Base de dados : MEDLINE
Pesquisa : E06.658.578 [Categoria DeCS]
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  1 / 13600 MEDLINE  
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[PMID]:29364825
[Au] Autor:Strippoli J; Durand R; Schmittbuhl M; Voyer R; Rompré P; Nishio C
[Ad] Endereço:Private Practice of Orthodontics in Tassin-la-Demi-Lune, France.
[Ti] Título:Pain and quality of life in patients undergoing guided piezocorticision- assisted orthodontic treatment.
[So] Source:J Clin Orthod;51(12):792-799, 2017 Dec.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ortodontia Corretiva
Dor/etiologia
Piezocirurgia
Qualidade de Vida
[Mh] Termos MeSH secundário: Adolescente
Adulto
Processo Alveolar/cirurgia
Feminino
Seres Humanos
Masculino
Escala Visual Analógica
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE


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[PMID]:29364824
[Au] Autor:Fry R
[Ad] Endereço:University of Southern California, Los Angeles; University of the Pacific, San Francisco, CA; New York University, New York City; Private Practice of Orthodontics at Fry Orthodontic Specialists in Overland Park, KS. bobfryortho@gmail.com.
[Ti] Título:Weekly aligner changes to improve Invisalign treatment efficiency.
[So] Source:J Clin Orthod;51(12):786-791, 2017 Dec.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Agendamento de Consultas
Aparelhos Ortodônticos Removíveis
Ortodontia Corretiva/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE


  3 / 13600 MEDLINE  
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[PMID]:29407508
[Au] Autor:Kim J; Chun YS; Kim M
[Ad] Endereço:Department of Orthodontics, Ewha Womans University, Seoul, Korea.
[Ti] Título:Accuracy of bracket positions with a CAD/CAM indirect bonding system in posterior teeth with different cusp heights.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):298-307, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Our objective was to evaluate the effect of cusp height of posterior teeth (first premolar, second premolar, first molar) on the accuracy of the computer-aided design and computer-aided manufacturing (CAD-CAM) indirect bonding system. MATERIAL: Five kinds of maxillary arch models, without attrition, were divided into 2 groups: control group (with 0.5 mm of grinding) and experimental group (with the addition of 0.5 mm of wax to the cusp tip). Rapid prototype models were printed for both groups. Transfer jigs of the individual tooth brackets were designed using a digital model. 3-dimensional program to evaluate the differences between the intended digital bracket position and actual bracket position after indirect bonding. The differences were measured in the linear (mesiodistal, buccolingual, vertical) and angular (angulation, rotation, torque) dimensions. The Wilcoxon signed rank test was used for statistical analyses; significance was defined as P <0.05. RESULTS: Both groups had similar frequencies of errors between the intended and actual bracket positions. The frequencies of vertical errors over 0.5 mm were 3.3% and 6.7% in the control and experimental groups, respectively. The frequencies of angulation, rotation, and torque errors over 1° were 53.3%, 43.3%, and 60%, respectively, for the control group; and 60%, 60%, and 73.3%, respectively, for the experimental group. CONCLUSIONS: A difference in cusp height of maxillary posterior teeth did not produce a statistically significant difference in the linear and angular dimensions of bracket placement with the CAD/CAM indirect bonding system. However, given the tendency for a higher frequency in bracket placement errors in posterior teeth with larger cusp tips, cusp height should be considered when using a CAD/CAM indirect bonding system.
[Mh] Termos MeSH primário: Projeto Auxiliado por Computador
Planejamento de Prótese Dentária/métodos
Braquetes Ortodônticos
[Mh] Termos MeSH secundário: Modelos Dentários
Seres Humanos
Dente Molar/patologia
Ortodontia Corretiva/instrumentação
Ortodontia Corretiva/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29407501
[Au] Autor:Al-Dumaini AA; Halboub E; Alhammadi MS; Ishaq RAR; Youssef M
[Ad] Endereço:Ibn Al-Hytham Dental Center, Rafha, Saudi Arabia.
