Effectiveness of different psychological interventions in reducing fixed orthodontic pain: A systematic review and meta-analysis

Publications

Share / Export Citation / Email / Print / Text size:

Australasian Orthodontic Journal

Australian Society of Orthodontists

Subject: Dentistry, Orthodontics & Medicine

GET ALERTS

ISSN: 2207-7472
eISSN: 2207-7480

DESCRIPTION

0
Reader(s)
0
Visit(s)
0
Comment(s)
0
Share(s)

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue / page

Archive
Volume 38 (2022)
Volume 37 (2021)
Volume 36 (2020)
Volume 35 (2019)
Volume 34 (2018)
Volume 33 (2017)
Volume 32 (2016)
Volume 31 (2015)
Related articles

VOLUME 35 , ISSUE 2 (November 2019) > List of articles

Effectiveness of different psychological interventions in reducing fixed orthodontic pain: A systematic review and meta-analysis

Chong Feng / Chenzhou Wu / Zhaowei Jiang / Linkun Zhang / Xizhong Zhang *

Citation Information : Australasian Orthodontic Journal. Volume 35, Issue 2, Pages 195-209, DOI: https://doi.org/10.21307/aoj-2020-049

License : (CC BY 4.0)

Published Online: 20-July-2021

ARTICLE

ABSTRACT

Background/Objective: Pain induced by tooth movement is a common experience for orthodontic patients. The effectiveness of psychological intervention, as a new approach to control pain, has not been fully explored. Hence, this systematic review and meta-analysis is intended to evaluate the analgesic effect of psychological intervention within the week after fixed orthodontic initial arch wire placement.

Methods: A computerised literature search was conducted in the Medline (1966-2019), Embase (1984-2019), Cochrane Library (Issue 1 of 2019), CBMdisk (1978-2019) and CNKI (1994-2019) databases to identify randomised clinical trials (RCTs), which used psychological interventions to relieve pain during fixed orthodontic treatment. Specific inclusion and exclusion criteria were applied to identify relevant articles. The data were extracted independently by two reviewers and a quality assessment was carried out by using the Cochrane Collaboration ‘risk of bias’ tool. Meta-analyses were conducted with fixed or random effects models as appropriate. Statistical heterogeneity was also examined. The RevMan 5.3 software was used for data analysis.

Results: A total of 472 articles were identified, from which nine RCTs were finally included. A meta-analysis revealed that after initial arch wire placement, cognitive behaviour therapy (CBT) and music therapy could significantly reduce pain within three days compared with a control group. In addition, there were no differences in pain reduction between CBT and music therapy within one week. Furthermore, a structured phone and text follow-up could significantly reduce and control pain and had the same effectiveness in pain reduction.

Conclusions: In the short term after initial arch wire placement, all psychological interventions could significantly reduce the intensity of pain without adverse effects. In the current study, there was no significant difference in pain relief between the different psychological interventions. In the future, more high-quality research with consistency in research design is needed for further evaluation.

Content not available PDF Share

FIGURES & TABLES

REFERENCES

1. Long H, Zhou Y, Pyakurel U, Liao L, Jian F, Xue J et al. Comparison of adverse effects between lingual and labial orthodontic treatment. Angle Orthod 2013;83:1066-73.

2. Sandhu SS, Sandhu J. Effect of physical activity level on orthodontic pain perception and analgesic consumption in adolescents. Am J Orthod Dentofacial Orthop 2015;148:618-27.

3. Erdinç AM, Dinçer B. Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod 2004;26:79-85.

4. Sandhu SS, Sandhu J. A randomized clinical trial investigating pain associated with superelastic nickel–titanium and multistranded stainless steel archwires during the initial leveling and aligning phase of orthodontic treatment. J Orthod 2013;40:276-85.

5. Scheurer PA, Firestone AR, Bürgin WB.. Perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 1996;18:349-57.

6. Ngan P, Kess B, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 1989;96:47-53.

7. Krishnan V. Orthodontic pain: from causes to management--a review. Eur J Orthod 2007;29:170-9.

8. Polat O, Karaman AI. Pain control during fixed orthodontic appliance therapy. Angle Orthod 2005;75:214-9.

9. Giannopoulou C, Dudic A, Kiliaridis S. Pain discomfort and crevicular fluid changes induced by orthodontic elastic separators in children. J Pain 2006;7:367-76.

10. Domínguez A, Velásquez SA. Effect of low-level laser therapy on pain following activation of orthodontic final archwires: a randomized controlled clinical trial. Photomed Laser Surg 2013;31:36-40.

