Orthodontic treatment need, self‐esteem, and oral health‐related quality of life among 12‐yr‐old schoolchildren

Herkrath, Ana P C Q; Vettore, Mário Vianna; Queiroz, Adriana Corrêa de; Alves, Paula L N; Leite, Sarah Debora Camardella; Pereira, Juliana Vianna; Rebelo, Maria Augusta Bessa; Herkrath, Fernando José

doi:10.1111/eos.12611

Cited by 16 publications

(13 citation statements)

References 41 publications

(101 reference statements)

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“…It is also useful for modeling the count data with many zero-valued observations in the outcome variable (e.g., CPQ sum score) distribution and to overcome the existing over-dispersion problem [49]. In oral health research, these conditions are quite common and, therefore, the NBR is increasingly chosen to overcome the problems [77,78]. In the current study, NBR was found to fit the data well enough and was apparently better than that of the conventional Poisson regression (data were not shown).…”

Section: Discussionmentioning

confidence: 99%

Relationships of Dental Caries and Malocclusion with Oral Health-Related Quality of Life in Lithuanian Adolescents Aged 15 to 18 Years: A Cross-Sectional Study

Kavaliauskienė

Šidlauskas

Žemaitienė

et al. 2020

IJERPH

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There is a lack of evidence of the moderating effects of caries lesions and malocclusions on oral health-related quality of life (OHRQoL) among older adolescents. This study aimed to evaluate the relationship of dental caries and malocclusion with OHRQoL among Lithuanian adolescents aged 15 to 18 years. A survey in a representative sample of adolescents included a clinical examination to assess dental health status using the DMFT (Decayed, Missing, and Filled Permanent Teeth) index, and malocclusion using the Index of Complexity, Outcome, and Need (ICON). The Child Perceptions Questionnaire (CPQ) was used to evaluate respondents’ OHRQoL. Negative binomial regression was fitted to associate the clinical variables with the CPQ scores. A total of 600 adolescents were examined. The overall mean DMFT score was 2.7. A need for orthodontic treatment was detected among 27.7% of adolescents. Subjects with caries lesions (DMFT > 3) had higher CPQ scores in the domains of functional limitations and social wellbeing (relative risks were 1.35 (95% confidence interval: 1.09–1.67) and 1.30 (1.03–1.64), respectively), while subjects with a need for orthodontic treatment (ICON > 43) had higher CPQ scores in the domains of emotional wellbeing and social wellbeing (relative risks were 1.81 (1.40–2.22), and 1.69 (1.34–2.14), respectively). It was concluded that both dental caries and malocclusion have negative relationships with OHRQoL in adolescents above 15 years, but their effects occur differently in each OHRQoL domain.

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Section: Discussionmentioning

confidence: 99%

Relationships of Dental Caries and Malocclusion with Oral Health-Related Quality of Life in Lithuanian Adolescents Aged 15 to 18 Years: A Cross-Sectional Study

Kavaliauskienė

Šidlauskas

Žemaitienė

et al. 2020

IJERPH

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“…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%

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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“…The lower is the score, the better is the quality of life. This index is negatively impacted by malocclusions in both adolescents and adults, making sense to begin orthodontic treatment [3].…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Auditory Versus Visual vs Kinesthetic Learning Hygiene Education in Adolescents with Orthodontic Braces: A Randomized Controlled Trial. Trial Acronyme: MAHO.

Fouler

Jeanne

Sorel

et al. 2021

Preprint

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1.1 BackgroundFixed orthodontics appliances hamper oral hygiene procedures. The consequences are gingivitis and white spot lesions. 50 to 70% of patients treated with braces encounter these problems. Their care in the USA represents an annual cost of five hundred million dollars. Initial education and motivation for oral hygiene depend on two categories of factors. First, practical prophylactic measures (instruments and medication, professional care). Secondly, the educational component: choice of communication technique, frequency and nature of hygiene instructions. This trial aims to study this last component. Its main objective is to compare three method's effectiveness of oral hygiene education in adolescent patients treated with braces in terms of biofilm (plaque) control. The secondary objectives are the evaluation of these methods’ effectiveness regarding gingival inflammation and the maintenance of hygiene during the first six months of treatment.1.2 MethodsThis study is a prospective randomized controlled trial of superiority. It evaluates the effectiveness of three hygiene education techniques. A total of 90 patients from the University Hospital Center of Rennes will be randomized into 3 parallel groups with a 1:1:1 ratio. Each will benefit from a different educational method: oral and / or practical. The main outcome will be the average plaque index for each group after 6 months of treatment. Additional outcomes will be the average gingival index for each group and the plaque and gingival indeces over 6 months.1.3 DiscussionThe effectiveness of preventive procedures for optimizing oral hygiene during orthodontics is based on ambiguous literature. As a result, it is difficult to draw conclusions and to translate them into everyday practice. 68% of the orthodontists support the development of guidelines for education. The aim of this study is to standardize methods of oral hygiene education during orthodontic fixed treatment. The purpose of this study would be to provide practitioners with a concrete education program through guidelines dedicated to the method having the best results.1.4 Trial registrationThis trial is registered with the ClinicalTrial.gov under number NCT04444154, registration date 06/22/2020. It is also regristered in SI CNRIPH with ID 8011N° 20.04.27.58337.

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Orthodontic treatment need, self‐esteem, and oral health‐related quality of life among 12‐yr‐old schoolchildren

Cited by 16 publications

References 41 publications

Relationships of Dental Caries and Malocclusion with Oral Health-Related Quality of Life in Lithuanian Adolescents Aged 15 to 18 Years: A Cross-Sectional Study

Relationships of Dental Caries and Malocclusion with Oral Health-Related Quality of Life in Lithuanian Adolescents Aged 15 to 18 Years: A Cross-Sectional Study

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

Auditory Versus Visual vs Kinesthetic Learning Hygiene Education in Adolescents with Orthodontic Braces: A Randomized Controlled Trial. Trial Acronyme: MAHO.

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