To evaluate preadolescent oral health related quality of life (OHRQoL) during the first month of fixed orthodontic appliance therapy.
Design
Descriptive study.
Setting
The Department of Pediatric Dentistry and Orthodontics at Federal University of Minas Gerais, Belo Horizonte, Brazil.
Participants
This study included a sample of 96 preadolescent children aged between 11 and 12 years undergoing orthodontic treatment with a fixed appliance.
Methods
Preadolescent children were required to answer the short form of the Brazilian version of the Child Perceptions Questionnaire (CPQ11–14) before treatment (T0) and 1 month after placement of the fixed appliance (T1). Statistical analysis was performed using the Wilcoxon signed rank test and the Bonferroni correction for the domains of CPQ11–14.
Results
Out of the 96 patients originally admitted, one gave up the treatment before the placement of bands and one failed to return the second questionnaire (T1). So, a sample of 94 preadolescents participated in this study, with a response rate of 97·9%. Among the 94 participants, 49 were females (52·1 %) and 45 were males (47·9 %). The mean age was 11·5 years (SD = 0·502). There was a statistically significant improvement in emotional well-being domain (P<0·001) as well as in the overall score (P = 0·032). However, there were no significant changes in oral symptoms, functional limitations and social well-being domains (P>0·013) before treatment and 1 month after the placement of fixed appliance.
Conclusion
One month after the placement of fixed orthodontic appliance, the preadolescents had positive alterations in their OHRQoL mainly in the emotional well-being domain.
LockerD, ClarkeM, PayneB.Self-perceived oral health status, psychological well-being and life satisfaction in an older adult population. J Dent Res2000; 79: 970–75.
2.
JokovicA, LockerD, StephensM, KennyD, TompsonB, GuyattG.Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res2002; 8: 459–63.
3.
BendoCB, PaivaSM, TorresCS. Association between treated/untreated traumatic dental injuries and impact on quality of life of Brazilian schoolchildren. Health Qual Life Outcomes2010; 8: 114.
4.
Aguilar-DíasFC, Irigoyen-CamachoME, Borges-YáñesSA. Oral-health-related quality of life in schoolchildren in an endemic fluorosis area of Mexico. Qual Life Res2011; 20: 1699–706.
5.
Castro RdeA, PortelaMC, LeaoAT, de VasconcellosMT. Oral health-related quality of life of 11- and 12-year-old public school children in Rio de Janeiro. Community Dent Oral Epidemiol2011; 39: 336–44.
6.
MarquesLS, FilogonioCA, FilogonioCB. Aesthetic impact of malocclusion in the daily living of Brazilian adolescents. J Orthod2009; 36: 152–59.
7.
de Paula JuniorDF, SilvaET, CamposACV, NuñezMO, LelesCR. Effect of anterior teeth display during smiling on the self-perceived impacts of malocclusion in adolescents. Angle Orthod2011; 81: 540–45.
8.
FeuD, de OliveiraBH, de Oliveira AlmeidaMA, KiyakHÁ, MiguelJÁ. Oral health-related quality of life and orthodontic treatment seeking. Am J Orthod Dentofacial Orthop2010; 138: 152–59.
9.
MortensenMG, KiyakHA, OmnellL.Patient and parent understanding of informed consent in orthodontics. Am J Orthod Dentofacial Orthop2003; 124: 541–50.
10.
ArrowP, BrennanDS, SpencerJ.Social acceptability of dental appearance and benefits of fixed orthodontic treatment: a 17-year observational cohort study. J Public Health Dent2011; 72: 135–42.
11.
JonesM, ChanC.The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop1992; 102: 373–81.
12.
BergiusM, BerggrenU, KiliaridisS.Experience of pain during an orthodontic procedure. Eur J Oral Sci2002; 110: 92–98.
13.
BehrentsRG. Iatrogenics in orthodontics. Am J Orthod Dentofacial Orthop1996; 110: 235–38.
14.
AtassiF, AwartaniF.Oral Hygiene status among orthodontic patients. J Contemp Dent Pract2010; 11: 25–32.
HwangYC, HwangHS. Surgical repair of root perforation caused by an orthodontic miniscrew implant. Am J Orthod Dentofacial Orthop2011; 139: 407–11.
17.
ZhangM, McGrathC, HaggU.Changes in oral health-related quality of life during fixed orthodontic appliance therapy. Am J Orthod Dentofacial Orthop2008; 133: 25–29.
18.
ChenM, WangDW, WuLP. Fixed Orthodontic appliance therapy and its impact on Oral Health-Related Quality of Life in Chinese patients. Angle Orthod2010; 80: 49–53.
19.
WatsonPJ, LatifRK, RowbothamDJ. Ethnic differences in thermal pain responses: a comparison of South Asian and White British healthy males. Pain2005; 118: 194–200.
20.
LiXT, TangY, HuangXL, WanH, ChenYX. Factors influencing subjective orthodontic treatment need and culture-related differences among Chinese natives and foreign inhabitants. Int J Oral Sci2010; 2: 149–57.
