The influence of patient's motivation on reported pain during orthodontic treatment

INTRODUCTION: Patients usually experience pain during orthodontic treatment. This fact can affect cooperation and the development of treatment. Reporting pain during treatment seems to be influenced by emotional aspects such as the patient's motivation. OBJECTIVE: To assess the relationship bet...

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Main Authors: Marcio José da Silva Campos, Robert Willer Farinazzo Vitral
Format: Article
Language:English
Published: Dental Press Editora 2013-06-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000300013&lng=en&tlng=en
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author Marcio José da Silva Campos
Robert Willer Farinazzo Vitral
author_facet Marcio José da Silva Campos
Robert Willer Farinazzo Vitral
author_sort Marcio José da Silva Campos
collection DOAJ
description INTRODUCTION: Patients usually experience pain during orthodontic treatment. This fact can affect cooperation and the development of treatment. Reporting pain during treatment seems to be influenced by emotional aspects such as the patient's motivation. OBJECTIVE: To assess the relationship between patient's motivation and the intensity of reported pain during two stages of treatment. METHODS: Twenty males (11-37 years old) answered a questionnaire divided into five categories regarding their motivation towards treatment. The subjects were studied for 14 days (7 days with bonded brackets and 7 days with the initial arch inserted) and the intensity of pain was evaluated on a daily basis. All the issues, including the intensity of pain, were measured through the visual analog scale (VAS). RESULTS: The VAS-associated questionnaire proved to have good temporal reliability and reasonable internal consistency, being that the "perceived severity" domain had the greatest, although not significant (p = 0.196) correlation with pain intensity. Only the question asking the patients if they thought that their teeth were too uneven showed a positive correlation with pain intensity (p = 0.048). CONCLUSION: The results seem to indicate that the five categories related to treatment motivation cannot be used to predict discomfort during treatment. In addition, patients who think their teeth are too uneven may experience more severe pain due to greater force application after insertion of the initial arch.
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spelling doaj.art-17a07345c9894870b5b5313f0bac659e2022-12-22T01:18:06ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092013-06-01183808510.1590/S2176-94512013000300013S2176-94512013000300013The influence of patient's motivation on reported pain during orthodontic treatmentMarcio José da Silva Campos0Robert Willer Farinazzo Vitral1Universidade Federal de Juiz de ForaUniversidade Federal de Juiz de ForaINTRODUCTION: Patients usually experience pain during orthodontic treatment. This fact can affect cooperation and the development of treatment. Reporting pain during treatment seems to be influenced by emotional aspects such as the patient's motivation. OBJECTIVE: To assess the relationship between patient's motivation and the intensity of reported pain during two stages of treatment. METHODS: Twenty males (11-37 years old) answered a questionnaire divided into five categories regarding their motivation towards treatment. The subjects were studied for 14 days (7 days with bonded brackets and 7 days with the initial arch inserted) and the intensity of pain was evaluated on a daily basis. All the issues, including the intensity of pain, were measured through the visual analog scale (VAS). RESULTS: The VAS-associated questionnaire proved to have good temporal reliability and reasonable internal consistency, being that the "perceived severity" domain had the greatest, although not significant (p = 0.196) correlation with pain intensity. Only the question asking the patients if they thought that their teeth were too uneven showed a positive correlation with pain intensity (p = 0.048). CONCLUSION: The results seem to indicate that the five categories related to treatment motivation cannot be used to predict discomfort during treatment. In addition, patients who think their teeth are too uneven may experience more severe pain due to greater force application after insertion of the initial arch.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000300013&lng=en&tlng=enMedição da dorMotivaçãoOrtodontia
spellingShingle Marcio José da Silva Campos
Robert Willer Farinazzo Vitral
The influence of patient's motivation on reported pain during orthodontic treatment
Dental Press Journal of Orthodontics
Medição da dor
Motivação
Ortodontia
title The influence of patient's motivation on reported pain during orthodontic treatment
title_full The influence of patient's motivation on reported pain during orthodontic treatment
title_fullStr The influence of patient's motivation on reported pain during orthodontic treatment
title_full_unstemmed The influence of patient's motivation on reported pain during orthodontic treatment
title_short The influence of patient's motivation on reported pain during orthodontic treatment
title_sort influence of patient s motivation on reported pain during orthodontic treatment
topic Medição da dor
Motivação
Ortodontia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000300013&lng=en&tlng=en
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