インビザライン

矯正の痛み(インビザライン、表/裏側矯正の違いによる比較研究紹介)

今回ご紹介する論文は、2021年にBiologyに投稿された異なる矯正装置による痛みの比較研究です。

矯正治療の痛みは、矯正治療に対する拒否反応を引き起こす原因となります。

矯正治療の手技による痛みの強さ、部位、種類の違いの把握はとても重要です。

近年、マウスピース型矯正装置(インビザライン)は従来型の表側固定式装置と比較して痛みが少ないと言われています。しかし、いままで裏側矯正装置との比較は行われていませんでした。この研究では、痛みの部位、種類(例えば、ズキズキするなど)、持続時間を矯正装置毎に比較検討を行っています。

是非最後までご覧ください。

矯正の痛み論文タイトル

タイトル

Comparative Analysis of Periodontal Pain According to the Type of Precision Orthodontic Appliances

: Vestibular, Lingual and Aligners.

A Prospective Clinical Study

著者

Laura Antonio-Zancajo 1,* , Javier Montero 1 , Daniele Garcovich 2 , Mario Alvarado-Lorenzo 3 , Alberto Albaladejo 1 and Alfonso Alvarado-Lorenzo 1

1 Faculty of Medicine, University of Salamanca, Avenida Alfonso X el Sabio s/n, 37007 Salamanca, Spain; javimont@usal.es (J.M.); albertoalbaladejo@usal.es (A.A.); kuki@usal.es (A.A.-L.)

2 Department of Dentistry, European University of Valencia, Passeig de lÁlbereda, 7, 46010 Valencia, Spain; daniele.garcovich@universidadeuropea.es

3 Department of Dentistry, European University Miguel de Cervantes, Padre Julio Chevalier, 2, 47012 Valladolid, Spain; maalvarado@uemc.es

* Correspondence: lantoniozancajo@yahoo.es; Tel.: +34-920-302-064

雑誌

Biology 2021, 10, 379.

