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Reduction of pain after initial archwire placement: a randomized clinical trial comparing conventional and alternative treatments

Abstract Details

2019, Master of Science, Ohio State University, Dentistry.
Introduction: The aim of this study was to examine the effectiveness of bite wafers, teethers, chilled teethers, and vibrating oral motor tools on self-reported pain and anxiety that commonly accompanies initial archwire activation. Methods: 150 orthodontic patients aged 9-18 years were randomly assigned to one of five groups and matched for sex and age. One group served as the control while the other four groups received either a bite wafer, teether, chilled teether, or vibrating oral motor tool. The subjects completed baseline questionnaires to assess their levels of anxiety (Six-Item State Anxiety Scale) and pain (a 100-mm visual analogue scale) before initial archwire placement. After initial archwire placement, the subjects were given their respective devices and instructed to use them for at least 20 minutes each day for one week while continuing to answer the anxiety and pain surveys each day. Results: Preadolescent males (9-13) of the Teether Group (p ≤ 0.012) displayed less anxiety than the Control Group. The preadolescent males reported less pain in the Bite Wafer Group (p ≤ 0.001), Chilled Teether Group (p ≤ 0.024), and Vibration Group (p ≤ 0.002) compared with the Control Group. The female groups consistently showed heightened pain levels compared to their controls. Conclusions: Sex and age do affect nonpharmacological interventions for pain and state anxiety. The nonpharmacologic interventions in this study did affect the age and sex groups differently. However, this may have been the result of small group size and should be confirmed in other studies.
Allen Firestone (Advisor)
Fields Henry , Jr (Committee Member)
Johnston William (Committee Member)
Girdwood Bradley (Other)
74 p.

Recommended Citations

Citations

  • Culberson, A. M. (2019). Reduction of pain after initial archwire placement: a randomized clinical trial comparing conventional and alternative treatments [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1553782953241005

    APA Style (7th edition)

  • Culberson, Alex. Reduction of pain after initial archwire placement: a randomized clinical trial comparing conventional and alternative treatments . 2019. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1553782953241005.

    MLA Style (8th edition)

  • Culberson, Alex. "Reduction of pain after initial archwire placement: a randomized clinical trial comparing conventional and alternative treatments ." Master's thesis, Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1553782953241005

    Chicago Manual of Style (17th edition)