The Influence of Orthodontic Treatment Need on Oral Health-Related Quality of Life among 12-18-Year-Old Adolescents in Riyadh

Nancy Ajwa, Arwa AlHammad, Luluh AlAmmar, Munira AlMarjan, Talal AlShugair, Leen AlManie, Durgesh Bangalore, Nancy Ajwa, Arwa AlHammad, Luluh AlAmmar, Munira AlMarjan, Talal AlShugair, Leen AlManie, Durgesh Bangalore

Abstract

This study assessed the prevalence of orthodontic treatment needs and oral health-related quality of life (OHRQoL) in 12-18-year-old adolescents and explored the association between OHRQoL and treatment needs, gender, education level and family income. A total of 243 participants with no prior history of orthodontic treatment were included in this cross-sectional study utilizing a standardized self-explanatory questionnaire and clinical examination. The questionnaire consisted of two parts. The first part included the participants' demographics (age, gender, education level, economic status) and the second part contained the Arabic version of the oral health impact profile (OHIP)-14, which consists of 14 questions to assess the impact of the severity of malocclusion on routine activities. The clinical examination involved the dental health component (DHC) index of orthodontic treatment needs (IOTN). The outcome of the study showed that 46% of participants had little or no treatment needs, followed by 23.5% with borderline needs, and 30.5% with severe needs. Female participants had higher mean OHIP-14 scores (10.94 ± 8.17) compared to their male counterparts (8.44 ± 7.15), and the difference in the mean scores was significant (p = 0.015). The educational level did not significantly influence the mean OHIP-14 scores (p = 0.723), whereas the family income correlated negatively with the mean OHIP-14 scores. Participants with less family income had higher mean OHIP-14 scores (11.53 ± 8.67) compared to participants with high (8.22 ± 6.71) and average family income (10.68 ± 8.30). The mean OHIP-14 scores between the family income groups were statistically significant (p = 0.036). The overall OHIP-14 score of the participants was 9.67 ± 7.75. The need for orthodontic treatment is crucial among adolescents. It is recommended to have regular orthodontic consultations for adolescents and prompt referral for treatment to improve the OHRQoL.

Keywords: DHC; IOTN; OHRQoL; adolescents; malocclusion; oral health.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Oral Health Impact Profile-14 (OHIP-14) questions used in the study.
Figure 2
Figure 2
Distribution of the participants according to IOTN-DHC.

References

    1. Jenny J., Cons N.C. Establishing malocclusion severity levels on the Dental Aesthetic Index (DAI) scale. Aus. Dent. J. 1996;41:43–46. doi: 10.1111/j.1834-7819.1996.tb05654.x.
    1. Kharbanda O. What is the prevalence of malocclusion in India? Do we know Orthodontic Treatment Needs of Our country? Ind. Orthod. Soc. 1999;32:33–41.
    1. Mtaya M., Brudvik P., Astrøm A.N. Prevalence of malocclusion and its relationship with socio-demographic factors, dental caries, and oral hygiene in 12- to 14-year-old Tanzanian schoolchildren. Eur. J. Orthod. 2009;31:467–476. doi: 10.1093/ejo/cjn125.
    1. Cunningham S.J., Hunt N.P. Quality of life and its importance in orthodontics. J. Orthod. 2001;28:152–158. doi: 10.1093/ortho/28.2.152.
    1. Inglehart M.R., Bagramian R. Oral Health-Related Quality of Life. Quintessence Publishing Co., Inc.; Chicago, IL, USA: 2002.
    1. Alrashed M., Alqerban A. The relationship between malocclusion and oral health-related quality of life among adolescents: A systematic literature review and meta-analysis. Eur. J. Orthod. 2021;43:173–183. doi: 10.1093/ejo/cjaa051.
    1. Feu D., Miguel J.A., Celeste R.K., Oliveira B.H. Effect of orthodontic treatment on oral health-related quality of life. Angle Orthod. 2013;83:892–898. doi: 10.2319/100412-781.1.
