Postoperative Effects of Chewing Gum, Ibuprofen and Acetaminophen on Pain After Initial Archwire Placement

NCT ID: NCT03568721

Last Updated: 2018-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

81 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-25

Study Completion Date

2018-05-20

Brief Summary

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The purpose of this study is to compare the efficacy of ibuprofen, acetaminophen, chewing gum in reducing orthodontic pain. This study include 81 patients to be classified into 4 groups of 19 each: ibuprofen (400 mg), acetaminophen (500 mg), chewing gum and control. The patients in each group will receive 1 method immediately after placement of the initial archwire and every 6 hours for a week if they experiences pain. Pain perception will be recorded by the patients while jaw rest position and fitting back teeth at 2 hours, 24 hours, 2 days, 3 days, 7 days and 21 days after archwire placement, using a visual analog scale.

Detailed Description

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Conditions

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Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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ibuprofen

ibuprofen (400 mg) immediately after insertion of the initial archwire and 6/6 hs for a week if there is any orthodontic pain.

Group Type EXPERIMENTAL

Ibuprofen

Intervention Type DRUG

prescription of ibuprofen 400 mg

acetaminophen

acetaminophen (500 mg) immediately after insertion of the initial archwire and 6/6 hs for a week if there is any orthodontic pain.

Group Type EXPERIMENTAL

Acetaminophen

Intervention Type DRUG

prescription of acetaminophen 500 mg

chewing gum

chewing gum (01 tablet) immediately after insertion of the initial archwire and 6/6 hs of chewing gum for a week if there is any orthodontic pain.

Group Type EXPERIMENTAL

Chewing gum

Intervention Type OTHER

prescription of one tablet of chewing gum

control

control (no reliever for orthodontic pain)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ibuprofen

prescription of ibuprofen 400 mg

Intervention Type DRUG

Acetaminophen

prescription of acetaminophen 500 mg

Intervention Type DRUG

Chewing gum

prescription of one tablet of chewing gum

Intervention Type OTHER

Other Intervention Names

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non steroidal drug paracetamol

Eligibility Criteria

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Inclusion Criteria

* moderate teeth crowding
* no need for tooth extraction to orthodontic reasons

Exclusion Criteria

* presence of autoimmune diseases
* history of orthodontic treatment with fixed appliances
Minimum Eligible Age

12 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Rio de Janeiro State University

OTHER

Sponsor Role lead

Responsible Party

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Diego Junior da Silva Santos, DDS,MsD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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DIEGO J SANTOS, MSc

Role: PRINCIPAL_INVESTIGATOR

Rio de Janeiro State University

JONAS CAPELLI, PhD

Role: STUDY_DIRECTOR

Rio de Janeiro State University

Locations

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Rio de Janeiro State University

Rio de Janeiro, , Brazil

Site Status

Countries

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Brazil

References

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Farzanegan F, Zebarjad SM, Alizadeh S, Ahrari F. Pain reduction after initial archwire placement in orthodontic patients: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2012 Feb;141(2):169-73. doi: 10.1016/j.ajodo.2011.06.042.

Reference Type BACKGROUND
PMID: 22284284 (View on PubMed)

Sandhu SS, Sandhu J. Orthodontic pain: an interaction between age and sex in early and middle adolescence. Angle Orthod. 2013 Nov;83(6):966-72. doi: 10.2319/030113-174.1. Epub 2013 May 24.

Reference Type BACKGROUND
PMID: 23705940 (View on PubMed)

Angelopoulou MV, Vlachou V, Halazonetis DJ. Pharmacological management of pain during orthodontic treatment: a meta-analysis. Orthod Craniofac Res. 2012 May;15(2):71-83. doi: 10.1111/j.1601-6343.2012.01542.x.

Reference Type BACKGROUND
PMID: 22515183 (View on PubMed)

Bergius M, Berggren U, Kiliaridis S. Experience of pain during an orthodontic procedure. Eur J Oral Sci. 2002 Apr;110(2):92-8. doi: 10.1034/j.1600-0722.2002.11193.x.

Reference Type BACKGROUND
PMID: 12013568 (View on PubMed)

Erdinc AM, Dincer B. Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod. 2004 Feb;26(1):79-85. doi: 10.1093/ejo/26.1.79.

Reference Type BACKGROUND
PMID: 14994886 (View on PubMed)

Canavarro C, Teles RP, Capelli Junior J. Matrix metalloproteinases -1, -2, -3, -7, -8, -12, and -13 in gingival crevicular fluid during orthodontic tooth movement: a longitudinal randomized split-mouth study. Eur J Orthod. 2013 Oct;35(5):652-8. doi: 10.1093/ejo/cjs053. Epub 2012 Sep 17.

