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Rodríguez-Montaño R, Ponce-Gómez YI, Lomelí-Martínez SM, Sifuentes-Franco S, Ruiz-Gutiérrez ADC, Bayardo-González RA, Martínez-Rodríguez VMDC, Meléndez-Ruíz JL, Gómez-Sandoval JR. Comparison of the Effects of Ketorolac and Acetaminophen on RANK-L Levels in the Gingival Crevicular Fluid during Orthodontic Tooth Movement: A Pilot Study. APPLIED SCIENCES 2024; 14:1464. [DOI: 10.3390/app14041464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/25/2024]
Abstract
Background: Patients usually present pain due to the release of different inflammatory mediators such as prostaglandin E2 and RANK-L. Analgesics such as acetaminophen and ketorolac can inhibit RANK-L expression and this can affect orthodontic treatment by decreasing bone remodeling and slowing orthodontic dental movement. Several studies have reported a decrease in dental movement after administering some non-steroidal anti-inflammatory drugs. Proposal: The objective was to evaluate the RANK-L levels and a possible modulation by administering acetaminophen and ketorolac in patients starting orthodontic treatment. Methodology: A double-blind, randomized clinical trial was carried out with 24 subjects divided into three study groups: calcined magnesia as a placebo, acetaminophen, and ketorolac. Gingival crevicular fluid was obtained at four time points: before pharmacological intervention, at 24 h, at 48 h, and on the 5th day. RANK-L concentrations were evaluated through ELISA analysis. Also, interproximal space generated by the elastic separator at the end of the study was recorded in the different study groups using the visual analog scale. Results: An increase in RANK-L at 24 h was observed in the placebo group compared to the ketorolac and acetaminophen groups. However, no significant differences were observed in the interproximal space at day 5 in the three study groups. Conclusion: Patients who do not take analgesics at the start of orthodontic treatment have higher levels of RANK-L. Therefore, the use of ketorolac or acetaminophen could decrease bone remodeling and interfere with orthodontic dental movement.
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Affiliation(s)
- Ruth Rodríguez-Montaño
- Department of Health and Illness as an Individual and Collective Process, University Center of Tlajomulco, University of Guadalajara (CUTLAJO-UdeG), Tlajomulco, Santa Fé Highway Km. 3.5 No.595 Lomas de Tejeda, Tlajomulco de Zuniga 45641, Jalisco, Mexico
- Research Institute of Dentistry, Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
| | - Yesenia Isahy Ponce-Gómez
- Periodontics Program, Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
| | - Sarah Monserrat Lomelí-Martínez
- Periodontics Program, Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
- Department of Medical and Life Sciences, University of Guadalajara (CUCiénega-UdeG), 1115 Ave. Universidad, Ocotlán 47810, Jalisco, Mexico
| | - Sonia Sifuentes-Franco
- Department of Health Sciences, Centro Universitario de los Valles, University of Guadalajara (CUValles-UdeG), Highway to Guadalajara Km. 45.5, Ameca 46600, Jalisco, Mexico
| | - Alondra del Carmen Ruiz-Gutiérrez
- Periodontics Program, Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
| | - Rubén Alberto Bayardo-González
- Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
| | | | - José Luis Meléndez-Ruíz
- Ortodontics Program, Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
| | - Juan Ramón Gómez-Sandoval
- Research Institute of Dentistry, Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
- Periodontics Program, Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
- Department of Integrated Dentistry Clinics, University of Guadalajara (CUCS-UdeG), 950 Sierra Mojada, Guadalajara 44340, Jalisco, Mexico
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Rational thinking as a mediator of the relationship between mindfulness and dental anxiety. Sci Rep 2023; 13:3104. [PMID: 36813807 PMCID: PMC9946927 DOI: 10.1038/s41598-023-28879-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 01/25/2023] [Indexed: 02/24/2023] Open
Abstract
Dental anxiety causes people to postpone or refuse to go to the dentist, which further negatively impacts their quality of life and public health. Previous research has shown that mindfulness is inversely related to anxiety. However, little is known about the relationship between mindfulness and dental anxiety. The current research aimed to explore the relationship between mindfulness and dental anxiety and investigate the mediating role of rational thinking. Two studies were conducted. In study one, 206 Chinese participants completed questionnaires measuring trait mindfulness and dental anxiety (state, responding to a dental treatment scenario). In study two, 394 participants completed questionnaires measuring trait mindfulness, dental anxiety (trait), and rational thinking. The results for both studies showed that mindfulness is negatively correlated with dental anxiety. In study 1, each facet of mindfulness except Non-judging was negatively correlated with dental anxiety with Acting with Awareness having the strongest correlation, while in study 2, only Acting with Awareness was significantly negatively correlated with dental anxiety. Furthermore, rational thinking mediated the effect of mindfulness on dental anxiety. In conclusion, mindfulness is negatively related to both state and trait dental anxiety, and rational thinking mediates the relationship between mindfulness and dental anxiety. Implications of these findings are discussed.
