Effect of anterior crowding or spacing on oral health-related quality of life: a cross-sectional study

Hassan, Ali; Hobani, Nour M; Almokri, Sara M; Almokri, Nour M; Alotibi, Faiza G; Alshouibi, Ehab N

doi:10.2147/ppa.s149081

Cited by 10 publications

(13 citation statements)

References 23 publications

(29 reference statements)

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“…Children from lower-income families were more likely to report a negative impact on functional limitations, emotional well-being, and social well-being. The results corroborated previous studies 24,27 and showed that underprivileged children had less access to dental treatment, which had a negative influence on OHRQoL. Also, malocclusion and its impact on OHRQoL might be influenced by the local health care system, 13 which adds to the explanation of the differences in the association of malocclusion with OHRQoL among various populations.…”

Section: Discussionsupporting

confidence: 89%

“…The findings rejected the study hypothesis because, even when the quality of life was evaluated based on the item levels, the anterior occlusal characteristics in the mixed dentition had no impact on the OHRQoL. Previous studies 3,4,7,8,[20][21][22][23][24][25][26][27][28][29] showed that an increased overjet and increased spacing, especially a midline diastema, were the conditions that most affected the individual, regardless of age. Still, the older children become, the more their malocclusion affects their a Values are given as n (%).…”

Section: Discussionmentioning

confidence: 87%

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Impact of anterior occlusal conditions in the mixed dentition on oral health–related quality-of-life item levels:

Vedovello¹,

Carvalho²,

Azevedo³

et al. 2020

The Angle Orthodontist

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Objectives To evaluate the impact of anterior occlusal conditions in the mixed dentition on item-level analysis of oral health–related quality of life (OHRQoL). Materials and Methods A population-based cross-sectional study of 787 children aged 8 to 10 years was conducted. The Child Perceptions Questionnaire (CPQ8-10) was used to evaluate OHRQoL, and the analysis of item levels was performed on CPQ8-10 domains. Anterior occlusal characteristics were diagnosed according to the Dental Aesthetic Index criteria. Individual analyses were performed relating the outcome as independent variables. The variables with P < .20 in the individual analyses were tested in multiple logistic regression models, and those with P < .10 remained in the model. The adjusted odds ratio (OR) was estimated with a 95% confidence interval (CI). Results No associations were found with regard to anterior occlusal characteristics (P < .001) after the variables of the previous determinants were adjusted for multivariate analysis. However, the following variables were significantly associated with negative impact on OHRQoL item levels: sex, in oral symptoms (OR = 1.42; CI, 1.07–1.89) and emotional well-being (OR = 1.34; CI, 1.00–1.79); race, in oral symptoms (OR = 1.48; CI, 1.10–1.98), emotional well-being (OR = 1.54; CI, 1.14–2.06), and social well-being (OR = 1.34; CI, 1.00–1.80); and family income in functional limitation (OR = 1.46; CI, 1.06–2.02), emotional well-being (OR = 1.71; CI, 1.21–2.42), and social well-being (OR = 1.59; CI, 1.14–2.21). Conclusions Anterior occlusal conditions did not affect the levels of OHRQoL items.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 87%

Impact of anterior occlusal conditions in the mixed dentition on oral health–related quality-of-life item levels:

Vedovello¹,

Carvalho²,

Azevedo³

et al. 2020

The Angle Orthodontist

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“…The Arabic OHIP-14 has been used in previous studies to assess the quality of life with different malocclusions. 17,24,26 In our study we found a statistically significant association between anterior vertical discrepancy in occlusion and embarrassment (p = 0.001), followed by being selfconscious about their appearance, discomfort while eating (p = 0.009), generalized mouth aching (p = 0.012), and speech problems (p = 0.049). These findings are in line with those of previous studies that evaluated OHRQoL in different malocclusions.…”

Section: Discussionsupporting

confidence: 49%

<p>Oral Health-Related Quality of Life of Saudi Young Adults with Vertical Discrepancies in Occlusion</p>

