A randomised prospective study of analgesic protocols for the management of orthodontic pain in relation to fitting of fixed appliances

This study is looking at whether taking pain medication before and after getting braces fitted can reduce the discomfort that commonly occurs in the first 48 hours of orthodontic treatment. Participants will be randomly assigned to take either ibuprofen, paracetamol (acetaminophen), or a placebo (inactive pill) starting one hour before the braces are fitted. Pain levels will be recorded at several time points over the first week of treatment. You may be eligible if: - You are between 14 and 19 years old - You are about to start full fixed orthodontic treatment (braces) for the first time - You have not had a dental extraction in the past two weeks - You are willing to follow a strict pain medication schedule and complete pain rating forms You may NOT be eligible if: - You need to take preventive antibiotics before dental procedures - You have a systemic disease - You are pregnant - You have a reason you cannot take anti-inflammatory medications (NSAIDs) Talk to your doctor about whether this trial might be right for you.