Management of Pain Immediately After Placement of First Retraction Arch Wire: Comparison of Bite-Wafers and Sugar Free Chewing Gum Use with Controls.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 3
Abstract
Background: To manage pain immediately after placement of first retraction arch wire by using non- pharmacological substances like bite-wafers and chewing gum. Methods: Sixty (60) orthodontic patients in whom leveling and alignment phase had been completed and retraction to be started were considered for this study. Simple randomization method that is paper chits were followed for the present study. After the randomization procedure the subjects where further divided into Group 1 (20 subjects) for bite-wafers use whereas Group 2(20 subjects) for sugar free chewing gum, Group 3(20 subjects) act as controls. Comparisons between the three experimental groups for four parameters were made using repeated-measures two-way ANOVA .When the (p<0.05) the statistical test was regarded as significant. Results: In bite-wafer group statistically significant pain reduction was seen at all instances during chewing function and high significance was observed during night and 24hrs.In Sugar free chewing gum group, Unlike the results of bite-wafers, chewing gum did not show to reduce the pain during the four masticatory functions, moreover they found to decrease pain during fitting front teeth in the 8th hr, second day. Also the ‘p’ values were not significant during any of the masticatory function with exception of fitting front teeth. Conclusion: Bite-wafer was effective in reducing the pain during the initial hours of retraction arch-wire placement. Chewing gum was not so effective in reducing the pain except during some oral functions like fitting front teeth. Bite-wafers could be a possible substitute for NSAIDs in reducing pain during initial retraction arch-wire placement.
Authors and Affiliations
Dr. Tarakesh karri
Keywords
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