Impact of orthosurgical treatment phases on oral health-related quality of life
Autor: | Roger Keller Celeste, José Augusto M. Miguel, Nathália Barbosa Palomares |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male Index of Orthodontic Treatment Need Adolescent Cross-sectional study Overjet Dentistry Orthodontics Oral Health Oral health Esthetics Dental 03 medical and health sciences Young Adult 0302 clinical medicine Sex Factors Quality of life Orthodontic Appliances medicine Humans 030212 general & internal medicine Young adult Dentofacial Deformities Crossbite business.industry Orthognathic Surgical Procedures Open Bite 030206 dentistry Middle Aged medicine.disease humanities Overbite Self Concept Cross-Sectional Studies Malocclusion Angle Class III Relative risk Quality of Life Female Malocclusion business Attitude to Health Orthodontic Retainers |
Zdroj: | American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 149(2) |
ISSN: | 1097-6752 |
Popis: | Introduction In this cross-sectional study, we investigated the impact of the orthosurgical treatment phases on the oral health–related and condition-specific quality of life (QoL) of patients with dentofacial deformities. Methods Two hundred fifty-four orthognathic patients were allocated into 4 groups according to treatment phase: initial (not yet treated), presurgical orthodontics, postsurgical orthodontics, and retention. Data were collected using the Oral Health Impact Profile to evaluate the oral health–related QoL, the Orthognathic QoL Questionnaire to analyze the condition-specific QoL, and the Index of Orthodontic Treatment Need to assess malocclusion severity and esthetic impairment. Specific malocclusion characteristics were also documented. Results A negative binomial regression analysis showed that the initial group had a more negative oral health–related QoL than did the postsurgical, presurgical, and retention groups (relative risks, 1, 0.79, 0.74 and 0.25, respectively). The initial group had a more negative condition-specific QoL than did the presurgical, postsurgical, and retention groups (relative risks, 1, 0.77, 0.38 and 0.15, respectively) regardless of age, income, or education; women reported greater negative impacts than men. Certain occlusal traits were related to higher Orthognathic QoL Questionnaire scores ( P Conclusions Patients who completed their orthosurgical treatment had a significantly better oral health–related QoL and a more positive esthetic self-perception than did those undergoing treatment and those who were untreated. Crowding, crossbite, open bite, concave profile, edge-to-edge overjet, or Class III malocclusion negatively affected oral health–related QoL. |
Databáze: | OpenAIRE |
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