Impact of orthodontic treatment complexity on oral health-related quality of life in Turkish patients: A prospective clinical study

Objective: The study aimed to evaluate the relationship between orthodontic treatment complexity and oral health-related quality of life (OHRQoL) and to assess the impact of malocclusion and orthodontic treatment on OHRQoL in orthodontic patients with regard to gender and age. Methods: This prospective clinical study included 102 patients aged 13-35 years who were referred to the orthodontic department. The impact of orthodontic treatment complexity was assessed using the Index of Complexity, Outcome and Need (ICON). The Turkish version of the Oral Health Impact Profile (OHIP-14) was used to examine the subjects for OHRQoL before and after treatment. The before and after treatment data (T1 and T2, respectively) were tested using a paired t-test, and one-way analysis of variance (ANOVA) with the Bonferroni test was used to assess the differences in OHIP-14 across groups, as defined by the ICON. The cross-sectional comparisons between genders and age groups before and after treatment were tested using the Student's t-test. The level of significance was set to a p value of 0.05. Results: Patients with moderate treatment complexity reported a significantly negative impact on the psychological disability domain compared to the difficult treatment complexity. OHRQoL improved after treatment. Females showed statistically significant and highest scores on the physical pain domain compared to males. Adults showed a statistically significant negative impact on the psychological domains before treatment as well as a statistically significant positive impact on the psychological disability domain after treatment compared to adolescents (p<0.05). Conclusion: Orthodontic treatment improves OHRQoL, and orthodontic treatment complexity does not seem to have an impact on OHRQoL

Evaluation of Internet Information about Lingual Orthodontics Using DISCERN and JAMA Tools

Objective:To investigate the quality and reliability of websites providing information about lingual orthodontics in Turkish.Methods:An internet search was conducted on March 6th, 2017, using popular search engines in Turkey: GoogleTM, bingTM, YAHOO!®, and Yandex® for the keywords “lingual ortodonti, görünmeyen braketler, and görünmeyen teller”. The top 10 websites for each keyword and search engine were examined, and duplicates, irrelevant websites, websites showing scientific articles, and orthodontic supplies market sites were excluded. The remaining 58 sites were assessed using the DISCERN instrument and JAMA benchmarksResults:The authors of the remaining sites were orthodontists (48%) and dentists (5%), while 46% of the websites did not state author names. Ninety-one percent lacked references, and 87% lacked a date. Only 30% were balanced and unbiased. The mean overall DISCERN score was very poor (43%) or poor (40%). Of the 58 websites, 48% (28 sites) met authorship, 7% (4 sites) attribution, 71% (41 sites) disclosed website ownership, and 3% (2) currency benchmarks of JAMA.Conclusion:Information on the internet related to lingual orthodontics is poor. Clinicians should warn patients that information on the internet about lingual orthodontics might be inadequate, and they should direct patients to higher-quality websites

Impact of malocclusion and orthodontic treatment complexity on oral health related quality of life

Bu çalışmanın amacı maloklüzyon ve ortodontik tedavi zorluğunun hasta memnuniyeti üzerine etkisini değerlendirmektir. Çalışmamızda İstanbul Medipol Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı Kliniğine başvuran yaşları 13-35 arasında değişen 102 (65 kadın ve 37 erkek) hastaya ortodontik tedavi zorluğunu belirlemek için Tedavi Zorluğunu, Sonucunu, İhtiyacını belirleyen İndeks (Index of Complexity, Outcome and Need- ICON) ve hasta memnuniyetini (Oral Health Related Quality of Life- OHRQoL) değerlendirmek için tedavi öncesi ve sonrası Ağız Sağlığı Etki Profili (Oral Health Impact Profile-OHIP-14) anketinin Türkçe versiyonu uygulanmıştır. Yapılan ICON skorlamasına göre çalışmaya katılan hastaların % 10,8'i kolay, % 37,3'ü hafif, % 14,7'si orta zor, % 10,8'i zor ve % 25,5'i çok zor olarak sınıflandırılmıştır. OHRQoL (toplam OHIP-14 skoru ve alt ölçeklerinin skorları) değerlendirilmesinde bütün gruplarda tedavi sonrası iyileşme gözlenmiştir. Gruplar arasında toplam OHIP-14 skorlarında hem tedavi öncesi, hem de tedavi sonrasında istatiksel olarak anlamlı fark bulunamamıştır. Tedavi öncesi skorlamada en yüksek puanlar, zor grupta fiziksel ağrı ve psikolojik rahatsızlık alt ölçeklerinde, diğer gruplarda ise psikolojik rahatsızlık ve psikolojik yetersizlik alt ölçeklerinde görülmüştür. Tedavi öncesi psikolojik yetersizlik alt ölçeğinde, zor grup, orta zor gruba göre istatiksel olarak anlamlı fark göstermiştir (p = 0.048). Sonuç olarak maloklüzyonun OHRQoL üzerinde önemli ölçüde olumsuz etkisi vardır ve ortodontik tedavi hastaların yaşam kalitesini iyi yönde etkilemektedir.The aim of this study is to evaluate the effect of both malocclusion and the difficulty of orthodontic treatment on patient satisfaction. This study includes 102 patients (65 female and 37 male) ranging from 13-35 years of age who were admitted to Istanbul Medipol University, School of Dentistry, Department of Orthodontics. Index of Complexity, Outcome and Need (ICON) was applied to evaluate the difficulty of orthodontic treatment and Turkish version of the survey of Oral Health Impact Profile (OHIP-14) was applied to evaluate patient satisfaction and quality of life (Oral Health Related Quality of Life- OHRQoL). The difficulty of the cases were classified according to the ICON scors as follows; 10.8 % of patients were easy, 37.3% were mild, 14,7 % were moderate, 10.8% were difficult and 25.5% were in very difficult group. According to OHQoRL assessment (OHIP-14 total scores and subscale scores), improvement was observed after orthodontic treatment in all groups. There was no statistically significant difference between the groups in total OHIP-14 scores, in both of the pre-treatment and after treatment evaluation. In the pre-treatment scoring system, the highest scores were seen in physical pain and psychological discomfort subscales in the difficult group, in the other groups it was seen in psychological discomfort and psychological disability subscales. The difficult group showed a statistically significant difference in subscale of pre-treatment psychological disability, compared to the moderate group (p = 0.048). In conclusion; malocclusion has a significantly negative effect on OHQoRL and orthodontic treatment positively affects on patients quality of life

