Preoperative acetaminophen vs ibuprofen for control of pain after orthodontic separator placement.
BACKGROUND
Pain control during orthodontics is an important aspect of patient compliance. The aim of this prospective, randomized, double-blind clinical trial was to compare the pain control effectiveness of acetaminophen (650 mg) with ibuprofen (400 mg) taken 1 hour before separator placement in adolescents.


METHODS
The patients recorded their discomfort on a 100-mm visual analog scale during several activities (teeth not touching, chewing, and fitting back teeth together) and by selecting words adapted from the McGill Pain Questionnaire at 5 time intervals: immediately before separator placement, immediately after separator placement, 2 to 3 hours later, at bedtime, and on awakening the next morning. The patients (n = 33) were randomly assigned to the ibuprofen group or the acetaminophen group. A repeated-measures ANOVA was performed as a function of time and treatment group.


RESULTS
Pain increased immediately after separator placement, lessened, and then increased to a peak the next morning. The most commonly selected words to describe pain were "annoying," "sore," and "tight." There was no significant difference in pain at any time after separator placement regardless of the medication taken.


CONCLUSIONS
Acetaminophen and ibuprofen produced no significant differences in pain after separator placement.
Bird
Suzanne E
SE
Department of Orthodontics and Dentofacial Orthopedics, School of Dentistry, University of Missouri at Kansas City, Mo 64108-2784, USA.
Williams
Karen
K
Kula
Katherine
K
D000082:Acetaminophen / Q000627:therapeutic use*; D000293:Adolescent; D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use*; D000704:Analysis of Variance; D002648:Child; D004311:Double-Blind Method; D005157:Facial Pain / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use*; D008297:Male; D009967:Orthodontic Appliances / Q000009:adverse effects*; D009971:Orthodontics, Corrective / Q000009:adverse effects / Q000295:instrumentation; D010147:Pain Measurement; D011300:Preoperative Care; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires
D018712:Analgesics, Non-Narcotic; D000082:Acetaminophen; D007052:Ibuprofen