正畸治疗疼痛的研究进展

疼痛是正畸治疗中最常见的问题之一,随着患者对治疗舒适度要求的增加,如何认识正畸治疗中的疼痛特点,如何减轻正畸治疗的疼痛程度,成为正畸医师关注的研究热点.本文就正畸治疗时疼痛的特点和减轻疼痛方法的研究进展作一综述.     

正畸牙移动疼痛相关介质的基础研究进展

在正畸治疗过程当中，疼痛是最为常见、最为棘手的问题之一，它不但关系到正畸治疗成效，而且关系到患者接受正畸治疗的意愿，其中包括年龄小的患者的依从性，年龄大的患者的疼痛敏感性。寻求有效地减少正畸治疗过程中的疼痛，掌握正畸疼痛的基本规律，已成为正畸学的重要研究方向之一。本文就正畸疼痛相关介质的基础研究进展做一综述。     

正畸疼痛的临床与基础研究进展

疼痛是正畸治疗过程中的常见症状,不仅影响正畸治疗的最终效果,而且影响患者是否接受正畸治疗的意愿。资料显示,95%的正畸患者出现过不同程度的疼痛症状。如何消除或减轻正畸疼痛,确保正畸矫治效果,改善口腔医疗服务质量,已成为越来越多的正畸医师和患者关注的问题之一。本文总结了正畸治疗中疼痛的表现、特点及可能的机制,并分析比较了目前临床上常用的镇痛措施,旨在进一步明确正畸疼痛的外周神经机制,为临床提供切实可行的疼痛缓解方案。     

正畸疼痛相关因子在牙髓牙周组织中的研究进展

在正畸治疗过程中,大多数患者会出现各种不同程度的疼痛.疼痛是令人不愉快的感觉,它使患者惧怕甚至放弃正畸治疗.寻找正畸疼痛发生和变化的规律,探讨如何有效地减轻或防止治疗过程中的疼痛,一直是正畸学中令人关注的热点.目前的研究开始从分子水平上关注正畸疼痛的相关机制,并发现疼痛相关因子在正畸疼痛的外周和中枢机制中均有重要的作用.本文就正畸疼痛相关因子在牙髓牙周组织中的研究进展作一综述.     

艾森克人格因素对成人正畸治疗疼痛的影响研究

目的探讨艾森克人格因素对成人正畸患者治疗过程中疼痛的影响,为正畸治疗过程中进行心理治疗以缓解治疗疼痛提供指导依据。方法选择进行正畸治疗的成人患者100例,治疗前由患者填写个人情况,并完成艾森克人格问卷,戴矫治器后采用视觉模拟评分法填写正畸治疗疼痛情况。对结果进行统计分析。结果艾森克人格E量表标准分同正畸疼痛呈负相关(-0.287～-0.358),而P、N、L量表的标准分均与正畸疼痛不相关。E标准分高的组(E≥60)和E标准分低的组(E<60)的正畸疼痛情况之间存在显著差异(P<0.05)。结论外向人格倾向者对疼痛的评分值低于内向人格倾向者。患者的人格倾向会影响患者的疼痛主诉程度,治疗前应对正畸患者进行必要的心理行为干预,以利于患者的健康与合作,提高口腔治疗效果。     

脑啡肽及其与牙疼痛关系的研究进展

正畸治疗过程中,大多数患者会出现各种不同程度的牙疼痛。正畸疼痛相关因子也成为国内外学者研究的热点。属内源性阿片肽家族的脑啡肽在牙疼痛信号的传导和调控中有重要作用。本文就脑啡肽及其与牙疼痛的关系作一综述。     

正畸治疗应如何规避颞下颌关节紊乱病的风险

颞下颌关节紊乱病是导致口颌面非牙源性疼痛的常见原因之一,但其病因机制尚未完全阐明.传统的牙合学理念认为咬合是其病因之一,改变患者咬合的正畸治疗也就被认为可能会导致颞下颌关节紊乱病.而由于正畸治疗持续2年左右,一旦患者在治疗中出现颞下颌关节病症状,就可能产生医患纠纷.因此,正畸医生如何在越来越多患者寻求正畸治疗的情况下,...     