Orthognathic Surgery Treatment Need in a Turkish Adult Population: A Retrospective Study

Objectives: Limited information exists on orthognathic procedures and respective dentofacial deformities in Turkey. This retrospective study assessed the orthognathic surgery procedures in two universities, using the Index of Orthognathic Functional Treatment Need (IOFTN), and compared the IOFTN grades according to gender as well as sagittal and vertical skeletal relationships. Material and Methods: Records of 200 consecutive patients (120 females, 80 males, mean age = 23.4 (SD: 5.4) years) who received orthognathic treatment (2014&ndash;2018) were analyzed. Sagittal (ANB angle) and vertical skeletal type (GoGnSN angle), osteotomies, and IOFTN scores were recorded. Results: Class III, II, and I malocclusions formed 69%, 17.5%, and 13.5% of the samples, respectively. Class III skeletal relationships (69%) and high-angle cases (64%) were the most prevalent (p &lt; 0.05). IOFTN scores were unevenly distributed among genders (p &lt; 0.05) and the prevalent scores were 5.3 (40.5%), 4.3 (15.5%), 5.4 (13%), and 5.2 (7.5%), with 94% scoring 4 or 5 (great and very great functional need). Bimaxillary osteotomies were the most prevalent (55%), followed by LeFort I (32%), and 26% had genioplasty. Conclusion: IOFTN is a reliable tool to identify patients in need of orthognathic surgery. Class III malocclusions and Class III sagittal skeletal relationships were more common in this sample. Comparatively, a higher number of patients had genioplasty as a part of their treatment

Orthognathic Surgery Treatment Need in a Turkish Adult Population: A Retrospective Study

Objectives: Limited information exists on orthognathic procedures and respective dentofacial deformities in Turkey. This retrospective study assessed the orthognathic surgery procedures in two universities, using the Index of Orthognathic Functional Treatment Need (IOFTN), and compared the IOFTN grades according to gender as well as sagittal and vertical skeletal relationships. Material and Methods: Records of 200 consecutive patients (120 females, 80 males, mean age = 23.4 (SD: 5.4) years) who received orthognathic treatment (2014&#8722;2018) were analyzed. Sagittal (ANB angle) and vertical skeletal type (GoGnSN angle), osteotomies, and IOFTN scores were recorded. Results: Class III, II, and I malocclusions formed 69%, 17.5%, and 13.5% of the samples, respectively. Class III skeletal relationships (69%) and high-angle cases (64%) were the most prevalent (p &lt; 0.05). IOFTN scores were unevenly distributed among genders (p &lt; 0.05) and the prevalent scores were 5.3 (40.5%), 4.3 (15.5%), 5.4 (13%), and 5.2 (7.5%), with 94% scoring 4 or 5 (great and very great functional need). Bimaxillary osteotomies were the most prevalent (55%), followed by LeFort I (32%), and 26% had genioplasty. Conclusion: IOFTN is a reliable tool to identify patients in need of orthognathic surgery. Class III malocclusions and Class III sagittal skeletal relationships were more common in this sample. Comparatively, a higher number of patients had genioplasty as a part of their treatment

Functional needs in orthognathic patients with different sagittal skeletal discrepancies

Objectives This retrospective study aimed to evaluate the relationship between the Index of Orthognathic Functional Treatment Need (IOFTN) and sagittal skeletal discrepancy (ANB angle) among orthognathic patients. Study Design Records of 403 orthognathic patients (229 females/174 males, aged 16-50 years) were reviewed. Malocclusion type (incisor-based), sagittal skeletal relationship (ANB angle), and IOFTN scores were documented. Spearman correlation coefficient (r) and scatter plots were utilized to examine the relationship between functional need (IOFTN scores) and sagittal skeletal discrepancy (ANB angle). Regression analyses were conducted to determine the extent to which variations in IOFTN scores could be attributed to variations in ANB angles. Results Class III malocclusion/sagittal skeletal pattern were most prevalent (62.3%). The Spearman correlation coefficient (r) for the entire sample was -0.297 (P < .001), indicating a weak negative correlation. Linear regression analysis demonstrated a coefficient of determination of 0.069, indicating that approximately 6.9% of the variance in IOFTN data could be accounted for by variations in ANB angles. Upon stratifying data by different malocclusions, coefficients of determination were 0.065, 0.034, and 0.089 for class I, II, and class III malocclusions, respectively. Conclusion The observed linear relationships between sagittal skeletal discrepancy (ANB angle) and IOFTN score were weak and lacked clinical significance