Impact of two early treatment protocols for anterior dental crossbite on children’s quality of life

Abstract

Objective: To assess the impact of two early treatment protocols for anterior dental crossbite on children’s quality of life. Methods: Thirty children, 8 to 10 years of age, with anterior dental crossbite, participated in this study. Individuals were divided into two groups: Group 1 - 15 children undergoing treatment with an upper removable appliance with digital springs; Group 2 - 15 children undergoing treatment with resin-reinforced glass ionomer cement bite pads on the lower first molars. Quality of life was evaluated using the Brazilian version of the Child Perceptions Questionnaire (CPQ8-10), which contains four subscales: oral symptoms (OS), functional limitations (FL), emotional well-being (EW), and social well-being (SW). A higher score denotes a greater negative impact on children’s quality of life. Children answered the questionnaire before treatment (T1) and twelve months after orthodontic treatment onset (T2). Descriptive statistics, the Wilcoxon test and analysis of covariance (ANCOVA) were performed. Results: Children’s mean age was 9.07 ± 0.79 years in Group 1 and 9.00 ± 0.84 years in Group 2. For Group 1, the FL and EW subscale scores and the overall CPQ8-10 were significantly higher in T1 as compared to T2 (p= 0.004, p= 0.012 and p= 0.015, respectively). For Group 2, there were no statistically significant differences. The ANCOVA showed no significant difference regarding quality of life at T2 between groups, after controlling for quality of life measures at T1.Conclusions: The difference regarding the impact on quality of life between groups is not related to the protocol used.

Effect of Anterior Crossbite Correction on The Quality of life for a Group of Egyptian Children During Mixed Dentition Stage

“…Children in our present study experienced a significant improvement regarding the emotional and the social wellbeing subscales which was in agreement with Miamoto et.al (11) , Abreu et al (20), Brosens et al (32) and Seehra et.al (33) .…”

“…Results regarding the change in the overall CPQ [8][9][10] scores of all children of both sexes were statistically significant. This was in agreement with Dutra et al (1) , Piassi et al (5) , Miamoto et al (11) and Abreu et al (20) who concluded that children in the same age group (8 to 10 years) with malocclusions were more likely to have a negative impact on quality of life and that malocclusion treatment reduces that impact and improved quality of life .…”

“…In the current study, changes regarding oral symptoms or functional limitations scores for all the children were improved significantly. This was in agreement with Piassi et al (5) and Miamoto et al (11) who also used a removable appliance in the treatment of anterior crossbite but was not in agreement with Brosens et al (32) , in which adolescents treated with fixed orthodontic appliances, experienced a significant deterioration in these aspects after 1 year of treatment.…”

“…(9,10) Since it is seldom self-corrected, it should be treated as soon as possible, (5) otherwise it could develop into a more severe malocclusion or cause traumatic injury to the periodontal tissues or temporo-mandibular joint (TMJ). (8,11) Several treatment options such as; removable and/or fixed appliances, which act directly on the malpositioned teeth have been advised for early interceptive treatment of anterior crossbites. (12) Moreover, anterior crossbite is associated with higher levels of dissatisfaction with appearance and may cause a negative impact on oral health-related quality of life (OHRQoL) of children.…”

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

“…The instrument used for outcome measurement of OHRQoL was the Child Perception Questionnaire 11-14 in 9 studies [6,36,40,35,50,51,55,56,59] and the remaining 16 studies [21,22,39,[41][42][43][44][45][46][47][48][49]52,53,56,57] utilised the Oral Health Impact Profile-14 (OHIP-14) or the Oral Impacts on Daily Performance (OIDP) instrument. The selfesteem outcome measure used in 4 studies [54,55,58,60] was the Harter's Self-Perception Profile, five studies [29,53,56,57,59] used the Rosenberg's self-esteem scale and 1 study used CHQ-CF87) [36].…”