Orthodontic pain control following arch wire placement; a comparison between pre-emptive tenoxicam and chewing gum: a randomized clinical trial
Basam Lakshman Chowdary, Singaraju Gowri Sankar, Obili Sobitha, Keerthipati Thejasree, Basam Ram Chowdary, Prasad Mandava,
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( Basam Lakshman Chowdary ) - Sibar Institute of Dental Sciences Department of Orthodontics
( Singaraju Gowri Sankar ) - Narayana Dental College Department of Orthodontics
( Obili Sobitha ) - Narayana Dental College Department of Orthodontics
( Keerthipati Thejasree ) - Narayana Dental College Department of Orthodontics
( Basam Ram Chowdary ) - Sibar Institute of Dental Sciences Department of Conservative Dentistry and Endodontics
( Prasad Mandava ) - Narayana Dental College Department of Orthodontics
Abstract
Background: Pain during fixed orthodontic treatment can have a detrimental effect on patient treatment compliance. To overcome this, there is a definite need to establish the best pain-relieving methods suitable for orthodontic patients in terms of efficacy and use. The objective of this study was to compare the effect of chewing gum and pre-emptive tenoxicam on pain after initial archwire placement and to evaluate the pain perceptions of orthodontic patients in the two groups while performing various functions at specific time intervals.
Methods: Forty-two patients were selected and randomly divided into two groups: group A (chewing gum) and group B (pre-emptive tenoxicam). Pain perception was documented by patients immediately; at 4 h; at bedtime on the day of archwire placement; the next morning; at 24 h; and at bedtime on the 2nd, 3rd, and 7th day after the initial archwire placement. Pain scores were noted during fitting of the posterior teeth, biting, and chewing using a visual analog scale. The data obtained were subjected to statistical analysis.
Results: Group A showed a significant increase in pain until the next morning while fitting the posterior teeth, biting, and chewing [36.2, 52.0, 33.4, respectively]], followed by a gradual decrease by the 7th day. Group B showed a significant increase in pain at bedtime on biting, with a peak value of 47.5. Pain on chewing, fitting posterior teeth, peaked the morning of the next day (100.0, 45.0). The Freidman test showed a statistically significant difference with a p-value of < 0.01. Higher pain scores were observed while chewing and biting compared with that while fitting the posterior teeth in both groups. The overall comparison of pain control between the two groups was not statistically significant [P > 0.05] between the two groups.
Conclusions: Chewing gum was not inferior to pre-emptive tenoxicam. Thus, chewing gum is a non-pharmacological alternative to analgesics for orthodontic pain control that eliminates the chance of adverse reactions and can be used in the absence of adult observation.
키워드
Chewing Gum; Orthodontic Treatment; Pain Control; Tenoxicam
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