Materials & methods: A total of 50 patients between the age group of 14 to 18 years were included in the present study. Pain was assessed using visual analogue scale (VAS) on a scale of zero to 10. A self-framed questionnaire was given to all the patients for assessing the impact of orthodontic pain on quality of life. The questions are rated using the five‑level Likert scale (always ^[4], often ^[3], sometimes ^[2], rarely ^[1], and never ^[0]). All the results were analysed by SPSS software.

Results: After one day of starting of fixed orthodontic treatment, no pain was seen in 3 patients, moderate pain was seen in 13 patients, while severe pain was seen in 25 patients. After one month, severe pain was seen only in one patient. With passage of time, there was significantly reduction in the mean pain score. Out of 50 patients, 86 percent of the patients sometimes had problems in pronouncing words. 76 percent of the patients sometime had painful aching in the mouth. 80 percent of the patients sometimes felt embarrassed. 86 percent of the patients sometimes had difficulty in doing usual jobs.

Conclusion: From the above results, the authors concluded that pain is the major reasons for patients’ non-cooperation and is a significant cause for missing appointments, which alters the quality of treatment.