Journal ArticleDOI

The subjective experience of pain: Where expectations become reality

TL;DR: Results confirm that a mental representation of an impending sensory event can significantly shape neural processes that underlie the formulation of the actual sensory experience and provide insight as to how positive expectations diminish the severity of chronic disease states.
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