Tratamento farmacológico da dor ortodôntica
DOI:
https://doi.org/10.20453/reh.v34i3.5836Palavras-chave:
dor, controle da dor, ortodontiaResumo
A dor associada ao tratamento ortodontico, que é tanto frequente quanto desafiadora, surge principalmente após procedimentos como a colocação de separadores elásticos interproximais e a instalação de arcos ortodonticos. Esta dor frequentemente resulta da inflamação do periodonto, levando ao desconforto. A gestão farmacológica eficaz é essencial para melhorar o conforto do paciente ao longo do tratamento ortodontico. Os anti-inflamatórios não esteroides (AINEs) e o paracetamol são comumente empregados devido à sua eficácia e perfis de segurança comprovados. Esses medicamentos ajudam a reduzir tanto a inflamação quanto a dor, melhorando assim a tolerância do paciente aos procedimentos ortodonticos. Ao selecionar um analgésico, é importante considerar fatores como a intensidade da dor, condições médicas pré-existentes e potenciais interações medicamentosas. O uso cuidadoso e supervisionado desses medicamentos ajuda a minimizar os riscos e otimizar o conforto do paciente durante o tratamento ortodontico.
Downloads
Referências
Long H, Wang Y, Jian F, Liao LN, Yang X, Lai WL. Current advances in orthodontic pain. Int J Oral Sci [Internet]. 2016; 8(2): 67-75. Disponible en: https://doi.org/10.1038/ijos.2016.24
Topolski F, Moro A, Correr GM, Schimim SC. Optimal management of orthodontic pain. J Pain Res [Internet]. 2018; 11: 589-598. Disponible en: https://doi.org/10.2147/jpr.s127945
Krishnan V. Orthodontic pain: from causes to management--a review. Eur J Orthod [Internet]. 2007; 29(2): 170-179. Disponible en: https://doi.org/10.1093/ejo/cjl081
Gameiro GH, Schultz C, Trein MP, Mundstock KS, Weidlich P, Goularte JF. Association among pain, masticatory performance, and proinflammatory cytokines in crevicular fluid during orthodontic treatment. Am J Orthod Dentofacial Orthop [Internet]. 2015; 148(6): 967-973. Disponible en: https://www.ajodo.org/article/S0889-5406(15)00988-9/abstract
Johal A, Ashari AB, Alamiri N, Fleming PS, Qureshi U, Cox S, et al. Pain experience in adults undergoing treatment: a longitudinal evaluation. Angle Orthod [Internet]. 2018; 88(3): 292-298. Disponible en: https://doi.org/10.2319/082317-570.1
Erdinç AM, Dinçer B. Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod [Internet]. 2004; 26(1): 79-85. Disponible en: https://doi.org/10.1093/ejo/26.1.79
Tripathi T, Singh N, Rai P, Khanna N. Separation and pain perception of Elastomeric, Kesling and Kansal separators. Dent Press J Orthod [Internet]. 2019; 24(2): 42-48. Disponible en: https://doi.org/10.1590%2F2177-6709.24.2.042-048.oar
Bergius M, Berggren U, Kiliaridis S. Experience of pain during an orthodontic procedure. Eur J Oral Sci [Internet]. 2002; 110(2): 92-98. Disponible en: https://doi.org/10.1034/j.1600-0722.2002.11193.x
Shen H, Shao S, Zhang J, Wang Z, Lv D, Chen W, et al. Fixed orthodontic appliances cause pain and disturbance in somatosensory function. Eur J Oral Sci [Internet]. 2016; 124(1): 26-32. Disponible en: https://doi.org/10.1111/eos.12234
Rahman S, Spencer RJ, Littlewood SJ, O’Dywer L, Barber SK, Russell JS. A multicenter randomized controlled trial to compare a self-ligating bracket with a conventional bracket in a UK population: Part 2: Pain perception. Angle Orthod [Internet]. 2016; 86(1): 149-156. Disponible en: https://doi.org/10.2319/112414-838.1
