scholarly journals Impact of self-esteem on the relationship between orthodontic treatment and the oral health-related quality of life in patients after orthodontic treatment – a systematic review

2021 ◽  
Vol 94 (2) ◽  
pp. 158-169
Author(s):  
Prasad Mandava ◽  
Gowri Sankar Singaraju ◽  
Sobitha Obili ◽  
Venkatesh Nettam ◽  
Sasipriya Vatturu ◽  
...  

Objective. The treatment protocol in the modern health care paradigm has shifted considerably towards enhancing the quality of life in the last decade. This is particularly important in cosmetic and elective treatments, and hence the interest in oral health-related quality of life (OHRQoL) also has increased. OHRQoL always been measured by endogenous, functional, social, or psychological determinants. Self-esteem (SE) is one of the internal factors that affect the perception of malocclusion and hence OHRQoL before and after treatment. The purpose of this review is to assess whether there exists any correlation between the Oral Health-Related Quality of Life, Self-esteem (SE) in patients following orthodontic treatment. Methods. A literature search was confined to the English language using Medical Subject Heading terms (MeSH) in PubMed, Cochrane Library, and Ovid® covering the period from January 1, 1951 to May 15, 2020. Search in Google Scholar, grey literature, and hand search on cross-references was performed to find additional data. The studies found to be suitable were selected based on the predefined inclusion and exclusion criteria. The quality of assessment and risk of bias for the included studies were evaluated independently by two invigilators utilizing “The Cochrane Collaboration’s tool for assessing the risk of bias” and “Modified version of the Newcastle Ottawa scale” for Randomized Controlled Trials (RCTs) and non-randomized trials respectively. Results. A total of 7688 studies were retrieved from all the sources. After screening all the titles and excluding the duplicates, 28 studies were finally included for text review, and all of them were fit for quality appraisal. The design of the final studies included comprised of 3 RCTs, 14 cohort studies, 9 cross-sectional studies, and 2 case-control studies. Conclusion. There is moderate evidence to show that fixed orthodontic treatment improves OHRQoL and SE in children. OHRQoL also increased in adolescents and adults. However, there is a weak correlation between SE and OHRQoL. More evidence-based studies are needed to analyze the relationship.

2019 ◽  
Vol 127 (3) ◽  
pp. 254-260 ◽  
Author(s):  
Ana P. C. Q. Herkrath ◽  
Mario V. Vettore ◽  
Adriana C. Queiroz ◽  
Paula L. N. Alves ◽  
Sarah D. C. Leite ◽  
...  

Author(s):  
Antonia Aleksieva ◽  
Giacomo Begnoni ◽  
Anna Verdonck ◽  
Annouschka Laenen ◽  
Guy Willems ◽  
...  

(1) Objective: To investigate the oral health-related quality of life (OHRQoL) and self-esteem (SE) of a population with cleft lip and/or palate (CLP) and to compare it with a non-affected control cohort. (2) Materials and methods: This study comprised 91 CLP patients and a control group of 790 individuals, seeking orthodontic treatment. OHRQoL and SE were assessed by the Child’s Perception Questionnaire (CPQ) and the Dutch adaptation of the Harter’s Self-Perception Profile for Adolescents. Treatment need and self-perception of oral aesthetic were assessed using the Index of Orthodontic Treatment Need (IOTN) and the Oral Aesthetic Subjective Impact Scale (OASIS). Patients’ expectations and motivation for treatment were also scored. Linear models were used for statistical comparisons between groups. (3) Results: The cleft group scored higher in all domains of the CPQ, OASIS, IOTN and regarding SE for the domains of scholastic competence, athletic competence, physical appearance and behavioral conduct. The cleft group was not only more motivated and expected less discomfort during treatment but also had higher expectations for the treatment outcome. (4) Conclusions: The OHRQoL of CLP patients is strongly correlated with the presence of an oral cleft, while SE remains a personal resource not influenced by the malocclusion or medical condition.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Artenio Jose Isper Garbin ◽  
Bruno Wakayama ◽  
Izabella Maria Martin

