scholarly journals Impact of Malocclusion on Oral Health Related Quality of Life among Brazilian Adolescents

2021 ◽  
Vol 10 (38) ◽  
pp. 3387-3394
Author(s):  
Snehaja Jujjavarapu ◽  
Karen Glazer DE Anselmo Peres ◽  
David Brennan

BACKGROUND Oral health and general health are very closely related and are considered to be important health problems among individuals due to their expenses associated with treatment, prevalence rate and impact level among individuals and adolescents. These investigations can even have key suggestions for general and oral health prevention strategies relevant to the present knowledge on risk factors for these conditions. Assessment of the current impacts of oral health conditions on quality of life might even develop an understanding of the importance of dental conditions. The general purpose of the current thesis was to investigate the association between oral health and its impact on oral health-related quality of life (OHRQoL) among Brazilian adolescents. METHODS A population-based birth cohort study was carried out in the urban city of Pelotas, Brazil, in the year 2004 (2004 PBCS), including all live births in the city. All mothers living in the urban area of Pelotas and their children born in maternity hospitals of the city of Pelotas (N = 4231) were eligible to participate in this study. RESULTS Findings presented in this thesis indicate that a negative association between oral conditions and OHRQoL exists. Adolescents with severe malocclusion identified with a DAI score greater than 36, showed a negative impact on OHRQoL. Individuals with the presence of dental plaque were seen suffering from severe malocclusion, which in turn was negatively associated with OHRQoL. The evidence provided by the current thesis may not only contribute primarily to the scientific literature but may also furnish researchers and epidemiologists with information vital for orthodontic treatment and be useful to identify community needs and help in the implementation of treatment plans. CONCLUSIONS In conclusion, the impact of malocclusion on daily events among adolescents of Brazil was a common finding in our study. Some other important variables like gingival status, schooling of the fathers that possibly act during childhood which might be affecting the QoL were not included in our present study. These findings may not only contribute to the literature but may also furnish researchers and epidemiologists with information vital for orthodontic treatment and use to identify the community needs and help in the implementation of the treatment plan. Further studies need to be developed to clarify the most complex relationship between impacts of malocclusion on QoL. KEY WORDS Malocclusion, Epidemiological, Brazilian Adolescents, Oral Health-Related Quality Of Life, Dental Aesthetic Index

2014 ◽  
Vol 85 (6) ◽  
pp. 986-991 ◽  
Author(s):  
Mu Chen ◽  
Zhi-Cai Feng ◽  
Xue Liu ◽  
Zheng-Ming Li ◽  
Bin Cai ◽  
...  

ABSTRACT Objective:  To assess oral health–related quality of life (OHRQoL) in young adult patients with malocclusion and to measure the association between orthodontic treatment need and OHRQoL. Materials and Methods:  The study sample comprised 190 young adults aged 18 to 25 years who were attending orthodontic clinics at the Faculty of Dentistry. The Index of Orthodontic Treatment Need-Dental Health Component was used to measure orthodontic treatment need. Each participant was assessed for OHRQoL before and after treatment by using the Oral Health Impact Profile, Chinese version (OHIP-14). Results:  Patients who had little or no, borderline, and actual need for orthodontic treatment represented 21.6%, 50.5%, and 27.9% of the total sample, respectively. OHRQoL (total OHIP-14 score and score for each domain) improved after treatment (P < .05). Significant differences in summary OHIP-14 scores were apparent with respect to orthodontic treatment need. Participants with high treatment need reported a significantly greater negative impact on the overall OHRQoL score. The greatest impact was seen in the psychological discomfort domain and the psychological disability domain. Conclusion:  Malocclusion has a significant negative impact on OHRQoL. This is greatest for the psychological discomfort and psychological disability domains. The orthodontic treatment of malocclusion improves OHRQoL of patients.


Author(s):  
Maria Mitus-Kenig ◽  
Marcin Derwich ◽  
Ewa Czochrowska ◽  
Elzbieta Pawlowska

Background: The aim of the study was to compare the oral-health-related quality of life (OHRQoL) between cancer survivors: with rapid orthodontic treatment (TX) (up to 12 months) and standard TX (orthodontic treatment time longer than 16 months). Methods: There were 76 cancer survivors (48 women and 28 men) allocated into groups with rapid (36 people) or standard (40 people) duration of TX. OHRQoL was assessed on the basis of Oral Health Impact Profile (OHIP-14) values, measured before TX, 2 weeks and 3 months after the onset of TX, and after the end of TX. A repeated ANOVA test was used to check the statistical significance between the scores. Results: There were no significant differences regarding the OHIP-14 values between the examined groups at all stages of the examination. Both groups presented significant (p < 0.001) improvement of the values of OHRQoL at the end of TX comparing to the values achieved before the onset of TX. Conclusions: Duration of orthodontic treatment by itself had no impact on oral-health-related quality of life.


