Methodologies in Orthodontic Pain Management: A Review

Asra Sabir Hussain1, *, Meteib Joraib Al Toubity2, Wael Y. Elias3
1 Private Dental Practice, Jeddah, Saudi Arabia
2 Ministry of Health Hospital, Taif, Saudi Arabia
3 Oral Diagnostic Science Department, King Abdul-Aziz University, Faculty of Dentistry, Jeddah, KSA.

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Creative Commons License
© 2017 Hussain et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Private Dental Practice, Jeddah, KSA.; Tel: 00966-535672990; E-mail:



Patients experience pain and discomfort during active orthodontic treatment with fixed appliances. Pain is considered a subjective response to noxious stimuli. It can vary from person to person and is influenced by certain factors such as age, gender, previous pain experiences, stress or anxiety, and type of appliance.


The objective of this literature review was to discuss conventional versus recently introduced treatment modalities used in pain management for orthodontic patients.


According to the reviewed articles, both pharmacological and non-pharmacological methods were introduced in orthodontic pain management. However, orthodontists must use their best professional judgment to assess each case individually and select an appropriate treatment modality based on pain threshold level of an individual.


Nevertheless, further investigations are required in this field.

Keywords: Orthodontics, Pain management, Pain control, Analgesics, Orthodontic pain, Discomfort.