https://doi.org/10.3390/biology10050379

key words

orthodontics

; pain

; location

; degree of pain

; low-friction brackets

; lingual orthodontics

; Invisalign; aligners

矯正の痛み論文を詳しく読む

矯正の痛み論文の引用文献

  1. Klepac, R.K.; Dowling, J.; Hauge, G. Reports of pain after dental treatment, electrical tooth pulp stimulation and cutaneous shock.
    J. Am. Dent. Assoc. 1980, 100, 692–695. [CrossRef] [PubMed]
  2. Vassend, O. Anxiety, pain and discomfort associated with dental treatment. Behav. Res. Ther. 1993, 31, 659–666. [CrossRef]
  3. Carter, A.E.; Carter, G.; Boschen, M.; AlShwaimi, E.; George, R. Pathways of fear and anxiety in dentistry: A review. World J. Clin.
    Cases 2014, 2, 642–653. [CrossRef]
  4. Barlet, B.; Firestone, A.; Vig, K.; Beck, M.; Maruchae, P. The influence of a structured telephone call on orthodontic pain and
    anxiety. Am. J. Orthod. Dentofac. Orthop. 2005, 128, 435–441. [CrossRef] [PubMed]
  5. Sawada, A.; Usui, N.; Shimazaki, K.; Taira, M.; Ono, T. The effects of cognitive behavioral therapy on experimental orthodontic
    pain. Orthod. Waves 2015, 74, 10–14. [CrossRef]
  6. Ngan, P.; Kess, B.;Wilson, S. Perception of discomfort by patients undergoing orthodontic treatment. Am. J. Orthod. Dentofac.
    Orthop. 1989, 961, 47–53. [CrossRef]
  7. Bergius, M.; Kiliaridis, S.; Berggren, U. Pain in orthodontics. A review and discussion of the literature. J. Orofac. Orthop. 2000, 61,
    125–137. [CrossRef]
  8. 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. [CrossRef]
  9. Polat-Ozsoy, O. Pain and Discomfort after Orthodontic Appointments. Semin. Orthod. 2007, 13, 292–300. [CrossRef]
  10. Krishnan, V. Orthodontic pain: From causes to management—A review. Eur. J. Orthod. 2007, 29, 170–179. [CrossRef]
  11. Kluemper, G.T.; Hiser, D.G.; Rayens, M.K.; Jay, M.J. Efficacy of a wax containing benzocaine in the relief of oral mucosal pain
    caused by orthodontic appliances. Am. J. Orthod. Dentofac. Orthop. 2002, 122, 359–365. [CrossRef] [PubMed]
  12. O’Connor, P.J. Patients’ perceptions before, during, and after orthodontic treatment. J. Clin. Orthod. 2000, 34, 591–592. [PubMed]
  13. Antonio-Zancajo, L.; Montero, J.; Albaladejo, A.; Oteo-Calatayud, M.D.; Alvarado-Lorenzo, A. Pain and Oral-Health-Related
    Quality of Life in Orthodontic Patients During Initial Therapy with Conventional, Low-Friction, and Lingual Brackets and
    Aligners (Invisalign): A Prospective Clinical Study. J. Clin. Med. 2020, 9, 2088. [CrossRef] [PubMed]
  14. 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. [CrossRef]
  15. 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. [CrossRef] [PubMed]
  16. Jones, M.; Chan, C. The pain and discomfort experienced during orthodontic treatment: A randomized controlled clinical trial of
    two initial aligning arch wires. Am. J. Orthod. Dentofac. Orthop. 1992, 102, 373–381. [CrossRef]
  17. Bernhardt, M.; Southard, K.; Batterson, K.; Logan, H.; Baker, K.; Pharm, B.S.; Pharm, M.S.; Jakobsen, J. The effect of preemptive
    and/or ibuprofen therapy for orthodontic pain postoperative. Am. J. Orthod. Dentofac. Orthop. 2001, 120, 20–27. [CrossRef]
  18. Bird, S.E.; Williams, K.; Kula, K. Preoperative acetaminophen vs ibuprofen for control of pain after orthodontic separator placement. Am. J. Orthod. Dentofac. Orthop. 2007, 132, 504–510. [CrossRef]
  19. Rakhshan, H.; Rakhshan, V. Pain and discomfort perceived during the initial stage of active fixed orthodontic treatment. Saudi Dent. J. 2015, 27, 81–87. [CrossRef]
  20. Lew, K.K. Attitudes and perceptions of adults towards orthodontic treatment in an Asian community. Community Dent. Oral Epidemiol. 1993, 21, 31–35. [CrossRef] [PubMed]
  21. Sergl, H.G.; Klages, U.; Zentner, A. Functional and social discomfort during orthodontic treatment effects on compliance and prediction of patients’ adaptation by personality variables. Eur. J. Orthod. 2000, 22, 307–315. [CrossRef]
  22. 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. Dentofac. Orthop. 2006, 130, 6.e9–6.e15. [CrossRef] [PubMed]
  23. Wiedel, A.P.; Bondemark, L. A randomized controlled trial of self-perceived pain, discomfort, and impairment of jaw function in children undergoing orthodontic treatment with fixed or removable appliances. Angle Orthod. 2016, 86, 324–330. [CrossRef] [PubMed]
