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Wall A, Hillyard N, Ryan FS, Cunningham SJ. Adult orthodontic patients: What is important to them? J Orthod 2024:14653125241256975. [PMID: 38859622 DOI: 10.1177/14653125241256975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2024]
Abstract
OBJECTIVE To understand patients' motivations for pursuing treatment, to appreciate what information patients seek and to explore potential factors affecting decision making in adults considering, undergoing or who have had orthodontic treatment in the private sector. DESIGN Cross-sectional questionnaire study. SETTING Online questionnaire. PARTICIPANTS A total of 209 (83% women, 16% men, 1% preferred not to say) completed responses were received. METHODS Once piloted, the final survey was made available online to adults in the United Kingdom (UK) and Republic of Ireland (RoI) who were either considering having orthodontic treatment, currently undergoing treatment or had recently completed treatment in the private sector. RESULTS The most commonly selected motivating factor was to 'improve the appearance of my teeth' (82%). The information sought related predominantly to treatment duration (64%), potential end results (56%), types of appliances that were available (55%) and cost (52%). The two most commonly reported social factors that had influenced participants to consider treatment were 'seeing myself on social media' (31%) and 'it is more socially acceptable to have braces' (31%). CONCLUSION While this area remains relatively underexplored in the literature, it is crucial to develop a comprehensive understanding due to the increasing number of adults seeking orthodontic treatment. This study not only reinforces the existing knowledge regarding adults seeking orthodontic treatment, such as the predominant role of aesthetics as a motivating factor, but also introduces some novel insights. Specifically, we highlight the influence of social factors on decision-making processes and the importance of effectively communicating the duration of treatment to patients.
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Affiliation(s)
- Aoibheann Wall
- Royal National ENT and Eastman Dental Hospitals, London, UK
| | - Neil Hillyard
- Hillyard MacDonald, Inverness, Highland Scotland, UK
| | - Fiona S Ryan
- Royal National ENT and Eastman Dental Hospitals, London, UK
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Scarano A, Amuso D, Amore R, Gehrke SA, Tari SR. Heating of metallic orthodontic devices during anti-aging treatment with vacuum and electromagnetic fields: In vitro study. Skin Res Technol 2024; 30:e13687. [PMID: 38566505 PMCID: PMC10988114 DOI: 10.1111/srt.13687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Accepted: 03/18/2024] [Indexed: 04/04/2024]
Abstract
BACKGROUND The physical appearance of an individual plays a primary role as it influences the opinion of the viewer. For this reason, orthodontic therapy to improve perceived aesthetics is in high demand among patients. This factor, combined with the increase in the number of non-invasive facial aesthetic treatments, has led to the need to understand potential risk factors in the application of medical devices to the perioral skin in patients with fixed orthodontic appliances. The aim of this study was to evaluate in vitro heating of the orthodontic bracket following electromagnetic fields and negative pressure (V-EMF) used as an anti-aging treatment. METHODS Two different types of titanium alloy wires, one made of "beta-Titanium" alloy and the other "Ni-Ti" (DW Lingual Systems GmbH-Bad Essen-Germany) were used. The orthodontic wires and brackets mounted on a resin mouth were covered with porcine muscle tissue, then subjected to anti-aging therapy with a Bi-one LifeTouchTherapy medical device (Expo Italia Srl-Florence-Italy) which generates a combination of vacuum and electromagnetic fields (V-EMF) already adopted for antiaging therapy. During administration of the therapy, the orthodontic brackets and porcine tissue were thermally monitored using a Wavetek Materman TMD90 thermal probe (Willtek Communications GmbH-Germany). In total 20 orthodontic mouths were used, 10 with Beta Titanium wires and 10 with Nickel Titanium wires. RESULTS A temperature increase of about 1°C was recorded in each group. The outcome of the present research shows that the absolute temperatures measured on orthodontic appliances, which, despite having a slightly different curve, both show an increase in temperature of 1.1°C at the end of the session, thus falling well within the safety range of 2°C as specified by the standard CENELEC EN 45502-1. Therefore, V-EMF therapy can be considered safe for the entire dental system and for metal prostheses, which tend to heat up at most as much as biological tissue (+0.9°C/1.1°C vs. 1.1°C/1.1°C). CONCLUSION In conclusion, anti-aging therapy with V-EMF causes a thermal increase on orthodontic brackets that is not harmful to pulp health.