    1. Ahmed B., Gilthorpe M.S., Bedi R. Agreement between normative and perceived orthodontic need amongst deprived multiethnic school children in London. Clin. Orthod. Res. 2001;4:65–71. doi: 10.1034/j.1600-0544.2001.040202.x.
    1. Hunt O., Hepper P., Johnston C., Stevenson M., Burden D. The Aesthetic Component of the Index of Orthodontic Treatment Need validated against lay opinion. Eur. J. Orthod. 2002;24:53–59. doi: 10.1093/ejo/24.1.53.
    1. Zhang M., McGrath C., Hägg U. The impact of malocclusion and its treatment on quality of life: A literature review. Int. J. Paediatr. Dent. 2006;16:381–387. doi: 10.1111/j.1365-263X.2006.00768.x.
    1. Bedi R., Gulati N., McGrath C. A study of satisfaction with dental services among adults in the United Kingdom. Br. Dent. J. 2005;198:433–437. doi: 10.1038/sj.bdj.4812198.
    1. McGrath C., Bedi R. The value and use of ‘quality of life’ measures in the primary dental care setting. Prim. Dent. J. 1999;6:53–57.
    1. Masood M., Masood Y., Saub R., Newton J.T. Need of minimal important difference for oral health-related quality of life measures. J. Public Health Dent. 2014;74:13–20. doi: 10.1111/j.1752-7325.2012.00374.x.
    1. Agou S., Malhotra M., Tompson B., Prakash P., Locker D. Is the child oral health quality of life questionnaire sensitive to change in the context of orthodontic treatment? A brief communication. J. Public Health Dent. 2008;68:246–248. doi: 10.1111/j.1752-7325.2008.00093.x.
    1. Al-Emran S., Wisth P.J., Böe O.E. Prevalence of malocclusion and need for orthodontic treatment in Saudi Arabia. Community Dent. Oral Epidemiol. 1990;18:253–255. doi: 10.1111/j.1600-0528.1990.tb00070.x.
    1. El-Mangoury N.H., Mostafa Y.A. Epidemiologic panorama of dental occlusion. Angle Orthod. 1990;60:207–214. doi: 10.1043/0003-3219(1990);2.
    1. Thilander B., Myrberg N. The prevalence of malocclusion in Swedish schoolchildren. Eur. J. Oral Sci. 1973;81:12–20. doi: 10.1111/j.1600-0722.1973.tb01489.x.
    1. Cenzato N., Nobili A., Maspero C. Prevalence of Dental Malocclusions in Different Geographical Areas: Scoping Review. Dent. J. 2021;9:117. doi: 10.3390/dj9100117.
    1. Lombardo G., Vena F., Negri P., Pagano S., Barilotti C., Paglia L., Colombo S., Orso M., Cianetti S. Worldwide prevalence of malocclusion in the different stages of dentition: A systematic review and meta-analysis. Eur. J. Paediatr. Dent. 2020;21:115–122. doi: 10.23804/ejpd.2020.21.02.05.
    1. Brook P.H., Shaw W.C. The development of an index of orthodontic treatment priority. Eur. J. Orthod. 1989;11:309–320. doi: 10.1093/oxfordjournals.ejo.a035999.
    1. Chen M., Feng Z.C., Liu X., Li Z.M., Cai B., Wang D.W. Impact of malocclusion on oral health-related quality of life in young adults. Angle Orthod. 2015;85:986–991. doi: 10.2319/101714-743.1.
    1. Hassan A.H. Orthodontic treatment needs in the western region of Saudi Arabia: A research report. Head Face Med. 2006;2:2. doi: 10.1186/1746-160X-2-2.
    1. Tolessa M., Singel A.T., Merga H. Epidemiology of orthodontic treatment need in southwestern Ethiopian children: A cross sectional study using the index of orthodontic treatment need. BMC Oral Health. 2020;20:210. doi: 10.1186/s12903-020-01196-2.
    1. Al-Azemi R., Artun J. Orthodontic treatment need in adolescent Kuwaitis: Prevalence, severity and manpower requirements. Med. Princ. Pract. 2010;19:348–354. doi: 10.1159/000316371.
