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Orthodontic Treatment for the Management of Pain or Impacted Teeth in Patients with Malocclusion: A Review of Clinical Effectiveness and Guidelines

Last updated: June 5, 2017
Project Number: RC0897-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of orthodontic treatment for the management of pain in patients with malocclusion?
  2. What is the clinical effectiveness of orthodontic treatment for impacted teeth associated with malocclusion?
  3. What are the evidence-based guidelines regarding the use of orthodontic treatments for the management of pain or impacted teeth in patients with malocclusion?

Key Message

The evidence suggested that orthodontic or orthodontic-surgical treatment of severe malocclusion in adolescents and adults significantly improved all seven domains of the Oral Health Impact Profile (OHIP-14), including physical pain and physical disability. Decreased facial pain was associated with the improvement of OHIP-14 severity. Given the methodological limitations of the identified studies, the findings should be interpreted with caution. Literature on the clinical effectiveness of orthodontic treatment for impacted teeth associated with malocclusion or evidence-based guidelines were not identified.