EFFECTS OF MALOCCLUSION ON ORAL HEALTH RELATED QUALITY OF LIFE (OHRQoL): A CRITICAL REVIEW

Objectives: The purpose of this paper is to provide a useful critical review relating to the effects of malocclusion on the physical, social, and psychological aspects of the Quality of Life (QoL) of patients. Methods: The information presented in previous articles was reviewed. They include reviews, meta-analyses, cross-sectional studies, retrospective and prospective longitudinal studies, and randomized controlled trials. These full-text English-language papers were studied to determine the effects of malocclusion on QoL. Results: Recent studies have found that malocclusion is associated with higher levels of dissatisfaction with appearance, and have the potential to negatively impact Oral Health Related Quality of Life (OHRQoL). However, due to the differences in study designs, population demographics studied, and methods of assessment of physical, social, and psychological health, the evidence needs more analysis. Conclusion: In recent years, attention to patient-centered assessment has greatly increased. The orthodontist’s point of view has expanded from dentofacial esthetics to the patient’s overall OHRQoL. This leads to increase in dental practitioners comprehensively and rigorously, thus assessing the effects of malocclusion on QoL. The demand on standardized, valid, and reliable data collection instruments will increase as practices treats malocclusion issues to elevate patient’s overall OHRQoL

EFFECTS OF MALOCCLUSION ON ORAL HEALTH RELATED QUALITY OF LIFE (OHRQoL): A CRITICAL REVIEW

Objectives: The purpose of this paper is to provide a useful critical review relating to the effects of malocclusion on the physical, social, and psychological aspects of the Quality of Life (QoL) of patients. Methods: The information presented in previous articles was reviewed. They include reviews, meta-analyses, cross-sectional studies, retrospective and prospective longitudinal studies, and randomized controlled trials. These full-text English-language papers were studied to determine the effects of malocclusion on QoL. Results: Recent studies have found that malocclusion is associated with higher levels of dissatisfaction with appearance, and have the potential to negatively impact Oral Health Related Quality of Life (OHRQoL). However, due to the differences in study designs, population demographics studied, and methods of assessment of physical, social, and psychological health, the evidence needs more analysis. Conclusion: In recent years, attention to patient-centered assessment has greatly increased. The orthodontist’s point of view has expanded from dentofacial esthetics to the patient’s overall OHRQoL. This leads to increase in dental practitioners comprehensively and rigorously, thus assessing the effects of malocclusion on QoL. The demand on standardized, valid, and reliable data collection instruments will increase as practices treats malocclusion issues to elevate patient’s overall OHRQoL

Female Dental Student’s Perception of Their Dental Aesthetics and Desired Dental Treatment

Objectives: This study aims to assess the self-perception of female dental students of their dental aesthetics regarding their satisfaction, its effect on their quality of life and felt need for treatment. Materials and Method: This is a descriptive study for 1st, 2nd and 3rd year dental students (n=110) in the College of Dentistry at Princess Nourah University (PNU). The survey was distributed via link "Google form". A 20 item questionnaire was prepared and tested before on seven students for clarity. Questions were regarding how students feel about their dental aesthetics and what they desire for treatment. Whether they felt their teeth affected their attractiveness, confidence and quality of life. Data was entered in SPSS for statistical analysis. Results: With a response rate of 94.5% majority (89.4%) of students felt their teeth affected the attractiveness of their faces. Almost one third (30.8%) have tried to hide their smile. Around half (51%) were not satisfied with their tooth colour. Almost two thirds of students (61.5%) felt their quality of life is affected by the appearance of their teeth. ‘Tooth whitening’ was selected by almost two thirds of students (64.4%) followed by almost half (46.2%) the students wanting ‘orthodontic treatment’. Conclusion: Dental aesthetics is rated highly among female dental students.The majority of the students felt that their teeth affected the attractiveness of their face and influenced their quality of life. Students desired teeth whiteneing followed by orthodontic treatment as their perceived need for aesthetic dental treatments

Ethical Aspects concerning Instrument Separation and Perforations during Endodontic Treatment: A Cross-Sectional Study

Aim. During endodontic treatment, dentists may face various unwanted procedural accidents, at any stage of the treatment that might compromise endodontic treatment outcome and bring obstacles to dentists as well. This study aimed to address and analyze several ethical concerns relating to the behavioural conduct of dentists towards endodontic instrument separation as well as perforation of the crown and/or root during root canal treatment in Riyadh, Saudi Arabia. Method. Hundred and eleven questionnaires were distributed among dentists working in Riyadh in university clinics and government and private sectors. Data were collected, reviewed, and statistically analyzed by Fisher’s exact and chi-square tests at a 5% significance level, using SPSS software. Results. 54.5% of the respondents have encountered instrument separation. 53.2% stated that they would inform the patient about the instrument separation. 43.6% of the respondents had experienced perforation during root canal treatment, and 54.9% reported that they would inform the patient of the accident. Conclusion. Within the limitation of this survey, we concluded that most of the dental professionals did not hesitate to adhere to the correct ethical conduct, and they would inform the patient if an incident occurred

In vitrocomparison of natural tooth-whitening remedies and professional tooth-whitening systems

BackgroundAn increasing number of patients are using natural homemade remedies such as strawberries, banana peels, coconut oil rinse, basil, lemon, activated charcoal, apple cider vinegar, baking soda, and turmeric to obtain whiter teeth. However, studies on these natural whitening products are limited. AimTo evaluate the effectiveness of different homemade tooth-whitening agents in vitro. Materials and methodsNinety caries-free extracted anterior and premolar teeth were collected, cleaned, and sectioned at the roots. The teeth were mounted in epoxy resin (buccal surface) and stored in 0.2 % thymol solution, and were treated with one of the following six whitening agents: baking soda, activated charcoal, lemon juice, strawberries, Colgate Optic Whitening toothpaste, and Opalescence 20 % home-bleaching system. The enamel shade in each sample was measured four times using a spectrophotometer. Baseline measurements for ΔE and (L*, a*, b*) were obtained, and the second measurement was obtained after 5 days. The third reading was obtained on the 10th day, and the fourth reading was obtained at the 4th week to measure colour stability. One-way analysis of variance and post-hoc Tukey tests were used for statistical analysis. ResultsΔE measurements showed a significant difference on the 10th day in all groups except the lemon group (P = 0.164), while all groups showed a statistically significant difference at the 4th week. The mean colour change differed remarkably between the first and fourth readings. The highest change was observed in the lemon group (44.0 ± 2.9), closely followed by the Opalescence 20 % and Colgate Optic Whitening toothpaste groups. The lowest change was observed with strawberries (38.2 ± 4.8). ΔE showed a significant difference in all groups except the turmeric group. ConclusionStatistically significant differences were obtained with baking soda, activated charcoal, strawberries, lemon juice, Colgate Optic Whitening toothpaste, and Opalescence 20%. Further studies are required to evaluate the effects of these agents on surface roughness and colour stability