Management of Pain during Orthodontic Treatment

Drg R Rama Putranto Mkes PhD, Staf pengajar UNISSULA

**drg Nurhaerani, SpKGA PhD

*** drg Sandy Christiono SpKGA, Staf pengajar UNISSULA


Pain is one of the most important reasons why patients are discouraged from seeking orthodontics treatment. The mechanisms whereby the application of orthodontic forces cause pain are not yet fully understood, but there are indications that these perceptions are due to changes in blood flow in the periodontal ligament and correlated with the presence of prostaglandins, substance P and other substances. There is no doubt that the perception of orthodontic pain is part of an inflammatory reaction causing changes in blood flow following orthodontic force application. This is known to result in the release of various chemical mediators eliciting a hyperalgesic response. Orthodontic tooth movement is known to cause inflammatory reactions in the periodontium and dental pulp, which will stimulate release of various biochemical mediators causing the sensation of pain. Burstone (1962) classified a painful response to orthodontic mechanics in two ways: one depends on the relationship of force application with pain and the other according to the time of onset. Orthodontic pain can be managed by the use of non-steroidal anti-inflammatory drugs (NSAIDs) for pain control, even though other methods (such as anesthetic gel, bite wafers) have been suggested.


Key words : Management of pain, Orthodontic Treatment, Inflammatory reactions,  NSAID

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