Orthodontic Treatment and Its Impact on Oral Health-Related Quality of Life

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dentistry".

Deadline for manuscript submissions: closed (31 May 2021) | Viewed by 15102

Special Issue Editor


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Guest Editor
Department of Stomatology, Orthodontics, University of Valencia, 46010 Valencia, Spain
Interests: cleft lip and palate; orthodontics; multidisciplinary treatment; NAM; miniscrews; TADS; 3D imaging
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Special Issue Information

Dear Colleagues,

At present, patients’ responses to treatment are more influenced by psychosocial and aesthetic aspects than their oral health status. Improvements in both function and aesthetics are supposed to lead to better and more stable psychosocial welfare. It is important for the orthodontist to understand the oral health factors that can affect an individual’s quality of life (QoL), and therefore the relationship between oral health care and QoL, known as oral-health-related quality of life (OHRQoL).

Given the great prevalence of malocclusions in children, teenagers, and adult patients and the impact they have on OHRQoL, assessments provide useful information—not only in terms of patients’ needs and expectations before treatment, but about whether or not orthodontic treatments meet them satisfactorily, since the World Health Organization (WHO) places malocclusion in third place in prevalence among all buccodental health problems.

Although many questionnaires evaluate OHRQoL, these are subject to a high degree of heterogeneity and most of them are designed to assess adult patients and fixed appliances.

This Special Issue focuses on the changes in the quality of life of orthodontic patients of all ages wearing all kind of different appliances (fixed, removable, lingual appliances, and clear aligners).

Dr. Vanessa Paredes-Gallardo
Guest Editor

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Keywords

  • quality of life
  • oral-health-related quality of life
  • QoL
  • OHRQoL
  • orthodontic treatment

Published Papers (4 papers)

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Research

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13 pages, 4806 KiB  
Article
Comparative Study of Oral Health-Related Quality of Life (OHRQL) between Different Types of Orthodontic Treatment
by Natalia Zamora-Martínez, Vanessa Paredes-Gallardo, Verónica García-Sanz, José Luis Gandía-Franco and Beatriz Tarazona-Álvarez
Medicina 2021, 57(7), 683; https://doi.org/10.3390/medicina57070683 - 02 Jul 2021
Cited by 13 | Viewed by 2431
Abstract
Background and objectives: Although the main objective of any orthodontic treatment is to correct malocclusion, a range of psychosocial and/or esthetic factors drive patients to undergo orthodontic treatment. The aim of the present study was to analyze variations in oral health-related quality of [...] Read more.
Background and objectives: Although the main objective of any orthodontic treatment is to correct malocclusion, a range of psychosocial and/or esthetic factors drive patients to undergo orthodontic treatment. The aim of the present study was to analyze variations in oral health-related quality of life (OHRQL) levels in patients undergoing orthodontic treatment by means of four types of appliances: fixed buccal metal brackets, fixed buccal esthetic/ceramic brackets, fixed lingual brackets, and clear aligners. Material and Methods: The study sample comprised 120 patients aged 18 to 68 years who attended the Orthodontic department at the Dental Clinic of the University of Valencia. The Index of Orthodontic Treatment Need (IOTN) was used to measure orthodontic treatment need. Each patient completed three different intervals of the 14-item Oral Health Impact Profile (OHIP-14): before treatment (T0); six months after placing the orthodontic appliances (T1) and at the end of orthodontic treatment (T2). Results: All groups suffered a reduction in quality of life from T0 to T1 except the metal bracket group which presented the same level for the functional limitation domain (p = 1.000), the lingual bracket group for the psychological discomfort domain (p = 1.000) and clear aligner group for the physical disability domain (p = 0.118) and psychological disability domain (p = 1.000). Nevertheless, quality of life for most domains was similar in all groups at the end of treatment (T2). Conclusions: Patients underwent a significant reduction in quality of life during treatment in comparison with their pre-treatment condition but showed significant improvements at the end of treatment. Full article
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7 pages, 287 KiB  
Article
Short-Term Effect of Orthodontic Treatment with Clear Aligners on Pain and sEMG Activity of Masticatory Muscles
by Alessandro Nota, Silvia Caruso, Shideh Ehsani, Gianmaria Fabrizio Ferrazzano, Roberto Gatto and Simona Tecco
Medicina 2021, 57(2), 178; https://doi.org/10.3390/medicina57020178 - 19 Feb 2021
Cited by 7 | Viewed by 2795
Abstract
Background and objectives: The aim of this study is to evaluate mandibular elevator muscles activity and pain on palpation in the early stages of orthodontic treatment with clear aligners using surface electromyography (sEMG). Materials and methods: Surface electromyography (sEMG) activity and pain level [...] Read more.
Background and objectives: The aim of this study is to evaluate mandibular elevator muscles activity and pain on palpation in the early stages of orthodontic treatment with clear aligners using surface electromyography (sEMG). Materials and methods: Surface electromyography (sEMG) activity and pain level on muscle palpation of masseter and anterior temporalis muscles were recorded in a sample of 16 adult subjects (aged 18–32 years; mean 22.5 +/− 3.5 SD) undergoing orthodontic treatment with clear aligners before the treatment (T0), after 1 month of treatment (two clear aligners) (T1), and after 3 months of treatment (T2) (six clear aligners). A chi-square test for nominal data, a Friedman test, and a Wilcoxon-signed rank test as post hoc analysis were applied. Results: No statistically significant differences in muscular pain were observed. At T1, the sEMG activity of masseter muscles at mandibular rest position showed a statistically significant reduction, but after 3 months (T2), the data appeared similar to T0 (p = 0.03 and p = 0.02). Conclusions: During the treatment with clear aligners, subjects could experience an initial reduction in the masseter basal activity after 1 month of treatment. This effect tends to decrease to baseline levels after 3 months of therapy. Full article
10 pages, 817 KiB  
Article
The Influence of Friction on Design of the Type of Bracket and Its Relation to OHRQoL in Patients Who Use Multi-Bracket Appliances: A Randomized Clinical Trial
by Adriana González-Sáez, Laura Antonio-Zancajo, Javier Montero, Alberto Albaladejo, María Melo, Daniele Garcovich and Alfonso Alvarado-Lorenzo
Medicina 2021, 57(2), 171; https://doi.org/10.3390/medicina57020171 - 17 Feb 2021
Cited by 3 | Viewed by 1650
Abstract
Background and objectives: The aim of this study was to evaluate the influence of friction on design of the type of bracket, patients’ perception of pain and the impact on their oral health-related quality of life. Materials and Methods: A randomized clinical trial [...] Read more.
Background and objectives: The aim of this study was to evaluate the influence of friction on design of the type of bracket, patients’ perception of pain and the impact on their oral health-related quality of life. Materials and Methods: A randomized clinical trial was carried out with 90 patients (62.2% women and 37.8% men) with three kinds of fixed multi-bracket appliances: Conventional (GC), fixed multi-bracket low friction (GS) and self-ligating (GA). The VAS (Visual Analogue Scale) was used to determine pain during the first seven days of treatment at different points in time. The patients were also given the OHIP-14 (Oral Health Impact Profile) questionnaire to analyse their oral health-related quality of life (OHRQoL) after the first 30 days of treatment. The ANOVA test was used for the analysis of the variables and the post hoc Bonferroni test for the comparison between groups. Results: Maximum pain was observed between one and two days after the start of treatment. The GC group showed the greatest degree of pain, with maximum values (4.5 ± 2.0) at 24 h. The self-ligation brackets show lower impact on patients’ oral health-related quality of life (0.8 ± 2.2, p < 0.01). Conclusions: Friction in the type of bracket influences pain and the Oral Health-Related Quality of Life of patients who use multi-bracket fixed orthodontics. Full article
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Review

