Comparative assessment between chewing gum, bite wafers, and ibuprofen in pain control following separators placement among orthodontic patients

Objective: This study aimed to evaluate the efficiency of chewing gum and using bite wafers in reducing pain after the placement of separators in orthodontic patients and to compare that efficiency with ibuprofen use. Additionally, this study evaluated the effect of non-pharmacological pain control...

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Main Authors: Eman Alshayea, Aljazi Aldweesh, Hana Albalbeesi, Mohammad Aldosari
Format: Article
Language:English
Published: Springer 2024-07-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S1013905224001329
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author Eman Alshayea
Aljazi Aldweesh
Hana Albalbeesi
Mohammad Aldosari
author_facet Eman Alshayea
Aljazi Aldweesh
Hana Albalbeesi
Mohammad Aldosari
author_sort Eman Alshayea
collection DOAJ
description Objective: This study aimed to evaluate the efficiency of chewing gum and using bite wafers in reducing pain after the placement of separators in orthodontic patients and to compare that efficiency with ibuprofen use. Additionally, this study evaluated the effect of non-pharmacological pain control methods on the frequency of separators falling out. Methods: The study sample comprised 105 female patients between 15 and 35 years of age. The patients were randomly selected and classified into three groups (35 each). Each group was given either ibuprofen, viscoelastic bite wafers, or chewing gum immediately after the placement of separators and every 8 h for 1 week, as needed. The patients were asked to record their pain perception using a visual analog scale following separator placement at 2 h, 6 h, bedtime, 24 h, and at 2, 3, and 7 days. Analysis of variance testing was used for the data analysis. Results: Among the three studied groups, there were no significant differences in pain perception at any time point. The patients experienced significantly higher pain scores at bedtime and 24 h after separator placement. In addition, there were statistically significant findings in pain perception at different time points within each pain relief method (p = 0.000, p < 0.05). Conclusion: The use of chewing gum and bite wafers in alleviating orthodontic pain was beneficial and comparable to ibuprofen use following the placement of separators before orthodontic treatment among orthodontic patients.
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spelling doaj-art-bf8da72c6b7e49e4a09f38d4e8e1dade2025-08-20T02:56:35ZengSpringerSaudi Dental Journal1013-90522024-07-013671010101410.1016/j.sdentj.2024.04.010Comparative assessment between chewing gum, bite wafers, and ibuprofen in pain control following separators placement among orthodontic patientsEman Alshayea0Aljazi Aldweesh1Hana Albalbeesi2Mohammad Aldosari3Division of Orthodontics, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia; Corresponding author at: P.O. Box 15158, Riyadh 11444, Saudi Arabia.Division of Orthodontics, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi ArabiaUniversity Dental Hospital, College of Dentistry, King Saud University, Riyadh, Saudi ArabiaDivision of Orthodontics, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi ArabiaObjective: This study aimed to evaluate the efficiency of chewing gum and using bite wafers in reducing pain after the placement of separators in orthodontic patients and to compare that efficiency with ibuprofen use. Additionally, this study evaluated the effect of non-pharmacological pain control methods on the frequency of separators falling out. Methods: The study sample comprised 105 female patients between 15 and 35 years of age. The patients were randomly selected and classified into three groups (35 each). Each group was given either ibuprofen, viscoelastic bite wafers, or chewing gum immediately after the placement of separators and every 8 h for 1 week, as needed. The patients were asked to record their pain perception using a visual analog scale following separator placement at 2 h, 6 h, bedtime, 24 h, and at 2, 3, and 7 days. Analysis of variance testing was used for the data analysis. Results: Among the three studied groups, there were no significant differences in pain perception at any time point. The patients experienced significantly higher pain scores at bedtime and 24 h after separator placement. In addition, there were statistically significant findings in pain perception at different time points within each pain relief method (p = 0.000, p < 0.05). Conclusion: The use of chewing gum and bite wafers in alleviating orthodontic pain was beneficial and comparable to ibuprofen use following the placement of separators before orthodontic treatment among orthodontic patients.http://www.sciencedirect.com/science/article/pii/S1013905224001329Bite wafersChewing gumElastomeric separatorsIbuprofenOrthodontic pain
spellingShingle Eman Alshayea
Aljazi Aldweesh
Hana Albalbeesi
Mohammad Aldosari
Comparative assessment between chewing gum, bite wafers, and ibuprofen in pain control following separators placement among orthodontic patients
Saudi Dental Journal
Bite wafers
Chewing gum
Elastomeric separators
Ibuprofen
Orthodontic pain
title Comparative assessment between chewing gum, bite wafers, and ibuprofen in pain control following separators placement among orthodontic patients
title_full Comparative assessment between chewing gum, bite wafers, and ibuprofen in pain control following separators placement among orthodontic patients
title_fullStr Comparative assessment between chewing gum, bite wafers, and ibuprofen in pain control following separators placement among orthodontic patients
title_full_unstemmed Comparative assessment between chewing gum, bite wafers, and ibuprofen in pain control following separators placement among orthodontic patients
title_short Comparative assessment between chewing gum, bite wafers, and ibuprofen in pain control following separators placement among orthodontic patients
title_sort comparative assessment between chewing gum bite wafers and ibuprofen in pain control following separators placement among orthodontic patients
topic Bite wafers
Chewing gum
Elastomeric separators
Ibuprofen
Orthodontic pain
url http://www.sciencedirect.com/science/article/pii/S1013905224001329
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AT hanaalbalbeesi comparativeassessmentbetweenchewinggumbitewafersandibuprofeninpaincontrolfollowingseparatorsplacementamongorthodonticpatients
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