A má oclusão classe II de Angle é uma oclusopatia de alta prevalência na população brasileira, com grandes impactos nas estruturas dentárias, ósseas, bem como na qualidade de vida dos indivíduos. O objetivo deste estudo foi relatar a eficácia do arco seccionado de forças paralelas, no tratamento da classe II divisão 1. O caso clínico refere-se a uma paciente do sexo feminino de 19 anos de idade. O tratamento da má oclusão foi iniciado com o uso do Arco Utilidade ou Arco Base Inferior, a fim de nivelar e corrigir as interferências antero-posteriores, bem como possibilitar a ancoragem do molar inferior. Em seguida utilizou-se o Arco Seccionado de Forças Paralelas, associado ao uso de elástico 5/16 médio, a fim de potencializar a distalização do molar superior, eliminando os efeitos indesejáveis pelo uso do elástico intermaxilar. Após a correção da posição molar em classe I, foram feitos os ajustes finais de fechamento de diastemas, nivelamento e alinhamento. Conclui-se que o tratamento da classe II divisão 1, com base na terapia bioprogressiva com o uso dos arcos seccionados de forças paralelas foi altamente eficaz, possibilitando além da correção da má oclusão, garantir a estabilidade oclusal e a harmonia do perfil facial da paciente.Descritores: Má Oclusão; Má Oclusão de Angle Classe II; Ortodontia Corretiva.ReferênciasBauman JM, Souza JGS, Bauman CD, Florido FM. Aspectos sociodemográficos relacionados à gravidade da maloclusão em crianças brasileiras de 12 anos. Ciênc. saúde coletiva. 2018;23(3):723-32.Campos FL, Vazquez FL, Cortellazzi KL, Guerra LM, Ambrosano GMB, Meneghim MC et al. A má oclusão e sua associação com variáveis socioeconômicas, hábitos e cuidados em crianças de cinco anos de idade. Rev Odontol UNESP. 2013;42(3):160-66.Angle EH. Classification of malocclusion. Dental Cosmos.1899;41:248-64.Arruda RT, Cruz CM, Crepaldi MV, Santana AP, Guimaraes Junior CH. Trtamento precoce da classe II: relato de caso. R Faipe. 2017;7(1):25-35.Garbin AJI, Grieco FAD, Rossi LB. Ortodontia de visão. Ribeirão Preto: Editora Tota, 2016.Seehra J, Newton JT, Dibiase AT. Interceptive orthodontic treatment in bullied adolescents and its impact on self-esteem and oral-health-related quality of life. Eur J Orthod. 2013;35(5):615-21.Gatto RCJ, Garbin AJI, Corrente JE, Garbin CAS. Self-esteem level of Brazilian teenagers victims of bullying and its relation with the need of orthodontic treatment. RGO Rev Gaúch Odontol. 2017;65(1):30-6.Gatto RCJ, Garbin AJI, Corrente JE, Garbin CAS. The relationship between oral health-related quality of life, the need for orthodontic treatment and bullying, among Brazilian teenagers. Dental Press J. Orthod. 2019;4(2):73-80.Dibiase A, Sandler PJ. Early treatment of Class II malocclusion. In: Cobourne MT. (eds) Orthodontic management of the developing dentition. Springer: Cham; 2017. p.151-67.Janson G, Barros SEC, Simão TM, Freitas MR. Variáveis relevantes no tratamento da má oclusão de Classe II. R Dental Press Ortodon Ortop Facial. 2009;14(4):149-57.Gimenez CMM, Bertoz APM, Bertoz FA, Vedovello Filho M, Tubel CAM. Momento Oportuno para a Abordagem Ortodôntica no Tratamento da Classe II. UNOPAR Cient Ciênc Biol Saúde. 2010;12(3):5-10.Capistrano A, Xerez JE, Tavares S, Borba D, Pedrin RRA. APM/FLF no tratamento da Classe II em adulto: 8 anos de acompanhamento. Rev Clín Ortod Dental Press. 2018;17(2):58-71Ricketts RM, Bench RW, Gugino CF, Hilgers. JJ, Schulhof RJ. Bioprogressive Therapy. Denver: Rocky Mountain Orthodontics; 1979.Garbin AJI, Grieco FAD, Guedes-Pinto E. Bioprogressiva e reabilitação neuro-oclusal: a evolução da Ortodontia. Araçatuba: Editora Somos; 2009.Tadesco AF, Oppermann NJ, Duarte MS, Cunha FL, Cavenaghi M. Avaliação do comportamento do eixo facial em pacientes classe II divisão 1, tratados sem extração, com mecânica secccionada e elásticos. RGO. 2005;53(1):67-70.Ferreira FM, Garbin AJI, Grieco FAD, Rossi LP. Arco seccionado de forças paralelas no tratamento da má oclusão de classe II. Ortho Sci Orthod sci pract. 2014;7(25):58-69.Lopes MAP, Santos DCL, Negrete D, Flaiban E. O uso de distalizadores para a correção da má oclusão de Classe II. Rev. Odontol Univ Cid São Paulo. 2013;25(3):223-32.Ricketts RM. Cephalometric analysis and synthesis. Angle Orthod, Appleton, 1961;31(3):141-56. Sahad MG, Grieco FAD, Cartaxo ZBP, Guedes Pinto E, Prokopowitsch I, Araki ÂT. Tratamento da má oclusão de Classe II, subdivisão direita, segundo a terapia bioprogressiva. Rev Clín Ortod Dental. Press 2012; 11(1):92-7.Aranha MF, Garbin AJI, Grieco FAD, Guedes Pinto E, Mendonça MR. Utilização dos arcos seccionados para o tratamento da má oclusão classe II, divisão 2. Rev Clín Ortod Dental Press. 2010;9(3):51-56.Garbin AJI, Wakayama B, Teruel GP. Tratamento da classe II divisão 1 – uma abordagem terapêutica com a mecânica bioprogressiva e arco seccionado de forças paralelas.  Rev UNINGÁ; 2019;56(S3):71-83.Loriato LB, Machado AW, Pacheco W. Considerações clínicas e biomecânicas de elásticos em ortodontia. R Clin Ortodon Dental Press. 2006;5(1):42-55.


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