Impact of Specific Orthodontic Parameters on the Oral Health-related Quality of Life in Children and Adolescents : A prospective Interdisciplinary, Multicentre, Cohort Study

Overview

Journal J Orofac Orthop

Specialty Dentistry

Date 2019 Jun 5

PMID 31161226

Citations 8

Authors

Felix Kunz

Petra Platte

Stefan Kess

Laura Geim

Florian Zeman

Peter Proff

Ursula Hirschfelder

Angelika Stellzig-Eisenhauer

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of the present study was to analyse the impact of specific orthodontic findings on oral health-related quality of life (OHRQoL) when taking into consideration age and psychological factors in children and adolescents.

Methods: In all, 250 children and adolescents with an indication for orthodontic diagnostics were recruited using a multicentre study design. Using validated and internationally acknowledged questionnaires, we assessed OHRQoL, health-related quality of life (HRQoL), self-esteem and behavioural problems. We also examined a selection of specific orthodontic findings using photos, model casts and cephalometric analyses, and investigated the impact of these parameters on OHRQoL using simple linear regression analyses. Thereafter, we added all the significant specific orthodontic and psychological parameters to a multiple linear regression model using a stepwise forwards selection procedure.

Results: We were able to identify different specific orthodontic findings that have a significant impact on OHRQoL. These were the type of lip closure, the position of the chin, the Little-index of the upper jaw, the overjet, the overbite and the ANB angle. Moreover, we were able to demonstrate that psychological and some specific orthodontic parameters have a significant impact on OHRQoL.

Conclusion: Specific orthodontic findings have a significant impact on patients' perceived OHRQoL. Further longitudinal studies are required to investigate whether the treatment and correction of these malocclusions also improve the OHRQoL of children and adolescents.

Citing Articles

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Quality of orthodontic care-A multicenter cohort study in a German convenience sample : Part 2: Cross-sectional patient-reported outcomes after orthodontic treatment.

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