[Ti] Título:A novel approach for treatment of skeletal Class II malocclusion: Miniplates-based skeletal anchorage.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):239-247, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The objective of this study was to evaluate the effect of a new approach-bimaxillary miniplates-based skeletal anchorage-in the treatment of skeletal Class II malocclusion compared with untreated subjects. METHODS: The study (miniplates) group comprised 28 patients (14 boys, 14 girls) with skeletal Class II malocclusion due to mandibular retrusion, with a mean age of 11.83 years. After 0.017 × 0.025-in stainless steel archwires were placed in both arches, 4 miniplates were fixed bilaterally, 2 in the maxillary anterior areas and 2 in the mandibular posterior areas, and used for skeletal treatment with elastics. Twenty-four Class II untreated subjects (11 boys, 13 girls), with a mean age of 11.75 years, were included as controls. Skeletal and dental changes were evaluated using pretreatment and posttreatment or observational lateral cephalometric radiographs. The treatment changes were compared with the growth changes observed in the control group using independent t tests. RESULTS: Compared with the minimal changes induced by growth in the control group, the skeletal changes induced by miniplates were more obvious. The mandibular length increased significantly (3 mm), and the mandible moved forward, with a significant restraint in the sagittal position of the maxilla (P <0.001). The overjet correction (-4.26 mm) was found to be a net result of skeletal changes (A-Y-axis = -1.18 mm and B-Y-axis = 3.83 mm). The mandibular plane was significantly decreased by 2.75° (P <0.001). CONCLUSIONS: This new technique, bimaxillary miniplates-based skeletal anchorage, is an effective method for treating patients with skeletal Class II malocclusions through obvious skeletal, but minimal dentoalveolar, changes.
[Mh] Termos MeSH primário: Má Oclusão de Angle Classe II/terapia
Procedimentos de Ancoragem Ortodôntica/métodos
Aparelhos Ortodônticos
Ortodontia Corretiva/métodos
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Masculino
Procedimentos de Ancoragem Ortodôntica/instrumentação
Braquetes Ortodônticos
Ortodontia Corretiva/instrumentação
Resultado do Tratamento
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29407500
[Au] Autor:Gunay F; Oz AA
[Ad] Endereço:Department of Orthodontics, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.
[Ti] Título:Clinical effectiveness of 2 orthodontic retainer wires on mandibular arch retention.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):232-238, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The aim of this study was to evaluate and compare the clinical success of 2 lingual retainer wires. METHODS: The 120 patients included in the study were divided into 2 groups randomly. In group 1, 0.0175-in 6-strand stainless steel wire (Ortho Technology, Lutz, Fla) was used, the lingual retainers were fabricated on plaster models, and a silicon transfer key was used. In group 2, 0.0195-in dead-soft coaxial wire (Respond; Ormco, Orange, Calif) was used, and the lingual retainers were fabricated directly in the patient's mandibular arch without a study model. Pretreatment, posttreatment, and posttreatment 3-month, 6-month, 9-month, and 12-month 3-dimensional orthodontic models were evaluated. Failure rates, mandibular arch irregularity values, intercanine distances, and arch lengths were compared. RESULTS: The clinical bond failure rates were 13.2% for the 0.0175-in 6-strand stainless steel wire and 18.9% for the 0.0195-in dead-soft wire. The difference in bond failures between the 2 groups was not statistically significant. There was a statistically significant increase in mandibular arch irregularity in both groups during the 12-month follow-up. However, the increase was significantly higher in the second group than in the first one. Furthermore, the intercanine distance decreased over time in the second group. CONCLUSIONS: Our findings regarding mandibular arch measurements indicate that fabrication of lingual retainers can be more safely accomplished with 0.0175-in 6-strand stainless steel wire than with 0.0195-in dead-soft coaxial wire.
[Mh] Termos MeSH primário: Contenções Ortodônticas
Fios Ortodônticos
[Mh] Termos MeSH secundário: Adolescente
Arco Dental/patologia
Feminino
Seres Humanos
Masculino
Má Oclusão/patologia
Má Oclusão/terapia
Mandíbula/patologia
Ortodontia Corretiva/instrumentação
Ortodontia Corretiva/métodos
Aço Inoxidável
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
12597-68-1 (Stainless Steel)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  6 / 13600 MEDLINE  
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[PMID]:29407494
[Au] Autor:Chhibber A; Agarwal S; Yadav S; Kuo CL; Upadhyay M
[Ad] Endereço:Private practice, Norwalk, Ohio.
