scholarly journals The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction: an overview of systematic reviews

2019 ◽  
Vol 42 (3) ◽  
pp. 223-230 ◽  
Author(s):  
Yassir A Yassir ◽  
Grant T McIntyre ◽  
David R Bearn
Keyword(s):  
Quality Of Life ◽  
Systematic Reviews ◽  
Orthodontic Treatment ◽  
Patient Perception ◽  
Orthodontic Appliances ◽  
Patient Expectation ◽  
Fixed Appliance ◽  
Fixed Orthodontic Appliances ◽  
The Impact

Summary Background Patient perception with fixed appliance orthodontic treatment is important to improve oral health-related quality of life. Objective The main objective of this study was to evaluate the impact of labial fixed appliance orthodontic care on patient perception before, during, and after the treatment. Search methods Relevant systematic reviews investigating patient perception with fixed appliance orthodontic treatment were identified by searching electronic databases: MEDLINE via OVID (1946 to 31 December 2018), EMBASE (1974 to 31 December 2018), AMED (Allied and Complementary Medicine Database; 1985 to November 2018), PubMed (inception to 31 December 2018), Web of Science (1900 to 2018), and PsychINFO (1806 to 31 December 2018). Ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied. Selection criteria Only studies investigating patient perception of fixed appliance orthodontic treatment were included. Data collection and analysis Screening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)], and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings. Results A total of 163 articles investigating patient expectation, experience, and satisfaction with conventional ligation labial fixed orthodontic appliances were obtained. Of these, 152 observational or interventional studies were excluded, resulting in 11 eligible systematic reviews. Two were excluded as earlier reports of a Cochrane review. The quality of the reviews was variable (critically low, low, and moderate). The findings were as follows: aesthetics represents a primary motive for orthodontic treatment; a temporary deterioration in the quality of life occurs during the initial phases of treatment; gender and ethnicity factors do not have an impact on patient perception of treatment; and a positive relationship between orthodontist–patient–parent is important to achieve patient compliance and satisfaction. Conclusions There is a lack of high-quality studies in terms of systematic reviews and meta-analyses for assessing patient perception with fixed appliance orthodontic treatment. The aesthetic impact of malocclusion is the main motive for seeking orthodontic treatment. Quality of life reduces during the initial stages of orthodontic treatment but improves in the later stages of treatment. Assessment before, during, and after orthodontic treatment is necessary to comprehensively assess patient perception at all stages of care. Trial registration CRD42019122653. Conflict of Interest None to declare.

Impact of the onset of fixed appliance therapy on adolescents’ quality of life using a specific condition questionnaire: A cross-sectional comparison between male and female individuals

2019 ◽  
Vol 46 (3) ◽  
pp. 195-204 ◽  
Author(s):  
Larissa Corradi-Dias ◽  
Saul Martins Paiva ◽  
Henrique Pretti ◽  
Isabela Almeida Pordeus ◽  
Lucas Guimarães Abreu
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Social Impact ◽  
Negative Impact ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Fixed Appliances ◽  
Physical Impact ◽  
The Impact

Objective: To evaluate the impact of the first six months of orthodontic treatment with fixed appliances on the oral health-related quality of life (OHRQoL) of adolescents, comparing boys and girls, using a specific condition questionnaire. Design: Cross-sectional. Setting: School of Dentistry of the Federal University of Minas Gerais, Belo Horizonte, Brazil Participants: Adolescents aged 10–17 years. Methods: Forty-six adolescents participated in this study. Adolescents’ OHRQoL was evaluated using the Brazilian version of the questionnaire Impact of Fixed Appliances Measure. This questionnaire comprises 43 questions distributed across nine domains: aesthetics; functional limitation; dietary impact; oral hygiene impact; maintenance impact; physical impact; social impact; time constraints; and travel/cost/inconvenience implications. The answer options follow the Likert scale, in the range of 1–5. A higher score indicates a more negative impact on the OHRQoL. Adolescents’ malocclusion was assessed using the Dental Aesthetic Index. Information on family income, adolescents’ age and tooth extraction was also collected. A directed acyclic graph was used to identify potential confounders. Statistical analysis involved the chi-square test, the Student’s t test and the analysis of covariance. The minimal clinically important difference was also calculated. Results: Of the 46 participants, 25 were girls and 21 were boys. The female adolescents presented a more negative impact from the orthodontic treatment on the quality of life when compared to the male adolescents ( P < 0.001), regardless of the influence of the confounding variables. The most negative repercussions were identified in the domains of oral hygiene ( P = 0.002), physical impact ( P < 0.001) and social impact ( P < 0.001). Conclusion: The impact of the first six months of orthodontic treatment on OHRQoL is more negative in female individuals than in male individuals. The results of this study may be useful for the oral healthcare provider during the counselling of adolescents undergoing fixed appliance therapy.

