Effect of acetaminophen on relieving orthodontic pain with clear aligner based on GAD-7: A retrospective research

Objectives: Patients may have uncomfortable feelings during orthodontic treatment, which can directly lead to dissatisfaction. So in order to improve the patient's sense of pleasure during the treatment, it would be of great benefit if orthodontic pain can be relieved. Materials and methods: We...

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Main Authors: Yunan Gao, Rui Wang, Qiong Liu, Bo Zhou, Hu Qiao
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023105007
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author Yunan Gao
Rui Wang
Qiong Liu
Bo Zhou
Hu Qiao
author_facet Yunan Gao
Rui Wang
Qiong Liu
Bo Zhou
Hu Qiao
author_sort Yunan Gao
collection DOAJ
description Objectives: Patients may have uncomfortable feelings during orthodontic treatment, which can directly lead to dissatisfaction. So in order to improve the patient's sense of pleasure during the treatment, it would be of great benefit if orthodontic pain can be relieved. Materials and methods: We included 150 patients wearing clear aligners from 18 to 30 years old during 2018–2020. Then designed following groups to determine the effectiveness of both verbal behavior modification and combination therapy with acetaminophen in reducing treatment pain: Group A, generalized anxiety disorder 7 (GAD-7) scored 0–4; Group B, GAD-7 scored 5–9; Group C, GAD-7 scored 10–14; and Group D, GAD-7 scored 15–21. Results: There was a difference in the visual analog scale (VAS) between verbal behavior modification with and without a 300-mg acetaminophen tablet oral QD in Group A (received the intervention at 8 h and 1 d), Group B at 8 h and 1 d, Group C at 8 h, 1 d, 2 d, and 3 d, and Group D at 8 h, 1 d, 2 d, 3 d, and 4 d. After 8 h, 1 d, 2 d, 3 d, and 4 d in patients with verbal behavior modification, VAS was markedly increased in Group D compared with Group A, B and C. Furthermore, after 8 h and 1 d in patients with verbal behavior modification and 300-mg acetaminophen tablet oral QD, VAS was strongly enhanced in Group D. Conclusions: Dental anxiety is strongly associated with pain in orthodontic patients receiving clear aligners. Acetaminophen administration may be a benefit in orthodontic pain that results from clear aligners, especially in the group with more GAD-7.
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spelling doaj.art-2473d30e20c64889ae6f211fb12b229e2024-02-01T06:31:21ZengElsevierHeliyon2405-84402024-01-01101e23292Effect of acetaminophen on relieving orthodontic pain with clear aligner based on GAD-7: A retrospective researchYunan Gao0Rui Wang1Qiong Liu2Bo Zhou3Hu Qiao4Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, ChinaKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, ChinaRespiratory and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China; Corresponding author. Respiratory and critical care medicine, the First Affiliated Hospital of Xi'an Jiaotong University, Yanta West Road, Xi'an, Shaanxi 710000, China.Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China; Corresponding author. College of Stomatology, Xi'an Jiaotong University, Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, 98# Xiwu Road, Xi'an, Shaanxi 710004, China.Objectives: Patients may have uncomfortable feelings during orthodontic treatment, which can directly lead to dissatisfaction. So in order to improve the patient's sense of pleasure during the treatment, it would be of great benefit if orthodontic pain can be relieved. Materials and methods: We included 150 patients wearing clear aligners from 18 to 30 years old during 2018–2020. Then designed following groups to determine the effectiveness of both verbal behavior modification and combination therapy with acetaminophen in reducing treatment pain: Group A, generalized anxiety disorder 7 (GAD-7) scored 0–4; Group B, GAD-7 scored 5–9; Group C, GAD-7 scored 10–14; and Group D, GAD-7 scored 15–21. Results: There was a difference in the visual analog scale (VAS) between verbal behavior modification with and without a 300-mg acetaminophen tablet oral QD in Group A (received the intervention at 8 h and 1 d), Group B at 8 h and 1 d, Group C at 8 h, 1 d, 2 d, and 3 d, and Group D at 8 h, 1 d, 2 d, 3 d, and 4 d. After 8 h, 1 d, 2 d, 3 d, and 4 d in patients with verbal behavior modification, VAS was markedly increased in Group D compared with Group A, B and C. Furthermore, after 8 h and 1 d in patients with verbal behavior modification and 300-mg acetaminophen tablet oral QD, VAS was strongly enhanced in Group D. Conclusions: Dental anxiety is strongly associated with pain in orthodontic patients receiving clear aligners. Acetaminophen administration may be a benefit in orthodontic pain that results from clear aligners, especially in the group with more GAD-7.http://www.sciencedirect.com/science/article/pii/S2405844023105007Clear alignersGAD-7AcetaminophenOrthodontic painVerbal behavior modification
spellingShingle Yunan Gao
Rui Wang
Qiong Liu
Bo Zhou
Hu Qiao
Effect of acetaminophen on relieving orthodontic pain with clear aligner based on GAD-7: A retrospective research
Heliyon
Clear aligners
GAD-7
Acetaminophen
Orthodontic pain
Verbal behavior modification
title Effect of acetaminophen on relieving orthodontic pain with clear aligner based on GAD-7: A retrospective research
title_full Effect of acetaminophen on relieving orthodontic pain with clear aligner based on GAD-7: A retrospective research
title_fullStr Effect of acetaminophen on relieving orthodontic pain with clear aligner based on GAD-7: A retrospective research
title_full_unstemmed Effect of acetaminophen on relieving orthodontic pain with clear aligner based on GAD-7: A retrospective research
title_short Effect of acetaminophen on relieving orthodontic pain with clear aligner based on GAD-7: A retrospective research
title_sort effect of acetaminophen on relieving orthodontic pain with clear aligner based on gad 7 a retrospective research
topic Clear aligners
GAD-7
Acetaminophen
Orthodontic pain
Verbal behavior modification
url http://www.sciencedirect.com/science/article/pii/S2405844023105007
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AT qiongliu effectofacetaminophenonrelievingorthodonticpainwithclearalignerbasedongad7aretrospectiveresearch
AT bozhou effectofacetaminophenonrelievingorthodonticpainwithclearalignerbasedongad7aretrospectiveresearch
AT huqiao effectofacetaminophenonrelievingorthodonticpainwithclearalignerbasedongad7aretrospectiveresearch