    1. Mugonzibwa E.A., Kuijpers-Jagtman A.M., Van ’t Hof M.A., Kikwilu E.N. Perceptions of dental attractiveness and orthodontic treatment need among Tanzanian children. Am. J. Orthod. Dentofacial. Orthop. 2004;125:426–433. doi: 10.1016/j.ajodo.2003.11.002.
    1. Souames M., Bassigny F., Zenati N., Riordan P.J., Boy-Lefevre M.L. Orthodontic treatment need in French schoolchildren: An epidemiological study using the Index of Orthodontic Treatment Need. Eur. J. Orthod. 2006;28:605–609. doi: 10.1093/ejo/cjl045.
    1. Borzabadi-Farahani A., Borzabadi-Farahani A., Eslamipour F. Malocclusion and occlusal traits in an urban Iranian population. An epidemiological study of 11- to 14-year-old children. Eur. J. Orthod. 2009;31:477–484. doi: 10.1093/ejo/cjp031.
    1. Gudipaneni R.K., Aldahmeshi R.F., Patil S.R., Alam M.K. The prevalence of malocclusion and the need for orthodontic treatment among adolescents in the northern border region of Saudi Arabia: An epidemiological study. BMC Oral Health. 2018;18:16. doi: 10.1186/s12903-018-0476-8.
    1. Gunatissa C.N., Pathirage S.L., Ratnayaka N. The prevalence of malocclusion and orthodontic treatment need among 15-year-old school children in Galle district in Sri Lanka: An epidemiological study. APOS Trends Orthod. 2016;6:256–260. doi: 10.4103/2321-1407.190739.
    1. Perillo L., Masucci C., Ferro F., Apicella D., Baccetti T. Prevalence of orthodontic treatment need in southern Italian schoolchildren. Eur. J. Orthod. 2010;32:49–53. doi: 10.1093/ejo/cjp050.
    1. Masood Y., Masood M., Zainul N.N., Araby N.B., Hussain S.F., Newton T. Impact of malocclusion on oral health related quality of life in young people. Health Qual. Life Outcomes. 2013;11:25. doi: 10.1186/1477-7525-11-25.
    1. Hakami Z., Chung H.S., Moafa S., Nasser H., Sowadi H., Saheb S., Bokhari A.M., Anderson N.K. Impact of fashion braces on oral health related quality of life: A web-based cross-sectional study. BMC Oral Health. 2020;20:236. doi: 10.1186/s12903-020-01224-1.
    1. Hassan A.H., Amin Hel S. Association of orthodontic treatment needs and oral health-related quality of life in young adults. Am. J. Orthod. Dentofacial. Orthop. 2010;137:42–47. doi: 10.1016/j.ajodo.2008.02.024.
    1. Uzarevic Z., Bulj A. Oral Health-Related Quality of Life among Croatian University Students. Int. J. Environ. Res. Public Health. 2021;18:6483. doi: 10.3390/ijerph18126483.
    1. Altouki N.H., Albrahim M.A., Hassan A.H., Natto Z.S., Alhajrasi M.K. Oral Health-Related Quality of Life of Saudi Young Adults with Vertical Discrepancies in Occlusion. Patient Prefer. Adherence. 2020;14:1021–1026. doi: 10.2147/PPA.S235141.
    1. Simões R.C., Goettems M.L., Schuch H.S., Torriani D.D., Demarco F.F. Impact of Malocclusion on Oral Health-Related Quality of Life of 8–12 Years Old Schoolchildren in Southern Brazil. Braz. Dent. J. 2017;28:105–112. doi: 10.1590/0103-6440201701278.
    1. World Health Organization . Oral Health Surveys: Basic Methods. 5th ed. WHO; Geneva, Switzerland: 2013.
    1. Gomes M.C., Pinto-Sarmento T.C., Costa E.M., Martins C.C., Granville-Garcia A.F., Paiva S.M. Impact of oral health conditions on the quality of life of preschool children and their families: A cross-sectional study. Health Qual. Life Outcomes. 2014;12:55. doi: 10.1186/1477-7525-12-55.
