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Randomized Controlled Trial
. 2024 May 17;24(1):576.
doi: 10.1186/s12903-024-04335-1.

Comparison of anxiety, pain, and quality of life in individuals with mild or moderate malocclusion between conventional fixed orthodontic treatment versus Invisalign: a randomised clinical trial

Affiliations
Randomized Controlled Trial

Comparison of anxiety, pain, and quality of life in individuals with mild or moderate malocclusion between conventional fixed orthodontic treatment versus Invisalign: a randomised clinical trial

Yasemin Tunca et al. BMC Oral Health. .

Abstract

Background: We evaluated anxiety, pain, and oral-health-related quality of life in individuals treated with conventional fixed appliances (Group A) and clear aligners (Group B) for moderate malocclusion during the initial phase of orthodontic treatment.

Methods: Sixty individuals, separated into Group A (n = 30) and Group B (n = 30), were included in the study. They completed the Anxiety Levels, Oral Health Impact Profile-14, and Oral Health Related Quality of Life - United Kingdom/Surveys after the application of attachments on days 0 (T1), 10 (T10), and 20 (T20). Their pain levels were evaluated with the Visual Analogue Scale on days 0, 2, and 6 in the 2nd and 6th hours and on the 1st, 3rd, 7th, 14th, and 21st days.

Results: Per the VAS questionnaire, pain levels in the 2nd hour, 6th hour, 1st day, and 3rd day were significantly lower in Group B than in Group A. In the OHIP-14 survey results, the comparison between Group A and Group B showed a significant difference only on the 1st day. The STAI and OHRQoL-UK survey results did not differ significantly between the groups.

Conclusions: We found no significant difference between the two groups in terms of anxiety levels, and pain among individuals in Group A was higher than in Group B only at the beginning of the treatment. No significant differences were observed in terms of individuals' quality of life.

Trial registration: NCT06133296 (retrospectively registered)- Registration Date:15/11/2023.

Keywords: Anxiety; Clear aligner; Pain; Quality of Life.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Comparison of anxiety level (STAI-S, STAI-T) between the the group A and the group B
Fig. 2
Fig. 2
Comparison of VAS pain level between the the group A and the group B
Fig. 3
Fig. 3
Comparison of OHIP-14 between the group A and the group B
Fig. 4
Fig. 4
Comparison of OHRQOL-UK between the group A and the group B

References

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