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VOLUME 22 , ISSUE 3 ( March, 2021 ) > List of Articles

REVIEW ARTICLE

Pharmacological Means of Pain Control during Separator Placement: A Systematic Review

Nujud A Sharawi, Ahmed Mohammed Hassan Somaili, Samar A Arishi, Raed MH Somaili, Latifah Y Ghazwani, Ali HA Sumayli, Mohammed AA Sumayli, Mona S Ghoussoub, Shankargouda Patil

Keywords : Analgesics, Pain management, Separator

Citation Information : Sharawi NA, Somaili AM, Arishi SA, Somaili RM, Ghazwani LY, Sumayli AH, Sumayli MA, Ghoussoub MS, Patil S. Pharmacological Means of Pain Control during Separator Placement: A Systematic Review. J Contemp Dent Pract 2021; 22 (3):316-323.

DOI: 10.5005/jp-journals-10024-3010

License: CC BY-NC 4.0

Published Online: 27-01-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To assess the effectiveness of adjuvant analgesics/anesthetics in pain control after separator placement compared with no medication. Background: Separator placement to create space for cementing bands is the first clinical procedure done in orthodontics. Pain in this stage can negatively affect patient compliance and trust in the clinician. To date, there is no universally accepted regimen for pain control. Materials and methods: Electronic databases of PubMed, Scopus, and Web of Science were searched. One hundred and thirty-two potentially relevant studies were found. A total of eight randomized clinical trials including 642 subjects were selected. Data were extracted into customized forms, and selected studies were assessed for risk of bias using the Joanna Briggs Institute. Results: Results showed the use of analgesics led to lower reported pain scores at almost all time intervals. NSAIDs resulted in a statistically significant reduction in pain compared to a control group. Conclusion: According to the available literature, the use of analgesics is effective in controlling orthodontic pain due to separators. Acetaminophen and ibuprofen show a stable analgesic effect. Clinical implication: Acetaminophen 650 mg or ibuprofen 400 mg taken 1 hour prior to separator placement can reduce pain associated with the procedure.

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