Oral health and well-being of adolescents undergoing orthodontic treatment: perspective of the adolescents and their parents/caregivers
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Aim: To evaluate the oral health and well-being of adolescents with malocclusion who were submitted to orthodontic treatment, assessing the perspective of parents/caregivers and adolescents and to investigate the effects of orthodontic treatment among adolescents on the perception of oral health and well-being, in relation to the opinion of parents/caregivers and adolescents. Methods: Adolescents between 11 and 12 years submitted to orthodontic treatment with fixed appliances at the Federal University of Minas Gerais and their parents/caregivers participated. Adolescents and their parents/caregivers answered questions about the health of adolescents’ teeth, lips, jaws and mouth and about how the condition of adolescents’ teeth, lips, jaws or mouth affects adolescents overall life or well-being before orthodontic treatment onset and 12 months after fixed appliances’ placement. Results: Parents had a significantly more negative perception of the impact of malocclusion on adolescents’ lives or well-being (p<0.001). Adolescents reported that their oral health improved after 12 months of orthodontic treatment (p<0.001). Adolescents also reported that their lives or well-being was significantly less affected after 12 months of orthodontic treatment (p=0.026). Parents/caregivers reported that their adolescents’ oral health improved after 12 months of orthodontic treatment (p<0.001). Parents/caregivers also reported that their adolescents’ lives or well-being was significantly less affected after 12 months of orthodontic treatment (p<0.001). Conclusion: Parents/caregivers have a more negative perception regarding the impact of malocclusion on the life and well-being of an adolescent. After 12 months of orthodontic treatment onset, parents/caregivers and adolescents considered that adolescents’ overall health and well-being had improved.
Keywords: adolescent, malocclusion, orthodontic treatment, oral health, well-being.
Ni Riordain R, McCreary C. The use of quality of life measures in oral medicine: a review of the literature. Oral Dis 2010;16(5):419-430.
Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res 2011;90(11):1264-1270.
Merdad L, El-Housseiny AA. Do children’s previous dental experience and fear affect their perceived oral health-related quality of life (OHRQoL)?. BMC Oral Health 2017;17(1):47.
Jokovic A, Locker D, Guyatt G. Short forms of the Child Perceptions Questionnaire for 11-14-year-old children (CPQ11-14): development and initial evaluation. Health Qual Life Outcomes 2006;4:4.
Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Measuring parental perceptions of child oral health-related quality of life. J Public Health Dent 2003;63(2):67-72.
Barbosa TS, Gaviao MB, Leme MS, Castelo PM. Oral Health-related Quality of Life in Children and Preadolescents with Caries, Malocclusions or Temporomandibular Disorders. Oral Health Prev Dent 2016;14(5):389.
Goursand D, Paiva SM, Zarzar PM, Pordeus IA, Grochowski R, Allison PJ. Measuring parental-caregiver perceptions of child oral health-related quality of life: psychometric properties of the Brazilian version of the P-CPQ. Braz Dent J 2009;20(2):169-174.
Abreu LG, Melgaco CA, Abreu MH, Lages EM, Paiva SM. Perceptions of parents and caregivers regarding the impact of malocclusion on adolescents’ quality of life: a cross-sectional study. Dental Press J Orthod 2016;21(6):74-81.
Sun L, Wong HM, McGrath CP. Relationship Between the Severity of Malocclusion and Oral Health Related Quality Of Life: A Systematic Review and Meta-analysis. Oral Health Prev Dent 2017;15(6):503-517.
Da Rosa GN, Del Fabro JP, Tomazoni F, Tuchtenhagen S, Alves LS, Anderghi TM. Association of malocclusion, happines, and oral health-related quality of life (OHRQoL) in schoolchildren. J Public Health Dent 2016;76(2):85-90.
Bretz, YPM, Paiva SM, Lages BEM, Abreu LG. Perceptions of pain levels and chewing impairment among adolescents undergoing orthodontic treatment with fixed appliances. J Oral Res 2018;7(3):102-107.
Jamilian A, Kiaee B, Sanayei S, Khosravi S, Perillo L. Orthodontic Treatment of Malocclusion and its Impact on Health-Related Quality of Life. Open Dent J 2016;10:236-241.
Javidi H, Vetorre M, Benson PE. Does orthodontic treatment before the age of 18 years improve oral health-related quality of life A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2017;151(4):644-655.
Lawal FB. Global self-rating of oral health as summary tool for oral health evaluation in low-resource settings. J Int Soc Prec Community Dent 2015;5:S1-S6.
Kamper SK, Maher CG, Mackay G. Global rating of change scales: a review of strengths and weaknesses and considerations for design. J Man Manip Ther 2009;17(3):163-170.
Abreu LG, Lages EM, Abreu MH, Pereira LJ, Paiva SM. Preadolescent's oral health-related quality of life during the first month of fixed orthodontic appliance therapy. J Orthod 2013;40(3):218-224.
