Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Chewing Gum Effect in Reducing Orthodontic Pain After Separator and Initial Arch Wire Placement

5. april 2021 opdateret af: University of Malaya

The Effect of the Chewing Gum in Alleviating Orthodontic Pain After Separator and Initial Arch Wire Placement: A Randomized Clinical Trial

Pain is the most claimed complaint from orthodontic treatment. Fear of pain has contributed to patients' avoidance of seeking orthodontic treatment, affects patients' compliance to treatment and even becomes the main reason for discontinuing orthodontic treatment. For years, orthodontic patients have reported using analgesics during orthodontic treatment to ease the pain. However, analgesics have many side effects such as allergic reactions, bleeding disorders, gastric ulcers, liver toxicity and their potential influence in slowing down tooth movement. This study aimed to investigate the effectiveness of chewing gums in pain reduction in Malaysian multi-ethnic orthodontic patients and to explore the possibility of chewing gum to be recommended as a suitable substitute for analgesics in our future practice.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Orthodontic treatment have been shown to cause varying degrees of discomforts and pain to the patients. Fear of pain has contributed to patients' avoidance of seeking orthodontic treatment, affect patients' compliance to the treatment and even become a main reason of discontinuing orthodontic treatment. Patients have reported using of analgesic particularly NSAIDS and Paracetamol during orthodontic treatment to ease the pain. However, NSAIDS have been associated with various side effects such as allergic reactions, bleeding disorders and gastric ulcers had raised the concern of orthodontists. Studies on animals have shown that NSAIDS slower the rate of tooth movement, hence affecting orthodontic treatment efficacy. Paracetamol have been reported to cause liver toxicity in the case of over dosage.

The action of chewing the gum can produce forces to temporary displace the teeth sufficiently to allow blood flow through compressed area, preventing the build-up of metabolic products, thus reduce the pain severity. In addition, non-sugared chewing gum has anti-caries effect which is very important to prevent caries formation during orthodontic treatment.

This study aimed to investigate the effectiveness of chewing gum in pain reduction in orthodontic patients and to explore the possibility of chewing gum to be recommended as a suitable substitute for analgesics in future practice.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

108

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Malaysia
    • Wilayah Persekutuan Kuala Lumpur
      • Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia, 50603
        • Rekruttering
        • Postgraduate Orthodontic Clinic, Faculty of Dentistry, University Malaya
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

16 år og ældre (Barn, Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Patients about to undergo orthodontic treatment with maxillary and mandibular fixed appliances
  2. Orthodontic treatment include the extraction of the permanent first or second premolars
  3. Age 16 years and above

Exclusion Criteria:

  1. Significant medical problem or cleft lip and palate.
  2. Pregnant lady
  3. Occurrence of using analgesics or antibiotics
  4. History of asthma or unstable asthma the last year
  5. Oral surgery in the previous 4 weeks

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: intervention group
Participants will receive Wrigley Extra Strawberry Flavour Sugar Free Chewing Gum. They will be instructed to chew the gum for pain relief after the separator and initial arch wire placement if required. Chew the gums for 10-12 minutes and as much as they want whenever they feel discomfort or pain. They are free to take any medication when necessary and respond to the questionnaires on the amount of chewing gum and analgesics used.
Andet: Wrigley Extra Strawberry Flavour Sugar Free Chewing Gum
Wrigley Extra Strawberry Flavour Sugar Free Chewing Gum 65g 40 pieces
Ingen indgriben: Control group
Participants will not receive any prescription after the separators and initial arch wires placement. They will be specifically asked not to chew chewing gum. As in the intervention group, they can take any medication when they feel necessary and respond to the questionnaires on the amount of analgesics used.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain assessment after separators and initial arch wire placement.
Tidsramme: At 6 hours after separators and initial arch wire placement.
Level of pain on the Numerical pain rating scale (NRS)
At 6 hours after separators and initial arch wire placement.
Pain assessment after separators and initial arch wire placement.
Tidsramme: At 24 hours after separators and initial arch wire placement.
Level of pain on the Numerical pain rating scale (NRS)
At 24 hours after separators and initial arch wire placement.
Pain assessment after separators and initial arch wire placement.
Tidsramme: At 48 hours after separators and initial arch wire placement.
Level of pain on the Numerical pain rating scale (NRS)
At 48 hours after separators and initial arch wire placement.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Reported use of chewing gum and analgesics.
Tidsramme: Immediately after the separator and archwire placements until up to 6 hours
Amount of chewing gums and medications consumed after the separator and initial arch wire placement
Immediately after the separator and archwire placements until up to 6 hours
Reported use of chewing gum and analgesics.
Tidsramme: from 6 hours to 24 hours after the separator and archwire placements
Amount of chewing gums and medications consumed after the separator and initial arch wire placement
from 6 hours to 24 hours after the separator and archwire placements
Reported use of chewing gum and analgesics.
Tidsramme: from 24 hours to 48 hours after the separator and archwire placements
Amount of chewing gums and medications consumed after the separator and initial arch wire placement
from 24 hours to 48 hours after the separator and archwire placements
Recorded appliances breakages.
Tidsramme: Immediately after the separator and archwire placements until 2 days after the separator and archwire placement
Frequency of appliances breakages
Immediately after the separator and archwire placements until 2 days after the separator and archwire placement

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Malaya

Efterforskere

  • Studieleder: Siti Adibah Othman, Prof, Faculty of Dentistry, University of Malaya
  • Studieleder: Zamros Yuzadi Mohd Yusof, Prof, Faculty of Dentistry, University of Malaya
  • Ledende efterforsker: Poon Pei San, Faculty of Dentistry, University of Malaya

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

6. marts 2019

Primær færdiggørelse (Forventet)

1. august 2021

Studieafslutning (Forventet)

1. august 2021

Datoer for studieregistrering

Først indsendt

5. november 2020

Først indsendt, der opfyldte QC-kriterier

5. april 2021

Først opslået (Faktiske)

8. april 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

8. april 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

5. april 2021

Sidst verificeret

1. april 2021

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • DGD170001

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Ortodontiske smerter

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Ethiopia

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

3
Abonner