Altouki¹,

Albrahim²,

Hassan³

et al. 2020

PPA

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Background: Malocclusion is one of the most common oral health problems that affects quality of life. It is important to understand how different types of malocclusion can affect the oral health-related quality of life (OHRQoL). Vertical discrepancy in occlusion is highly prevalent, yet there are no studies evaluating its impact on OHRQoL in the Saudi population. Therefore, in this study, we aim to investigate the impact of vertical discrepancy in occlusion on patients' OHRQoL. Patient and Methods: A cross-sectional evaluation of 109 patients with open and deep bites who attended the orthodontics screening clinic at King Abdulaziz University Dental Hospital was carried out. The OHRQoL of each participant was assessed using the shortened, Arabic-version of the oral health impact profile-14 questionnaire. Chi-squared and Fisher's exact tests were used for analysis. Results: The findings indicated a statistically significant association between anterior vertical discrepancy in occlusion and embarrassment (p = 0.001), followed by being selfconscious about their appearance, discomfort while eating (p = 0.009), generalized mouth aching (p = 0.012), and speech problems (p = 0.049). This Impact was significantly higher in participants with open bites. Regarding gender variables, female patients were found to be significantly more embarrassed (p = 0.005), while male patients were more self-conscious (p = 0.018). Conclusion: Vertical discrepancy in occlusion has a negative impact on OHRQoL and its domains in both genders. The negative impact is highlighted in the psychological disability, psychological discomfort, physical pain, and functional limitation domains.

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“…Spacing and smaller teeth could also be aesthetically problematic. Especially anterior spacing might impact Oral Health Related Quality of Life negatively and increase self-consciousness about one's appearance [52][53][54]. Moreover, when permanent teeth are not matched for size, normal occlusion might be difficult to achieve [10].…”

Section: Plos Onementioning

confidence: 99%

What is the effect of preterm birth on permanent tooth crown dimensions? A systematic review and meta-analysis

et al. 2021

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Background The permanent tooth formation process may be disrupted in preterm infants with potential discrepancies in size and subsequent occlusal disturbances. Objective To systematically analyse and quantitively synthesize the available evidence regarding the impact of preterm birth on permanent tooth crown dimensions. Search methods Unrestricted searches in 6 databases and manual searching of the reference lists in relevant studies were performed up to March 2021 (Medline via PubMed, CENTRAL, Cochrane Database of Systematic Reviews, Scopus, Web of Science, ProQuest Dissertations and Theses Global). Selection criteria Observational studies investigating permanent tooth crown dimensions in preterm and control full-term born individuals. Data collection and analysis Following study retrieval and selection, relevant data were extracted, and the Newcastle-Ottawa scale was used to assess the selection, comparability, and outcome domains. Exploratory synthesis and meta-regression were carried out using the random effects model. Results Three studies were located from the initially retrieved records and the assessments with the Newcastle-Ottawa scale identified issues regarding the selection and comparability domains. Overall, the mesiodistal and the buccolingual dimensions of the permanent teeth in both dental arches tended to be smaller in children born prematurely than full term children. Subgroup analyses showed statistically significant differences for the extremely preterm to control group comparisons for the incisors and the first molars. Meta-regression showed a modificatory effect of gestational age and racial background but not of birth weight and gender on tooth size. The quality of available evidence was rated at best as moderate. Conclusions Premature birth could potentially be associated with reduced tooth-crown dimensions in some permanent teeth especially in children born extremely preterm. Although the results from these observational studies should be approached with caution until more information becomes available, the possible clinical implications in terms of diagnosis and treatment planning should be considered. Registration PROSPERO (CRD42020182243).

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Effect of anterior crowding or spacing on oral health-related quality of life: a cross-sectional study

Cited by 10 publications

References 23 publications

Impact of anterior occlusal conditions in the mixed dentition on oral health–related quality-of-life item levels:

Impact of anterior occlusal conditions in the mixed dentition on oral health–related quality-of-life item levels:

<p>Oral Health-Related Quality of Life of Saudi Young Adults with Vertical Discrepancies in Occlusion</p>

What is the effect of preterm birth on permanent tooth crown dimensions? A systematic review and meta-analysis

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