{
  "abstract": "Background/Objectives: Evidence integrating patient-reported outcomes with the clinical performance of orthodontic miniscrews remains limited. This study evaluated pain, miniscrew-related oral impact, and six-month clinical outcomes following miniscrew placement. Methods: In this single-centre prospective observational cohort, 111 patients were screened, 104 were enrolled, and 100 patients receiving 270 clinically indicated miniscrews contributed complete data. Pain was assessed using a visual analogue scale immediately after placement, at 24 h, and at one week. A preliminary eight-item miniscrew-related oral-impact questionnaire was completed at one week. Analyses included the Friedman test with Holm-adjusted pairwise comparisons, Spearman correlations, and logistic generalised estimating equations (GEEs) accounting for within-patient clustering. Results: Median pain decreased from 6.0 (IQR, 3–8) immediately after placement to 4.0 (IQR, 0–7.25) at 24 h and 0.0 (IQR, 0–2) at one week (p < 0.001; Kendall’s W = 0.568; pairwise r = 0.366–0.758). Analgesics were used by 57% of participants. The mean oral-impact score was 6.08 ± 5.92 on a 0–32 scale. Greater immediate post-placement pain was associated with higher oral-impact scores (ρ = 0.431; p < 0.001). At six months, 250 of 270 miniscrews were successful (92.6%). At the miniscrew level, soft-tissue injury and localised inflammation affected 7.8% and 4.4%, respectively. No examined factor was reliably associated with failure in the clustered GEE model. At the patient level, 78% were satisfied or very satisfied, and 92% would recommend the procedure. Conclusions: Pain decreased substantially within one week, while greater early pain was associated with less favourable oral-impact scores. A 92.6% six-month success rate and favourable patient acceptance were observed. The questionnaire requires further validation, and the exploratory failure estimates require confirmation.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthodontics, College of Dentistry, University of Sulaimani, Sulaimani P.O. Box 1124-30, Iraq"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 1,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hadi M. Ismail",
      "orcid": "0000-0002-0254-0292"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/90rxeymjq6q1j.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15207852",
  "fulltext_url": null,
  "id": "90rxeymjq6q1j",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/20/7852",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3505|Orthodontics and Dentofacial Orthopedics"
    ]
  ],
  "openalex": "W7221562449",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-12",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/90rxeymjq6q1j.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:00Z",
      "native_id": "10.3390/jcm15207852",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/20/7852"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "Association Between Early Pain and Miniscrew-Related Oral Impact After Orthodontic Miniscrew Placement: A Prospective Cohort Study",
  "title_text": "Association Between Early Pain and Miniscrew-Related Oral Impact After Orthodontic Miniscrew Placement: A Prospective Cohort Study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:00Z",
  "url": "https://research.draconitic.com/paper/90rxeymjq6q1j",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}