The impact of self-reported oral health on the quality of life of teenage students with or without orthodontic treatment from North-East of Romania

2016 ◽  
Author(s):  
GEORGETA ZEGAN ◽  
◽  
CRISTINA GENA DASCĂLU ◽  
RADU EDUARD CERNEI ◽  
RADU BOGDAN MAVRU ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
North East ◽  
The Impact

scholarly journals Changes in Distribution of Dental Biofilm after Insertion of Fixed Orthodontic Appliances

2021 ◽  
Vol 10 (23) ◽  
pp. 5638
Author(s):  
Urszula Kozak ◽  
Agnieszka Lasota ◽  
Renata Chałas
Keyword(s):  
Oral Hygiene ◽  
Dental Plaque ◽  
General Health ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Fixed Appliance ◽  
Dental Biofilm ◽  
Supragingival Plaque ◽  
Fixed Orthodontic Appliances ◽  
The Impact

Good oral hygiene is an important factor in oral and general health, especially in orthodontic patients, because fixed appliances might impede effective oral hygiene and thus increase the risks of tooth decay, periodontal disease and general health complications. This study investigated the impact of fixed orthodontic appliances on the distribution of dental biofilm in teenagers. Supragingival plaque was assessed at T0, T1 and T2. The distribution of the biofilm was analyzed. Approximal Plaque Index (API) and Bonded Bracket Index (BBI) were used to measure the presence of dental plaque. After insertion of the fixed appliance, the dental plaque indices values in the orthodontically treated group were significantly higher (p < 0.05) than in the control group. Fixed orthodontic appliances caused significant changes in the distribution of the biofilm. This was characterized by the change of location of the dental plaque. In the orthodontic group, we observed an increase in the amount of the supragingival plaque on the vestibular surface of the teeth.

scholarly journals Oral Health Impact Profile (OHIP-14) and its association with dental treatment needs of adolescents in a rural Nigerian community

2017 ◽  
Vol 15 (3) ◽  
pp. 215 ◽  
Author(s):  
Rafael Pino Vitti ◽  
Adriano Relvas Barreira de Oliveira ◽  
Mário Alexandre Coelho Sinhoreti ◽  
Lawal Folake Barakat ◽  
Ifesanya Joy Ucheonye
Keyword(s):  
Quality Of Life ◽  
Rural Community ◽  
Orthodontic Treatment ◽  
Assessment Tool ◽  
Dental Treatment ◽  
Life Assessment ◽  
Treatment Needs ◽  
Treatment Need ◽  
The Impact

Aim: To validate and determine the applicability of OHIP-14 in assessing the impact of unmet dental treatment needs on the quality of life of adolescents in a rural community. Methods: The OHIP-14 questionnaire and the Aesthetic component (AC) of Index of Orthodontic Treatment Need (IOTN) were data collection instruments in a cross sectional survey among students in a rural community. The reliability and validity of the OHIP-14 as well as the association between it and dental treatment needs including malocclusion was assessed. Data obtained was analyzed using Mann Whitney U Test. Results: The mean age of participants was 14.9 (±1.6) years. The OHIP-14 had acceptable Cronbach alpha value of 0.8. It could discriminate between respondents with or without dental treatment needs due to caries and dental trauma (p <0.001). The OHIP-14 did not differentiate between respondents with or without orthodontic treatment need (p= 0.808). However, significant association existed between being irritable with people and unmet orthodontic treatment needs (p= 0.032). Conclusion: The OHIP-14 is a valid and reliable quality of life assessment tool in young adolescents in this rural community. However, only the social disability domain componente discriminated significantly between those with or without orthodontic treatment needs.

scholarly journals Comprehensive Analysis of the Quality of Orthodontic Treatment of Transcarpathian Teenagers

