Influence of a Lubricating Gel (Orthospeed®) on Pain and Oral Health-Related Quality of Life in Orthodontic Patients during Initial Therapy with Conventional and Low-Friction Brackets: A Prospective Randomized Clinical Trial

Adrian Curto, Alberto Albaladejo, Javier Montero, Alfonso Alvarado, Adrian Curto, Alberto Albaladejo, Javier Montero, Alfonso Alvarado

Abstract

The aim of this study was to investigate whether statistically significant differences exist regarding pain and the impact on oral quality of life of orthodontic treatment. A conventional brackets system was compared with low-friction brackets. A total of 90 patients (male = 35, female = 55) were chosen for this randomized clinical trial. Pain was assessed at 4, 8, and 24 hours and 2, 3, 4, 5, 6, and 7 days after the start of treatment using the McGill Pain Questionnaire. Oral health-related quality of life (OHRQoL) was assessed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire. Oral quality of life was assessed at one month, with patients with low-friction brackets describing lower levels of pain. The patients with conventional brackets indicated a worse impact on their quality of life compared to the group with low-friction brackets. Statistically significant differences were found between the groups, with maximum pain observed between the first 24 and 48 hours, and the values of minimum pain are reached after 7 days. The pain and impact on oral quality of life was statistically worse in patients with conventional brackets compared to patients with low-friction brackets. The type of bracket system used was therefore shown to influence patients' perceptions of pain and impact on their OHRQoL.

Keywords: oral health; oral health-related quality of life; orthodontics; pain.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
CONSORT flow diagram.
Figure 2
Figure 2
Pain among the different assessment time points using the visual analogue scale.

