scholarly journals A Prospective Randomized Clinical Trial to Evaluate the Slot Size on Pain and Oral Health-Related Quality of Life (OHRQoL) in Orthodontics during the First Month of Treatment with Conventional and Low-Friction Brackets

2020 ◽  
Vol 10 (20) ◽  
pp. 7136 ◽  
Author(s):  
Adrian Curto ◽  
Alberto Albaladejo ◽  
Javier Montero ◽  
Mario Alvarado-Lorenzo ◽  
Daniele Garcovich ◽  
...  

The aim of this research project was to analyze the influence of slot size and low-friction on pain and the oral health-related quality of life (OHRQoL) of subjects receiving fixed appliances. A group of 120 patients (61 male, 59 female) were chosen for this randomized clinical trial. Participants were classified into four groups (30 patients in each). We compared conventional (C group) and low-friction (LF group) brackets and 0.018″ and 0.022″ slots. Pain was assessed at 4 (T0), 8 (T1), and 24 (T2) hours, and 2 (T3), 3 (T4), 4 (T5), 5 (T6), 6 (T7), and 7 (T8) days after the start of treatment by using the visual analogue scale (VAS). OHRQoL was assessed at 1 month using the Oral Health Impact Profile (OHIP-14). Data was analyzed using the analysis of variance (ANOVA) test with post-hoc Bonferroni correction. For pain on the visual analogue scale, statistically significant differences (p < 0.05) were found for T0 and T3. For OHRQoL, statistically significant differences (p < 0.01) were found in the domains of physical pain, psychological discomfort, psychological disability, and overall OHIP. The group with 0.022″ low-friction brackets showed a lower pain score and less impact on OHRQoL. The type of bracket system used and bracket slot size influenced patients’ perceptions of pain and their OHRQoL.

2020 ◽  
Vol 9 (5) ◽  
pp. 1474 ◽  
Author(s):  
Adrian Curto ◽  
Alberto Albaladejo ◽  
Javier Montero ◽  
Alfonso Alvarado

The aim of this study was to investigate whether statistically significant differences exist regarding pain and the impact on oral quality of life of orthodontic treatment. A conventional brackets system was compared with low-friction brackets. A total of 90 patients (male = 35, female = 55) were chosen for this randomized clinical trial. Pain was assessed at 4, 8, and 24 hours and 2, 3, 4, 5, 6, and 7 days after the start of treatment using the McGill Pain Questionnaire. Oral health-related quality of life (OHRQoL) was assessed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire. Oral quality of life was assessed at one month, with patients with low-friction brackets describing lower levels of pain. The patients with conventional brackets indicated a worse impact on their quality of life compared to the group with low-friction brackets. Statistically significant differences were found between the groups, with maximum pain observed between the first 24 and 48 hours, and the values of minimum pain are reached after 7 days. The pain and impact on oral quality of life was statistically worse in patients with conventional brackets compared to patients with low-friction brackets. The type of bracket system used was therefore shown to influence patients’ perceptions of pain and impact on their OHRQoL.


2014 ◽  
Vol 42 (2) ◽  
pp. 114-121 ◽  
Author(s):  
Sônia Saeger Meireles ◽  
Marília Leão Goettems ◽  
Raquel Venâncio Fernandes Dantas ◽  
Álvaro Della Bona ◽  
Iná S. Santos ◽  
...  

Author(s):  
Ahmad Abdel Hamid Elheeny ◽  
Mahmoud Ahmed Abdelmotelb

Abstract Objectives To compare oral health–related quality of Life (OHRQOL) of preschool children’s anterior teeth restored with prefabricated zirconia crowns (ZC) versus resin-bonded composite strip crown (RCSC). Materials and methods A prospective clinical trial included 136 children with early childhood caries aged 36–71 months who were assigned into prefabricated ZC and RCSC groups. A total of 344 teeth were restored either with 170 ZCs (49.4%) and 174 RCSCs (50.6%). Wilson and Cleary’s conceptual model was to associate the study predictors to the OHRQOL. Early Childhood Oral Health Impact Scale (ECOHIS) was used to assess the OHRQOL at 6 and 12 months. Mann–Whitney U test was used in comparing OHRQOL mean scores in the two groups and Wilcoxon signed-rank test with the effect size (r) to measure the intragroup OHRQOL change. A Poisson regression model was used to study potential risk factors associated with the overall OHRQOL. Results After 12 months, the USPHS parameters of the ZC were significantly superior compared to the RCSC. Overall ECOHIS mean scores in the ZC group were significantly lower than that of the RCSC group at T1 and T2 (p < 0.001). Remarkable enhancement of the OHRQOL at the follow-ups with a large effect size (r < 0.8) was observed. Restoration type, retention, baseline OHRQOL, and color had a significant impact on the overall OHRQOL at 12 months. Conclusions Preschool children OHRQOL treated with ZC were significantly better than those who received RCSC. Clinical relevance One of the optimum treatment standards in pediatric dentistry is the esthetic demand which has significance on the child’s OHRQOL and subsequently child’s general health quality of life. It is beneficial to the dentist to identify the influence of esthetic restorations on the OHRQOL of preschool children which aids in future decision-making. The longitudinal nature of the study enables the dentist to identify the changes of children’s OHRQOL.


Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 171
Author(s):  
Adriana González-Sáez ◽  
Laura Antonio-Zancajo ◽  
Javier Montero ◽  
Alberto Albaladejo ◽  
María Melo ◽  
...  

Background and objectives: The aim of this study was to evaluate the influence of friction on design of the type of bracket, patients’ perception of pain and the impact on their oral health-related quality of life. Materials and Methods: A randomized clinical trial was carried out with 90 patients (62.2% women and 37.8% men) with three kinds of fixed multi-bracket appliances: Conventional (GC), fixed multi-bracket low friction (GS) and self-ligating (GA). The VAS (Visual Analogue Scale) was used to determine pain during the first seven days of treatment at different points in time. The patients were also given the OHIP-14 (Oral Health Impact Profile) questionnaire to analyse their oral health-related quality of life (OHRQoL) after the first 30 days of treatment. The ANOVA test was used for the analysis of the variables and the post hoc Bonferroni test for the comparison between groups. Results: Maximum pain was observed between one and two days after the start of treatment. The GC group showed the greatest degree of pain, with maximum values (4.5 ± 2.0) at 24 h. The self-ligation brackets show lower impact on patients’ oral health-related quality of life (0.8 ± 2.2, p < 0.01). Conclusions: Friction in the type of bracket influences pain and the Oral Health-Related Quality of Life of patients who use multi-bracket fixed orthodontics.


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