Evaluation and management of pain related to orthodontic treatment

The aim of the study was to evaluate the onset and intensity of pain induced after the insertion of fixed orthodontic appliances. Also, to compare analgesics versus non-analgesics pain management approach (protocols). Material and metho Material and methods: Material and methods: One ds: hundred and fifty patients, ranged from 13 to 22years of age were asked to answer a questionnaire previously prepared to fulfill the aim of this work. They were divided into three groups, 50 patients each: the first group was the control group. They used acetaminophen 500 mg orally when pain was felt (VAS ≥ 4). The second group was asked to use acetaminophen 500 mg orally 30 minutes before the procedure and the third group was asked to use bite wafer. Results: Results of this study revealed that there Results: was a significant difference in pain intensity between group I and the other two groups in the first 24hrs. Pain intensity was high in group I compared to groups II and III. While, comparison between group II and group III revealed non-significant difference (p>0.05). Time to first analgesia was significantly shorter in group I compared to either group II or III. While, comparison between groups II and III revealed non-significant difference. Analgesic consumption in group I was significantly bigger than the other two groups, with non-significant difference between these two groups. Conclusion: Either preoperative analgesia or bite w Conclusion: afer can effectively relief post-operative pain during orthodontic treatment.