Pain and discomfort perception during miniscrew-anchored maxillary protraction: secondary data analysis of a randomized clinical trial
To compare the perception of pain and discomfort of patients and guardians during treatment between miniscrew-anchored maxillary protraction (MAMP) therapy using Hybrid (HH) and Conventional Hyrax (CH) expanders. Group HH was composed of 18 subjects (8 female, 10 male; initial age: 10.80 years) with...
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Veröffentlicht in: | The Angle orthodontist 2023-02, Vol.93 (3), p.313-319 |
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creator | Miranda, Felicia Parra, Lucas Duarte Bastos, José Carlos da Cunha Dos Santos, Alexandre Magno de Souza Silva, Ivan Quevedo, Beatriz Aliaga-Del Castillo, Aron Garib, Daniela |
description | To compare the perception of pain and discomfort of patients and guardians during treatment between miniscrew-anchored maxillary protraction (MAMP) therapy using Hybrid (HH) and Conventional Hyrax (CH) expanders.
Group HH was composed of 18 subjects (8 female, 10 male; initial age: 10.80 years) with Class III malocclusion treated with a hybrid expander in the maxilla and two miniscrews in the anterior region of the mandible. Class III elastics were used from maxillary first molar to mandibular miniscrews. Group CH was composed of 14 subjects (6 female, 8 male; initial age: 11.44 years) treated with a similar protocol except for conventional Hyrax expander. Pain and discomfort of patients and guardians were assessed using a visual analog scale immediately after placement (T1), after 24 hours (T2), and 1 month after appliance installation (T3). Mean differences (MD) were obtained. Intergroup and intragroup timepoint comparisons were performed using independent t-tests, analysis of variance for repeated measures and Friedman test (P < 5%).
Both groups demonstrated similar levels of pain and discomfort with a significant decrease after 1 month of appliance placement (MD: 4.21; P = .608). Compared to patient perceptions, guardians reported a higher level of pain and discomfort at all timepoints (MD, T1: 13.91, P < .001; T2: 23.15, P < .001; T3: 9.35, P = .008).
MAMP therapy with HH and CH produced similar levels of pain and discomfort after appliance installation until 1 month after treatment. Pain and discomfort may not influence the choice between HH and CH expanders. |
doi_str_mv | 10.2319/092022-655.1 |
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Group HH was composed of 18 subjects (8 female, 10 male; initial age: 10.80 years) with Class III malocclusion treated with a hybrid expander in the maxilla and two miniscrews in the anterior region of the mandible. Class III elastics were used from maxillary first molar to mandibular miniscrews. Group CH was composed of 14 subjects (6 female, 8 male; initial age: 11.44 years) treated with a similar protocol except for conventional Hyrax expander. Pain and discomfort of patients and guardians were assessed using a visual analog scale immediately after placement (T1), after 24 hours (T2), and 1 month after appliance installation (T3). Mean differences (MD) were obtained. Intergroup and intragroup timepoint comparisons were performed using independent t-tests, analysis of variance for repeated measures and Friedman test (P < 5%).
Both groups demonstrated similar levels of pain and discomfort with a significant decrease after 1 month of appliance placement (MD: 4.21; P = .608). Compared to patient perceptions, guardians reported a higher level of pain and discomfort at all timepoints (MD, T1: 13.91, P < .001; T2: 23.15, P < .001; T3: 9.35, P = .008).
