Impact of malocclusion and its treatment on the quality of life | Die auswirkungen von dysgnathien und ihrer behandlung auf die lebensqualität

Aim. The aim of this paper is to review the literature relating to the impact of malocclusion, and the treatment of malocclusion, on physical, social and psychological health (i.e. quality of life, QoL). Design. English-language papers, including cross-sectional studies, retrospective and prospective longitudinal studies, randomized controlled trials, and reviews and metaanalyses were reviewed to determine the impact of malocclusion and its treatment on QoL. Results. Malocclusion and its treatment can affect physical health in terms of pain (e.g. temporomandibular disorders, and dental and gingival trauma), speech and mastication. In terms of psychological health, malocclusion and its treatment is reported to affect self-concept. Socially, malocclusion and its treatment can affect perceived attractiveness by others, social acceptance and perceived intelligence. However, the evidence is conflicting owing to differences in study designs, population's studied and methods of assessment of psychical, social and psychological health. Conclusion. Much controversy exists about the impact of malocclusion and its treatment on QoL. There is a need for a more comprehensive and rigorous assessment of the impact of malocclusion and its treatment on QoL, employing standardized, valid and reliable data collection instruments, clinician parameters. In addition, since the physical, social and psychological effects are key reasons.link_to_subscribed_fulltex

Who knows more about the impact of malocclusion on children's quality of life, mothers or fathers?

Shared decision making between children and parents is required in orthodontics. This study compared agreement among mothers, fathers, and children regarding the oral health-related quality of life (OHRQoL) of children. A sample of 71 child patients (41 girls and 30 boys) aged 12.6 years with an orthodontic treatment need, together with both their parents completed components of the child OHRQoL measure. Agreement among children, mothers, and fathers was derived from the 31 analogous questions and assessed using comparison and correlation analyses. Comparison analyses identified significant differences between mother's and children's reports and between father's and children's reports. The magnitude of the difference between mother's and children's reports, and between father's and children's reports could best be described as moderate (standard difference >0.2). In addition, absolute differences in scores constituted between 12 and 18 per cent of domain and overall scores for both mother's and children's, and father's and children's reports. Correlation analysis, at the individual family unit level, showed that agreement between mothers and children, and between fathers and children was fair [intraclass correlation coefficient (ICC) < 0.04]. Neither mothers nor fathers know their child's oral health status very well, as there was significant disagreement between mothers', fathers', and children's perceptions. The disagreement between mothers and children, and fathers and children was similar. While at the group level, mothers and fathers tended to agree on perception of their children's oral health status, at an individual family unit level they did not.link_to_subscribed_fulltex

Changes in oral health-related quality of life during fixed orthodontic appliance therapy

Introduction: Our objective was to determine changes in oral health-related quality of life (OHRQoL) during fixed orthodontic appliance therapy. Methods: This prospective cohort study included a consecutive sample of 217 children receiving fixed orthodontic appliance therapy. Each subject completed the 37-item child perception questionnaire (CPQ) at 5 times: before treatment (T0), and after the placement of the fixed appliance at 1 week (T1), 1 month (T2), 3 months (T3), and 6 months (T4). Results: The response rate was 91% (198 of 217). There were significant changes in overall CPQ scores (P .05). Conclusions: Changes in OHRQoL occur after fixed orthodontic appliance therapy. Compared with pretreatment, a patient's OHRQoL is frequently worse during treatment (oral symptoms, functional limitations), although it is better in some aspects (emotional well-being). The period of greatest change in OHRQoL occurs during the first month of treatment. © 2008 American Association of Orthodontists.link_to_subscribed_fulltex

Changes in oral health-related quality of life during fixed orthodontic appliance therapy

Introduction: Our objective was to determine changes in oral health-related quality of life (OHRQoL) during fixed orthodontic appliance therapy. Methods: This prospective cohort study included a consecutive sample of 217 children receiving fixed orthodontic appliance therapy. Each subject completed the 37-item child perception questionnaire (CPQ) at 5 times: before treatment (T0), and after the placement of the fixed appliance at 1 week (T1), 1 month (T2), 3 months (T3), and 6 months (T4). Results: The response rate was 91% (198 of 217). There were significant changes in overall CPQ scores (P .05). Conclusions: Changes in OHRQoL occur after fixed orthodontic appliance therapy. Compared with pretreatment, a patient's OHRQoL is frequently worse during treatment (oral symptoms, functional limitations), although it is better in some aspects (emotional well-being). The period of greatest change in OHRQoL occurs during the first month of treatment. © 2008 American Association of Orthodontists.link_to_subscribed_fulltex

The impact of malocclusion and its treatment on quality of life: A literature review

Aim. The aim of this paper is to review the literature relating to the impact of malocclusion, and the treatment of malocclusion, on physical, social and psychological health (i.e. quality of life, QoL). Design. English-language papers, including cross-sectional studies, retrospective and prospective longitudinal studies, randomized controlled trials, and reviews and meta-analyses were reviewed to determine the impact of malocclusion and its treatment on QoL. Results. Malocclusion and its treatment can affect physical health in terms of pain (e.g. temporomandibular disorders, and dental and gingival trauma), speech and mastication. In terms of psychological health, malocclusion and its treatment is reported to affect self-concept. Socially, malocclusion and its treatment can affect perceived attractiveness by others, social acceptance and perceived intelligence. However, the evidence is conflicting owing to differences in study designs, population's studied and methods of assessment of psychical, social and psychological health. Conclusion. Much controversy exists about the impact of malocclusion and its treatment on QoL. There is a need for a more comprehensive and rigorous assessment of the impact of malocclusion and its treatment on QoL, employing standardized, valid and reliable data collection instruments. © 2006 The Authors.link_to_subscribed_fulltex

Orthodontic treatment need and oral health-related quality among children

Objectives: To determine the association between the impact of oral health on quality of life (OHQoL) among children and their need for orthodontic treatment. Methods: Children (217) were screened for orthodontic treatment need using a number of professionally derived indices: Index of Orthodontic Treatment Need (IOTN) - Aesthetic Component (AC) and Dental Health Component (DHC); Index of Complexity, Outcome and Need (ICON) and the Dental Aesthetic Index (DAI). In addition, all children self-completed the 37-item Child Perception Questionnaire (CPQ), a measure of OHQoL, to assess Oral Symptoms (OS) experienced, Functional Limitation (FL), Emotional Well Being (EWB) and Social Well Being (SWB). Results: Different prevalence of orthodontic treatment need was observed depending on occlusal indices used (ranged from 31.6% to 85.9%). However, there were significant correlations between the different occlusal indices (p<0.01). Significant differences in overall CPQ scores existed between those with and without an orthodontic treatment need irrespective of occlusal indices used to categorize treatment need (p<0.05); Effect sizes ranged from 0.24 to 0.51. However no single index's categorization of treatment need could identify variations in all of CPQ domain scores (OS, FL, EWB and SWB). Conclusion: Different occlusal indices (AC, DHC, ICON and DAI) prescribe a different prevalence of orthodontic treatment need. Those categorized as having an orthodontic treatment need by AC, DHC, ICON and DAI criteria had poorer overall OHQoL compared to those ascribed as not having a treatment need. None of the occlusal indices could comprehensively differentiate poorer OHQoL across all its domains. © BASCD 2009.link_to_subscribed_fulltex