Fatih Celebi*

Private Practice, Sivas, Turkey

*Corresponding Author: Fatih Celebi, Private Practice, Sivas, Turkey.

Received: November 13, 2023; Published: December 08, 2023

Abstract

Background: The aim of this study was to investigate the effects of vibration on pain caused by fixed orthodontic and aligner treatments.

Materials and Methods: 80 patients with 3-6-mm maxillary dental crowding and a non-extraction treatment plan were included in the study. The patients were allocated randomly into four groups, with ten females and ten males in each. The groups were titled: (1) Fixed Control Group (FCG), (2) Fixed Vibration Group (FVG), (3) Aligner Control Group (ACG), and (4) Aligner Vibration Group (AVG). In the FCG and FVG groups, treatment was initiated in the maxillary arch with a 0.018 × 0.025-inch pre-adjusted edgewise appliance and a 0.014-inch round nickel-titanium archwire. In the ACG and AVG groups, treatment was started in the maxillary dental arch with polyurethane aligners. In the FVG and AVG groups, vibration was applied three times with 20 minutes per season: immediately, 24 hours, and 48 hours after the initiation of the treatment. Pain scores were measured by the visual analog scale during the first seven days of treatments.

Results: The pain score of the FVG at the sixth hour was statistically significantly lower than the pain score of the FCG. No statistically significant differences were detected at the remaining time points of the fixed treatment groups, nor at any time point between the aligner groups.

Conclusions: Mechanical vibration was not found to have a clinically significant pain-relief effect on the pain that occurred in fixed orthodontic treatment, nor in aligner treatment.

Keywords:Aligner Treatment; Fixed Orthodontic Treatment; Pain; Vibration

References

1. Erdinc AM and Dincer B. “Perception of pain during orthodontic treatment with fixed appliances”. European Journal of Orthodontics 26 (2004): 79-85.
2. Bergius M., et al. “Experience of pain during an orthodontic procedure”. European Journal of Oral Sciences 110 (2002): 92-98.
3. Lew KK. “Attitudes and perceptions of adults toward orthodontic treatment in an Asian community”. Community Dentistry and Oral Epidemiology 21 (1993): 31-35.
4. Krukemeyer AM., et al. “Pain and orthodontic treatment”. The Angle Orthodontist 79 (2009): 1175-1181.
5. Haynes S. “Discontinuation of orthodontic treatment relative to patient age”. Journal of Dentistry 2 (1974): 138-142.
6. Miller KB., et al. “A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment”. American Journal of Orthodontics and Dentofacial Orthopedics 131 (2007): 302 e1-e9.
7. Shalish M., et al. “Adult patients’ adjustability to orthodontic appliances. Part I: a comparison between labial, lingual, and Invisalign”. European Journal of Orthodontics 34 (2012): 724-730.
8. Fujiyama K., et al. “Analysis of pain level in cases treated with Invisalign aligner: comparison with fixed edgewise appliance therapy”. Progress in Orthodontics 15 (2014): 64.
9. Krishnan V. “Orthodontic pain: from causes to management-a review”. European Journal of Orthodontics 29 (2007): 170-179.
10. Polat O., et al. “Effects of preoperative ibuprofen and naproxen sodium on orthodontic pain”. The Angle Orthodontist 75 (2005): 791-796.
11. Marie SS., et al. “Vibratory stimulation as a method of reducing pain after orthodontic appliance adjustment”. Journal of Clinical Orthodontics 37 (2003): 205-208.
12. Lundeberg T., et al. “Pain alleviation by vibratory stimulation”. Pain 20 (1984): 25-44.
13. Miles P., et al. “The effects of a vibrational appliance on tooth movement and patient discomfort: a prospective randomised clinical trial”. Australasian Orthodontic Journal 28 (2012): 208-213.
14. Celebi F., et al. “Effects of low-level laser therapy and mechanical vibration on orthodontic pain caused by initial archwire”. American Journal of Orthodontics and Dentofacial Orthopedics156 (2019): 87-93.
15. Lobre WD., et al. “Pain control in orthodontics using a micropulse vibration device: A randomized clinical trial”. The Angle Orthodontist 86 (2016): 625-630.
16. Taha K., et al. “Effects of mechanical vibrations on maxillary canine retraction and perceived pain: a pilot, single-center, randomized-controlled clinical trial”. Odontology 108 (2020): 321-330.
17. Woodhouse NR., et al. “Supplemental vibrational force does not reduce pain experience during initial alignment with fixed orthodontic appliances: a multicenter randomized clinical trial”. Scientific Reports 5 (2015): 17224. 
18. Bakdach WMM and Hadad R. “Effectiveness of supplemental vibrational force in reducing pain associated with orthodontic treatment: a systematic review”. Quintessence Int 51 (2020): 742-752.
19. Jing D., et al. “The effectiveness of vibrational stimulus to accelerate orthodontic tooth movement: a systematic review”. BMC Oral Health 17 (2017): 143. 
20. Katchooi M., et al. “Effect of supplemental vibration on orthodontic treatment with aligners: A randomized trial”. American Journal of Orthodontics and Dentofacial Orthopedics 153 (2018): 336-346.
21. Azeem M., et al. “Effectiveness of electric toothbrush as vibration method on orthodontic tooth movement: a split-mouth study”. Dental Press Journal of Orthodontics 24 (2019): 49-55.
22. Bicakci AA., et al. “Efficiency of low-level laser therapy in reducing pain induced by orthodontic forces”. Photomedicine and Laser Surgery 30 (2012): 460-465.
23. Tuncer Z., et al. “Effects of various analgesics on the level of prostaglandin E2 during orthodontic tooth movement”. European Journal of Orthodontics 36 (2014): 268-274.
24. Giannopoulou C., et al. “Pain discomfort and crevicular fluid changes induced by orthodontic elastic separators in children”. The Journal of Pain 7 (2006): 367-376.

Citation

Citation: Fatih Celebi. “The Evaluation of the Pain-Relief Effect of Mechanical Vibration in Conventional Fixed and Clear Aligner Treatments".Acta Scientific Dental Sciences 8.1 (2024): 11-15.

Copyright

Copyright: © 2024 Fatih Celebi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.