Self-Ligating Brackets fail to Reduce Pain Compared to Conventional Orthodontic Appliances in Patients With Class I Malocclusion

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-05-17T20:00:15+05:30 | Updated On 17 May 2023 8:00 PM IST

Self-Ligating Brackets Do Not Reduce Pain Compared With Conventional Orthodontic Appliances in Patients With Class I Malocclusion suggests a new study published in The Angle Orthodontist

A study was done to compare the intensity, location, and short-term impact of the periodontal discomfort/pain, as well as the related functional parameters of bite force and masticatory efficiency, between self-ligating and conventional orthodontic appliances.

In 20 patients referred for orthodontic treatment, samples were collected from the gingival sulcus to evaluate the level of substance P using enzyme-linked immunosorbent assay. Orthodontic devices were randomly bonded, with self-ligating appliances on one side and conventional brackets on the contralateral side. Pain threshold (PT), maximal bite force (MBF), and masticatory efficiency (ME) were assessed using standard validated techniques at the beginning of the treatment and 24 hours post–orthodontic activation with an 0.016-inch nickel-titanium wire.

Results

There were no significant differences (P > .05) in the substance P levels, PT, MBF, and ME between the self-ligating and conventional orthodontic appliances.

There was no difference between conventional and self-ligating appliances in the parameters of pain: substance P and pressure. Functional aspects, such as pain, discomfort, and masticatory efficiency, should not be considered when making a therapeutic decision regarding the use of self-ligating vs conventional orthodontic appliances.

Since no differences in pain, substance P levels, and pressure were observed between patients who received self-ligating brackets and those who received conventional orthodontic appliances, Clinicians should not consider pain and discomfort or masticatory efficiency when making a therapeutic decision regarding the use of self-ligating and conventional orthodontic appliances

Reference:

Gracia Costa Lopes, Gilson Kazuo Watinaga, Antônio Sérgio Guimarães, Lidia Audrey Rocha Valadas, Juliana Ramacciato; Self-ligating brackets do not reduce discomfort or pain when compared to conventional orthodontic appliances in Class I patients: a clinical study. Angle Orthod 2023; doi:

https://doi.org/10.2319/050822-346.1

Keywords:

Self-Ligating, Brackets, Reduce, Pain, Compared, Conventional, Orthodontic, Appliances, Patients, Class I Malocclusion, The Angle Orthodontist, Gracia Costa Lopes, Gilson Kazuo Watinaga, Antônio Sérgio Guimarães, Lidia Audrey Rocha Valadas, Juliana Ramacciato

Self-LigatingBracketsReducePainComparedConventionalOrthodonticAppliancesPatientsClass I MalocclusionThe Angle Orthodontist

Source : The Angle Orthodontist

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751