    1. Masood M., Suominen A.L., Pietila T., Lahti S. Malocclusion traits and oral health-related quality of life in Finnish adults. Community Dent. Oral Epidemiol. 2017;45:178–188. doi: 10.1111/cdoe.12276.
    1. Kang J.-M., Kang K.-H. Effect of malocclusion or orthodontic treatment on oral health-related quality of life in adults. Korean J. Orthod. 2014;44:304–311. doi: 10.4041/kjod.2014.44.6.304.
    1. Alhummayani F.M., Taibah S.M. Orthodontic treatment needs in Saudi young adults and manpower requirements. Saudi Med. J. 2018;39:822–828. doi: 10.15537/smj.2018.8.22337.
    1. Al-Jobair A.M., Baidas L.F., Al-Hamid A.A., Al-Qahtani S.G., Al-Najjar A.T., Al-Kawari H.M. Orthodontic treatment need among young Saudis attending public versus private dental practices in Riyadh. Clin. Cosmet. Investig. Dent. 2016;8:121–129. doi: 10.2147/CCIDE.S116353.
    1. Hassan A.H., Hassan M.H., Linjawi A.I. Association of orthodontic treatment needs and oral health-related quality of life in Saudi children seeking orthodontic treatment. Patient Prefer. Adherence. 2014;8:1571–1579. doi: 10.2147/PPA.S71956.
    1. Al-Zubair N.M. Orthodontic treatment need of Yemeni children assessed with dental aesthetic index. J. Orthod. Sci. 2014;3:41–45. doi: 10.4103/2278-0203.132913.
    1. Dalaie K., Behnaz M., Khodabakhshi Z., Hosseinpour S. Impact of malocclusion severity on oral health-related quality of life in an Iranian young adult population. Eur. J. Dent. 2018;12:129–135. doi: 10.4103/ejd.ejd_61_17.
    1. Burden D.J., Pine C.M., Burnside G. Modified IOTN: An orthodontic treatment need index for use in oral health surveys. Community Dent. Oral Epidemiol. 2001;29:220–225. doi: 10.1034/j.1600-0528.2001.290308.x.
    1. Lanteri V., Cavagnetto D., Abate A., Mainardi E., Gaffuri F., Ugolini A., Maspero C. Buccal Bone Changes around First Permanent Molars and Second Primary Molars after Maxillary Expansion with a Low Compliance Ni-Ti Leaf Spring Expander. Int. J. Environ. Res. Public Health. 2020;17:9104. doi: 10.3390/ijerph17239104.
    1. Bilgic F., Gelgor I.E., Celebi A.A. Malocclusion prevalence and orthodontic treatment need in central Anatolian adolescents compared to European and other nations’ adolescents. Dent. Press J. Orthod. 2015;20:75–81. doi: 10.1590/2177-6709.20.6.075-081.oar.
    1. Ciuffolo F., Manzoli L., D’Attilio M., Tecco S., Muratore F., Festa F., Romano F. Prevalence and distribution by gender of occlusal characteristics in a sample of Italian secondary school students: A cross-sectional study. Eur. J. Orthod. 2005;27:601–606. doi: 10.1093/ejo/cji043.
    1. Thilander B., Pena L., Infante C., Parada S.S., de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur. J. Orthod. 2001;23:153–167. doi: 10.1093/ejo/23.2.153.
    1. Gherunpong S., Tsakos G., Sheiham A. A sociodental approach to assessing dental needs of children: Concept and models. Int. J. Paediatr. Dent. 2006;16:81–88. doi: 10.1111/j.1365-263X.2006.00701.x.
    1. Sischo L., Broder H.L. Oral health-related quality of life: What, why, how, and future implications. J. Dent. Res. 2011;90:1264–1270. doi: 10.1177/0022034511399918.
    1. Rodakowska E., Mierzyńska K., Bagińska J., Jamiołkowski J. Quality of life measured by OHIP-14 and GOHAI in elderly people from Bialystok, north-east Poland. BMC Oral Health. 2014;14:106. doi: 10.1186/1472-6831-14-106.
    1. Ikebe K., Watkins C.A., Ettinger R.L., Sajima H., Nokubi T. Application of short-form oral health impact profile on elderly Japanese. Gerodontology. 2004;21:167–176. doi: 10.1111/j.1741-2358.2004.00028.x.