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12 pages, 2271 KiB  
Review
Effectiveness of Dental and Maxillary Transverse Changes in Tooth-Borne, Bone-Borne, and Hybrid Palatal Expansion through Cone-Beam Tomography: A Systematic Review of the Literature
by Giovanni Coloccia, Alessio Danilo Inchingolo, Angelo Michele Inchingolo, Giuseppina Malcangi, Valentina Montenegro, Assunta Patano, Grazia Marinelli, Claudia Laudadio, Luisa Limongelli, Daniela Di Venere, Denisa Hazballa, Maria Teresa D’Oria, Ioana Roxana Bordea, Edit Xhajanka, Antonio Scarano, Felice Lorusso, Alessandra Laforgia, Francesco Inchingolo and Gianna Dipalma
Medicina 2021, 57(3), 288; https://doi.org/10.3390/medicina57030288 - 19 Mar 2021
Cited by 33 | Viewed by 7367
Abstract
Background and Objectives: Palatal expansion is a common orthodontic technique able to increase the transverse changes for subjects with constricted maxillary arches. The aim of the present investigation was to evaluate through a systematic review the tomography effectiveness of different palatal expander [...] Read more.
Background and Objectives: Palatal expansion is a common orthodontic technique able to increase the transverse changes for subjects with constricted maxillary arches. The aim of the present investigation was to evaluate through a systematic review the tomography effectiveness of different palatal expander approaches. Materials and Methods: The database used to perform the screening and determine the eligibility of the clinical papers was PubMed (Medline). Results: The database search included a total of 284 results, while 271 articles were excluded. A total of 14 articles were included for the qualitative assessment. Conclusions: The effectiveness of the present studies reported that skeletal expansion was a useful approach to increase the transverse changes for subjects with constricted maxillary arches. Full article
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