Patient’s Perception of Pain and Discomfort Towards Orthodontic Treatments


  •   Azrul Hafiz

  •   Noor Ellyyu Hafizah

  •   Nur Nisrin Nabihah


Background: Patient undergoes orthodontic treatment with removable and fixed appliances will usually complaint of pain and discomfort. The level of pain and discomfort experience by patient will determined the cooperation and compliance towards the treatment. This study explores the perception of pain and type of discomfort experience by patients when undergoes orthodontic treatment.

Material and method: This cross-sectional study involve a set of questionnaires regarding patient social demographic and factors contributing to pain and discomfort among patients with removable and fixed appliances.

Result: This study shows that the most common discomfort experienced by patients with removable appliance are increased in saliva flow, interferes with mastication and altering speech. Apart from that, ulcers, pain in the mouth and appliance breakages are the most common pain experience by the patients with fixed appliances.

Conclusion: In conclusion, majority of patients will experience some form of pain and discomfort during orthodontic treatments. Thus, information regarding pain and discomfort during orthodontic treatment should be clearly convey during the first initial appointment to prepare patient mental and physically.

Keywords: pain, discomfort, orthodontic treatments, fixed appliances, removable appliance


A. Kavaliauskiene, D. Smailiene, I Buskiene and D. Keriene, “Pain and discomfort perception among patients undergoing orthodontic treatment: Results from one month follow-up study,” Baltic Dental and Maxillofacial Journal. 2012; 14(4):118-25.

H. G. Sergl, U. Klages, A. Zentner, “Functional and social discomfort during orthodontic treatment- effects on compliance and prediction of patients’ adaptation by personality variables,” Eur J Orthod. 2000; 2:307-315.

V. Krishnan. “Orthodontic Pain: from causes to management-a review,” European Journal of Orthodontics.2007; 29(2):170-179.

S. Sharma, S. Narkhede, S. Sonawane and Gangurde, “Evaluation of Patient’s Personal Reasons and Experience with Orthodontic Treatment,’’ vol. 5, no. 6, pp. 78-81, 2013.

E. Ong, R. A. Brown, and S. Richmond, “Peer assessment of dental attractiveness,” American Journal of Orthodontics and Dentofacial Orthopedics, vol. 130, no.2, pp.163–169, 2006.

M. K. Al-Omiri, E. S. Alhaija, “Factors affecting patient satisfaction after orthodontic treatment,” Angle Orthod, vol. 7 no. 3, pp. 422–431, 2006.

Mosby “Topic: Perception, Awareness and need of orthodontic treatment among patients aged between 12-35 years attending KHIDCC and King Faisal Hospital,” Retrieved from 2002.

K. K. Lew, “Attitudes and perceptions of adults towards orthodontic treatment in an Asian community,” Community Dent Oral Epidemiol vol. 21 no.1, pp. 31-5, 1993.

A. Hafiz, A. Jamal, N. Azura, R. Sahudi, M. M. Nor, “The Impact of Fixed Appliances (Braces) on Quality of Life. J Int Dent Med Res”.12(2): 650-654, 2019.

P. Scheurer, A. Firestone, W. Burgin, “Perception of Pain as a Result of Orthodontic Treatment with Fixed Appliance,” European Journal Orthodontic vol. 18, no.4, pp. 349-357, 1996.

E. Kvam, O. Bondevik, N. R. Gjerdet, “Traumatic Ulcers and Pain During Orthodontic Treatment,” Community Dent Oral Epidemiology, vol. 17 no. 3, pp. 154-157. 1989.

H. G. Sergl, U. Klages, Zerntner, “A Pain and Discomfort During Orthodontic Treatment Causative Factor and Effect on Compliances,” American Journal of Orthodontic and Dentofacial Orthopedics, vol. 114, no. 6, pp. 684-691, 1998.

J. E. Albino, S. D. Lawrence, C. E. Lopes, L. B. Nash, L. A. Tedesco, “Co-operation of adolescents in orthodontic treatment,” J Behav Med, vol 14. no. 1, pp. 53-70, 1991.

B. W. Larsson, K. Bergstrom, “Adolescents ‘perception of the quality of orthodontic treatment,” Scand J Caring Sci, vol. 19, no. 2, pp. 95-101, 2005.

A. S. Daniels, J. D. Seacat, M. R. Inglehar, “Orthodontic treatment motivation and cooperation: A cross sectional analysis of adolescent patients' and parents' responses,” American Journal of Orthodontic and Dentofacial Orthopedics, vol. 136, no. 6, pp 780, 2009.

M. Shekhar, A. Sinha, “Orthodontic treatment attitude and cooperation: A prospective study of patients ‘and parent‘s responses in people of Deoghar (Jharkhand),” J Adv Med Dent Scie Res; vol. 4, no. 6, pp. 73-80, 2016.


How to Cite
Hafiz, A., Hafizah, N. E., & Nabihah, N. N. (2021). Patient’s Perception of Pain and Discomfort Towards Orthodontic Treatments. European Journal of Dental and Oral Health, 2(2), 15–17.