  24. Hixon, E.H.; Aitikian, H.; Callow, G.; McDonald, H.; Tacy, R.J. Optimal force, differential force and anchorage. Am. J. Orthod. 1968, 55, 437–451. [CrossRef]
  25. Ogura, M.; Kamimura, H.; Al-Kalaly, A.; Nagayama, K.; Taira, K.; Nagata, J.; Miyawaki, S. Pain intensity during the first 7 days following the application of light and heavy continuous forces. Eur. J. Orthod. 2009, 31, 314–319. [CrossRef] [PubMed]
  26. 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. [CrossRef]
  27. Miller, K.B.; McGorray, S.P.;Womack, R.; Quintero, J.C.; Perelmuter, M.; Gibson, J.; Dolan, T.A.; Wheeler, T.T. A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment. Am. J. Orthod. Dentofac. Orthop. 2007, 131, 302.e1–302.e9. [CrossRef]
  28. Bergius, M.; Broberg, A.; Hakeberg, M.; Berggrend, U. Prediction of prolonged pain experiences during orthodontic treatment. Am. J. Orthod. Dentofac. Orthop. 2008, 133, 339.e1–339.e8. [CrossRef]
  29. Johal, A.; Fleming, P.S.; Al Jawad, F.A. A prospective longitudinal controlled assessment of pain experience and oral health-related quality of life in adolescents undergoing fixed appliance treatment. Orthod. Craniofacial Res. 2014, 17, 178–186. [CrossRef]
  30. Caniklioglu, C.; Oztürk, Y. Patient discomfort: A comparison between lingual and labial fixed appliances. Angle Orthod. 2005, 75, 86–91.
  31. Wu, A.K.Y.; McGrath, C.P.J.; Wong, R.; Wiechmann, D.; Rabie, A.B.M. A comparison of pain experienced by patients treated with labial and lingual orthodontic appliances. Eur. J. Orthod. 2009, 32, 403–407. [CrossRef] [PubMed]
  32. Melzack, R. The McGill Pain Questionnaire: Major properties and scoring methods. Pain 1975, 1, 277–299. [CrossRef]
  33. Sandhu, S.S. Validating the factor structure and testing measurement invariance of modified Short-Form McGill Pain Questionnaire (Ortho-SF-MPQ) for orthodontic pain assessment. J. Orthod. 2017, 44, 34–43. [CrossRef] [PubMed]
  34. Scuzzo, G.; Takemoto, K.; Takemoto, Y.; Takemoto, A.; Lombardo, L. A new lingual straight-wire technique. J. Clin. Orthod. 2010, 44, 114–123. [PubMed]
  35. Warren, J.J.; Bishara, S.E.; Yonezu, T. Tooth size-arch length relationships in the deciduous dentition: A comparison between contemporary and historical samples. Am. J. Orthod. Dentofac. Orthop. 2003, 123, 614–619. [CrossRef]
  36. Caton, J.G.; Armitage, G.; Berglundh, T.; Chapple, I.L.C.; Jepsen, S.; Kornman, K.S.; Mealey, B.L.; Papapanou, P.N.; Sanz, M.; Tonetti, M.S. A new classification scheme for periodontal and periimplant diseases and conditions—Introduction and key changes from the 1999 classification. J. Clin. Periodontol. 2018, 45, S1–S8. [CrossRef] [PubMed]
  37. Iwasaki, L.R.; Freytag, L.E.; Schumacher, C.A.;Walker, M.P.;Williams, K.B. Validation of a modified McGill Pain Questionnaire for orthodontic patients. Angle Orthod. 2013, 83, 906–912. [CrossRef]
  38. Dworkin, R.H.; Turk, D.C.; Trudeau, J.; Benson, C.; Biondi, D.M.; Katz, N.P.; Kim, M. Validation of the Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) in Acute Low Back Pain. J. Pain 2015, 16, 357–366. [CrossRef]
  39. Kane, R.L.; Bershadsky, B.; Rockwood, T.; Saleh, K.; Islam, N.C. Visual Analog Scale pain reporting was standardized. J. Clin. Epidemiol. 2005, 58, 618–623. [CrossRef]
  40. Shalish, M.; Cooper-Kazaz, R.; Ivgi, I.; Canetti, L.; Tsur, B.; Bachar, E.; Chaushu, S. Adult Patients’ Adjustability to Orthodontic Appliances. Part I: A Comparison between Labial, Lingual, and Invisalign™. Eur. J. Orthod. 2012, 34, 724–730. [CrossRef]
  41. Liao, L.; Long, H.; Zhang, L.; Chen, H.; Zhou, Y.; Ye, N.; Lai,W. Evaluation of pain in rats through facial expression following experimental tooth movement. Eur. J. Oral Sci. 2014, 122, 121–124. [CrossRef]
  42. Schumacher, H.A.; Bourauel, C.; Drescher, D. The deactivation behavior and effectiveness of different orthodontic leveling arches—A dynamic analysis of the force. Fortschr. Kieferorthop. 1992, 53, 273–285. [CrossRef] [PubMed]
  43. Abdelrahman, R.S.; Al-Nimri, K.S.; Al Maaitah, E.F. Pain experience during initial alignment with three types of nickel-titanium archwires: A prospective clinical trial. Angle Orthod. 2015, 85, 1021–1026. [CrossRef]
