Patient-Reported Discomfort and Oral Impacts on Daily Performance during Orthodontic Treatment

2021 ◽  
Vol 11 (3) ◽  
pp. 171-180
Author(s):  
Purevsuren Batkhuyag ◽  
Sang-Min Lee ◽  
Dong-Hwa Chung ◽  
Jin-Woo Lee
Keyword(s):  
Orthodontic Treatment ◽  
Patient Reported ◽  
Oral Impacts

scholarly journals Patient-reported experience and outcomes from orthodontic treatment

2020 ◽  
Vol 47 (2) ◽  
pp. 107-115
Author(s):  
Elizabeth Bradley ◽  
Andrew Shelton ◽  
Trevor Hodge ◽  
David Morris ◽  
Hilary Bekker ◽  
...  
Keyword(s):  
Secondary Care ◽  
Orthodontic Treatment ◽  
Clinical Care ◽  
Patient Treatment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Treatment Experience ◽  
Patient Reported ◽  
Pre Treatment

Objective: To measure patient-reported impact of orthodontic treatment in terms of pre-treatment concerns, treatment experience and treatment outcome. Setting: Four sites in Yorkshire, including two secondary care settings (Leeds Dental Institute and St Luke’s Hospital, Bradford) and two specialist orthodontic practices. Design: Cross-sectional survey. Participants: NHS orthodontic patients (aged 12+ years) who have completed comprehensive orthodontic treatment, excluding orthognathic surgery and craniofacial anomalies. Methods: Participants were opportunistically identified by the direct clinical care team during scheduled appointments and those eligible were invited to participate. Data were collected using the Orthodontic Patient Treatment Impact Questionnaire (OPTIQ), a validated 12-item measure with questions relating to pre-treatment experience, impact of treatment and outcome from treatment. Results: Completed questionnaires for analysis included 120 from primary care and 83 from secondary care. The most common pre-treatment concerns were alignment (89%) and being embarrassed to smile (63%). The most common expectations from orthodontic treatment were improved confidence to eat (87%) and smile (72%) in front of others, improved appearance of teeth (85%) and reduced teasing/bullying (63%). Only 67% respondents recalled receiving written information and the lowest recall related to retainer type and length of retention. The most commonly reported complications were sore mouth (68%), fixed appliance breakage (61%) and gingivitis (39%). Treatment caused greatest impact in relation to pain, limitations in eating and effect on speech. Overall satisfaction with orthodontic treatment was reported by 96% of respondents, 87% would have orthodontic treatment again (if needed) and 91% would recommend treatment to a friend. Conclusions: The OPTIQ is a useful patient-reported tool to identify pre-treatment concerns and expectations, treatment experience and outcome. Orthodontic treatment leads to high levels of satisfaction.

scholarly journals Multi-lobed mesiodens with a palatal talon cusp: a rare case report

2010 ◽  
Vol 21 (4) ◽  
pp. 375-378 ◽  
Author(s):  
Nayaka Basavanthappa Nagaveni ◽  
Kagathur Veerbadrappa Umashankara ◽  
Sreedevi ◽  
Bokka Praveen Reddy ◽  
Nayaka Basavanthappa Radhika ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Rare Case ◽  
Clinical Case ◽  
Treatment Plan ◽  
Radiographic Examination ◽  
Supernumerary Tooth ◽  
Anterior Teeth ◽  
Patient Reported ◽  
Rare Case Report ◽  
Maxillary Arch

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch and the talon cusp is a rare dental developmental anomaly seen on the lingual surface of anterior teeth. This paper presents a rare clinical case of development of talon cusp in a mesiodens with multiple lobes, which interfered with both occlusion and appearance of an 11-year-old patient. During clinical interview, the patient reported difficulty on mastication. Clinical and radiographic examination revealed that a supernumerary tooth with completely formed root was causing an occlusal interference. The supernumerary tooth was diagnosed as multi-lobed mesiodens associated with a palatal talon cusp. The treatment plan consisted in the extraction of the supernumerary tooth followed by orthodontic treatment for diastema closure and tooth alignment.

scholarly journals Longitudinal prospective evaluation of oral health-related quality of life in young patients undergoing fixed orthodontic appliance treatment as part of a randomised trial

2020 ◽  
Author(s):  
Mustafa Elhussein ◽  
Philip Benson
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
Well Being ◽  
Health Related Quality ◽  
Patient Reported ◽  
Before And After ◽  
Related Quality ◽  
Health Related

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.

