Pain, masticatory performance and swallowing threshold in orthodontic patients

OBJECTIVE: The aim of this study was to assess pain, masticatory performance and swallowing threshold of patients undergoing orthodontic treatment. METHODS: Ten patients of both genders (mean age of 17.25 ± 5.21 years), with complete permanent dentition, who underwent orthodontic treatment with fixe...

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Main Authors: Marcos Porto Trein, Karina Santos Mundstock, Leonardo Maciel, Jaqueline Rachor, Gustavo Hauber Gameiro
Format: Article
Language:English
Published: Dental Press Editora 2013-12-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000600018&lng=en&tlng=en
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author Marcos Porto Trein
Karina Santos Mundstock
Leonardo Maciel
Jaqueline Rachor
Gustavo Hauber Gameiro
author_facet Marcos Porto Trein
Karina Santos Mundstock
Leonardo Maciel
Jaqueline Rachor
Gustavo Hauber Gameiro
author_sort Marcos Porto Trein
collection DOAJ
description OBJECTIVE: The aim of this study was to assess pain, masticatory performance and swallowing threshold of patients undergoing orthodontic treatment. METHODS: Ten patients of both genders (mean age of 17.25 ± 5.21 years), with complete permanent dentition, who underwent orthodontic treatment with fixed appliances were evaluated. The masticatory performance and the swallowing threshold were assessed by patient's individual capacity of fragmenting an artificial test food (Optocal) which was chewed and had the resulting particles processed by a standardized sieving method, presenting the median particle size (MPS) of crushed units. The intensity of pain / discomfort during chewing was evaluated by means of a visual analog scale. All tests were performed at the following times: T0 - before activating the orthodontic appliance; T1 - 24 hours after activation, and T2 - 30 days after activation. RESULTS: The results showed a significant increase in pain at T1 (T0 - 0.60 ± 0.70 mm; T1 - 66.2 ± 34.5 mm), returning to baseline values at T2 (3.20 ± 3.82 mm). Masticatory performance was also reduced in T1 (MPS 10.15 ± 1.1 mm²) in comparison to T0 (MPS 7.01 ± 2.9 mm²) and T2 (MPS 6.76 ± 1.3 mm²). However, particle size was not affected in the swallowing threshold test (T0 - 5.47 ± 2.37 mm²; T1 - 6.19 ± 2.05 mm²; T2 - 5.94 ± 2.36 mm²). CONCLUSION: The orthodontic appliances did not interfere in the size of the particles that would be swallowed, even in the presence of pain.
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spelling doaj.art-a696ea78bef4436c96d7990c10d345d92022-12-21T23:37:22ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092013-12-0118611712310.1590/S2176-94512013000600018S2176-94512013000600018Pain, masticatory performance and swallowing threshold in orthodontic patientsMarcos Porto Trein0Karina Santos Mundstock1Leonardo Maciel2Jaqueline Rachor3Gustavo Hauber Gameiro4Universidade Federal do Rio Grande do SulUniversidade Federal do Rio Grande do SulUniversidade Federal do Rio Grande do SulUniversidade Federal do Rio Grande do SulUniversidade Estadual de CampinasOBJECTIVE: The aim of this study was to assess pain, masticatory performance and swallowing threshold of patients undergoing orthodontic treatment. METHODS: Ten patients of both genders (mean age of 17.25 ± 5.21 years), with complete permanent dentition, who underwent orthodontic treatment with fixed appliances were evaluated. The masticatory performance and the swallowing threshold were assessed by patient's individual capacity of fragmenting an artificial test food (Optocal) which was chewed and had the resulting particles processed by a standardized sieving method, presenting the median particle size (MPS) of crushed units. The intensity of pain / discomfort during chewing was evaluated by means of a visual analog scale. All tests were performed at the following times: T0 - before activating the orthodontic appliance; T1 - 24 hours after activation, and T2 - 30 days after activation. RESULTS: The results showed a significant increase in pain at T1 (T0 - 0.60 ± 0.70 mm; T1 - 66.2 ± 34.5 mm), returning to baseline values at T2 (3.20 ± 3.82 mm). Masticatory performance was also reduced in T1 (MPS 10.15 ± 1.1 mm²) in comparison to T0 (MPS 7.01 ± 2.9 mm²) and T2 (MPS 6.76 ± 1.3 mm²). However, particle size was not affected in the swallowing threshold test (T0 - 5.47 ± 2.37 mm²; T1 - 6.19 ± 2.05 mm²; T2 - 5.94 ± 2.36 mm²). CONCLUSION: The orthodontic appliances did not interfere in the size of the particles that would be swallowed, even in the presence of pain.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000600018&lng=en&tlng=enMastigaçãoMá oclusãoOrtodontia
spellingShingle Marcos Porto Trein
Karina Santos Mundstock
Leonardo Maciel
Jaqueline Rachor
Gustavo Hauber Gameiro
Pain, masticatory performance and swallowing threshold in orthodontic patients
Dental Press Journal of Orthodontics
Mastigação
Má oclusão
Ortodontia
title Pain, masticatory performance and swallowing threshold in orthodontic patients
title_full Pain, masticatory performance and swallowing threshold in orthodontic patients
title_fullStr Pain, masticatory performance and swallowing threshold in orthodontic patients
title_full_unstemmed Pain, masticatory performance and swallowing threshold in orthodontic patients
title_short Pain, masticatory performance and swallowing threshold in orthodontic patients
title_sort pain masticatory performance and swallowing threshold in orthodontic patients
topic Mastigação
Má oclusão
Ortodontia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000600018&lng=en&tlng=en
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AT jaquelinerachor painmasticatoryperformanceandswallowingthresholdinorthodonticpatients
AT gustavohaubergameiro painmasticatoryperformanceandswallowingthresholdinorthodonticpatients