Anna-Sofia Silvola1, Mimmi Tolvanen2, Jaana Rusanen1, Kirsi Sipilä3,4, Satu Lahti2, Pertti Pirttiniemi1. 1. a 1 Department of Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, MRC, Oulu University Hospital , Oulu, Finland. 2. b 2 Department of Community Dentistry, Institute of Dentistry, University of Turku , Turku, Finland. 3. c 3 Institute of Dentistry, University of Eastern Finland , Kuopio, Finland. 4. d 4 Kuopio University Hospital , Kuopio, Finland.
Abstract
INTRODUCTION: The aim was to evaluate the relationships of changes in facial pain, temporomandibular disorders (TMDs) and oral health-related quality-of-life (OHRQoL) in adults who underwent orthodontic or orthodontic/surgical treatment. METHODS: Sixty-four patients (46 women, 18 men, range 18-64 years) with severe malocclusion and functional problems were treated in Oulu University Hospital. Of these, 44 underwent orthodontic-surgical and 20 orthodontic treatment. Data were collected with questionnaires and clinical stomatognathic examinations before and on average 3 years after treatment. The OHRQoL was measured with OHIP-14 (The Oral Health Impact Profile), the intensity of facial pain with the Visual Analogue Scale (VAS) and the severity of TMD with the Helkimo's anamnestic (Ai) and clinical (Di) dysfunction indices. RESULTS: A significant improvement was found in facial pain, signs and symptoms of TMD and OHRQoL after the treatment (p < 0.05). The decrease in VAS was associated with improvement in OHIP-14 severity (r = 0.296, p = 0.019). The correlations between changes in OHIP-14 severity and Ai and Di were not statistically significant. CONCLUSION: Treatment of severe malocclusion seemed to improve OHRQoL via decreased facial pain. Decreased facial pain was associated especially with improved OHRQoL dimensions of physical pain, physical disability and social disability.
INTRODUCTION: The aim was to evaluate the relationships of changes in facial pain, temporomandibular disorders (TMDs) and oral health-related quality-of-life (OHRQoL) in adults who underwent orthodontic or orthodontic/surgical treatment. METHODS: Sixty-four patients (46 women, 18 men, range 18-64 years) with severe malocclusion and functional problems were treated in Oulu University Hospital. Of these, 44 underwent orthodontic-surgical and 20 orthodontic treatment. Data were collected with questionnaires and clinical stomatognathic examinations before and on average 3 years after treatment. The OHRQoL was measured with OHIP-14 (The Oral Health Impact Profile), the intensity of facial pain with the Visual Analogue Scale (VAS) and the severity of TMD with the Helkimo's anamnestic (Ai) and clinical (Di) dysfunction indices. RESULTS: A significant improvement was found in facial pain, signs and symptoms of TMD and OHRQoL after the treatment (p < 0.05). The decrease in VAS was associated with improvement in OHIP-14 severity (r = 0.296, p = 0.019). The correlations between changes in OHIP-14 severity and Ai and Di were not statistically significant. CONCLUSION: Treatment of severe malocclusion seemed to improve OHRQoL via decreased facial pain. Decreased facial pain was associated especially with improved OHRQoL dimensions of physical pain, physical disability and social disability.
Authors: Carlo di Paolo; Giorgio Pompa; Paolo Arangio; Anna di Nunno; Stefano Di Carlo; Daniele Rosella; Piero Papi; Piero Cascone Journal: J Int Soc Prev Community Dent Date: 2017-03-29
Authors: Lea Kragt; Justin T van der Tas; Henriëtte A Moll; Marlies E C Elfrink; Vincent W V Jaddoe; Eppo B Wolvius; Edwin M Ongkosuwito Journal: Caries Res Date: 2016-09-02 Impact factor: 4.056