Abdelrahman RS, Al-Nimri KS, Al Maaitah EF. Pain experience during initial alignment with three types of nickel-titanium archwires: a prospective clinical trial. Angle Orthod [Internet]. 2015; 85(6): 1021-1026. Disponible en: https://doi.org/10.2319/071614-498.1
Kaur H, Bansal N, Abraham R. A randomized, single-blind, placebo-controlled trial to evaluate the effectiveness of verbal behavior modification and acetaminophen on orthodontic pain. Angle Orthod [Internet]. 2019; 89(4): 617-623. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117197/
Polat O, Karaman AI. Pain control during fixed orthodontic appliance therapy. Angle Orthod [Internet]. 2005; 75(2): 214-219. Disponible en: https://meridian.allenpress.com/angle-orthodontist/article/75/2/214/57717/Pain-Control-During-Fixed-Orthodontic-Appliance
Xiaoting L, Yin T, Yangxi C. Interventions for pain during fixed orthodontic appliance therapy. Angle Orthod [Internet]. 2010; 80(5): 925-932. Disponible en: https://meridian.allenpress.com/angle-orthodontist/article/80/5/925/58422/Interventions-for-pain-during-fixed-orthodontic
Kim SJ, Seo JT. Selection of analgesics for the management of acute and postoperative dental pain: a mini-review. J Periodontal Implant Sci [Internet]. 2020; 50(2): 68-73. Disponible en: https://doi.org/10.5051/jpis.2020.50.2.68
Del Muro-Casas FE, Gómez-Coronado K, Rodríguez-Guajardo NA, Varela-Parga M, Luengo-Ferreira JA, Medrano-Rodríguez JC. COX-2 inhibitors in dental pain management. Int J Odontostomatol [Internet]. 2018; 12(3): 225-227. Disponible en: https://dx.doi.org/10.4067/S0718-381X2018000300225
Sandhu SS, Piepho HP, Khehra HS. Comparing the effectiveness profile of pharmacological interventions used for orthodontic pain relief: an arm-based multilevel network meta-analysis of longitudinal data. Eur J Orthod [Internet]. 2017; 39(6): 601-614. Disponible en: https://doi.org/10.1093/ejo/cjw088
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 [Internet]. 2009; 135(4): 516-521. Disponible en: https://www.ajodo.org/article/S0889-5406(08)01246-8/abstract
Carrasco-Labra A, Polk DE, Urquhart O, Aghaloo T, Claytor JW, Dhar V, et al. Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in children. J Am Dent Assoc [Internet]. 2023; 154(9): 814-825.e2. Disponible en: https://doi.org/10.1016/j.adaj.2023.06.014
Campos LA, Santos-Pinto A, Marôco J, Campos JA. Pain perception in orthodontic patients: a model considering psychosocial and behavioural aspects. Orthod Craniofac Res [Internet]. 2019; 22(3): 213-221. Disponible en: https://doi.org/10.1111/ocr.12315
Chumpitaz VM, Soldevilla L, Chuquihuaccha V, Mallma A, Rodríguez M, Tauquino F, et al. Efecto de los antiinflamatorios no esteroideos AINEs, analgésicos y coxibs sobre la magnitud del movimiento dentario ortodóntico. Odontol Sanmarquina [Internet]. 2014; 17(1): 16. Disponible en: https://doi.org/10.15381/os.v17i1.9764
Corrêa AS, Almeida VL, Lopes BM, Franco A, De Matos FR, Quintans-Júnior LJ, et al. The influence of non-steroidal anti-inflammatory drugs and paracetamol used for pain control of orthodontic tooth movement: a systematic review. An Acad Bras Ciênc [Internet]. 2017; 89(4): 2851-2863. Disponible en: https://doi.org/10.1590/0001-3765201720160865
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 : Pablo Alonso López Beraún, César Franco, Abraham Meneses
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os autores mantêm os direitos autorais e cedem à revista o direito de primeira publicação, sendo o trabalho registrado com a Licença Creative Commons, que permite que terceiros utilizem o que é publicado desde que mencionem a autoria do trabalho, e ao primeiro publicação nesta revista.