[Ti] Título:Which orthodontic appliance is best for oral hygiene? A randomized clinical trial.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):175-183, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Clear aligners and to a lesser extent self-ligated brackets are considered to facilitate better oral hygiene than traditional fixed orthodontic appliances. This 3-arm parallel-group prospective randomized clinical trial compared the long-term and short-term effects of clear aligners, self-ligated brackets, and conventional (elastomeric-ligated) brackets on patients' oral hygiene during active orthodontic treatment. METHODS: Seventy-one participants (41 boys, 30 girls; mean age, 15.6 years) undergoing orthodontic treatment were randomly allocated through a computer-generated randomization schedule to one of the groups based on the choice of intervention: Clear Aligners (CLA) (Align Technology, San Jose, Calif) (n = 27), preadjusted edgewise fixed appliance with self-ligated brackets (SLB) (Carriere, Carlsbad, Calif (n = 22), or preadjusted edgewise fixed appliance with elastomeric ligated brackets (ELB) (Ortho Organizers Inc., Carlsbad, CA) (n = 22). For each participant, the primary outcome, plaque index (PI), and secondary outcomes, gingival Index (GI) and periodontal bleeding index (PBI), were measured at baseline (T0), after 9 months of treatment (T1), and after 18 months of treatment (T2). Blinding of the clinicians and the patients to the intervention was impossible. It was only done for outcome assessment and for the statistician. Ten participants did not receive the allocated intervention for various reasons. RESULTS: The means and standard deviations of PI at T0 (CLA, 0.50 ± 0.51; SLB, 0.65 ± 0.49; ELB, 0.70 ± 0.73), T1 (CLA, 0.83 ± 0.48; SLB, 1.38 ± 0.72; ELB, 1.32 ± 0.67), and T2 (CLA, 0.92 ± 0.58; SLB, 1.07 ± 0.59; ELB, 1.32 ± 0.67) were similar. The odds ratio (OR) for plaque index (0 or ≥1) comparing SLB or CLA to ELB was not significant. OR for SLB vs ELB = 1.54 at T0 (95% CI, 0.39-6.27), 0.88 at T1 (95% CI, 0.03-24.69), and 0.83 at T2 (95% CI, 0.02-27.70); OR for CLA vs ELB = 1.07 at T0 (95% CI, 0.30-3.88), 0.24 at T1 (95% CI, 0.01-1.98), and 0.17 at T2 (95% CI, 0.01-1.71). However, the odds ratios comparing CLA with ELB for GI (OR = 0.14; P = 0.015) and PBI (OR = 0.10; P = 0.012) were statistically significant at T1. CONCLUSIONS: In this prospective randomized clinical trial, we found no evidence of differences in oral hygiene levels among clear aligners, self-ligated brackets, and conventional elastomeric ligated brackets after 18 months of active orthodontic treatment. REGISTRATION: The trial is registered at ClinicalTrials.gov (NCT02745626). PROTOCOL: The protocol was not published before trial commencement.
[Mh] Termos MeSH primário: Higiene Bucal
Aparelhos Ortodônticos
Ortodontia Corretiva/instrumentação
[Mh] Termos MeSH secundário: Adolescente
Índice de Placa Dentária
Feminino
Seres Humanos
Masculino
Aparelhos Ortodônticos/efeitos adversos
Braquetes Ortodônticos/efeitos adversos
Contenções Ortodônticas/efeitos adversos
Ortodontia Corretiva/efeitos adversos
Índice Periodontal
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


  7 / 13600 MEDLINE  
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[PMID]:29275570
[Au] Autor:Liang SR; Wang F; Zhou DQ; Chang S; Bai YX
[Ad] Endereço:Department of Orthodontics, Capital Medical University School of Stomatology, Beijing 100050, China.
[Ti] Título:[Three-dimensional printed miniplate used for maxillary protraction].
[So] Source:Zhonghua Kou Qiang Yi Xue Za Zhi;52(12):753-755, 2017 Dec 09.
[Is] ISSN:1002-0098
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:The miniplate was designed and three-dimensional (3D) printed according to the positions of roots and tooth germs and then it was used as skeletal anchorage to protract the maxilla. The maxilla moved forward obviously after treatment. Custom designed and 3D printed miniplate could be used for maxillary protraction.
[Mh] Termos MeSH primário: Placas Ósseas
Maxila
Ortodontia Corretiva/métodos
Impressão Tridimensional
[Mh] Termos MeSH secundário: Seres Humanos
Procedimentos de Ancoragem Ortodôntica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171226
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1002-0098.2017.12.008


  8 / 13600 MEDLINE  
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[PMID]:29172314
[Au] Autor:Luqmani S
[Ti] Título:The Limitations of Short-Term Orthodontics and Why We Still Need Specialists ­ A Review of the Current Literature.
[So] Source:Dent Update;44(1):64-6, 69, 2017 Jan.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Short-term orthodontics (STO) serves to align anterior teeth. It has become popular in cosmetic dentistry as an alternative to destructive veneers and lengthy conventional orthodontics. The aim of this article is to raise awareness of the clinical limitations of STO and highlight some of the difficulties encountered with orthodontic retention. It also gives an overview of accredited training available to dentists who wish to develop their orthodontic skills. Clinical relevance: Greater awareness of the clinical limitations of short-term orthodontics will aid GDPs in appropriately selecting their cases and obtaining informed consent from patients. In addition, the article serves as encouragement for those GDPs wishing to develop their orthodontic skills and pursue further accredited training.
