{"id":"https://openalex.org/W7203891663","doi":"https://doi.org/10.25259/jadpr_41_2025","title":"Influence of anxiety levels on pain perception during orthodontic Copper\u2013Nickel\u2013Titanium archwire changes at different time intervals: A randomized clinical trial","display_name":"Influence of anxiety levels on pain perception during orthodontic Copper\u2013Nickel\u2013Titanium archwire changes at different time intervals: A randomized clinical trial","publication_year":2026,"publication_date":"2026-08-21","ids":{"openalex":"https://openalex.org/W7203891663","doi":"https://doi.org/10.25259/jadpr_41_2025"},"language":"en","primary_location":{"id":"doi:10.25259/jadpr_41_2025","doi":"https://doi.org/10.25259/jadpr_41_2025","is_oa":true,"landing_page_url":"https://doi.org/10.25259/jadpr_41_2025","pdf_url":"https://jadpr.org/content/142/2026/5/1/pdf/JADPR-5-030.pdf","source":{"id":"https://openalex.org/S4387281447","display_name":"Journal of Advances in Dental Practice and Research","issn_l":"2833-1419","issn":["2833-1419","2994-4961"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323830092","host_organization_name":"Scientific Scholar","host_organization_lineage":["https://openalex.org/P4323830092"],"host_organization_lineage_names":["Scientific Scholar"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Advances in Dental Practice and Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://jadpr.org/content/142/2026/5/1/pdf/JADPR-5-030.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092262428","display_name":"Tereza Cristina Holtz Schuch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Tereza Cristina Holtz Schuch","raw_affiliation_strings":["Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055732213","display_name":"Murilo Henrique Cruz","orcid":"https://orcid.org/0000-0003-4310-9017","observed_orcids":["https://orcid.org/0000-0003-4310-9017"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Murilo Henrique Cruz","raw_affiliation_strings":["Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032740483","display_name":"Eloisa Peixoto Soares Ueno","orcid":"https://orcid.org/0000-0003-0470-3945","observed_orcids":["https://orcid.org/0000-0003-0470-3945"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Elo\u00edsa Peixoto Soares Ueno","raw_affiliation_strings":["Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147743655","display_name":"Jos\u00e9 Rino Neto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Jos\u00e9 Rino Neto","raw_affiliation_strings":["Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5058308691","display_name":"Jo\u00e3o Batista de Paiva","orcid":"https://orcid.org/0000-0002-3178-4843","observed_orcids":["https://orcid.org/0000-0002-3178-4843"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Jo\u00e3o Batista de Paiva","raw_affiliation_strings":["Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthodontics, Faculty of Dentistry of the University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil,","institution_ids":["https://openalex.org/I17974374"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5092262428"],"corresponding_institution_ids":["https://openalex.org/I17974374"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.67161533,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"5","issue":null,"first_page":"30","last_page":"36"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10356","display_name":"Orthodontics and Dentofacial Orthopedics","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3505","display_name":"Orthodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10356","display_name":"Orthodontics and Dentofacial Orthopedics","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3505","display_name":"Orthodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12145","display_name":"Dental Anxiety and Anesthesia Techniques","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12367","display_name":"Dental Trauma and Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/orthodontic-pain","display_name":"orthodontic pain","score":0.8450000286102295},{"id":"https://openalex.org/keywords/dental-anxiety","display_name":"dental anxiety","score":0.9200000166893005},{"id":"https://openalex.org/keywords/pain-perception","display_name":"pain perception","score":0.9760000109672546},{"id":"https://openalex.org/keywords/fixed-orthodontic-appliances","display_name":"fixed orthodontic appliances","score":0.9269999861717224}],"concepts":[{"id":"https://openalex.org/C14184104","wikidata":"https://www.wikidata.org/wiki/Q1362526","display_name":"Visual analogue scale","level":2,"score":0.8112000226974487},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.7741000056266785},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7106999754905701},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5954999923706055},{"id":"https://openalex.org/C2991880133","wikidata":"https://www.wikidata.org/wiki/Q2734305","display_name":"Pain perception","level":2,"score":0.5791000127792358},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.517799973487854},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.5159000158309937},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.43849998712539673},{"id":"https://openalex.org/C2992669165","wikidata":"https://www.wikidata.org/wiki/Q1131635","display_name":"Pain score","level":2,"score":0.33869999647140503},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.33410000801086426},{"id":"https://openalex.org/C83849319","wikidata":"https://www.wikidata.org/wiki/Q7295720","display_name":"Rating