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Related Concept Videos

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Related Experiment Video

Updated: May 23, 2026

Use of the Operant Orofacial Pain Assessment Device (OPAD) to Measure Changes in Nociceptive Behavior
12:20

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Published on: June 10, 2013

Cognitive behavioral therapy for orthodontic pain control: a randomized trial.

J Wang1, F Jian, J Chen

  • 1State Key Laboratory of Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, P.R. China.

Journal of Dental Research
|April 12, 2012
PubMed
Summary

Cognitive behavioral therapy significantly reduced orthodontic pain compared to no intervention. This therapy offers an effective non-pharmacological approach for managing pain during orthodontic treatment.

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Area of Science:

  • Orthodontics
  • Pain Management
  • Psychology

Background:

  • Pain is a common side effect of orthodontic treatment, impacting patient compliance and quality of life.
  • Current pain management strategies often rely on analgesics, which may have side effects.

Purpose of the Study:

  • To evaluate the efficacy of cognitive behavioral therapy (CBT) in managing pain experienced during orthodontic treatment.
  • To compare CBT's effectiveness against ibuprofen and a no-intervention control group.

Main Methods:

  • A randomized controlled trial involving 450 patients undergoing orthodontic treatment.
  • Participants were assigned to CBT, ibuprofen, or control groups.
  • Pain intensity was measured using the Visual Analog Scale (VAS) at multiple time points post-archwire placement.

Main Results:

  • The CBT group demonstrated a significantly greater reduction in mean VAS pain scores compared to the control group across five time points (p < 0.001).
  • Ibuprofen group results were not explicitly compared to CBT or control in the abstract, but the focus was on CBT's efficacy.
  • High follow-up rates (94-96.7%) ensured robust data collection.

Conclusions:

  • Cognitive behavioral therapy is an effective intervention for controlling pain during the initial phase of orthodontic treatment.
  • CBT presents a viable non-pharmacological option for orthodontic pain management.