正畸治疗中疼痛机制的研究进展

疼痛是正畸治疗中常见的也是令医生最棘手的问题之一,近年来关于正畸治疗中疼痛的机制研究较多,本文综述了该领域的最新进展,归纳并提出了其产生的可能机制。     

正畸治疗中疼痛机制的研究进展

疼痛是正畸治疗中常见的也是令医生最棘手的问题之一。近年来关于正畸治疗中疼痛的机制研究较多，本文综述了该领域的最新进展，归纳并提出了其产生的可能机制。     

音乐缓解正畸治疗性疼痛的临床研究

目的 探讨音乐对正畸治疗性疼痛的缓解作用。方法 根据随机对照原则将初戴固定矫治器的165例患者分为音乐组和空白组,音乐组采用音乐干预正畸性治疗疼痛,空白组不采用任何干预疼痛的措施。应用视觉模拟评分法（VAS）评估受试者的正畸治疗性疼痛强度,并分析受试者的年龄、性别、情绪及人格对音乐缓解正畸疼痛效果的影响。结果 有效调查率为85.45％。音乐组的正畸治疗性疼痛低于空白组（P<0.05）。音乐组和空白组中情绪不稳定患者较情绪稳定患者疼痛明显,内向型人格患者较外向型人格患者疼痛明显（P<0.05）。音乐组中女性患者较男性患者疼痛明显（P<0.05）。结论 音乐对正畸治疗性疼痛的缓解有较好的效果。音乐缓解正畸治疗性疼痛男性优于女性,外向型人格优于内向型人格,情绪稳定者优于不稳定者。     

Traumatic ulcers and pain in adults during orthodontic treatment

In the present investigation the frequency of oral ulcers and pain in 79 adults orthodontic patients was recorded. Only four of all patients had never had oral ulceration during treatment, but 83% of the patients characterized the trouble as minor. About 47% of the patients said that ulcers caused by the fixed appliance were the most annoying part of the treatment, and 38% said that activation of the appliance caused the most discomfort. In about 63% of the patients there was less pain when the treatment had lasted for some months, and in 24% there was no significant change in the discomfort. The pain following activation lasted for only 2-3 days (71%), but 20% had pain for more than 3 days, and five individuals felt pain constantly. The recurrence of aphthous ulceration (RAU) was not significantly affected during the orthodontic treatment, and in only one case was there an increase in the occurrence of herpes labialis.     

正畸疼痛的研究进展

疼痛是组织损伤或潜在组织损伤所引起的不愉快感觉和情感体验。正畸疼痛会对患者的依从性造成负面影响,也使得许多患者抵制正畸治疗。该文总结了现有的研究中关于正畸疼痛的研究进展,并针对在临床工作中医生和患者可能会产生的疑问寻找可靠的答案。     

儿童固定正畸治疗与疼痛的相关分析

目的：分析固定正畸治疗后患儿的疼痛情况,以期指导正畸的I临床工作和术后护理。方法：随机选取335例进行固定矫治器治疗的儿童患者,采用视觉模拟评分法（VAS）在治疗后2h、6h、夜间、24h、2d、3d及7d分别测量其术后疼痛情况,进行评分及统计分析。结果：正畸治疗2h后疼痛开始加重,其后24h内疼痛程度于夜间达到最高水平,第2d开始疼痛减轻,第7d基本恢复正常状态。咀嚼与否及前后牙的疼痛情况基本相似。结论：VAS法可有效分析儿童接受正畸治疗后的疼痛情况,为医生临床工作和治疗后护理提供有益的指导。     

�������в����ν�������Damon Q�����в۳���Ů��������ʹ�Ա��о�

??Objective    To compare the pain in adult female patients with the application of the invisalign® and Damon Q self-locking brackets during initial orthodontic treatment. Methods    Totally 81 orthodontic adult female patients were selected and randomly divided into 2 groups??44 patients in experimental group wore invisalign® aligners while 37 patients in control group wore Damon Q self-locking brackets appliances. VAS was used to evaluate the time of occurrence of pain and the degree of the pain at 2 h??4 h??8 h??24 h??2 d??3 d??4 d??5 d??6 d and 7 d after the orthodontic treatment. SF-MPQ was used to evaluate the nature of the pain and the incidence of ulcer. Results    Totally 76 effective questionnaires had been collected??and no significant differences were demonstrated in the overall rates of occurrence or the degree of the pain in both groups within the observation period??P > 0.05????but the nature of the pain was different. The incidence rate of ulcer in experimental group was lower than in control group. Conclusion    Basically there is pain in the patients who wear invisalign and Damon Q self-locking brackets for the first time?? but the nature of the pain and the occurrence of ulcer have significant difference.     

Traumatic ulcers and pain during orthodontic treatment

In the present investigation the frequency of oral ulcers and pain in 161 orthodontic patients was recorded. Of all patients, 95% had experienced pain, but 84.5% said that the pain lasted a few days only. About 11% maintained that the treatment was constantly painful. Significantly more patients coming from private clinics complained of pain than those attending treatment at the Department of Orthodontics. About 50% said that activating or changing archwire was most annoying, whereas 28.7% said ulceration and 21% said headgear was the most annoying part of the treatment. According to 75% of the patients, sleeping habits were not influenced. Only eight patients reported truancy, and seven of these had done this only once. Of all patients, 6.2% had requested interim visits. Small wounds caused by the fixed appliance were reported by 75.8% of the patients, and 2.5% had suffered badly from ulceration caused by the fixed appliances. More girls than boys reported ulceration. There was a significant sex difference as regards recurrent aphthous ulceration (RAU). Increase in the frequency of RAU was reported by 23.1% of the girls and 9.6% of the boys while they had fixed appliances.