MAMP therapy with HH and CH produced similar levels of pain and discomfort after appliance installation until 1 month after treatment. Pain and discomfort may not influence the choice between HH and CH expanders.</description><identifier>ISSN: 0003-3219</identifier><identifier>EISSN: 1945-7103</identifier><identifier>DOI: 10.2319/092022-655.1</identifier><identifier>PMID: 36795039</identifier><language>eng</language><publisher>United States: Edward H. Angle Society of Orthodontists</publisher><subject>Original</subject><ispartof>The Angle orthodontist, 2023-02, Vol.93 (3), p.313-319</ispartof><rights>0000 by The EH Angle Education and Research Foundation, Inc.</rights><rights>2023 by The EH Angle Education and Research Foundation, Inc. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c315t-304460e9eb1ee5706ed03c92f46308e3e85920a59c7619c85ddbab87b68d610d3</citedby><cites>FETCH-LOGICAL-c315t-304460e9eb1ee5706ed03c92f46308e3e85920a59c7619c85ddbab87b68d610d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10117207/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10117207/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36795039$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miranda, Felicia</creatorcontrib><creatorcontrib>Parra, Lucas Duarte</creatorcontrib><creatorcontrib>Bastos, José Carlos da Cunha</creatorcontrib><creatorcontrib>Dos Santos, Alexandre Magno</creatorcontrib><creatorcontrib>de Souza Silva, Ivan</creatorcontrib><creatorcontrib>Quevedo, Beatriz</creatorcontrib><creatorcontrib>Aliaga-Del Castillo, Aron</creatorcontrib><creatorcontrib>Garib, Daniela</creatorcontrib><title>Pain and discomfort perception during miniscrew-anchored maxillary protraction: secondary data analysis of a randomized clinical trial</title><title>The Angle orthodontist</title><addtitle>Angle Orthod</addtitle><description>To compare the perception of pain and discomfort of patients and guardians during treatment between miniscrew-anchored maxillary protraction (MAMP) therapy using Hybrid (HH) and Conventional Hyrax (CH) expanders.
Group HH was composed of 18 subjects (8 female, 10 male; initial age: 10.80 years) with Class III malocclusion treated with a hybrid expander in the maxilla and two miniscrews in the anterior region of the mandible. Class III elastics were used from maxillary first molar to mandibular miniscrews. Group CH was composed of 14 subjects (6 female, 8 male; initial age: 11.44 years) treated with a similar protocol except for conventional Hyrax expander. Pain and discomfort of patients and guardians were assessed using a visual analog scale immediately after placement (T1), after 24 hours (T2), and 1 month after appliance installation (T3). Mean differences (MD) were obtained. Intergroup and intragroup timepoint comparisons were performed using independent t-tests, analysis of variance for repeated measures and Friedman test (P < 5%).
Both groups demonstrated similar levels of pain and discomfort with a significant decrease after 1 month of appliance placement (MD: 4.21; P = .608). Compared to patient perceptions, guardians reported a higher level of pain and discomfort at all timepoints (MD, T1: 13.91, P < .001; T2: 23.15, P < .001; T3: 9.35, P = .008).
MAMP therapy with HH and CH produced similar levels of pain and discomfort after appliance installation until 1 month after treatment. Pain and discomfort may not influence the choice between HH and CH expanders.</description><subject>Original</subject><issn>0003-3219</issn><issn>1945-7103</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpVkU9vFSEUxYmxaZ-1O9cNSxedeoFhGNyYpvFf0qQudE0YuNNiZmAK87T1A_i55eXVRlck3N899-QcQl4xOOeC6TegOXDedFKes2dkw3QrG8VAPCcbABCN4EwfkRelfAfgUrb8kByJTmkJQm_I7y82RGqjpz4Ul-Yx5ZUumB0ua0iR-m0O8YbOIdZxxp-Nje42ZfR0tvdhmmx-oEtOa7Zux7-lBV2Kfvft7Wqrsp0eSig0jdTSXA-lOfyq626qks5OdM3BTi_JwWingieP7zH59uH918tPzdX1x8-XF1eNE0yujYC27QA1DgxRKujQg3Caj20noEeBvaxpWKmd6ph2vfR-sEOvhq73HQMvjsm7ve6yHWb0DmN1Ppklh7laNskG8_8khltzk34YBowpDqoqvH5UyOlui2U1c00GaxIR07YYrpRqoa3pVvRsj7qcSsk4Pt1hYHbdmX13pnZnWMVP__X2BP8tS_wBQICYAw</recordid><startdate>20230216</startdate><enddate>20230216</enddate><creator>Miranda, Felicia</creator><creator>Parra, Lucas