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Comparison of pain perception between clear aligners and fixed appliances: a systematic review and meta-analysis

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorPereira, Dinis
dc.contributor.authorMachado, Vanessa
dc.contributor.authorBotelho, João
dc.contributor.authorProença, Luís
dc.contributor.authorMendes, José João
dc.contributor.authorDelgado, Ana Sintra
dc.date.accessioned2025-07-21T08:28:16Z
dc.date.available2025-07-21T08:28:16Z
dc.date.issued2020-06
dc.description.abstractWe aimed to compare the pain discomfort levels between clear aligners and fixed appliances at multiple time points. Four electronic databases (Pubmed, Medline, CENTRAL and Scholar) were searched up to May 2020. There were no year or language restrictions. Randomized clinical trials and case–control studies comparing pain perception through pain visual analog scale (VAS) in patients treated with clear aligners and with fixed appliances were included. Risk of bias within and across studies was assessed using Cochrane tool and Newcastle–Ottawa Scale (NOS) approach. Random-effects meta-analysis were conducted. VAS score and analgesic consumption were collected. Random-effects meta-analyses were used to synthesize available data. Following the review protocol, five articles met the inclusion criteria and were included, with a total of 273 participants (177 females, 96 males). Overall, clear aligners were associated with significantly less pain than fixed appliances during the first seven days of orthodontic treatment. Patients treated with clear aligners experience less pain discomfort than those treated with fixed appliances and consume less analgesics, with SORT A recommendation.eng
dc.identifier.citationPereira, D., Machado, V., Botelho, J., Proença, L., Mendes, J. J., & Delgado, A. S. (2020). Comparison of Pain Perception between Clear Aligners and Fixed Appliances: A Systematic Review and Meta-Analysis. Applied Sciences, 10(12), 4276.
dc.identifier.doi10.3390/app10124276
dc.identifier.issn2076-3417
dc.identifier.urihttp://hdl.handle.net/10400.26/58133
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/app10124276
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectClear aligners
dc.subjectfixed appliances
dc.subjectpain perception
dc.subjectVAS (visual analog scale) scale
dc.subjectsystematic review
dc.subjectmeta-analysis
dc.titleComparison of pain perception between clear aligners and fixed appliances: a systematic review and meta-analysiseng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue12
oaire.citation.startPage4276
oaire.citation.titleApplied Sciences
oaire.citation.volume10
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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