Evaluation of the levels of pain and discomfort of discision technique on accelerating orthodontic movement
Abstract
The dicision technique is the latest minimally invasive surgical technique offered to acceleration orthodontic treatment, and it is inexpensive and can be performed in the clinic by the orthodontist himself. There is a rarity of scientific evidence that studies the pain and discomfort associated with minimally invasive surgical procedures.
Further high-quality randomized controlled clinical trials are needed to verify this. The objective of this randomized controlled clinical trial is to assess levels of pain and discomfort when using the discision technique during orthodontic treatment
Materials and methods: A randomized controlled clinical study in which the design of the split mouth was applied (there is an arm of the discision and the other arm the conventional treatment). It included 12 patients (7 females and 5 males).
To assess acceptance, satisfaction, levels of pain, discomfort, irritability, and eating difficulties associated with minimally invasive cortical resections performed using a saw disc, a questionnaire was used based on a set of questions answered by patients given after 1 day 7 days 14 days 28 days, through the use of VAS scales. The Wilcoxon test was perfomed to analyze the data
Results : There was a statistically significant difference between the control side and the discision side with the four variables (pain - discomfort - engorgement - chewing difficulty) only during the first evaluation time (24 hours after making the discision technique), where the probability value was (0.005 - 0.003 -0.014 -0.018) respectively, while the difference between the two sides was not significant in the remaining three evaluation times, where the probabilistic value was greater than 0.05 at the 95% confidence level.
Conclusions: The discision technique was accompanied with slightly higher levels of pain, discomfort, flatulence, chewing and swallowing difficulties, and limited mouth movement only a day after its application, and high levels of satisfaction and acceptance one month after its application.
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