[摘要]疼痛是正畸治疗过程中的常见症状，不仅影响正畸治疗的最终效果，而且影响患者是否接受正畸治疗的意愿。资料显示，95%的正畸患者出现过不同程度的疼痛症状。如何消除或减轻正畸疼痛，确保正畸矫治效果，改善口腔医疗服务质量，已成为越来越多的正畸医师和患者关注的问题之一。本文总结了正畸治疗中疼痛的表现、特点及可能的机制，并分析比较了目前临床上常用的镇痛措施，旨在进一步明确正畸疼痛的外周神经机制，为临床提供切实可行的疼痛缓解方案。

    [关键词]正畸；疼痛；外周机制；镇痛方案

    [中图分类号]R 783.5[文献标志码]A[doi]10.3969/j.issn.1673-5749.2012.03.028

    Advances in clinical administration and basic research of orthodontic painQiao Hu1, Zhu Yongjin2, Zhou Hong1.(1. Dept. of Orthodontics, Stomatological Hospital, College of Medicine, Xi’an Jiaotong University, Xi’an 710004, China; 2. Research Center of Stomatology, Stomatological Hospital, College of Medicine, Xi’an Jiaotong University, Xi’an 710004, China)

    [Abstract]Orthodontic pain is the most common symptom, which affects not only the clinical effect of orthodontic treatment, but also patients’intention to receive orthodontic treatment. Reports revealed that 95% of orthodontic patients had suffered varying degrees of pain. How to eliminate or release orthodontic pain, to ensure the effectiveness of orthodontic treatment, and to improve the oral health care quality effectively have become the concerns among orthodontists and patients. In this review, we summarized the clinical feature and possible mechanisms of orthodontic pain, meanwhile compared the different pain relief schemes commonly used in clinical case, and analyzed the peripheral mechanism involved in orthodontic pain for practical protocol of clinical analgesia. ......