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Cass K, Bocklage C, Sulkowski T, Graves C, Ghaltakhchyan N, Rapolla A, Jackson T, Divaris K, Wiesen C, Strauman T, Jacox L. Patient and Caregiver Perceptions of Animal Assisted Activity in Orthodontics. Animals (Basel) 2022; 12:1862. [PMID: 35883412 PMCID: PMC9312150 DOI: 10.3390/ani12141862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 07/14/2022] [Accepted: 07/20/2022] [Indexed: 11/22/2022] Open
Abstract
Dental anxiety affects up to 21% of children and 80% of adults and is associated with lifelong dental avoidance. Animal assisted activity (AAA) is widely used to reduce anxiety and pain in medical settings and has promise in dentistry. The primary objective of this study was to evaluate caregiver and patient perceptions of canine AAA in orthodontics. A cross-sectional survey consisting of pre-tested and validated questions was conducted (n = 800) including orthodontic patients (n = 352 minors, n = 204 adults) and parents/caregivers (n = 244) attending university orthodontic clinics. In this study, AAA and dog therapy were not used or tested for dental anxiety management. More than a third of orthodontic patients (37%) had moderate or greater anxiety related to care. Participants believed that therapy animals would make dental experiences more enjoyable (75%) and reduce anxiety (82%). There was little to no concern expressed regarding cleanliness (83%), allergies (81%), and safety (89%) with a therapy animal in dental settings. Almost half of the participants would preferentially select an orthodontic office offering AAA. In light of the COVID-19 pandemic, we assessed whether perceptions of AAA changed before and after the shutdown of dental offices, with no significant differences. Across patients and caregivers, the responses support the use of AAA in orthodontic settings with minimal concerns.
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Affiliation(s)
- Katelyn Cass
- Orthodontics Group, Division of Craniofacial and Surgical Care, Adams School of Dentistry, University of North Carolina, 270 Brauer Hall, CB #270, Chapel Hill, NC 27599, USA; (K.C.); (C.B.); (T.S.); (N.G.); (A.R.); (T.J.)
- Summers Orthodontics, 4207 E North St, Greenville, SC 29615, USA
| | - Clare Bocklage
- Orthodontics Group, Division of Craniofacial and Surgical Care, Adams School of Dentistry, University of North Carolina, 270 Brauer Hall, CB #270, Chapel Hill, NC 27599, USA; (K.C.); (C.B.); (T.S.); (N.G.); (A.R.); (T.J.)
- Division of Oral and Craniofacial Health Sciences, Adams School of Dentistry, University of North Carolina, 385 S Columbia St, CB #7455, Chapel Hill, NC 27599, USA;
| | - Taylor Sulkowski
- Orthodontics Group, Division of Craniofacial and Surgical Care, Adams School of Dentistry, University of North Carolina, 270 Brauer Hall, CB #270, Chapel Hill, NC 27599, USA; (K.C.); (C.B.); (T.S.); (N.G.); (A.R.); (T.J.)
| | - Christina Graves
- Division of Oral and Craniofacial Health Sciences, Adams School of Dentistry, University of North Carolina, 385 S Columbia St, CB #7455, Chapel Hill, NC 27599, USA;
| | - Nare Ghaltakhchyan
- Orthodontics Group, Division of Craniofacial and Surgical Care, Adams School of Dentistry, University of North Carolina, 270 Brauer Hall, CB #270, Chapel Hill, NC 27599, USA; (K.C.); (C.B.); (T.S.); (N.G.); (A.R.); (T.J.)
- Division of Oral and Craniofacial Health Sciences, Adams School of Dentistry, University of North Carolina, 385 S Columbia St, CB #7455, Chapel Hill, NC 27599, USA;
| | - Allen Rapolla
- Orthodontics Group, Division of Craniofacial and Surgical Care, Adams School of Dentistry, University of North Carolina, 270 Brauer Hall, CB #270, Chapel Hill, NC 27599, USA; (K.C.); (C.B.); (T.S.); (N.G.); (A.R.); (T.J.)
| | - Tate Jackson
- Orthodontics Group, Division of Craniofacial and Surgical Care, Adams School of Dentistry, University of North Carolina, 270 Brauer Hall, CB #270, Chapel Hill, NC 27599, USA; (K.C.); (C.B.); (T.S.); (N.G.); (A.R.); (T.J.)
| | - Kimon Divaris
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina, 385 S Columbia St, CB #7455, Chapel Hill, NC 27599, USA;
| | - Chris Wiesen
- Howard W. Odum Institute for Research in Social Science, Davis Library, University of North Carolina, 208 Raleigh St, CB #3355, Chapel Hill, NC 27514, USA;
| | - Timothy Strauman
- Psychology and Neuroscience Department, Trinity College of Arts and Sciences, Duke University, 417 Chapel Dr, CB #90086, Durham, NC 27514, USA;
| | - Laura Jacox
- Orthodontics Group, Division of Craniofacial and Surgical Care, Adams School of Dentistry, University of North Carolina, 270 Brauer Hall, CB #270, Chapel Hill, NC 27599, USA; (K.C.); (C.B.); (T.S.); (N.G.); (A.R.); (T.J.)