References

    1. Leethanakul C., Suamphan S., Jitpukdeebodintra S., Thongudomporn U., Charoemratrote C. Vibratory stimulation increases interleukin-1 beta secretion during orthodontic tooth movement. Angle Orthod. 2016;86:74–80. doi: 10.2319/111914-830.1.
    1. Maan A.S., Patil A.K. Assessment of salivary interleukin-1β (IL-1β), prostaglandin E2 (PGE2) levels and pain intensity in children and adults during initial orthodontic treatment. J. Orthod. Sci. 2019;8:16. doi: 10.4103/jos.JOS_13_19.
    1. Pachêco-Pereira C., Pereira J.R., Dick B.D., Perez A., Flores-Mir C. Factors associated with patient and parent satisfaction after orthodontic treatment: A systematic review. Am. J. Orthod. Dentofacial. Orthop. 2015;148:652–659. doi: 10.1016/j.ajodo.2015.04.039.
    1. Xiaoting L., Yin T., Yangxi C. Interventions for pain during fixed orthodontic appliance therapy. A systematic review. Angle Orthod. 2010;80:925–932. doi: 10.2319/010410-10.1.
    1. Trein M.P., Mundstock K.S., Maciel L., Rachor J., Gameiro G.H. Pain, masticatory performance and swallowing threshold in orthodontic patients. Dental Press J. Orthod. 2013;18:117–123. doi: 10.1590/S2176-94512013000600018.
    1. Feldmann I., List T., Bondemark L. Orthodontic anchoring techniques and its influence on pain, discomfort, and jaw function—A randomized controlled trial. Eur. J. Orthod. 2012;34:102–108. doi: 10.1093/ejo/cjq171.
    1. O’Connor P.J. Patients’ perceptions before, during, and after orthodontic treatment. J. Clin. Orthod. 2000;34:591–592.
    1. Bergius M., Kiliaridis U. Pain in orthodontics a review and discussion of the literature. J. Orofac. Orthop. 2000;61:125–137. doi: 10.1007/BF01300354.
    1. Alió-Sanz J.J., Claros-Stucchi M., Albaladejo A., Iglesias-Conde C., Alvarado-Lorenzo A. In vitro comparative study on the friction of stainless steel wires with and without Orthospeed® (JAL 90458) on an inclined plane. J. Clin. Exp. Dent. 2016;8:141–145. doi: 10.4317/jced.52715.
    1. Ferrando-Magraner E., García-Sanz V., Bellot-Arcís C., Montiel-Company J.M., Almerich-Silla J.M., Paredes-Gallardo V. Oral health-related quality of life of adolescents after orthodontic treatment. A systematic review. J. Clin. Exp. Dent. 2019;11:194–202. doi: 10.4317/jced.55527.
    1. Zheng D.H., Wang X.X., Su Y.R., Zhao S.Y., Xu C., Kong C., Zhang J. Assessing changes in quality of life using the Oral Health Impact Profile (OHIP) in patients with different classifications of malocclusion during comprehensive orthodontic treatment. BMC Oral Health. 2015;15:148. doi: 10.1186/s12903-015-0130-7.
    1. Zhou Y., Wang Y., Wang X., Volière G., Hu R. The impact of orthodontic treatment on the quality of life a systematic review. BMC. Oral. Health. 2014;14:66. doi: 10.1186/1472-6831-14-66.
    1. Steiner C.C. Cephalometrics for you and me. Am. J. Orthod. 1953;39:729–755. doi: 10.1016/0002-9416(53)90082-7.
    1. Montero-Martín J., Bravo-Pérez M., Albaladejo-Martínez A., Hernández-Martín L.A., Rosel-Gallardo E.M. Validation the Oral Health Impact Profile (OHIP-14sp) for adults in Spain. Med. Oral. Patol. Oral. Cir. Bucal. 2009;14:44–50.
    1. Locker D. Measuring Oral Health: A Conceptual framework. Community Dent. Health. 1988;5:3–18.
    1. El-Bialy T., Alobeid A., Dirk C., Jäger A., Keilig L., Bourauel C. Comparison of force loss due to friction of different wire sizes and materials in conventional and new self-ligating orthodontic brackets during simulated canine retraction. J. Orofac. Orthop. 2019;80:68–78. doi: 10.1007/s00056-019-00168-8.
    1. Montasser M.A., Keilig L., Bourauel C. An in vitro study into the efficacy of complex tooth alignment with conventional and self-ligating brackets. Orthod. Craniofac. Res. 2015;18:33–42. doi: 10.1111/ocr.12057.
    1. Holtmann S., Konermann A., Keilig L., Reimann S., Jäger A., Montasser M., El-Bialy T., Bourauel C. Different bracket-archwire combinations for simulated correction of two-dimensional tooth malalignment: Leveling outcomes and initial force systems. J. Orofac. Orthop. 2014;75:459–470. doi: 10.1007/s00056-014-0238-4.
    1. Dridi A., Bensalah W., Mezlini S., Tobji S., Zidi M. Influence of bio-lubricants on the orthodontic friction. J. Mech. Behav. Biomed. Mater. 2016;60:1–7. doi: 10.1016/j.jmbbm.2015.12.026.
    1. Leal R.C., Amaral F.L., França F.M., Basting R.T., Turssi C.P. Role of lubricants on friction between self-ligating brackets and archwires. Angle Orthod. 2014;84:1049–1053. doi: 10.2319/110513-805.1.
    1. Pattan S.K., Peddu R., Bandaru S.K., Lanka D., Mallavarapu K., Pathan A.B. Efficacy of Super Slick elastomeric modules in reducing friction during sliding: A comparative in vitro study. J. Contemp. Dent. Pract. 2014;15:543–551. doi: 10.5005/jp-journals-10024-1576.
    1. Koritsánszky N., Madléna M. Pain and discomfort in orthodontic treatments. Literature review. Fogorv. Sz. 2011;104:117–121.
    1. Redlich M., Katz A., Rapoport L., Wagner H.D., Feldman Y., Tenne R. Improved orthodontic stainless steel wires coated with inorganic fullerene-like nanoparticles of WS(2) impregnated in electroless nickel-phosphorous film. Dent. Mater. 2008;24:1640–1646. doi: 10.1016/j.dental.2008.03.030.
    1. Fleming P.S., Dibiase A.T., Sarri G., Lee R.T. Pain experience during initial alignment with a self-ligating and a conventional fixed orthodontic appliance system. A randomized controlled clinical trial. Angle Orthod. 2009;79:46–50. doi: 10.2319/121007-579.1.
    1. Otasevic M., Naini F.B., Gill D.S., Lee R.T. Prospective randomized clinical trial comparing the effects of a masticatory bite wafer and avoidance of hard food on pain associated with initial orthodontic tooth movement. Am. J. Orthod. Dentofacial. Orthop. 2006;130:9–15. doi: 10.1016/j.ajodo.2005.11.033.
    1. Miles P., Weyant R. Porcelain brackets during initial alignment: Are self-ligating cosmetic brackets more efficient? Aust. Orthod. J. 2010;26:21–26.
    1. Scott P., Sherriff M., Dibiase A.T., Cobourne M.T. Perception of discomfort during initial orthodontic tooth alignment using a self-ligating or conventional bracket system: A randomized clinical trial. Eur. J. Orthod. 2008;30:227–232. doi: 10.1093/ejo/cjm131.
    1. Tecco S., D’Attilio M., Tetè S., Festa F. Prevalence and type of pain during conventional and self-ligating orthodontic treatment. Eur. J. Orthod. 2009;31:380–384. doi: 10.1093/ejo/cjp003.
    1. Pringle A.M., Petrie A., Cunningham S.J., McKnight M. Prospective randomized clinical trial to compare pain levels associated with 2 orthodontic fixed bracket systems. Am. J. Orthod. Dentofacial. Orthop. 2009;136:160–167. doi: 10.1016/j.ajodo.2007.08.032.
    1. Chen M., Wang D.W., Wu L.P. Fixed orthodontic appliance therapy and its impact on oral health-related quality of life in Chinese patients. Angle Orthod. 2010;80:49–53. doi: 10.2319/010509-9.1.
    1. Chen M., Wang D.W., Wu L.P., Zhu S.L., Li Y.H. Oral health-related quality of life in patients with fixed appliances. Zhonghua Kou Qiang Yi Xue Za Zhi. 2009;44:416–420.
    1. Mansor N., Saub R., Othman S.A. Changes in the oral health-related quality of life 24 h following insertion of fixed orthodontic appliances. J. Orthod. Sci. 2012;1:98–102.
    1. Johal A., Ashari A.B., Alamiri N., Fleming P.S., Qureshi U., Cox S., Pandis N. Pain experience in adults undergoing treatment: A longitudinal evaluation. Angle Orthod. 2018;88:292–298. doi: 10.2319/082317-570.1.
    1. Brown D.F., Moerenhout R.G. The pain experience and psychological adjustment to orthodontic treatment of preadolescents, adolescents, and adults. Am. J. Orthod. Dentofacial. Orthop. 1991;100:349–356. doi: 10.1016/0889-5406(91)70073-6.

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