Felix Kunz1, Petra Platte2, Stefan Keß3, Laura Geim3, Florian Zeman4, Peter Proff5, Ursula Hirschfelder6, Angelika Stellzig-Eisenhauer3. 1. Department of Orthodontics, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany. kunz_f@ukw.de. 2. Institute of Clinical Psychology, University of Würzburg, Würzburg, Germany. 3. Department of Orthodontics, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany. 4. Centre for Clinical Studies, University Hospital of Regensburg, Regensburg, Germany. 5. Department of Orthodontics, University Hospital of Regensburg, Regensburg, Germany. 6. Department of Orthodontics, University Hospital of Erlangen, Erlangen, Germany.
Abstract
PURPOSE: Oral health-related quality of life (OHRQoL) is a construct for assessing the self-perceived oral health of patients. The aim of this study was to investigate the correlation between OHRQoL and orthodontic treatment need in consideration of demographic and psychological factors. PATIENTS AND METHODS: This multicentre study included 250 patients with an indication for orthodontic diagnostics. In cooperation with the Institute of Clinical Psychology at the University of Würzburg, validated and internationally acknowledged questionnaires were selected to assess OHRQoL (COHIP-G19) and health-related quality of life (HRQOL). Self-esteem and behavioural problems were taken into consideration as possible psychological factors. Orthodontic treatment need was assessed using the Index of Orthodontic Treatment Need-Dental Health Component (IOTN-DHC), the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC) and the Dental Aesthetic Index (DAI). Possible significant correlations between the collected parameters and OHRQoL were evaluated by means of linear regression analysis. RESULTS: Objective orthodontic treatment need (IOTN-DHC and DAI) was significantly correlated with OHRQoL. Further factors significantly influencing OHRQoL in children and adolescents were age, HRQOL, self-esteem and behavioural problems. CONCLUSIONS: Objective orthodontic treatment need significantly influences OHRQoL in children and adolescents. Further studies are required to investigate if OHRQoL may be improved by correcting misaligned teeth and jaws.
PURPOSE: Oral health-related quality of life (OHRQoL) is a construct for assessing the self-perceived oral health of patients. The aim of this study was to investigate the correlation between OHRQoL and orthodontic treatment need in consideration of demographic and psychological factors. PATIENTS AND METHODS: This multicentre study included 250 patients with an indication for orthodontic diagnostics. In cooperation with the Institute of Clinical Psychology at the University of Würzburg, validated and internationally acknowledged questionnaires were selected to assess OHRQoL (COHIP-G19) and health-related quality of life (HRQOL). Self-esteem and behavioural problems were taken into consideration as possible psychological factors. Orthodontic treatment need was assessed using the Index of Orthodontic Treatment Need-Dental Health Component (IOTN-DHC), the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC) and the Dental Aesthetic Index (DAI). Possible significant correlations between the collected parameters and OHRQoL were evaluated by means of linear regression analysis. RESULTS: Objective orthodontic treatment need (IOTN-DHC and DAI) was significantly correlated with OHRQoL. Further factors significantly influencing OHRQoL in children and adolescents were age, HRQOL, self-esteem and behavioural problems. CONCLUSIONS: Objective orthodontic treatment need significantly influences OHRQoL in children and adolescents. Further studies are required to investigate if OHRQoL may be improved by correcting misaligned teeth and jaws.
Entities:
Keywords:
Behavioural problems; Child Oral Health Impact Profile; Children and adolescents; Malocclusion; Oral health-related quality of life; Orthodontic treatment need; Self-esteem
Authors: Álvaro Edgar González-Aragón Pineda; Alvaro García Pérez; Raúl Rosales-Ibáñez; Eduardo Stein-Gemora Journal: Int J Environ Res Public Health Date: 2020-11-03 Impact factor: 3.390
Authors: Dinis Pereira; Vanessa Machado; João Botelho; Luís Proença; João Rua; Carolina Lemos; José João Mendes; Ana Sintra Delgado Journal: Int J Environ Res Public Health Date: 2021-07-03 Impact factor: 3.390