Abreu LG, Melgaço CA, Lages EM, Abreu MH, Paiva SM. Effect or year one orthodontic treatment on the quality of life of adolescents, assessed by the short form of the Child Perceptions Questionnaire. Eur Arch Paediatr Dent 2014;15(6):435-441.
World Health Organization.Oral Health Surveys:Basic Methods.4th ed. Geneva:World Health Organization;1997.
Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth.4th ed. Copenhagen: Blackwell Munskgaard;2007.
Loe H. The gingival index, the plaque index and the retention index systems.J Periodontol.1967;38(6 Suppl):610-616.
Torres CS, Paiva SM, Vale MP, Pordeus IA, Ramos-Jorge ML, Oliverai AC, Allison PJ. Psychometric properties of the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) – short forms. Health Qual Life Outcomes 2009;7:43.
Jenny J, Cons NC. Establishing malocclusion severity levels on the Dental Aesthetic Index (DAI) scale. Aust Dent J 1996;41(1):43-46.
Cohen J. Statistical Power Analysis for the Behavioural Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum and Associates; 1988.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174.
Scalioni F, Carrada CF, Abreu L, Ribeiro RA, Paiva SM. Perceptions of parents/caregivers on the oral health of children/adolescents with Down syndrome. Spec Care Dentist.2018;38(6):382-390.
Perazzo MF, Gomes MC, Neves ET, Martins CC, Paiva SM, Costa EMMB, Granville-Garcia AF. Oral problems and quality of life of preschool: self-reports of children and perception of parents/caregivers. Eur J Oral Sci.2017;125(4):272-279.
Talekar BS, Rozier RG, Slade GD, Ennett ST. Parental perceptions of their preschool-aged children`s oral health. J Am Dent Assoc.2005;136(3):364-372.
Piovesan C, Marquezan M, Kramer PF, Bonecker M, Ardenghi TM. Socioeconomic and clinical factors associated with caregivers’ perceptions of children’s oral health in Brazil.Community Dent Oral Epidemiol.2011;39(3):260-267.
Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bonecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol.2011;39(2):105-114.
Firmino RT, Gomes MC, Vieira-Andrade RG, Martins CC, Paiva SM, Granville-Garcia AF. Case-control study examining the impact of oral health problems on the quality of life of the families of preschoolers. Braz Oral Res.2016;30(1):121.
Gomes MC, Clementino MA, Pinto-Sarcamento TC, Martins CC, Granville-Garcia AF, Paiva SM. Association between parental guilt and oral health problems in preschool children: a hierarchical approach. BMC Public Health.2014;14:854.
Amin MS, Harrison RL, Weinstein P. A qualitative look at parents’ experience of their child`s dental general anaesthesia. Int J Paediatr Dent.2006;16(5):309-319.
Kramer PF, Feldens CA, Ferreira SH, Bervian J, Rodrigues PH, Peres MA. Exploring the impact of oral diseases and disorders on quality of life of preschool children. Community Dent Oral Epidemiol.2013;41(4):327-335.
Lima CM, Palha PF, Zanetii ML, Parada CM. Experiences of Family members regarding the oral health care of children. Rev Lat Enfermagem.2011;19(1):171-178.
Mouradian WE. The face pf child: children’s oral health and dental education. J Dent Educ.2001;65(9):821-831.
Flores-Mir C, Brandelli J, Pacheco-Pereira C. Patient satisfaction and quality of life status after 2 treatment modalities: Invisalign and conventional fixed appliances. Am J Orthod Dentofacial Orthop.2018;154(5):639-644.
Ferrando-Magraner E, Garcia-Sanz V, Bellot-Arcis C, Montiel-Company JM, Almerich-Silla JM, Paredes-Gallardo V. Oral health-related quality of life of adolescents after orthodontic treatment. A systematic review. J Clin Exp Dent.2019;11(2):194-202.
Kunz F, Platte P, Keb S. Orthodontic treatment need and quality of life: Correlation between oral-health related quality of life and orthodontic treatment need in children and adolescents - a prospective interdisciplinary multicenter cohort study. Br Dent J.2018;225(9):866.
Deng X, Wang YJ, Deng F, Liu PL, Wu Y. Psychological well-being, dental esthetics, and psychosocial impacts in adolescents orthodontic patients: A prospective longitudinal study. Am J Orthod Dentofacial Orthop.2018;153(1):87-96.
De Couto Nascimento V, de Castro Ferreira Conti AC, de Almeida Cardoso M, Valarelli DP, de Almeoda-Pedrin RR. Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation. Angle Orthod.2016;86(5):839-845.
Zhang M, McGrath C, Hagg U. Changes in oral health-related quality of life during fixed orthodontic appliance therapy. Am J Orthod Dentofacial Orthop. 2008;133(1):25–29.
Accepted 2019-10-03
Published 2019-01-15
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