Impacts of using orthodontic appliances on the quality of life of children and adolescents: systematic review and meta-analysis

Abstract

Summary Background Although there are previous systematic reviews about the oral health-related quality of life (OHRQoL) impact among children and adolescents after orthodontics treatment, there is no definition for the magnitude of these impacts during the therapy. Objective To systematically analyse the literature on changes in the quality of life of children and adolescents during orthodontic treatment. Limitations Almost all the studies included in this review are non-randomized clinical trials, which are susceptible to several biases that affect the certainty of evidence obtained, especially by confounding factors and the lack of a control group. Conclusions and implications Based on very low certainty of evidence, wearing appliances does not seem to have a significant negative impact during the first year of orthodontic treatment. However, the meta-analytic results suggest that functional limitations in the first 3 months of treatment can be slightly more critical for the impact on the oral health quality of life and consequent patient adherence to treatment. Funding This study was financed by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brazil (CAPES), Conselho Nacional de Desenvolvimento Científico e Tecnológico - Brazil (CNPq), and Fundação de Amparo à Pesquisa do Estado de Minas Gerais – Brazil (FAPEMIG). Registration CRD42021234407.

Oral Health Self-Management Ability and Its Influencing Factors among Adolescents with Fixed Orthodontics in China: A Mixed Methods Study

“…After 6 months of treatment, the patient gradually adapts to the fixed appliance and experiences an improved the comfort level, although only after the treatment. The effect of orthodontic treatment was attenuated when the duration lasted for 12 months, which may be related to the psychological and sociocultural changes experienced by adolescents [ 7 ]; women are more concerned about the aesthetics of their teeth than men, which leads to stronger demand and higher enthusiasm for treatment among women [ 19 ]. From the current research, it is necessary to strengthen the oral health knowledge of adolescents and children, and having positive orthodontic treatment beliefs is a necessary condition for the practice of oral health behaviors, and the environment reflects the need for hospitals and parents to provide orthodontics for adolescents and children.…”

“…High incidence of caries [ 5 , 6 ]. In addition, oral health-related quality of life is often reduced in adolescent patients during fixed orthodontic treatment, which may be due to tooth pain when wearing the appliance and restricted eating, which makes it difficult for adolescents to adapt [ 7 ]. Maintaining good oral health self-management ability in children with fixed orthodontics during treatment is the key to maintaining periodontal health, preventing plaque formation, and improving oral health and quality of life.…”

Confounding in observational studies evaluating the association between Alzheimer's disease and periodontal disease: A systematic review

“…Each study was categorized according to the rate of positive answers to the questions corresponding to the assessment tool. The risk of bias was classified as high when the study obtained 49% or less of “yes” responses, moderate when the study got 50%–69% of “yes” answers, and low when the study reached 70% or more of “yes” answers [ 31 ].…”

Pain profile during orthodontic levelling and alignment with fixed appliances reported in randomized trials: a systematic review with meta-analyses

“…Previous systematic reviews on the subject have assessed pharmacological or non-pharmacological interventions or adjuncts to alleviate orthodontic pain [19][20][21][22], have compared different types of orthodontic appliances [23][24][25], or have focused on the impact of orthodontic pain on everyday life and overall quality of life [26]. However, to our knowledge, there is no critical appraisal of existing evidence on the expected pain profile for the average patient in terms of pain initiation, expected peak of pain response, duration of pain, and the average magnitude of pain at each timepoint.…”