Duarte</creator><creator>Bastos, José Carlos da Cunha</creator><creator>Dos Santos, Alexandre Magno</creator><creator>de Souza Silva, Ivan</creator><creator>Quevedo, Beatriz</creator><creator>Aliaga-Del Castillo, Aron</creator><creator>Garib, Daniela</creator><general>Edward H. Angle Society of Orthodontists</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230216</creationdate><title>Pain and discomfort perception during miniscrew-anchored maxillary protraction: secondary data analysis of a randomized clinical trial</title><author>Miranda, Felicia ; Parra, Lucas Duarte ; Bastos, José Carlos da Cunha ; Dos Santos, Alexandre Magno ; de Souza Silva, Ivan ; Quevedo, Beatriz ; Aliaga-Del Castillo, Aron ; Garib, Daniela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-304460e9eb1ee5706ed03c92f46308e3e85920a59c7619c85ddbab87b68d610d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Original</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miranda, Felicia</creatorcontrib><creatorcontrib>Parra, Lucas Duarte</creatorcontrib><creatorcontrib>Bastos, José Carlos da Cunha</creatorcontrib><creatorcontrib>Dos Santos, Alexandre Magno</creatorcontrib><creatorcontrib>de Souza Silva, Ivan</creatorcontrib><creatorcontrib>Quevedo, Beatriz</creatorcontrib><creatorcontrib>Aliaga-Del Castillo, Aron</creatorcontrib><creatorcontrib>Garib, Daniela</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Angle orthodontist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miranda, Felicia</au><au>Parra, Lucas Duarte</au><au>Bastos, José Carlos da Cunha</au><au>Dos Santos, Alexandre Magno</au><au>de Souza Silva, Ivan</au><au>Quevedo, Beatriz</au><au>Aliaga-Del Castillo, Aron</au><au>Garib, Daniela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain and discomfort perception during miniscrew-anchored maxillary protraction: secondary data analysis of a randomized clinical trial</atitle><jtitle>The Angle orthodontist</jtitle><addtitle>Angle Orthod</addtitle><date>2023-02-16</date><risdate>2023</risdate><volume>93</volume><issue>3</issue><spage>313</spage><epage>319</epage><pages>313-319</pages><issn>0003-3219</issn><eissn>1945-7103</eissn><abstract>To compare the perception of pain and discomfort of patients and guardians during treatment between miniscrew-anchored maxillary protraction (MAMP) therapy using Hybrid (HH) and Conventional Hyrax (CH) expanders.
Group HH was composed of 18 subjects (8 female, 10 male; initial age: 10.80 years) with Class III malocclusion treated with a hybrid expander in the maxilla and two miniscrews in the anterior region of the mandible. Class III elastics were used from maxillary first molar to mandibular miniscrews. Group CH was composed of 14 subjects (6 female, 8 male; initial age: 11.44 years) treated with a similar protocol except for conventional Hyrax expander. Pain and discomfort of patients and guardians were assessed using a visual analog scale immediately after placement (T1), after 24 hours (T2), and 1 month after appliance installation (T3). Mean differences (MD) were obtained. Intergroup and intragroup timepoint comparisons were performed using independent t-tests, analysis of variance for repeated measures and Friedman test (P < 5%).
Both groups demonstrated similar levels of pain and discomfort with a significant decrease after 1 month of appliance placement (MD: 4.21; P = .608). Compared to patient perceptions, guardians reported a higher level of pain and discomfort at all timepoints (MD, T1: 13.91, P < .001; T2: 23.15, P < .001; T3: 9.35, P = .008).
MAMP therapy with HH and CH produced similar levels of pain and discomfort after appliance installation until 1 month after treatment. Pain and discomfort may not influence the choice between HH and CH expanders.</abstract><cop>United States</cop><pub>Edward H. Angle Society of Orthodontists</pub><pmid>36795039</pmid><doi>10.2319/092022-655.1</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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title | Pain and discomfort perception during miniscrew-anchored maxillary protraction: secondary data analysis of a randomized clinical trial |
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