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Publication
A eficácia da pastilha elástica na redução da dor ortodôntica
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| 3.76 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A dor é a queixa mais comum entre os pacientes que recebem tratamento ortodôntico, principalmente após a ativação de aparelhos ortodônticos fixos ou removíveis. Além disso, a dor tem sido considerada um fator importante para a aceitação do tratamento e a principal razão para a interrupção do mesmo.
A utilização de analgésicos e de anti-inflamatórios não esteroides (AINEs) são considerados os meios farmacológicos mais utilizados na redução da dor ortodôntica. Embora existam riscos e efeitos secundários associados tanto aos analgésicos como aos antiinflamatórios não esteroides (AINEs), os analgésicos continuam a ser a opção preferencial para o tratamento da dor ortodôntica por muitos autores. Comparativamente aos anti-inflamatórios não esteroides (AINEs), os analgésicos são frequentemente escolhidos, pois os AINEs parecem interferir no processo de movimentação dentária.
No entanto, vários estudos têm sugerido métodos não farmacológicos de alívio da dor ortodôntica, incluindo a estimulação mastigatória do ligamento periodontal.
A mastigação de pastilhas elásticas tem sido referida como um método capaz de aliviar a dor induzida pela aplicação de forças ortodônticas. A mastigação de materiais elásticos permite o fluxo sanguíneo para as áreas comprimidas do ligamento periodontal e previne a formação de metabolitos inflamatórios indutores de dor, reduzindo assim a perceção da dor. O ato de mastigar pastilha elástica funciona ainda como uma distração, desviando a atenção do paciente da sensação dolorosa para o processo de mastigação.
A pastilha elástica parece ter grandes vantagens sobre os analgésicos no alívio da dor.
Tem a vantagem de não ser invasiva, de baixo custo e conveniente, evitando os efeitos secundários provocados pelos analgésicos.
Esta revisão narrativa procura descrever os mecanismos através dos quais a pastilha elástica contribui para a redução da dor ortodôntica e avaliar a sua eficácia em comparação com outros métodos terapêuticos.
Pain is the most common complaint among patients receiving orthodontic treatment, especially after the activation of fixed or removable orthodontic appliances. In addition, pain has been considered an important factor in determining treatment acceptance and the main reason for discontinuing it. The use of analgesics and non-steroidal anti-inflammatory drugs (NSAIDs) are considered the most commonly used pharmacological means to reduce orthodontic pain. Although there are risks and side effects associated with both analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs), analgesics continue to be the preferred option for the treatment of orthodontic pain by many authors. Compared to nonsteroidal antiinflammatory drugs (NSAIDs), analgesics are often chosen because NSAIDs appear to interfere with the tooth movement process. However, several studies have suggested nonpharmacological methods of relieving orthodontic pain, including masticatory stimulation of the periodontal ligament. Chewing gum has been reported to be able to relieve pain induced by the application of orthodontic force. Chewing elastic materials allows blood flow to the compressed areas of the periodontal ligament and prevents the formation of pain-inducing inflammatory metabolites, thereby reducing pain perception. The act of chewing gum further functions as a distraction, diverting the patient's attention from the painful sensation to the chewing process. Chewing gum seems to have great advantages over painkillers in relieving pain. It has the advantage of being non-invasive, low-cost, and convenient, avoiding the side effects caused by painkillers. The aim of this narrative review is to describe the mechanisms through which chewing gum contributes to the reduction of orthodontic pain and to evaluate its efficacy in comparison with other therapeutic methods.
Pain is the most common complaint among patients receiving orthodontic treatment, especially after the activation of fixed or removable orthodontic appliances. In addition, pain has been considered an important factor in determining treatment acceptance and the main reason for discontinuing it. The use of analgesics and non-steroidal anti-inflammatory drugs (NSAIDs) are considered the most commonly used pharmacological means to reduce orthodontic pain. Although there are risks and side effects associated with both analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs), analgesics continue to be the preferred option for the treatment of orthodontic pain by many authors. Compared to nonsteroidal antiinflammatory drugs (NSAIDs), analgesics are often chosen because NSAIDs appear to interfere with the tooth movement process. However, several studies have suggested nonpharmacological methods of relieving orthodontic pain, including masticatory stimulation of the periodontal ligament. Chewing gum has been reported to be able to relieve pain induced by the application of orthodontic force. Chewing elastic materials allows blood flow to the compressed areas of the periodontal ligament and prevents the formation of pain-inducing inflammatory metabolites, thereby reducing pain perception. The act of chewing gum further functions as a distraction, diverting the patient's attention from the painful sensation to the chewing process. Chewing gum seems to have great advantages over painkillers in relieving pain. It has the advantage of being non-invasive, low-cost, and convenient, avoiding the side effects caused by painkillers. The aim of this narrative review is to describe the mechanisms through which chewing gum contributes to the reduction of orthodontic pain and to evaluate its efficacy in comparison with other therapeutic methods.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Analgésicos Pastilha elástica Dor Ortodontia