[Mh] Termos MeSH primário: Ortodontia Corretiva
[Mh] Termos MeSH secundário: Seres Humanos
Ortodontia Corretiva/métodos
Especialidades Odontológicas
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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Registro de Ensaios Clínicos
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[PMID]:28742420
[Au] Autor:Penning EW; Peerlings RHJ; Govers JDM; Rischen RJ; Zinad K; Bronkhorst EM; Breuning KH; Kuijpers-Jagtman AM
[Ad] Endereço:1 Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, the Netherlands.
[Ti] Título:Orthodontics with Customized versus Noncustomized Appliances: A Randomized Controlled Clinical Trial.
[So] Source:J Dent Res;96(13):1498-1504, 2017 Dec.
[Is] ISSN:1544-0591
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This randomized controlled trial aimed to evaluate the duration and outcome quality of orthodontic treatment with a customized fixed appliance system versus a noncustomized system. Patients ( n = 180) were randomized and received orthodontic treatment with the Insignia customized orthodontic system or the Damon Q noncustomized orthodontic system. The allocation sequence was concealed using identical, sequentially numbered, opaque, sealed envelopes. Patients with nonextraction treatment plans were treated by 2 equally experienced orthodontists. Pretreatment and posttreatment plaster casts were made for each patient, and the models were rated using the Peer Assessment Rating (PAR) score. Planning time, treatment duration, and numbers of loose brackets, visits, and complaints were recorded. The examined null hypothesis was that the customized appliance system was not associated with significantly ( P < 0.05) shorter treatment duration compared to a noncustomized appliance. We analyzed 85 patients in the customized group and 89 in the noncustomized group. Treatment duration was 1.29 ± 0.35 y in the customized group and 1.24 ± 0.37 y in the noncustomized group. In the customized group, the PAR score was 23.32 ± 9.15 pretreatment and 5.38 ± 3.75 posttreatment. In the noncustomized group, the PAR score was 21.84 ± 7.95 pretreatment and 5.93 ± 3.58 posttreatment. None of these outcomes significantly differed between groups. On the other hand, the orthodontist had a significant effect on treatment duration, quality of treatment outcome, and number of visits ( P < 0.05). A higher PAR score pretreatment was associated with increased treatment duration, posttreatment PAR, and number of visits ( P < 0.05). Compared to the noncustomized group, the customized group had more loose brackets, a longer planning time, and more complaints ( P < 0.05). The customized orthodontic system was not associated with significantly reduced treatment duration, and treatment quality was comparable between the 2 systems ( ClinicalTrials.gov : NCT01268852).
[Mh] Termos MeSH primário: Desenho de Aparelho Ortodôntico
Ortodontia Corretiva/instrumentação
[Mh] Termos MeSH secundário: Adolescente
Pesquisa Comparativa da Efetividade
Feminino
Seres Humanos
Masculino
Países Baixos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170726
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1177/0022034517720913


  10 / 13600 MEDLINE  
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[PMID]:29182798
[Au] Autor:Monk AB; Harrison JE; Worthington HV; Teague A
[Ad] Endereço:Orthodontic Department, Liverpool University Dental Hospital, Pembroke Place, Liverpool, UK, L3 5PS.
[Ti] Título:Pharmacological interventions for pain relief during orthodontic treatment.
