An evaluation of oral health-related quality of life in orthodontic patients treated with fixed and twin blocks appliances

Abstract

OBJECTIVE:To study the impact of orthodontic treatment on the quality of life in two patient groups, one treated with the twin block appliance and the other with fixed appliances.MATERIALS AND METHODS:Ninety-eight patients, aged between 10 and 16 years, were recruited in the fixed (20 males and 29 females) or functional (29 males and 20 females) treatment groups. The oral health-related quality of life (OHRQoL) was measured before treatment and followed up at the end of the treatment. The instrument used to measure OHRQoL was a modified self-administered short version of the English Oral Health Impact profile (OHIP-16[E]) questionnaire.RESULTS:OHRQoL worsened at the initial stages of the treatment. The overall score of OHRQoL reduced significantly at the end of the treatment in both groups. Both groups showed comparable improvements in OHRQoL as the treatment progressed (analysis of variance test P = 0.05).CONCLUSIONS:The OHRQoL patterns, during the treatment with fixed and twin block appliances, were very similar. This suggests that the functional appliance's impact on the QoL may be overestimates by clinicians. OHRQoL improved significantly with both fixed and functional appliances by the end of the treatment. The OHRQoL trends observed during the study can be communicated to patients and used to increase patients’ compliance since they are made aware of the whole treatment process.

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

“…It can be inferred that two of the studies can be rated of low quality. Trials conducted by Alzoubi [ 49 ] and Miamoto [ 50 ] had high selection bias and detection bias. Random sequence generation was unclear in these two studies and the study of Pithon [ 51 ] reflected an acceptable quality (only performance bias was high).…”

“…Of the 28 studies included in the study, 26 studies used fixed appliances, whereas two studies used removable devices (1 research: myofunctional and another study: removable appliance with digital springs). The two studies in which were used removable appliances [ 49 , 50 ] were of low quality in quality assessment, whereas in a total of 23 studies analyzed for OHRQoL, fixed appliances showed increase in quality of life in 20 studies [ 21 , 22 , 35 , 36 , 39 , 41 , 42 – 34 , 51 , 54 – 58 ] and no improvement of QoL in 3 studies [ 6 , 40 , 53 ]. Three of the studies [ 29 , 59 , 60 ] assessed self-esteem in which only fixed appliances were used; no study was present to analyze the SE with removable appliances.…”

“…Individually self-esteem and oral health-related quality values increased post orthodontic treatment (fixed and removable appliances). Utilizing removable appliance [ 49 , 50 ] showed significant improvement in OHRQoL in children by the end of treatment, and no study for self-esteem has used removable appliances.…”

“…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].…”

“…Age factor Children: Of the 28 studies evaluated, 8 studies [22,36,35,[49][50][51]55,58] included child population (only OHRQoL analysed in 5 studies, both SE and OHRQoL examined in 3 studies, so totally 8 studies analysed OHRQoL). In all of these studies, children exhibited an increase in OHRQoL and SE in all the studies after orthodontic treatment.…”