scale","level":2,"score":0.28209999203681946},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.275299996137619},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.257099986076355},{"id":"https://openalex.org/C93038891","wikidata":"https://www.wikidata.org/wiki/Q1061524","display_name":"Intensity (physics)","level":2,"score":0.25459998846054077}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.25259/jadpr_41_2025","doi":"https://doi.org/10.25259/jadpr_41_2025","is_oa":true,"landing_page_url":"https://doi.org/10.25259/jadpr_41_2025","pdf_url":"https://jadpr.org/content/142/2026/5/1/pdf/JADPR-5-030.pdf","source":{"id":"https://openalex.org/S4387281447","display_name":"Journal of Advances in Dental Practice and Research","issn_l":"2833-1419","issn":["2833-1419","2994-4961"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323830092","host_organization_name":"Scientific Scholar","host_organization_lineage":["https://openalex.org/P4323830092"],"host_organization_lineage_names":["Scientific Scholar"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Advances in Dental Practice and Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.25259/jadpr_41_2025","doi":"https://doi.org/10.25259/jadpr_41_2025","is_oa":true,"landing_page_url":"https://doi.org/10.25259/jadpr_41_2025","pdf_url":"https://jadpr.org/content/142/2026/5/1/pdf/JADPR-5-030.pdf","source":{"id":"https://openalex.org/S4387281447","display_name":"Journal of Advances in Dental Practice and Research","issn_l":"2833-1419","issn":["2833-1419","2994-4961"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323830092","host_organization_name":"Scientific Scholar","host_organization_lineage":["https://openalex.org/P4323830092"],"host_organization_lineage_names":["Scientific Scholar"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Advances in Dental Practice and Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203891663.pdf","grobid_xml":"https://content.openalex.org/works/W7203891663.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W1593127717","https://openalex.org/W2007153179","https://openalex.org/W2010470117","https://openalex.org/W2035905265","https://openalex.org/W2058901585","https://openalex.org/W2066890995","https://openalex.org/W2077424403","https://openalex.org/W2084202197","https://openalex.org/W2095933702","https://openalex.org/W2111292014","https://openalex.org/W2120437217","https://openalex.org/W2131356460","https://openalex.org/W2133194864","https://openalex.org/W2155200417","https://openalex.org/W2156907132","https://openalex.org/W2171155974","https://openalex.org/W2394533175","https://openalex.org/W2733255908","https://openalex.org/W2789796091","https://openalex.org/W3112230577"],"related_works":[],"abstract_inverted_index":{"Objectives:":[0],"To":[1],"evaluate":[2],"the":[3,12,18,36,73,78,83,89,143,164,186,219,224],"intensity":[4],"and":[5,17,27,35,58,91,137,158,180,197,210],"duration":[6],"of":[7,20,39],"painful":[8],"symptoms":[9],"reported":[10,123],"during":[11],"Copper\u2013Nickel\u2013Titanium":[13],"(NiTi)":[14],"archwire":[15,52,102,208,239],"changes":[16,53],"influence":[19],"anxiety":[21,106,196,229],"levels":[22,230],"on":[23],"pain":[24,235],"perception.":[25],"Material":[26],"Methods:":[28],"Forty-five":[29],"patients":[30,190],"treated":[31],"with":[32,47,218,233],"fixed":[33],"appliances":[34],"same":[37],"sequence":[38],"leveling":[40],"archwires":[41],"were":[42,113,122,191],"divided":[43],"into":[44],"3":[45],"groups":[46],"different":[48,69],"time":[49],"spans":[50],"for":[51,100],"stipulated":[54],"at":[55,68,110,124],"28,":[56],"56,":[57],"84":[59],"days.":[60],"They":[61],"received":[62],"a":[63],"visual":[64],"analog":[65],"scale":[66,107],"(VAS)":[67],"times:":[70],"T0,":[71],"before":[72],"procedure;":[74,79,84,90],"T1,":[75],"immediately":[76],"after":[77,82,88,207],"T2,":[80],"8h":[81],"T3":[85,125,146,168,181],"24":[86,93,213],"h":[87,94,214],"every":[92],"daily":[95],"from":[96],"T4":[97],"to":[98],"T9":[99],"each":[101],"change.":[103],"A":[104],"dental":[105],"was":[108],"presented":[109],"T0.":[111],"Data":[112],"compared":[114],"using":[115],"t":[116],"-tests.":[117],"Results:":[118],"The":[119],"highest":[120,225],"values":[121],"(3.01":[126,134],"\u00b1":[127,131,135,140,148,152,156,161,170,174,178,183],"2.58),":[128],"T2":[129,133,138,150,154,159,172,176],"(2.65":[130],"2.40),":[132],"2.69)":[136],"(1.77":[139],"1.66),":[141],"in":[142,163,185],"4-week":[144],"Group,":[145,166],"(4.61":[147],"3.06),":[149],"(2.55":[151],"1.83),":[153],"(3.46":[155],"2.89)":[157],"(2.20":[160],"2.17)":[162],"8-week":[165],"and,":[167],"(4.74":[169],"2.65),":[171],"(3.04":[173],"2.23),":[175],"(4.01":[177],"2.57),":[179],"(2.51":[182],"2.29)":[184],"12-week":[187],"Group.":[188],"17":[189],"classified":[192],"as":[193,199],"having":[194],"low":[195],"25":[198],"moderate":[200],"anxiety.":[201],"Conclusion:":[202],"Pain":[203],"perception":[204,236],"initiates":[205],"shortly":[206],"insertion":[209],"peaks":[211],"within":[212],"across":[215],"all":[216],"protocols,":[217],"0.014\u201d":[220],"Copper-NiTi":[221],"wire":[222],"eliciting":[223],"intensity.":[226],"Furthermore,":[227],"higher":[228],"are":[231],"associated":[232],"increased":[234],"over":[237],"prolonged":[238],"replacement":[240],"intervals.":[241]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-08-22T00:00:00"}