2017 ◽  
Vol 28 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Roberto Cuchiara Simões ◽  
Marília Leão Goettems ◽  
Helena Silveira Schuch ◽  
Dione Dias Torriani ◽  
Flávio Fernando Demarco

Abstract The aim of this study was to estimate the impact of malocclusion on the oral health-related quality of life (OHRQoL) of schoolchildren aged 8-12 years old in Southern Brazil. A two-stage cluster procedure was used to select 1,199 children in 20 public and private schools in Pelotas/Brazil. Cross-sectional data was collected, consisting of a socioeconomic questionnaire to parents, children’s interview and clinical oral examination. The clinical variables were obtained from clinical examination, and the Child Perceptions Questionnaire (CPQ) was assessed during children’s interview. To measure malocclusion and orthodontic treatment need the Dental Aesthetic Index was used. For data analysis multiple Poisson regression models estimating the rate ratios (RR) and their respective confidence intervals (95%CI) were used. Among 1,206 participants, 789 were aged 8-10 years and 417 between 11-12 years. The orthodontic treatment need was higher among the younger children (44.6%) than in the older ones (35.0%) (p value ≤0.05). There was a significant association in the CPQ social and emotional domains with malocclusion in the older schoolchildren. In the adjusted analysis (for socioeconomics and clinical variables) the effect of very severe malocclusion on OHRQoL was confirmed in both 8-10 and 11-12 age groups (RR(95%CI) of 1.24(1.02;1.51) and 1.28(1.01;1.62), respectively). The findings demonstrated that children with very severe malocclusion experienced greater negative impact on OHRQoL compared to those with mild or no malocclusion. The results suggest that malocclusion impacts the quality of life. The higher impact occurs in the social and emotional well-being domains.


2020 ◽  
Author(s):  
Mustafa Elhussein ◽  
Philip Benson

Abstract Background The objectives of this study were to investigate relationships between change in the aesthetic appearance before and after orthodontic treatment and patient-reported change in oral health-related quality of life (OHRQoL), and to assess the responsiveness of two OHRQoL measures to any changes from orthodontic treatment. Methods Two hundred and ten participants in a multicentre (two teaching hospitals and four specialist orthodontic practices), single blinded, randomised clinical trial with 2 parallel groups, were administered one of two age-specific questionnaires, either the Child Perceptions Questionnaire (CPQ11-14-ISF-16) or the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), before and after orthodontic treatment. Clinical photographs were assessed by two groups of laypeople and orthodontists using the Index of Orthodontic Treatment Need Aesthetic Component (IOTN-AC). Results Two hundred and ten participants were randomised, and 197 completed the trial. Before and after OHRQoL data were successfully obtained from 110 participants. There was a mean reduction in the total CPQ11-14-ISF-16 scores of 3.9 (SD = 8.0), and a mean reduction of 34.2 (SD = 18.5) in the total PIDAQ score. CPQ11-14-ISF-16 demonstrated poor longitudinal construct validity (p = 0.155). Correlations between the change in total CPQ11-14-ISF-16 scores and change in IOTN-AC assessments were small for both orthodontists (r=-0.084; p = 0.516) and laypeople (r=-0.140; p = 0.225). There were higher associations between the improvement in the Social well-being (SWB) subdomain and improvement in IOTN-AC. Correlations between the changes in total PIDAQ scores and the IOTN-AC assessments, were higher in comparison to the correlations with CPQ11-14-ISF-16 (orthodontists; r = 0.223, laypeople; r = 0.025). There were no adverse effects. Conclusion CPQ11-14-ISF-16 and IOTN-AC measure different attributes. This demonstrated the role of SWB on children OHRQoL. Condition-specific measures (PIDAQ) are more responsive to change in self-reported OHRQoL than generic measures (CPQ11-14-ISF-16) after treatment. Trial Registration: The trial was registered at ClinicalTrials.gov NCT01925924.


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