Reference Type BACKGROUND
PMID: 22989715 (View on PubMed)

Davies GM, Worthington HV, Ellwood RP, Blinkhorn AS, Taylor GO, Davies RM, Considine J. An assessment of the cost effectiveness of a postal toothpaste programme to prevent caries among five-year-old children in the North West of England. Community Dent Health. 2003 Dec;20(4):207-10.

Reference Type BACKGROUND
PMID: 14696738 (View on PubMed)

Ngan P, Kess B, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop. 1989 Jul;96(1):47-53. doi: 10.1016/0889-5406(89)90228-x.

Reference Type BACKGROUND
PMID: 2750720 (View on PubMed)

Hwang JY, Tee CH, Huang AT, Taft L. Effectiveness of thera-bite wafers in reducing pain. J Clin Orthod. 1994 May;28(5):291-2. No abstract available.

Reference Type BACKGROUND
PMID: 8613507 (View on PubMed)

White LW. Pain and cooperation in orthodontic treatment. J Clin Orthod. 1984 Aug;18(8):572-5. No abstract available.

Reference Type BACKGROUND
PMID: 6595271 (View on PubMed)

Krishnan V, Davidovitch Z. The effect of drugs on orthodontic tooth movement. Orthod Craniofac Res. 2006 Nov;9(4):163-71. doi: 10.1111/j.1601-6343.2006.00372.x.

Reference Type BACKGROUND
PMID: 17101023 (View on PubMed)

Simmons KE, Brandt M. Control of orthodontic pain. J Indiana Dent Assoc. 1992 Jul-Aug;71(4):8-10.

Reference Type BACKGROUND
PMID: 1432346 (View on PubMed)

Keith DJ, Rinchuse DJ, Kennedy M, Zullo T. Effect of text message follow-up on patient's self-reported level of pain and anxiety. Angle Orthod. 2013 Jul;83(4):605-10. doi: 10.2319/091812-742.1. Epub 2012 Dec 4.

Reference Type BACKGROUND
PMID: 23210546 (View on PubMed)

Brown DF, Moerenhout RG. The pain experience and psychological adjustment to orthodontic treatment of preadolescents, adolescents, and adults. Am J Orthod Dentofacial Orthop. 1991 Oct;100(4):349-56. doi: 10.1016/0889-5406(91)70073-6.

Reference Type BACKGROUND
PMID: 1927986 (View on PubMed)

Bergius M, Broberg AG, Hakeberg M, Berggren U. Prediction of prolonged pain experiences during orthodontic treatment. Am J Orthod Dentofacial Orthop. 2008 Mar;133(3):339.e1-8. doi: 10.1016/j.ajodo.2007.09.013.

Reference Type BACKGROUND
PMID: 18331926 (View on PubMed)

Scheurer PA, Firestone AR, Burgin WB. Perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod. 1996 Aug;18(4):349-57. doi: 10.1093/ejo/18.4.349.

Reference Type BACKGROUND
PMID: 8921656 (View on PubMed)

Bernhardt MK, Southard KA, Batterson KD, Logan HL, Baker KA, Jakobsen JR. The effect of preemptive and/or postoperative ibuprofen therapy for orthodontic pain. Am J Orthod Dentofacial Orthop. 2001 Jul;120(1):20-7. doi: 10.1067/mod.2001.115616.

Reference Type BACKGROUND
PMID: 11455373 (View on PubMed)

Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop. 1992 Oct;102(4):373-81. doi: 10.1016/0889-5406(92)70054-e.

Reference Type BACKGROUND
PMID: 1456222 (View on PubMed)

Cioffi I, Piccolo A, Tagliaferri R, Paduano S, Galeotti A, Martina R. Pain perception following first orthodontic archwire placement--thermoelastic vs superelastic alloys: a randomized controlled trial. Quintessence Int. 2012 Jan;43(1):61-9.

Reference Type BACKGROUND
PMID: 22259810 (View on PubMed)

Salmassian R, Oesterle LJ, Shellhart WC, Newman SM. Comparison of the efficacy of ibuprofen and acetaminophen in controlling pain after orthodontic tooth movement. Am J Orthod Dentofacial Orthop. 2009 Apr;135(4):516-21. doi: 10.1016/j.ajodo.2007.05.020.

Reference Type BACKGROUND
PMID: 19361739 (View on PubMed)

Patel S, McGorray SP, Yezierski R, Fillingim R, Logan H, Wheeler TT. Effects of analgesics on orthodontic pain. Am J Orthod Dentofacial Orthop. 2011 Jan;139(1):e53-8. doi: 10.1016/j.ajodo.2010.07.017.

Reference Type BACKGROUND
PMID: 21195257 (View on PubMed)

Other Identifiers

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173112

Identifier Type: -

Identifier Source: org_study_id

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