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固定器件和透明对齐器的正牙疼痛:一个6个月的比较

Victor Chan¹, Bhavna Shroff¹, Neal D Kravitz²

¹Department of Orthodontics, Virginia Commonwealth University, Richmond, Va.

American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics

|July 30, 2024

概括

使用固定器具 (FAs) 接受正牙治疗的患者比使用清晰对齐器 (CA) 患者更容易感到疼痛,使用更多止痛药. 随着新的弧线,FA疼痛会加剧,而CA疼痛仍然很小.

科学领域:

矯正牙科矯正牙科是一種矯正牙科.
疼痛管理疼痛管理
生物医学工程生物医学工程

背景情况:

ортодонтическое治疗涉及管理患者的不适.
固定器械 (FAs) 和清晰对齐器 (CA) 是常见的正牙治疗方法.
了解疼痛感知差异对于患者护理至关重要.

研究的目的:

为了比较FA和CA治疗之间的疼痛感知,强度和止痛药的使用.
在6个月的牙科治疗期间评估疼痛反应.

主要方法:

一项前性研究涉及87名接受正牙治疗的成年患者.
数字调查收集了在预约后3个时间点的疼痛数据.
统计分析包括威尔科克森,t测试和费舍尔精确的千平方测试.

主要成果:

与清晰对齐器患者相比,固定器械患者在预约后2天和7天报告了更高的疼痛率和强度.
跳动和尖的疼痛在FA组中更为普遍.
是FA患者最痛苦的活动,而休息对CA患者最痛苦.
在第一次约会后,FA组消耗了更多的止痛药.

结论:

在设备交付后,FA和CA组的初始疼痛感知类似.
固定器械疼痛显著增加了新的刺激,如线,而清晰的对齐器疼痛仍然很低.
与固定设备相比,透明对齐器可能会提供一个不那么痛苦的正牙治疗体验.

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