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The effect of orthodontic pain on dental anxiety: a review

  • Lili Xie1,†,*,
  • Yanan Ma2,†
  • Xue Sun2
  • Zifan Yu2

1Department of stomatology, HeBei General Hospital, 050000 Shijiazhuang, Hebei, China

2North China University of Science and Technology, 063000 Tangshan, Hebei, China

DOI: 10.22514/jocpd.2023.051 Vol.47,Issue 5,September 2023 pp.32-36

Submitted: 22 February 2023 Accepted: 24 March 2023

Published: 03 September 2023

*Corresponding Author(s): Lili Xie E-mail:

† These authors contributed equally.


Dental Anxiety constitutes a series of signs of sympathetic hyperfunction that arises during a dental visit. Orthodontic pain is a common reaction in children and adults that can increase dental anxiety and affect orthodontic outcomes. Both malocclusion and orthodontic pain negatively affect quality of life. Dental anxiety and orthodontic pain have different contributing factors, and the prevalence of malocclusion and dental anxiety varies. Different methods have been proposed for the classification of the dental anxiety scales and orthodontic pain as a first approach in the treatment process. The objective of this literature review was to discuss the effect of orthodontic pain on dental anxietyand to explore ways to address dental anxietyin children and adultsto reduce negative effects on quality of life. This review not only analyses the prevalence and etiology of dental anxiety, the characteristics and influencing factors of orthodontic pain; but also introduces how dental anxiety and orthodontic pain are diagnosed, and proposes some treatment options. The occurrence of malocclusion has recently risen in children and adults, and the negative effects of orthodontic pain and dental anxiety have been explored in literature. Therefore, this review attempts to provide a critical analysis of dental anxiety and orthodontic pain, to attract the attention of orthodontists and provide a framework for further exploration of effective treatment solutions.


Dental anxiety; Orthodontics; Orthodontic pain

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Lili Xie,Yanan Ma,Xue Sun,Zifan Yu. The effect of orthodontic pain on dental anxiety: a review. Journal of Clinical Pediatric Dentistry. 2023. 47(5);32-36.


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