scholarly journals Oral impacts on Daily Performances Related to Wearing Orthodontic Appliances among the Patients Reporting to the Department of Orthodontics and Dentofacial Orthopaedics, Dhaka Dental College and Hospital

2018 ◽  
pp. 1-7
Author(s):  
Moniruzzaman ◽  
MZ Hossain
Keyword(s):  
Orthodontic Treatment ◽  
Cross Sectional Study ◽  
Orthodontic Appliances ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Face To Face ◽  
Oral Impact ◽  
Living Related ◽  
Dentofacial Orthopedics ◽  
Oral Impacts

Introduction: Patients may have some oral impacts on their day to day activities during the course of treatment with orthodontic appliances. Often the impacts may lead the patient to interrupt or terminate the treatment. Proper information on frequency, intensity and extent of the oral impacts on daily performances related to wearing orthodontic appliances during orthodontic treatment will help the patient and orthodontists to increase the treatment compliance.Objectives: To assess the frequency, severity and extent of oral impact on daily performances (OIDP) im the patients wearing orthodontic appliances in relation to type of orthodontic appliancea and sex of patients.Materials and method: The study was a descriptive cross sectional study with 300 participants by convenient sampling aged 10-25 years, undergoing orthodontic treatment at the department of Orthodontics & Dentofacial Orthopedics of Dhaka Dental College & Hospital. Face-to-face structured interviews and clinical examination were done to collect information about OIDP.Results: Three hundred patients (31% male and 69% female) undergoing orthodontic treatment participated in the study. The prevalence of condition-specific impacts related to wearing orthodontic appliances was 31.7%. Among adolescents with impacts related to wearing orthodontic appliances, 17.8% reported impacts of severe or very severe intensity and 90.5% reported impacts on only one daily performance, commonly eating or speaking or cleaning mouth. The prevalence and the extent, but not the intensity of condition-specific impacts differed by type of orthodontic appliance (P =.002* and .004* respectively).Conclusion: Almost one in three participants undergoing orthodontic treatment reported side effects, specific impacts on daily living related to wearing orthodontic appliances. Such impacts were higher among patients wearing fixed and combination of both fixed and removable type of orthodontic appliances rather than removable type. This information could help to inform patients about the frequency and intensity of sociodental impacts during the course of their treatment.Ban J Orthod & Dentofac Orthop, April 2015; Vol-5 (1-2), P.1-7

scholarly journals Patient reported experiences and treatment outcomes of orthodontic patients treated within secondary care settings in the South West of England during the COVID-19 pandemic

2021 ◽  
pp. 146531252110299
Author(s):  
Jenifer L Jopson ◽  
Pamela E Ellis ◽  
Amelia S Jerreat ◽  
Louise C Kneafsey ◽  
Matthew B Moore ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Secondary Care ◽  
Orthodontic Treatment ◽  
Phase 1 ◽  
Orthodontic Appliances ◽  
The South ◽  
Treatment Length ◽  
South West ◽  
Patient Reported ◽  
The Impact

Objective: To assess the impact of the temporary cessation of orthodontic services on patients undergoing treatment during the COVID-19 pandemic. Design: Two-phase multicentre service evaluation. Setting: Secondary care orthodontic departments in the South West of England. Materials and Methods: Phase 1 – Patient-Reported Experience Measure questionnaire (PREM). The questionnaire was distributed to patients who had undergone orthodontic treatment during the COVID-19 pandemic once services had resumed. Phase 2 – assessment of treatment outcomes, specifically with the Peer Assessment Rating (PAR) Index. A total of 280 PAR scores were obtained from a cohort of patients treated before and during the pandemic. Results: A total of 711 PREM questionnaires were completed. Participants generally felt relaxed when visiting secondary care settings, orthodontic departments and whilst wearing orthodontic appliances during the pandemic. Nearly 40% of participants were concerned that the pandemic would impact on their treatment, particularly treatment length. Treatment outcomes revealed that patients treated before and during the pandemic experienced percentage PAR score reductions of 83.9% and 80.6%, respectively. Patients receiving treatment during the pandemic experienced longer treatment durations of 126 days. Conclusion: During the pandemic, low levels of anxiety were reported with respect to receiving orthodontic treatment in secondary care settings. Irrespective of the pandemic, a high standard of orthodontic treatment was provided. However, patient concerns regarding treatment length were justified.

