Patient experiences and discomfort associated with mid-palatal temporary skeletal anchorage devices
Abstract Background Mid-palatal placement of temporary skeletal anchorage devices (TSADs) has become increasingly popular among clinicians due to high success rates, low associated risk and streamlining and enhanced customization of associated supra-structures. There is however limited patient data...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-02-01
|
| Series: | Progress in Orthodontics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40510-024-00549-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823861575646183424 |
|---|---|
| author | Aoife P. Barry Vanessa Knode Padhraig S. Fleming Björn Ludwig |
| author_facet | Aoife P. Barry Vanessa Knode Padhraig S. Fleming Björn Ludwig |
| author_sort | Aoife P. Barry |
| collection | DOAJ |
| description | Abstract Background Mid-palatal placement of temporary skeletal anchorage devices (TSADs) has become increasingly popular among clinicians due to high success rates, low associated risk and streamlining and enhanced customization of associated supra-structures. There is however limited patient data in relation to associated experiences and impacts. Methods A survey of patients undergoing mid-palatal TSAD insertion was undertaken using a 27-item bespoke questionnaire. Questionnaires were sent using both electronic and surface mail with a 3-month period allowed for response. Pain experience; the use of analgesia; requirement for additional visits; impacts on hygiene, speech, eating, and hobbies; and social impacts were assessed. Reponses involved the use of a Visual Analogue Scale as well as binary information. Results Overall, 152 responses were obtained with 87.5% describing experience of TSAD insertion either “as expected” or “better”. Procedural pain was reported as mild in 62.5%. Local post-operative pain was scored as moderate in 21.1%. Some functional impairment was reported with 63.2% attributing difficulty with speech and 67.8% difficulty with eating due to the implant. However, these functional impairments were generally considered mild (by 68.1% and 60.2%, respectively) and most were very likely to recommend this treatment to others, with 65.1% (n = 99) scoring 8 or above out of 10. Conclusions Appreciable levels of pain, discomfort and functional impairment were noted with the use of mid-palatal TSADs. However, any unpleasant experiences were generally regarded as mild with most highly likely to recommend mid-palatal TSADs to prospective patients. |
| format | Article |
| id | doaj-art-8e9734779e8b414887796d1f2c9c91e7 |
| institution | Kabale University |
| issn | 2196-1042 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Progress in Orthodontics |
| spelling | doaj-art-8e9734779e8b414887796d1f2c9c91e72025-02-09T12:56:38ZengSpringerOpenProgress in Orthodontics2196-10422025-02-0126111110.1186/s40510-024-00549-9Patient experiences and discomfort associated with mid-palatal temporary skeletal anchorage devicesAoife P. Barry0Vanessa Knode1Padhraig S. Fleming2Björn Ludwig3School of Dental Science, Dublin Dental University Hospital, University of Dublin, Trinity College DublinUniversity Medical Center of the Johannes Gutenberg University MainzSchool of Dental Science, Dublin Dental University Hospital, University of Dublin, Trinity College DublinDepartment of Orthodontics, University of Homburg/SaarAbstract Background Mid-palatal placement of temporary skeletal anchorage devices (TSADs) has become increasingly popular among clinicians due to high success rates, low associated risk and streamlining and enhanced customization of associated supra-structures. There is however limited patient data in relation to associated experiences and impacts. Methods A survey of patients undergoing mid-palatal TSAD insertion was undertaken using a 27-item bespoke questionnaire. Questionnaires were sent using both electronic and surface mail with a 3-month period allowed for response. Pain experience; the use of analgesia; requirement for additional visits; impacts on hygiene, speech, eating, and hobbies; and social impacts were assessed. Reponses involved the use of a Visual Analogue Scale as well as binary information. Results Overall, 152 responses were obtained with 87.5% describing experience of TSAD insertion either “as expected” or “better”. Procedural pain was reported as mild in 62.5%. Local post-operative pain was scored as moderate in 21.1%. Some functional impairment was reported with 63.2% attributing difficulty with speech and 67.8% difficulty with eating due to the implant. However, these functional impairments were generally considered mild (by 68.1% and 60.2%, respectively) and most were very likely to recommend this treatment to others, with 65.1% (n = 99) scoring 8 or above out of 10. Conclusions Appreciable levels of pain, discomfort and functional impairment were noted with the use of mid-palatal TSADs. However, any unpleasant experiences were generally regarded as mild with most highly likely to recommend mid-palatal TSADs to prospective patients.https://doi.org/10.1186/s40510-024-00549-9Patient experiencePatient reported outcomesMid-palatalAnchorageTSAD (Temporary skeletal anchorage device)MI (Mini-implant) |
| spellingShingle | Aoife P. Barry Vanessa Knode Padhraig S. Fleming Björn Ludwig Patient experiences and discomfort associated with mid-palatal temporary skeletal anchorage devices Progress in Orthodontics Patient experience Patient reported outcomes Mid-palatal Anchorage TSAD (Temporary skeletal anchorage device) MI (Mini-implant) |
| title | Patient experiences and discomfort associated with mid-palatal temporary skeletal anchorage devices |
| title_full | Patient experiences and discomfort associated with mid-palatal temporary skeletal anchorage devices |
| title_fullStr | Patient experiences and discomfort associated with mid-palatal temporary skeletal anchorage devices |
| title_full_unstemmed | Patient experiences and discomfort associated with mid-palatal temporary skeletal anchorage devices |
| title_short | Patient experiences and discomfort associated with mid-palatal temporary skeletal anchorage devices |
| title_sort | patient experiences and discomfort associated with mid palatal temporary skeletal anchorage devices |
| topic | Patient experience Patient reported outcomes Mid-palatal Anchorage TSAD (Temporary skeletal anchorage device) MI (Mini-implant) |
| url | https://doi.org/10.1186/s40510-024-00549-9 |
| work_keys_str_mv | AT aoifepbarry patientexperiencesanddiscomfortassociatedwithmidpalataltemporaryskeletalanchoragedevices AT vanessaknode patientexperiencesanddiscomfortassociatedwithmidpalataltemporaryskeletalanchoragedevices AT padhraigsfleming patientexperiencesanddiscomfortassociatedwithmidpalataltemporaryskeletalanchoragedevices AT bjornludwig patientexperiencesanddiscomfortassociatedwithmidpalataltemporaryskeletalanchoragedevices |