21.
BernabeE, SheihamA, de OliveiraCM. Impacts on daily performances related to wearing orthodontic appliances. Angle Orthod2008; 78: 482–86.
22.
CostaAA, FerreiraMC, Serra-NegraJM, PordeusIA, PaivaSM. Impact of wearing fixed orthodontic appliances on oral health-related quality of life among Brazilian children. J Orthod2011; 38: 275–81.
23.
TorresCS, PaivaSM, ValeMP. Psychometric properties of the Brazilian version of the Child Perceptions Questionnaire (CPQ 11–14) – short forms. Health Qual Life Outcomes2009; 7: 43.
24.
JokovicA, LockerD, TompsonB, GuyattG.Short forms of Child Perceptions Questionnaire for 11–14 year-old children (CPQ 11–14): development and initial evaluation. Health Qual Life Outcomes2006; 4: 4.
25.
MarshallWA, TannerJM. Variations in pattern of pubertal changes in girls. Arch Dis Child1969; 44: 291–303.
26.
NatsualiMN, LeveLD, MendleJ.Going through the rites of passage: timing and transition of menarche, childhood sexual abuse, and anxiety symptoms in girls. J Youth Adolesc2011; 40: 1357–70.
27.
ErdincAM, DincerB.Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod2004; 26: 79–85.
28.
OngE, HoC, MilesP.Alignment efficiency and discomfort of three orthodontic archwire sequences: a randomized clinical trial. J Orthod2011; 38: 32–39.
29.
ZhangM, McGrathC, HaggU.Patients’ expectations and experiences of fixed orthodontic appliance therapy. Impact on quality of life. Angle Orthod2007; 77: 318–22.
30.
BardalPA, OlympioKP, BastosJR, HenriquesJF, BuzalafMA. Education and motivation in oral health-preventing disease and promoting health in patients undergoing orthodontic treatment. Dental Press J Orthod2011; 16: 95–102.
31.
BaricevicM, Mravak-StipeticM, MajstorovicM, BaranovicM, BaricevicD, LoncarB.Oral mucosal lesions during orthodontic treatment. Int J Paediatr Dent2011; 21: 96–102.
32.
KluemperGT, HiserDG, RayensMK, JayMJ. Efficacy of a wax containing benzocaine in the relief of oral mucosal pain caused by orthodontic appliances. Am J Orthod Dentofacial Orthop2002; 122: 359–65.
33.
GosneyMB. An investigation into some of the factors influencing the desire for orthodontic treatment. Br J Orthod1986; 13: 87–94.
34.
MarquesLS, PordeusIA, Ramos-JorgeML. Factors associated with the desire for orthodontic treatment among Brazilian adolescents and their parents. BMC Oral Health2009; 9: 34.
35.
SerglHG, KlagesU, ZentnerA.Functional and social discomfort during orthodontic treatment-effects on compliance and prediction of patients' adaptation by personality variables. Eur J Orthod2000; 22: 307–15.
36.
WangG, HaggU, LingJ.The orthodontic treatment need and demand of Hong Kong Chinese children. Chin J Dent Res1999; 2: 84–92.
37.
FlemingPS, ProczekK, DiBiaseAT. I want braces: factors motivating patients and their parents to seek orthodontic treatment. Community Dent Health2008; 25: 166–69.
38.
McGrathC, BroderH, Wilson-GendersonM.Assessing the impact of oral health on the life quality of children: implications for research and practice. Community Dent Oral Epidemiol2004; 32: 81–85.
39.
GrimesDA, SchulzKF. Descriptive studies: what they can and cannot do. Lancet2002; 359: 145–49.
40.
LiuZ, McGrathC, HaggU.Changes in oral health-related quality of life during fixed orthodontic appliance therapy: an 18-month prospective longitudinal study. Am J Orthod Dentofacial Orthop2011; 139: 214–19.
41.
KanukL, BerensonC.Mail surveys and response rates: a literature review. J Market Res1975; 12: 440–53.
42.
MarshmanZ, GibsonBJ, BensonPE. Is the short-form Child Perceptions Questionnaire meaningful and relevant to children with malocclusion in the UK?J Orthod2010; 37: 29–36.
43.
van BuurenS, OomsJC. Stage line diagram: an age-conditional reference diagram for tracking development. Stat Med2009; 28: 1569–79.
44.
MandallNA, VineS, HullandR, WorthingtonHV. The impact of fixed orthodontic appliance on daily life. Community Dent Health2006; 23: 69–74.
45.
MillerKB, McGorraySP, WomackR.A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment. Am J Orthod Dentofacial Orthop2007; 131: 302e1–9.
46.
LockerD, JokovicA, ClarkeM.Assessing the responsiveness of measures of oral health-related quality of life. Community Dent Oral Epidemiol2004; 32: 10–8.
47.
ZhangM, McGrathC, HaggU.The impact of malocclusion and its treatment on quality of life: a literature review. Int J Paediatr Dent2006; 16: 381–87.
