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Updated: Mar 24, 2026

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
Published on: June 10, 2013
Intensity of pain due to separators in adolescent orthodontic patients
1Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Objective:
To investigate the intensity of pain adolescent orthodontic patients experience following the insertion of separators.
Materials And Methods:
Elastomeric separators were placed mesially and distally to the first molars in 62 adolescents (20 male, 42 female, age 12-15 years), and the participants were given self-administrated questionnaires to document perceived pain, pain upon chewing, and the severity of pain's affecting daily life, using a visual analog scale for seven days.
Results:
The mean perceived pain scores out of 100 on the first 3 days were 54.6 ± 32.7, 51.7 ± 29.9, and 32.3 ± 28.4, respectively; chewing pain scores were: 61.9 ± 35.3, 52.6 ± 30.4, and 39.5 ± 32.1, respectively; the pain's affecting daily life scores were 24.9 ± 35.5, 21.1 ± 30.9, and 11.9 ± 23.7, respectively. A Kruskal-Wallis test showed a statistically significant difference in the reported pain between the three studied parameters. A Mann-Whitney U-test showed an insignificant difference between male and female adolescents.
Conclusion:
Pain perception varies among adolescent patients, but it decreases significantly after the first 2 days, with no gender differences.
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