Ottens, T.S.A. (2014) Pijnperceptie van orthodontisch behandelde patiënten met skelettale verankering. thesis, Dentistry.
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Abstract
The use of skeletal anchorage techniques in orthodontic treatments have been applied for only a relatively short period of time. Knowledge of complications, especially pain perception and aftereffects of these patients is limited and is mainly based on the clinical experience of the specialists carrying out these treatments. The purpose of this study is to describe the (pain)perception of patients who have received skeletal bone anchors for the purpose of an orthodontic treatment. This includes bone anchors placed on the mandible and / or the maxilla. We also examined the aftereffects and complications that occur during or after treatment. Between 2005 and 2011, 105 patients (34 men, 71 women), aged between 11 and 64 years (mean age 23.6 years) who have had one or more bone anchors placed received a questionnaire. Using Visual Analog Scales (VAS scores) people were asked to mark their perceived amount of discomfort/pain. Also, the type and amount of painkillers, complications and aftereffects have been documented. A repeated measures ANOVA test was used to see whether there is a difference between the pain experienced by the group with anchors on the maxilla and the group with anchors on the mandible. Subsequently, a paired sample t-test is used to see between which days the pain levels significantly drop (p <0.05). Impediments by specific activities are measured the first 3 days after surgery and are processed in bar charts. Aftereffects, complications and pain relief were analyzed using descriptive statistics. Finally, the VAS-scores for overall satisfaction with treatment after 14 days were divided into five groups: very dissatisfied (0-19,9), dissatisfied (20-39,9), neutral (40-59,9), pleased (60-79,9) and very pleased (80-100). Results show that there is no difference between the upper jaw and lower jaw groups p <0.05 [F (1.7, 152) = 0.252, p = 0.735]. Time has a significant positive effect on pain perception [F (1.7, 152) = 20.989, p = 0.000], with the greatest reduction in pain / discomfort between day 1 and day 2 after surgery (p = 0.023) In 89 (84.4% of the) patients no complications occurred. 7 patients developed an abscess after placement. Other complications were lip and cheek trauma by stinging anchors (4), sensory disturbances (2), epistaxis (1) and iatrogenic damage to radix (1). The failure rate is 0.54%. About 25% indicated pain (due to) swelling of the lips and cheeks as the most bothersome aftereffect. The most painful activity after placement of the anchors is chewing solid hard foods, drinking is the least painful activity. A total of 94.6 percent of the patients had a neutral (17.2%), pleased (33.3%) or very pleased (44.1%) feeling about the treatment after 14 days. Thus, the treatment of skeletal anchorage seems to be a good alternative to treatments with traditional anchorage treatment systems.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Janssen, mw. drs. K.I. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:05 |
| Last Modified: | 25 Jun 2020 11:05 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2517 |
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