Oral-Health-Related Quality of Life and Anxiety in Orthodontic Patients with Conventional Brackets

Abstract

The aim of this study was to evaluate the oral-health-related quality of life (OHRQoL) and anxiety levels of adult patients undergoing orthodontic treatment with fixed multibracket appliances. Materials and Methods: The study was carried out at the Dental Clinic of the University of Salamanca in 2021. It included 120 adult patients between 19 and 45 years of age undergoing orthodontic treatment with conventional metal brackets. The data collection instruments chosen were the state–trait anxiety inventory (STAI) to assess anxiety levels and the OHIP-14 questionnaire to measure the OHRQoL. Anxiety levels and OHRQoL were analyzed one month after starting treatment. Results: The mean age was 31.7 years ± 6.5 years; 68 patients were women (56.7%) and 52 were men (43.3%). Psychological disability was the dimension of the OHIP-14 questionnaire that was found to have the greatest impact (3.20 ± 1.08) on patients, as compared to the dimension of disability, which had the lowest impact on the oral-health quality of life (0.37 ± 0.56). The mean total score of the OHIP-14 questionnaire was 11.93 (±2.19). There was no statistically significant influence from either sex or age on the anxiety and oral-health quality of life of the participants; however, there was a significant relationship between the dimensions of physical disability and anxiety traits. Conclusions: The physical disability dimension of the OHIP-14 questionnaire increased the anxiety level of adult patients treated with conventional brackets. The impact of orthodontic treatment on adult patients may negatively influence their levels of anxiety.

The Effect of Comorbid Somatic Pain and Psychiatric Disorder on Oral Health-Related Quality of Life in Patients with Malocclusion

“…The psychological scale scores did not differ in terms of appliance type, treatment duration, and treatment planning. Contrary to our results, patients with xed appliances or combined with orthognathic surgery have been reported with more mental disorders in other studies [31,32]. It is worth noting that OHRQoL varied across orthodontic patients.…”

Comparison of anxiety, pain, and quality of life in individuals with mild or moderate malocclusion between conventional fixed orthodontic treatment versus Invisalign: a randomised clinical trial

“…In two studies evaluating the anxiety levels of individuals treated with the straight-wire technique using conventional metal brackets in the first month, the anxiety level increased significantly after the first arch wire placement and gradually decreased within 30 days. Age and gender did not have a significant effect on anxiety [ 13 , 26 ]. Sarı et al [ 27 ] compared the anxiety levels of individuals who will receive orthodontic treatment, individuals who received orthodontic treatment, and the parents of both groups and stated that the anxiety levels of individuals to be treated and their families were higher.…”

The Effect of Somatic Pain and Comorbid Mental Distress on Oral Health-Related Quality of Life in Orthodontic Patients

“…Orthodontic treatment presents its distinctive features characterized by prolonged duration, gradual effectiveness, and demanding technical requisites. More importantly, patient adherence to clinical guidelines and maintenance of oral health are essential for a successful orthodontic treatment [29]. Population with chronic somatic pain tends to display increased negative affectivity and greater avoidance of activities, which leads to compromised ability to engage in oral hygiene practice and comply with orthodontic treatment [30].…”