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The effect of chewing gum on the impact, pain and breakages associated with fixed orthodontic appliances: a randomized clinical trial.

Abstract：

OBJECTIVES:To determine whether the use of chewing gum reduced the impact and pain of fixed orthodontic appliances. SETTING AND SAMPLE POPULATION:The Orthodontic Department of the Charles Clifford Dental Hospital, Sheffield, UK. Fifty-seven patients aged 18 years or younger and who were about to start fixed orthodontic appliance treatment. SUBJECTS AND METHODS:A randomized clinical trial with two parallel groups either allocated to receive chewing gum after placement of their appliance or who were asked not to chew gum. The patients completed a previously validated Impact of Fixed Appliances questionnaire at 24 h and 1 week following each visit up until the placement of the working archwire. A visual analogue scale (VAS) was used to assess the intensity of pain. Appliance breakages were recorded to the end of treatment. RESULTS:The difference between the median Total Impact Score of the two groups at 24 h was 16, which was significant (p = 0.031; Mann-Whitney U-test). The difference between the median VAS between the two groups at 24 h was 25 mm, which was significant (p = 0.038; Mann-Whitney U-test). There were no differences at 1 week. None of the risk ratios for appliance breakages were significant. CONCLUSION:Chewing gum significantly decreased both the impact and pain from the fixed appliances. There was no evidence that chewing gum increased the incidence of appliance breakages.

journal_name

Orthod Craniofac Res

journal_title

Orthodontics & craniofacial research

authors

Benson PE,Razi RM,Al-Bloushi RJ

doi

10.1111/j.1601-6343.2012.01546.x

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

178-87

issue

3

eissn

1601-6335

issn

1601-6343

journal_volume

15

pub_type

杂志文章,随机对照试验

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