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Pain and discomfort in orthodontic treatments literature review

P ain is among the most frequently mentioned negative effects of orthodontic treatment and one of the most common concerns for patients. Several studies cite pain as the main reason for avoiding or stopping orthodontic treatment. Many procedures, including separator placement, archwire insertion and activation, elastic wear, application of orthopedic forces, and debonding, can produce pain. Patients generally describe the sensation as a feeling of pressure, tension, or tooth soreness. Removable appliances are more comfortable than fixed appliances but are still associated with periods of significant discomfort.
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Advanced Education in Orthodontics

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Advanced Education in Orthodontics | School of Dental Medicine

Laser systems also have some disadvantages, such as cost, large space requirements for some types, and high-risk potential for physician and patient if not used at the appropriate wavelength and power density, that is why before incorporating lasers into clinical practice, the physician must fully understand the basic science, safety protocol, and risks associated with them. Lasers have many applications in orthodontics, including accelerating tooth movement, bonding and debonding processes, pain reduction, bone regeneration, etching procedures, increase mini-implant stability, soft tissue procedures gingivectomy, frenectomy, operculectomy, papilla flattening, uncovering temporary anchorage devices, ablation of aphthous ulcerations, and exposure of impacted teeth , fiberotomy, scanning systems, and welding procedures. In reviewing the literature on the use of laser in orthodontics, many studies have been conducted. The purpose of the present study was to give information about the use of laser in the field of orthodontics, the effects of laser during the postoperative period, and its advantages and disadvantages and to provide general information about the requirements to be considered during the use of laser. Use of Laser Systems in Orthodontics. Turk J Orthod ; 33 2 : Home Use of Laser Systems in Orthod
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[Pain and discomfort in orthodontic treatments. Literature review]

Patients experience pain and discomfort during active orthodontic treatment with fixed appliances. It can vary from person to person and is influenced by certain factors such as age, gender, previous pain experiences, stress or anxiety, and type of appliance. The objective of this literature review was to discuss conventional versus recently introduced treatment modalities used in pain management for orthodontic patients. According to the reviewed articles, both pharmacological and non-pharmacological methods were introduced in orthodontic pain management. However, orthodontists must use their best professional judgment to assess each case individually and select an appropriate treatment modality based on pain threshold level of an individual.
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Introduction: The aim of this study was to evaluate the degree of pain and discomfort experienced for 1 week after miniscrew insertion using a questionnaire survey. Materials and Methods: Thirty-nine miniscrews were inserted in the mandible and maxilla of 33 patients with a self-drilling JB head type miniscrew under local anesthesia. Patients were asked to rate the degree of pain and discomfort experienced on a visual analog scale VAS after 1 hour, 12 hours, 1 day, and 1 week.
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