Changes in the oral health-related quality of life 24 h following insertion of fixed orthodontic appliances

Noorhanizar Mansor, Roslan Saub, Siti Adibah Othman, Noorhanizar Mansor, Roslan Saub, Siti Adibah Othman

Abstract

Objectives: The objective of this study was to assess changes in the oral health-related quality of life (OHRQoL) among patients wearing fixed orthodontic appliances 24 h after insertion.

Materials and methods: Sixty patients aged between 14 and 24 years (29 males and 31 females; mean age, 17.8 years; SD 3.1 years) were recruited from the Postgraduate Clinic, Department of Children's Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya. The oral health-related quality of life (OHRQoL) was measured before treatment and 24 h after insertion of the orthodontic appliance. The instrument used to measure OHRQoL was a modified self-administered short version of Malaysian Oral Health Impact Profile (OHIP-16[M]) questionnaire. The higher the score, the poorer is the OHRQoL.

Results: Overall score of OHRQoL increased significantly 24 h after insertion (mean 43.5±10.9) as compared to before insertion (mean 34.1±9.2) (P<0.001). Significant changes were found for the following items: Difficulties in chewing, bad breath, difficulties in pronunciation, discomfort in eating, ulcer, pain, avoidances of eating certain foods, difficulties in cleaning, embarrassment, avoid smiling, disturbed sleep, concentration affected, difficulty carrying out daily activities, and lack of self-confidence (P<0.05). Significant changes were also found in the mean difference of OHRQoL for gender (P<0.001).

Conclusion: OHRQoL was found to deteriorate 24 h after insertion of fixed orthodontic appliances in almost all domains, with significant changes in gender. This information can be used as "informed consent", which might increase patient's compliance as they are aware of what to expect from initial orthodontic treatment.

Keywords: Fixed appliances; oral health impact profile; oral health-related quality of life; orthodontic treatment.

Conflict of interest statement

Conflict of Interest: None declared.

References

    1. O’Brien K, Kay L, Fox D, Mandall N. Assessing oral health outcomes for orthodontics – measuring health status and quality of life. Community Dent Health. 1998;15:22–6.
    1. Kiyak HA. Does orthodontic treatment affect patient’ quality of life? J Dent Educ. 2008;72:886–94.
    1. Bernabě E, Sheiham A, de Oliveira CM. Impacts on daily performances related to wearing orthodontic appliances. Angle Orthod. 2008;78:482–6.
    1. Miller KB, McGorray SP, Womack R, Quintero JC, Perelmuter M, Gibson J, et al. A comparison of treatment impacts between invisalign aligner and fixed appliance therapy during the first week of treatment. Am J Orthod Dentofacial Orthop. 2007;131:302.e1–9.
    1. Zhang M, McGrath C, Hagg U. Changes in oral health-related quality of life during fixed orthodontic appliance therapy. Am J Orthod Dentofacial Orthop. 2008;133:25–9.
    1. Liu Z, McGrath C, Hägg U. Changes in oral health-related quality of life during fixed orthodontic appliance therapy: An 18-month prospective longitudinal study. Am J Orthod Dentofacial Orthop. 2011;139:214–9.
    1. Costa AA, Ferreira MC, Serra-Negra JM, Pordeus IA, Paiva SM. Impact of wearing fixed orthodontic appliances on oral health-related quality of life among Brazilian children. J Orthod. 2011;38:275–81.
    1. Shalish M, Cooper-Kazaz R, Ivgi I, Canetti L, Tsur B, Bachar E, et al. Adult patients’ adjustability to orthodontic appliances. Part I: A comparison between Labial, Lingual, and Invisalign™. Eur J Orthod. 2012;34:724–30.
    1. Sergl HG, Klages U, Zentner A. Pain and discomfort during orthodontic treatment: Causative factors and effects on compliance. Am J Orthod Dentofacial Orthop. 2009;114:684–91.
    1. Lee S, McGrath C, Samman N. Quality of life in patients with dentofacial deformity: A comparison of measurement approaches. Int J Oral Maxillofac Surg. 2007;36:488–92.
    1. Rusanen J, Lahti S, Tolvanen M, Pirttiniemi P. Quality of life in patients with severe malocclusion before treatment. Eur J Orthod. 2012;32:43–8.
    1. Saub R. PhD Thesis. Canada: University of Toronto; 2004. Development of an oral health-related quality of life measure for the Malaysian adults’ population: Cross- cultural adaptation of the oral health impact profile.
    1. Saub R, Locker D, Allison P. Derivation and validation of the short version of the Malaysian oral health impact profile. Community Dent Oral Epidemiol. 2005;33:378–83.
    1. Chen MU, Wang DW, Wu LP. Fixed orthodontic appliances therapy and its impact on oral health-related quality of life in Chinese patients. Angle Orthod. 2010;80:49–53.
    1. Jones ML. An investigation into the initial discomfort caused by placement of an archwire. Eur J Orthod. 1984;6:48–54.
    1. Ngan P, Kess B, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop. 1989;96:47–53.
    1. Scheurer PA, Firestone AR, Bürgin WB. Perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod. 1996;18:349–57.
    1. Erdinç AM, Dinçer B. Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod. 2004;26:79–85.
    1. Scott P, Sherriff M, Dibiase AT, Cobourne MT. Perception of discomfort during initial orthodontic tooth alignment using a self-ligating or conventional bracket system: A randomized clinical trial. Eur J Orthod. 2008;30:227–32.
    1. Brown DF, Moerenhout RG. The pain experience and psychological adjustments to orthodontic treatment of preadolescents, adolescents and adults. Am J Orthod Dentofacial Orthop. 1991;100:349–56.
    1. Kvam E, Bondevik O, Gjerdet NR. Traumatic ulcers and pain during orthodontic treatment. Community Dent Oral Epidemiol. 1989;17:154–7.
    1. Jones ML, Chan C. The pain and discomfort experienced during orthodontic treatment. A randomised clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop. 1992;102:373–81.
    1. Rawji A, Parker L, Deb P, Woodside D, Tompson B, Shapiro CM. Impact of orthodontic appliances on sleep quality. Am J Orthod Dentofacial Orthop. 2008;134:606–14.
    1. Kvam E, Gjerdet N, Bondevik O. Traumatic ulcers and pain during orthodontic treatment. Community Dent Oral Epidemiol. 1987;15:104–7.
    1. McGrath C, Bedi R. Gender variations in the social impact of oral health. J Ir Dent Assoc. 2000;46:87–91.
    1. Kurtz R. Sex differences and variations in body attitudes. J Consult Clin Psychol. 1969;33:625–9.
    1. Riley JL, 3rd, Robinson ME, Wise EA, Myers CD, Fillingim RB. Sex differences in the perception of noxious experimental stimuli: A meta-analysis. Pain. 1998;74:181–7.
    1. Muir JC, Wareing MG, McDonald AJ. Orthodontic treatment for adults. N Z Dent J. 1986;82:143–6.

Source: PubMed

Sponsor e collaboratori

Condizioni mediche

Interventi farmacologici

3
Sottoscrivi