- Division of Oral and Craniofacial Health Sciences, Adams School of Dentistry, University of North Carolina, 385 S Columbia St, CB #7455, Chapel Hill, NC 27599, USA;
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Bucur SM, Moraru A, Adamovits B, Bud ES, Olteanu CD, Vaida LL. Psychometric Properties of Scared-C Scale in a Romanian Community Sample and Its Future Utility for Dental Practice. CHILDREN (BASEL, SWITZERLAND) 2022; 9:34. [PMID: 35053660 PMCID: PMC8774149 DOI: 10.3390/children9010034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 12/18/2021] [Accepted: 12/29/2021] [Indexed: 12/13/2022]
Abstract
The psychological management of children and adolescents in need of pedodontics or orthodontic treatments continues to be an essential objective in dental activity because along with the accuracy of the techniques that are used, anxiety reduction, and knowledge of how to approach the patient are necessary for the treatment to be successful. Therefore, our study aimed to validate the Screen for Child Anxiety Related Emotional Disorders questionnaire, the child version of 41 items (SCARED-C) in the Romanian population for later use in pediatric dentistry. The instrument showed moderate to good internal consistency (α Cronbach from 0.63 to 0.91 for the total scale) and good test-retest reliability (0.70) on a subset of a sample comprising 85 children. A confirmatory factorial analysis (CFA) was conducted to test the factor structure of the Romanian version of the SCARED-C; the results showed that SCARED-C has good psychometric properties that can be used for screening anxiety in Romanian children and adolescents. The implications of using the SCARED-C in dental practice are discussed. Future studies need to be conducted to explore the convergent and discriminative validity of the instrument and its sensitivity to current DSM-V criteria. Application on a pediatric dental sample is also required.
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Affiliation(s)
- Sorana-Maria Bucur
- Faculty of Medicine, Dimitrie Cantemir University, 540545 Târgu-Mureș, Romania;
| | - Adela Moraru
- Faculty of Psychology, Dimitrie Cantemir University, 540545 Târgu-Mureș, Romania; (A.M.); (B.A.)
| | - Beata Adamovits
- Faculty of Psychology, Dimitrie Cantemir University, 540545 Târgu-Mureș, Romania; (A.M.); (B.A.)
| | - Eugen Silviu Bud
- Faculty of Dental Medicine, University of Medicine and Pharmacy, Science and Technology George Emil Palade, 540139 Târgu-Mureș, Romania
| | - Cristian Doru Olteanu
- Faculty of Dental Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
| | - Luminița Ligia Vaida
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania;
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Kaklamanos EG, Makrygiannakis MA, Athanasiou AE. Do analgesics used for the pain experienced after orthodontic procedures affect tooth movement rate? A systematic review based on animal studies. Orthod Craniofac Res 2020; 23:143-150. [DOI: 10.1111/ocr.12357] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 10/11/2019] [Accepted: 11/05/2019] [Indexed: 12/27/2022]
Affiliation(s)
- Eleftherios G. Kaklamanos
- Hamdan Bin Mohammed College of Dental Medicine Mohammed Bin Rashid University of Medicine and Health Sciences Dubai United Arab Emirates
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Makrygiannakis MA, Kaklamanos EG, Athanasiou AE. Does long-term use of pain relievers have an impact on the rate of orthodontic tooth movement? A systematic review of animal studies. Eur J Orthod 2018; 41:468-477. [DOI: 10.1093/ejo/cjy079] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Revised: 11/08/2018] [Accepted: 11/14/2018] [Indexed: 11/12/2022]
Abstract
Summary
Background
Pain relief drugs are used and misused widely and may theoretically affect the events leading to orthodontic tooth movement.
Objective
To systematically investigate and appraise the quality of the available evidence regarding the effect of pain relief medications on the rate of orthodontic tooth movement.
Search methods
Search without restrictions in eight databases (including grey literature) and hand searching until October 2018.
Selection criteria
Animal controlled studies investigating the effect of pain relievers on the rate of orthodontic tooth movement.
Data collection and analysis
Following study retrieval and selection, relevant data were extracted and the risk of bias was assessed using the SYRCLE’s risk of bias tool.
Results
Fourteen studies were finally identified, most of which at unclear risk of bias. Ibuprofen and loxoprofen did not show any significant effects on the rate of orthodontic tooth movement, whereas indomethacin, ketorolac, morphine, and high doses of etoricoxib were found to decrease it. Inconsistent or conflicting effects were noted after the administration of acetaminophen, acetylsalicylic acid, celecoxib, meloxicam, and tramadol. The quality of the available evidence was considered at best as low.
Conclusions
Long-term consumption of pain relievers may affect the rate of orthodontic tooth movement. The orthodontist should be capable of identifying patients taking pain relievers independently of orthodontic treatment and consider the possible implications.
Trial registration
PROSPERO (CRD42017078208).
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Affiliation(s)
- Miltiadis A Makrygiannakis
- Department of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Eleftherios G Kaklamanos
- Department of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Athanasios E Athanasiou
- Department of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
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