11. Stein S, Korbmacher-Steiner H, Popovic N, Braun A. Pain reduced by low-level laser therapy during use of orthodontic separators in early mixed dentition. J Orofac Orthop 2015;76:431-9.

12. Farias RD, Closs LQ, Miguens SA Jr. Evaluation of the use of low-level laser therapy in pain control in orthodontic patients: A randomized split-mouth clinical trial. Angle Orthod 2016;86:193-8.

13. Arias OR, Marquez-Orozco MC. Aspirin, acetaminophen, and ibuprofen: their effects on orthodontic tooth movement. Am J Orthod Dentofacial Orthop 2006;130:364-70.

14. Furquim RD, Pascotto RC, Rino Neto J, Cardoso JR, Ramos AL. Low-level laser therapy effects on pain perception related to the use of orthodontic elastomeric separators. Dental Press J Orthod 2015;20:37-42.

15. Artés-Ribas M, Arnabat-Dominguez J, Puigdollers A. Analgesic effect of a low-level laser therapy (830 nm) in early orthodontic treatment. Lasers Med Sci 2013;28:335-41.

16. Abtahi SM, Mousavi SA, Shafaee H, Tanbakuchi B. Effect of lowlevel laser therapy on dental pain induced by separator force in orthodontic treatment. Dent Res J 2013;10:647-51.

17. Heravi F, Moradi A, Ahrari F. The effect of low level laser therapy on the rate of tooth movement and pain perception during canine retraction. Oral Health Dent Manag 2014;13:183-8.

18. Weisenberg M. Psychological intervention for the control of pain. Behav Res Ther 1987;25:301-12.

19. Zhao X, Cui L, Wang W, Su Q, Li X, Wu J. Influence of psychological intervention on pain and immune functions of patients receiving lung cancer surgery. Pak J Med Sci 2016;32:155-9.

20. Higgins JP. Assessing Risk of Bias in Included Studies. In: Higgins JPT, Green S, eds. Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series. Chichester: John Wiley & Sons, Ltd, 2008;187-241.

21. Bartlett BW, Firestone AR, Vig KW, Beck FM, Marucha PT. The influence of a structured telephone call on orthodontic pain and anxiety. Am J Orthod Dentofacial Orthop 2005;128:435-41.

22. Cozzani M, Ragazzini G, Delucchi A, Barreca C, Rinchuse D J, Servetto R et al. Self-reported pain after orthodontic treatments: a randomized controlled study on the effects of two follow-up procedures. Eur J Orthod 2016;38:266-71.

23. Huang R, Wang J, Wu D, Long H, Yang X, Liu H et al. The effects of customised brainwave music on orofacial pain induced by orthodontic tooth movement. Oral Dis 2016;22:766-74.

24. Keith DJ, Rinchuse DJ, Kennedy M, Zullo T. Effect of text message follow-up on patient’s self-reported level of pain and anxiety. Angle Orthod 2013;83:605-10.

25. Liu M, Zhao H, An J, Sun T, Tang L. The effect of telephone interview on initial pain of orthodontic treatment. Chin J Aesthetic Med 2017;26:80-3.

26. Xu X, Zhang L, Jiang Y, Huang Y, Huang S, Yang S. [Clinical research of music in relieving orthodontic pain]. West China J Stomatol 2013;31:365-8. Chinese.

27. Xue D, Gong Z, Fu X, He X. Study on the effect of follow-up procedures to reduce self-reported pain after orthodontic treatments. Mod Med J 2017;45:1748-51.

28. Zhang L, Xu X, Song S, Yang S. Influence of psychological interventions on orthodontic treatment pain experienced by patients of different sexes. Int J Stomatology 2014;41:396-400.

29. Zheng Q, Zhang L H, Huang L, Wang G, Yuan X, Xu X. [Effects of different psychological interventions on relieving orthodontic pain in patients with different personalities: a preliminary study]. Shanghai J Stomatol 2016;25:91-6. Chinese..

30. Walker JB, Buring SM. NSAID impairment of orthodontic tooth movement. Ann Pharmacother 2001;35:113-5.

31. Bergius M, Kiliaridis S, Berggren U. Pain in orthodontics. A review and discussion of the literature. J Orofac Orthop 2000;61:125-37.

32. Fleming PS, Lynch CD, Pandis N. Randomized controlled trials in dentistry: common pitfalls and how to avoid them. J Dent 2014;42:908-14.

EXTRA FILES

COMMENTS