    1. Gonzales-Sullcahuamán J.A., Ferreira F.M., de Menezes J.V., Paiva S.M., Fraiz F.C. Oral health-related quality of life among Brazilian dental students. Acta Odontol. Latinoam. 2013;26:76–83.
    1. Isiekwe G.I., Onigbogi O.O., Olatosi O.O., Sofola O.O. Oral health quality of life in a Nigerian university undergraduate population. J. West Afr. Coll. Surg. 2014;4:54–74.
    1. Klages U., Bruckner A., Zentner A. Dental aesthetics, self-awareness, and oral health-related quality of life in young adults. Eur. J. Orthod. 2004;26:507–514. doi: 10.1093/ejo/26.5.507.
    1. Silvola A.S., Rusanen J., Tolvanen M., Pirttiniemi P., Lahti S. Occlusal characteristics and quality of life before and after treatment of severe malocclusion. Eur. J. Orthod. 2012;34:704–709. doi: 10.1093/ejo/cjr085.
    1. Yetkiner E., Vardar C., Ergin E., Yücel C., Ersin N. Orthodontic Treatment Need, Self-Esteem, and Oral Health-Related Quality of Life Assessment of Primary Schoolchildren: A Cross-Sectional Pilot Study. Turk. J. Orthod. 2013;26:182–189. doi: 10.13076/TJO-D-14-00003.
    1. Anthony S.N., Zimba K., Subramanian B. Impact of Malocclusions on the Oral Health-Related Quality of Life of Early Adolescents in Ndola, Zambia. Int. J. Dent. 2018;2018:7920973. doi: 10.1155/2018/7920973.
    1. Scapini A., Feldens C.A., Ardenghi T.M., Kramer P.F. Malocclusion impacts adolescents’ oral health–related quality of life. Angle Orthodo. 2012;83:512–518. doi: 10.2319/062012-509.1.
    1. Thiruvenkadam G., Asokan S., John J., Geetha Priya P., Prathiba J. Oral health-related quality of life of children seeking orthodontic treatment based on child oral health impact profile: A cross-sectional study. Contemp. Clin. Dent. 2015;6:396–400. doi: 10.4103/0976-237x.161899.
    1. De Oliveira C.M., Sheiham A. Orthodontic treatment and its impact on oral health-related quality of life in Brazilian adolescents. J. Orthod. 2004;31:20–27; discussion 15. doi: 10.1179/146531204225011364.
    1. Kavaliauskienė A., Šidlauskas A., Zaborskis A. Relationship Between Orthodontic Treatment Need and Oral Health-Related Quality of Life among 11–18-Year-Old Adolescents in Lithuania. Int. J. Environ. Res. Public Health. 2018;15:1012. doi: 10.3390/ijerph15051012.
    1. Baskaradoss J.K., Geevarghese A., Alsaadi W., Alemam H., Alghaihab A., Almutairi A.S., Almthen A. The impact of malocclusion on the oral health related quality of life of 11–14-year-old children. BMC Pediatr. 2022;22:91. doi: 10.1186/s12887-022-03127-2.
    1. Jeelani W., Fida M., Shaikh A. The duration of pubertal growth peak among three skeletal classes. Dent. Press J. Ortho. 2016;21:67–74. doi: 10.1590/2177-6709.21.5.067-074.oar.
    1. Wide U., Hakeberg M. Oral health-related quality of life, measured using the five-item version of the Oral Health Impact Profile, in relation to socio-economic status: A population survey in Sweden. Eur. J. Oral Sci. 2018;126:41–45. doi: 10.1111/eos.12393.
    1. Guimarães S.P.A., Jorge K.O., Fontes M.J.F., Ramos-Jorge M.L., Araújo C.T.P., Ferreira E.F., Melgaço C.A., Zarzar P.M. Impact of malocclusion on oral health-related quality of life among schoolchildren. Braz. Oral Res. 2018;32:e95. doi: 10.1590/1807-3107bor-2018.vol32.0095.

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