  44. Cioffi, I.; Piccolo, A.; Tagliaferri, R.; Paduano, S.; Galeotti, A.; Martina, R. Pain perception following first orthodontic archwire placement–thermoelastic vs superelastic alloys: A randomized controlled trial. Quintessence Int. 2012, 43, 61–69. [PubMed]
  45. Jian, F.; Lai, W.; Furness, S.; McIntyre, G.; Millett, D.T.; Hickman, J.; Wang, Y. Initial arch wires for tooth alignment during orthodontic treatment with fixed appliances. Cochrane Database Syst. Rev. 2013, CD007859. [CrossRef] [PubMed]
  46. Scheurer, P.A.; Firestone, A.R.; Burbin, W.B. Perception of pain as a result of orthodontic treatment with fixed appliances. Eur. J. Orthod. 1996, 18, 349–357. [CrossRef] [PubMed]
  47. Ngan, P.; Wilson, S.; Shanfeld, J.; Amini, H. The effect of ibuprofen on the level of discomfort in patients undergoing orthodontic treatment. Am. J. Orthod. Dentofac. Orthop. 1995, 106, 88–95. [CrossRef]
  48. Erdinç, A.M.E.; Dinçer, B. Perception of pain during orthodontic treatment with fixed appliances. Eur. J. Orthod. 2004, 26, 79–85. [CrossRef]
  49. Fernandes, L.M.; Ogaard, B.; Skoglund, L. Pain and discomfort experienced after placement of a conventional or a superelastic NiTi aligning archwire. A randomized clinical trial. J. Orofac. Orthop. 1998, 59, 331–339. [CrossRef]
  50. Long, H.; Zhou, Y.; Pyakurel, U.; Liao, L.; Jian, F.; Xue, J.; Ye, N.; Yang, X.; Wang, Y.; Lai, W. Comparison of adverse effects between lingual and labial orthodontic treatment: A systematic review. Angle Orthod. 2013, 83, 1066–1073. [CrossRef]
  51. Casteluci, C.E.V.F.; Oltramari, P.V.P.; Conti, P.C.R.; Bonjardim, L.R.; de Almeida-Pedrin, R.R.; Fernandes, T.M.F.; de Almeida, M.R.; de Castro Ferreira Conti, A.C. Evaluation of pain intensity in patients treated with aligners and conventional fixed appliances: Randomized clinical trial. Randomized Control. Trial 2021, 24, 268–276. [CrossRef] [PubMed]
  52. Lai, T.T.; Chiou, J.Y.; Lai, T.C.; Chen, T.;Wang, H.Y.; Li, C.H.; Chen, M.H. Perceived pain for orthodontic patients with conventional brackets or self-ligating brackets over 1 month period: A single-center, randomized controlled clinical trial. J. Med. Assoc. 2020, 119, 282–289. [CrossRef] [PubMed]
  53. Diddige, R.; Negi, G.; Kiran, K.; Chitra, P. Comparision of pain levels in patients treated with 3 different orthodontic appliances— A randomized trial. Med. Pharm. Rep. 2020, 93, 81–88. [PubMed]
  54. Cardoso, P.C.; Espinosa, D.G.; Mecenas, P.; Flores-Mir, C.; Normando, D. Pain level between clear aligners and fixed appliances: A systematic review. Prog. Orthod. 2020, 21, 3. [CrossRef] [PubMed]
  55. Mheissen, S.; Khan, H.; Aldandan, M. Limited evidence on differences between fixed appliances and clear aligners regarding pain level. Evid. Based Dent. 2020, 21, 144–145. [CrossRef] [PubMed]
  56. Gao, M.; Yan, X.; Zhao, R.; Shan, Y.; Chen, Y.; Jian, F.; Long, H.; Lai, W. Comparison of pain perception, anxiety, and impacts on oral health-related quality of life between patients receiving clear aligners and fixed appliances during the initial stage of orthodontic treatment. Eur. J. Orthod. 2020, 2, cjaa037. [CrossRef]
  57. Brown, D.; Moerenhout, R. The pain experience and psychological adjustment to orthodontic treatment of preadolescents, adolescents and adults. Am. J. Orthod. Dentofac. Orthop. 1991, 19, 349–356. [CrossRef]
  58. Jawaid, M.; Qadeer, T.A.; Fahim, M.F. Pain perception of orthodontic treatment—A cross-sectional study. Pak. J. Med. Sci. 2020, 36, 160–165. [CrossRef]
  59. Patini, R.; Staderini, E.; Camodeca, A.; Guglielmi, F.; Gallenzi, P. Case Reports in Pediatric Dentistry Journals: A Systematic Review about Their Effect on Impact Factor and Future Investigations. Dent. J. 2019, 7, 103. [CrossRef]

矯正の痛み論文のまとめ

矯正装置の違いによる痛みの比較研究をご紹介しました。

マウスピース型矯正装置は従来型の表側装置に比べて、痛みは少ないことは以前から知られていましたが、今回は舌側矯正装置が他の装置の比べて痛みが少ないことが明らかになりました。

マウスピース型矯正装置(インビザライン)での治療が難しい症例等は、舌側矯正装置での治療を患者様にお薦めするのがいいかもしれませんね。

関連記事

詳しく読む

口ゴボはインビザラインよりも舌側矯正(裏側矯正)?|オルソキャリア

記事監修

公式ホームページはこちらから

免責事項

本サイトは、PubMedに投稿されたオープンアクセスの査読論文をご紹介しております。

内容についての疑問等は本サイトは一切受付ておりません。著者ご本人に記載の連絡先にお問い合わせをお願い致します。また、学会発表や研修会においては本サイトの孫引きではなく必ず原著論文をご確認くださいますようお願い致します。

日本においてマウスピース型矯正はご存知の通り、完成薬機法対象外の矯正歯科装置であり、医薬品副作用被害救済措置制度の対象外となる場合がありますのでご注意ください。