Efficacy of Chewing Gum to Reduce Orthodontic Pain Compared to Placebo: A Blinded, Parallel-Group, Preliminary Clinical Trial

To quantify the pain experienced by orthodontic patients during the first 10 days of appliance placement, to determine whether chewing gum reduces orthodontic pain compared to placebo, and to examine patients' overall perceptions of the impact of orthodontic pain. Patients bonded with fixed app...

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Veröffentlicht in:Journal of oral & facial pain and headache 2019, Vol.33 (3), p.301–307-307
Hauptverfasser: Alqareer, Athbi, Alyahya, Asma, Al-Anezi, Saud A, AlAwadhi, Ahmad, Al Qabandi, Salem, Alyaseen, Mohammad
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container_end_page 307
container_issue 3
container_start_page 301–307
container_title Journal of oral & facial pain and headache
container_volume 33
creator Alqareer, Athbi
Alyahya, Asma
Al-Anezi, Saud A
AlAwadhi, Ahmad
Al Qabandi, Salem
Alyaseen, Mohammad
description To quantify the pain experienced by orthodontic patients during the first 10 days of appliance placement, to determine whether chewing gum reduces orthodontic pain compared to placebo, and to examine patients' overall perceptions of the impact of orthodontic pain. Patients bonded with fixed appliances were randomly assigned to one of two groups (gum group [GG] or placebo group [PG]) and then followed for 10 days. The main outcome was a visual analog scale (VAS) pain score, and the secondary outcomes included patients' subjective assessments of overall pain level, the impact of pain on hygiene habits and treatment decision, and the frequency of analgesics consumption. Eighty kits (40 for GG and 40 for PG) were pre-randomized and concealed before patient enrollment using a computer-generated random sequence. Operators and patients were blinded. Data were analyzed using generalized linear models and Mann-Whitney U, chi-square, and Fisher exact tests. A total of 75 patients were allocated to intervention groups; 37 participated and completed diaries (20 in GG and 17 in PG). No statistically significant differences were detected between the GG and PG groups in any tested variable. Pain negatively affected some patients' oral hygiene practices. A mismatch existed between patient expectations and actual pain experiences. Female patients used analgesics more frequently than male patients (P = .046). Chewing gum three times per day does not seem to significantly reduce orthodontic pain compared to placebo. Orthodontists should manage their patients' pain expectations.
doi_str_mv 10.11607/ofph.2192
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subjects Analgesics
Chewing Gum
Female
Humans
Male
Orthodontic Appliances, Fixed
Pain - prevention & control
Pain Measurement
title Efficacy of Chewing Gum to Reduce Orthodontic Pain Compared to Placebo: A Blinded, Parallel-Group, Preliminary Clinical Trial
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