Relationship between Physiological-Emotional State and the Perception of Pain during Bracket Debonding
Author(s): Busra Ucmaz*
Objective: Pain is a subjective phenomenon and it is highly affected by individual variations. The aim of this study was to investigate the effects of physiological-emotional state on perceived pain during bracket debonding.
Materials and Methods: Sixty-six participants with the mean ages of 16.73 ±2.61 years (38 females, 16.58 ±2.49 years; 28 males, 16.94 ±2.80) who were in the stage of debonding were enrolled in the study. The participants completed the Beck Depression Inventory and Pain Catastrophizing Scales before removing the brackets, and pressure pain thresholds were detected by using the algometer device. Following the debonding of the brackets, the perception of pain for each tooth was measured using the Visual Analog Scale. It was investigated whether there were significant correlations between the perceived pain and the variables investigated using Spearman's rank correlation coefficient. Statistical analysis was performed separately for both female and male groups.
Results: There were no statistically significant differences between the gender groups of any of the investigated variables. A total of 144 correlations were examined between the pain scores of 24 teeth and the six investigated variables. Eleven and six correlations were found statistically significant in females and males, respectively. For the remaining 133 and 138 correlations in females and males respectively, there was no statistical significance. In both genders, mean pain scores were higher in the lower anterior region.
Conclusion: Although few correlations were found statistically significant, there was no remarkable relationship between the physiological-emotional state and debonding pain.