[So] Source:Cochrane Database Syst Rev;11:CD003976, 2017 11 28.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pain is a common side effect of orthodontic treatment. It increases in proportion to the amount of force applied to the teeth, and the type of orthodontic appliance used can affect the intensity of the pain. Pain during orthodontic treatment has been shown to be the most common reason for people wanting to discontinue treatment, and has been ranked as the worst aspect of treatment. Although pharmacological methods of pain relief have been investigated, there remains some uncertainty among orthodontists about which painkillers are most suitable and whether pre-emptive analgesia is beneficial. We conducted this Cochrane Review to assess and summarize the international evidence relating to the effectiveness of analgesics for preventing this unwanted side effect associated with orthodontic treatment. OBJECTIVES: The objectives of this review are to determine:- the effectiveness of drug interventions for pain relief during orthodontic treatment; and- whether there is a difference in the analgesic effect provided by different types, forms and doses of analgesia taken during orthodontic treatment. SEARCH METHODS: Cochrane Oral Health's Information Specialist searched the following databases: the Cochrane Oral Health Trials Register (to 19 June 2017), the Cochrane Central Register of Controlled Trials (CENTRAL;the Cochrane Library 2016, Issue 7), MEDLINE Ovid (1946 to 19 June 2017), Embase Ovid (1980 to 19 June 2017) and CINAHL EBSCO (Cumulative Index to Nursing and Allied Health Literature; 1937 to 19 June 2017). The US National Institutes of Health Ongoing Trials Register (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched on the 19 June 2017 for ongoing studies. We placed no restrictions on language or date of publication when searching the electronic databases. SELECTION CRITERIA: We included randomized controlled trials (RCTs) relating to pain control during orthodontic treatment. Pain could be measured on a visual analogue scale (VAS), numerical rating scale (NRS) or categorical scale. DATA COLLECTION AND ANALYSIS: Two review authors independently screened the search results, agreed the studies to be included and extracted information from the included studies regarding methods, participants, interventions, outcomes, harms and results. We planned to resolve any discrepancies or disagreements through discussion. We used the Cochrane 'Risk of bias' tool to assess the risk of bias in the studies. MAIN RESULTS: We identified 32 relevant RCTs, which included 3110 participants aged 9 to 34 years, 2348 of whom we were able to include in our analyses. Seventeen of the studies had more than two arms. We were able to use data from 12 trials in meta-analyses that compared analgesics versus control (no treatment or a placebo); nine that compared non-steroidal anti-inflammatories (NSAIDs) versus paracetamol; and two that compared pre-emptive versus post-treatment ibuprofen for pain control following orthodontic treatment. One study provided data for the comparison of NSAIDs versus local anaesthetic.We found moderate-quality evidence that analgesics effectively reduced pain following orthodontic treatment when compared to no treatment or a placebo at 2 hours (mean difference (MD) -11.66 mm on a 0 to 100 mm VAS, 95% confidence interval (CI) -16.15 to -7.17; 10 studies, 685 participants), 6 hours (MD -24.27 mm on a VAS, 95% CI -31.44 to -17.11; 9 studies, 535 participants) and 24 hours (MD -21.19 mm on a VAS, 95% CI -28.31 to -14.06; 12 studies, 1012 participants).We did not find any evidence of a difference in efficacy between NSAID and paracetamol at 2, 6 or 24 hours (at 24 hours: MD -0.51, 95% CI -8.93 to 7.92; 9 studies, 734 participants; low-quality evidence).Very low-quality evidence suggested pre-emptive ibuprofen gave better pain relief at 2 hours than ibuprofen taken post treatment (MD -11.30, 95% CI -16.27 to -6.33; one study, 41 participants), however, the difference was no longer significant at 6 or 24 hours.A single study of 48 participants compared topical NSAIDs versus local anaesthetic and showed no evidence of a difference in the effectiveness of the interventions (very low-quality evidence).Use of rescue analgesia was poorly reported. The very low-quality evidence did not show evidence of a difference between participants taking ibuprofen and participants taking paracetamol (relative risk (RR) 1.5, 95% CI 0.6 to 3.6). Nor did we find evidence of a difference between groups in likelihood of requiring rescue analgesia when ibuprofen was taken pre-emptively compared to after treatment (RR 0.8, 95% CI 0.3 to 1.9).Adverse effects were identified in one study, with one participant developing a rash that required treatment with antihistamines. This was provisionally diagnosed as a hypersensitivity to paracetamol. AUTHORS' CONCLUSIONS: Analgesics are more effective at reducing pain following orthodontic treatment than placebo or no treatment. Low-quality evidence did not show a difference in effectiveness between systemic NSAIDs compared with paracetamol, or topical NSAIDs compared with local anaesthetic. More high-quality research is needed to investigate these comparisons, and to evaluate pre-emptive versus post-treatment administration of analgesics.
[Mh] Termos MeSH primário: Analgésicos/uso terapêutico
Ortodontia Corretiva/efeitos adversos
Dor Processual/tratamento farmacológico
[Mh] Termos MeSH secundário: Acetaminofen/uso terapêutico
Adolescente
Adulto
Analgésicos não Entorpecentes/uso terapêutico
Anestésicos Locais/uso terapêutico
Anti-Inflamatórios não Esteroides/uso terapêutico
Criança
Seres Humanos
Medição da Dor
Dor Processual/etiologia
Dor Processual/prevenção & controle
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Analgesics); 0 (Analgesics, Non-Narcotic); 0 (Anesthetics, Local); 0 (Anti-Inflammatory Agents, Non-Steroidal); 362O9ITL9D (Acetaminophen)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD003976.pub2



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