2021 ◽  
Vol 6 (1) ◽  
pp. 237-243
Author(s):  
O. V. Klitynska ◽  
◽  
V. Z. Ivaskevych ◽  
N. V. Hasiuk ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Life Questionnaire ◽  
Dental Anomalies ◽  
Study Results ◽  
The Impact ◽  
Psychological Disability

The high prevalence of dental anomalies and deformities requires a careful approach to orthodontic treatment, especially to improve quality of life. The purpose of the study was to determine the effectiveness of orthodontic care by index assessment of the results of correction of dental anomalies and determination of the psychosocial profile in adolescents of the Transcarpathian region. Material and methods. The object of the study were 68 adolescents from the Transcarpathian region. Determination of the correction of dental and maxillary apparatus anomalies was performed by calculating the relevant part of the ICON index, calculating the evaluation of the results. The quality of life of adolescents was assessed using the OHIP-14 quality of life questionnaire. Statistical analysis was performed after consolidation of results using the application package Statistica 10.0 (StatSoft, Inc., USA) and Microsoft Office Excel 2010. Results and discussion. Many studies in the field of psychology have determined that self-esteem is a core characteristic of the individual and together with the level of claims is a regulator of human activity and significantly affects its development. The result of self-esteem depends on how a person evaluates his/her success in joint activities where he/she is a member. This is especially true for teenagers and adolescence. The most important aspect of impaired quality of life in patients of this subgroup were problems of psychological and social nature, issues of external attractiveness, which prevailed even over the physical aspects of the impact, which is quite typical of adolescence. In patients with moderate orthodontic treatment there was a statistically significant improvement on the scales of psychological discomfort (from 6.4±0.6 points to 3.96±0.6 points; p <0.05), psychological disability (from 6.5±0.5 points to 2.18±0.5 points; p <0.05) and social disability (from 5.4±0.5 points to 3.36±0.5 points; p <0.05). Patients in this group after solving problems related to the aesthetics of the smile, as well as discomfort during communication, felt greater psychological comfort, relief in interaction with others and peers. There was a noteworthy shift of accentuation in such patients from problems with appearance to study and active social life. Among patients with severe orthodontic treatment, the most pronounced dynamics was observed on all scales of dental quality of life: on the scale of masticatory dysfunction (from 5.7±1.0 points to 3.12±1.0 points; p <0.05), physical pain (from 7.5±0.7 points to 2.01±0.7 * points; p <0.05), psychological discomfort (from 7.9±0.6 points to 3.48±0.6 points; p <0.05) physical disability (from 7.7±0.5 points to 3.20±0.5 points; p <0.05), psychological disability (from 7.5±0.4 points to 3.41±0.5 points; p <0.05). Conclusion. According to the study results, the success of orthodontic treatment (indicators of severity and effectiveness of orthodontic treatment according to the ISO index) directly correlated with the level of quality of life (r = 0.62; p <0.05)

scholarly journals Oral Health-Related Quality of Life in Dutch Children Diagnosed with Oligodontia. A Cross-Sectional Study

2019 ◽  
Vol 16 (13) ◽  
pp. 2371
Author(s):  
Marieke A.P. Filius ◽  
Marco S. Cune ◽  
Marijn Créton ◽  
Arjan Vissink ◽  
Gerry M. Raghoebar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Dental Appearance ◽  
The Impact ◽  
Dutch Children

There is need to get insight into condition-specific oral health-related quality of life in Dutch children with oligodontia. Between October 2014 and March 2017, 11–17-year-old oligodontia patients were approached to join a study assessing the impact of oligodontia on condition-specific oral health-related quality of life (OHrQoL). The patients received a condition-specific OHrQoL questionnaire prior to the start of orthodontic treatment. Non-oligodontia children in the same age group, but also requiring orthodontic treatment, were approached to serve as a control. The Fisher’s Exact Test was used for comparison purposes with the control group because of the small group sizes. Furthermore, subgroup analyses were performed for gender, age, number of congenitally missing teeth, tooth agenesis in the aesthetic region, orthodontic classification and microdontia via independent t-tests. p-values of <0.05 were considered statistically significant. Twenty-eight oligodontia patients and 23 controls agreed to participate. The oligodontia patients’ scores were comparable to the controls except for the items about dental appearance and treatment complexity. The impact of oligodontia on OHrQoL in youngsters is limited and mainly concerns dental appearance and the complexity of the treatment.

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