Evaluation of Pain Perception During Orthodontic Debonding of Metallic Brackets with Simultaneous Application of TENS Therapy.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Turkish Journal of Orthodontics Pub Date : 2024-03-28 DOI:10.4274/TurkJOrthod.2023.2022.134
Akash Rastogi, Payal Sharma, C S Ram, Shubhangi Jain, Monis Raza, Karan Tangri
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Abstract

Objective: The objective of the present study was to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) therapy on pain during the debonding procedure.

Methods: A placebo-controlled, randomized split - mouth study was conducted on 30 orthodontic patients. The right and left anterior teeth in the maxilla and mandible were randomly allocated to the control and experimental groups (EG) and were stimulated. TENS application was made through a modified electrode probe that was used from an ammeter. The control group (CG) received the mechanical application of the device with no current, whereas the EG received progressively increasing current from 0.1 mA to the point where the patient experienced a mild tingling sensation for 60 s for each tooth. This was followed by a debonding procedure using an orthodontic debonding plier. Pain perception was recorded on a numerical rating scale after debonding each tooth.

Results: The mean pain score was higher in the CG than in the EG, and the difference between the two groups was significant (p=0.001). The pain score was higher in the mandibular teeth than in the maxillary teeth, and the difference between the two groups was also significant (p=0.021). Pain score was higher in female subjects than in male subjects, and the difference between the two groups was significant (p=0.015).

Conclusion: The application of TENS therapy results in pain reduction during the debonding procedure. The female subjects experienced more pain. Higher pain scores were recorded for the mandibular anterior teeth than for the maxillary teeth.

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评估金属托槽正畸脱钩过程中的疼痛感,同时应用 TENS疗法。
研究目的本研究旨在评估经皮神经电刺激疗法(TENS)对脱颌过程中疼痛的疗效:方法:对 30 名正畸患者进行了安慰剂对照、随机分口研究。上颌和下颌的左右前牙被随机分配到对照组和实验组(EG),并接受刺激。TENS 刺激是通过使用电流表的改良电极探针进行的。对照组(CG)接受无电流的机械装置刺激,而实验组(EG)则接受从 0.1 mA 开始逐渐增加的电流刺激,每颗牙齿持续 60 秒,直到患者出现轻微的刺痛感。随后使用正畸脱钩钳进行脱钩操作。每颗牙齿脱钩后,用数字评分表记录疼痛感:结果:CG 的平均疼痛评分高于 EG,两组间差异显著(P=0.001)。下颌牙的疼痛评分高于上颌牙,两组间差异也有显著性(P=0.021)。女性受试者的疼痛评分高于男性受试者,两组间差异显著(P=0.015):结论:应用 TENS疗法可减轻脱骨过程中的疼痛。女性受试者的疼痛感更强。下颌前牙的疼痛评分高于上颌牙。
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来源期刊
Turkish Journal of Orthodontics
Turkish Journal of Orthodontics Dentistry-Orthodontics
CiteScore
2.10
自引率
9.10%
发文量
34
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