Longitudinal prospective evaluation of oral health-related quality of life in young patients undergoing fixed orthodontic appliance treatment

2020 ◽  
Author(s):  
Mustafa Elhussein ◽  
Philip Benson
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
Well Being ◽  
Health Related Quality ◽  
Patient Reported ◽  
Before And After ◽  
Related Quality ◽  
Health Related

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 one participants in a randomized clinical trial, involving two teaching hospitals and four specialist practices, 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: 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 was 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 (orthodontists; r=0.223, laypeople; r=0.025).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.

scholarly journals Impacts on Daily Performances Attributed to Malocclusions Using the Condition-Specific Feature of the Oral Impacts on Daily Performances Index

2008 ◽  
Vol 78 (2) ◽  
pp. 241-247 ◽  
Author(s):  
Eduardo Bernabé ◽  
Georgios Tsakos ◽  
Cesar Messias de Oliveira ◽  
Aubrey Sheiham
Keyword(s):  
Quality Of Life ◽  
Socioeconomic Status ◽  
Orthodontic Treatment ◽  
Social Consequences ◽  
Treatment Need ◽  
Daily Life Activities ◽  
Severe Intensity ◽  
History Of ◽  
Oral Impacts

Abstract Objective: To assess the prevalence, intensity, and extent of sociodental impacts attributed to malocclusions by sex, socioeconomic status, and normative orthodontic treatment need level. Materials and Methods: One thousand sixty 15- to 16-year-old adolescents without history of previous or current orthodontic treatment were randomly selected from all secondary schools in Bauru, Brazil. Interviews were done to collect information about sociodemographic variables and sociodental impacts on quality of life attributed to malocclusions using the Oral Impacts on Daily Performances Index. Adolescents were also clinically examined using the Index of Orthodontic Treatment Need. Statistical comparison by covariables was performed using χ2 and Kruskal-Wallis tests. Results: The prevalence of condition-specific impacts (CSIs) was 24.6%. Among adolescents with CSIs, 52.1% reported severe or very severe intensity and 77.4% reported impacts on only one daily performance, commonly, smiling. The prevalence, intensity, and extent of CSIs differed by level of normative orthodontic treatment need but not by sex or socioeconomic status. However, among adolescents with definite normative orthodontic treatment need, 24.5% reported CSIs of severe or very severe intensity, whereas among those with moderate or slight/no need, 13.0% and 7.9%, respectively, experienced CSIs of severe or very severe intensity. Conclusions: Untreated malocclusions have physical, psychological, and social consequences on quality of life of Brazilian adolescents. However, because adolescents with a definite normative orthodontic need are considered by orthodontists as in need of care, these results raise the issue of whether all these adolescents should be considered for orthodontic attention since most had no perceived impacts on performing their daily life activities.

Patient reported benefit of the efficacy of speech therapy in dysphonia

1998 ◽  
Vol 23 (3) ◽  
pp. 284-285 ◽  
Author(s):  
Mackenzie ◽  
Deary ◽  
Sellars ◽  
Wilson
Keyword(s):  
Speech Therapy ◽  
Patient Reported

Association of Physical Morbidity and Health-Related Quality of Life in a Representative Sample of Older German People

2018 ◽  
Vol 25 (4) ◽  
pp. 140-151
Author(s):  
Markus A. Wirtz ◽  
Matthias Morfeld ◽  
Elmar Brähler ◽  
Andreas Hinz ◽  
Heide Glaesmer
Keyword(s):  
Quality Of Life ◽  
Representative Sample ◽  
Short Form ◽  
Physical Symptoms ◽  
German Population ◽  
Health Related Quality ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related

Abstract. The association between health-related quality of life (HRQoL; Short-Form Health Survey-12; SF-12) and patient-reported morbidity-related symptoms measured by the Patient Health Questionnaire-15 (PHQ-15) is analyzed in a representative sample of older people in the general German population. Data from 1,659 people aged 60 to 85 years were obtained. Latent class analysis identified six classes of patients, which optimally categorize clusters of physical symptoms the participants reported: musculoskeletal impairments (39.8%), healthy (25.7%), musculoskeletal and respiratory/cardiac impairments (12.8%), musculoskeletal and respiratory impairments, along with bowel and digestion problems (12.9%), general impairments (4.9%), and general impairments with no bowel and digestion problems (4.8%). The participants’ SF-12 Physical Health Scores (η2 = .39) and their Mental Health Scores (η2 = .28) are highly associated with these latent classes. These associations remain virtually identical after controlling for age. The results provide evidence that profiles of patient-reported physical impairments correspond strongly with reduced HRQoL independently from aging processes.

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