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Affiliation(s)
- Antonio Scarano
- Dean of Master course in Aesthetic MedicineDepartment of Innovative Technologies in Medicine and DentistryUniversity of Chieti‐PescaraChietiItaly
| | - Domenico Amuso
- Dean of Master course in Aesthetic MedicineDepartment of Innovative Technologies in Medicine and DentistryUniversity of Chieti‐PescaraChietiItaly
| | - Roberto Amore
- Dean of Master course in Aesthetic MedicineDepartment of Innovative Technologies in Medicine and DentistryUniversity of Chieti‐PescaraChietiItaly
| | - Sergio Alexandre Gehrke
- Department of ResearchBioface/PgO/UCAMMontevideoUruguay. Department of BiotechnologyUniversidad Católica de Murcia (UCAM)MurciaSpain
| | - Sergio Rexhep Tari
- Dean of Master course in Aesthetic MedicineDepartment of Innovative Technologies in Medicine and DentistryUniversity of Chieti‐PescaraChietiItaly
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Anh NV, Duc NM, Tra NT, Ngoc VTN, Son TM. Lingual bracket transfer accuracy of double vacuum-formed indirect bonding tray using 3D-printed model: an in vivo study. Am J Orthod Dentofacial Orthop 2024; 165:294-302. [PMID: 37906244 DOI: 10.1016/j.ajodo.2023.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 09/01/2023] [Accepted: 09/01/2023] [Indexed: 11/02/2023]
Abstract
INTRODUCTION This study aimed to assess the transfer accuracy of a digital indirect bonding method for lingual brackets using double vacuum-formed trays in vivo. METHODS Twenty-five patients in need of lingual orthodontic treatment were consecutively recruited. Bracket placement was performed on ideal setups, followed by fabricating indirect bonding trays through vacuum-forming on 3-dimensional printed models. Transfer accuracy was measured at each bracket after superimpositions of postbonding scans and reference data. One-tailed t tests were used to determine whether bracket deviations were within the limit of 0.5 mm and 2° for linear and angular dimensions, respectively. RESULTS A total of 611 lingual brackets were evaluated. Mean linear transfer errors were 0.06 mm, 0.09 mm, and 0.12 mm, with frequencies of deviations within the 0.5 mm limit of 99.7%, 99.8%, and 98.0% for mesiodistal, buccolingual, and occlusogingival dimensions, respectively. Regarding angular measurements, mean transfer errors were 1.28°, 1.73°, and 2.96°, with frequencies of deviations within the 2° limit of 81.0%, 68.9%, and 51.1% for rotation, tip, and torque, respectively. Mean errors fell within the clinically accepted limits for all linear dimensions and rotation but exceeded the limit for tip and torque. CONCLUSIONS Lingual bracket indirect bonding using double vacuum-formed trays fabricated on 3-dimensional printed models has high transfer accuracy in the mesiodistal, buccolingual, and occlusogingival dimensions and rotation. However, the transfer of tip and torque is less accurate.
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Affiliation(s)
- Nguyen Viet Anh
- Viet Anh Orthodontic Clinic, Hanoi, Vietnam; School of Dentistry, Hanoi Medical University, Hanoi, Vietnam.
| | - Nguyen Minh Duc
- Division of Research and Treatment for Oral Maxillofacial Congenital Anomalies, Aichi Gakuin University, Nagoya, Japan
| | - Nguyen Thu Tra
- School of Dentistry, Hanoi Medical University, Hanoi, Vietnam
| | | | - Tong Minh Son
- School of Dentistry, Hanoi Medical University, Hanoi, Vietnam
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Almarhoumi AA. Socio-economic and gender dynamics influence on the parental decision-making process for children's orthodontic care - A study in Madinah, Saudi Arabia. J Orthod Sci 2024; 13:5. [PMID: 38516110 PMCID: PMC10953714 DOI: 10.4103/jos.jos_184_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 12/03/2023] [Accepted: 01/17/2024] [Indexed: 03/23/2024] Open
Abstract
OBJECTIVES To investigate the socio-economic and personal factors that impact parental decisions regarding orthodontic treatment for their children in Madinah, Saudi Arabia. MATERIALS AND METHODS A digital self-administered questionnaire was employed to collect data from 414 parents, focusing on their motivations and barriers that influence their decision-making process regarding orthodontic treatment. RESULTS Income level was the most significant factor in orthodontic decisions. Parents with higher incomes were twice as likely to choose orthodontic treatment for esthetic reasons compared to parents with middle incomes. The main incentive for seeking treatment was getting advice from dental professionals, with 60% of participants rating it as the most important factor. 34.5% of respondents identified cost as the main barrier, with middle-income parents being 151% more inclined to perceive it as a significant barrier compared to high-income parents. Gender dynamics revealed that mothers exhibited 48.9% greater concern regarding treatment costs compared to fathers, whereas fathers placed 2.105 times more importance on the orthodontist's reputation than mothers. CONCLUSION Income levels, along with other socio-economic factors and gender dynamics, have a significant influence on parental decisions regarding orthodontic care. Personalized consultations that address these variations are crucial for improving communication between patients and practitioners and increasing the accessibility of treatment.
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Affiliation(s)
- Asim A. Almarhoumi
- Department of Preventive Dental Sciences, Division of Orthodontics, College of Dentistry and Dental Hospital at Taibah University, Madinah, Saudi Arabia
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Jaber ST, Hajeer MY, Sultan K. Treatment Effectiveness of Clear Aligners in Correcting Complicated and Severe Malocclusion Cases Compared to Fixed Orthodontic Appliances: A Systematic Review. Cureus 2023; 15:e38311. [PMID: 37128600 PMCID: PMC10148732 DOI: 10.7759/cureus.38311] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/29/2023] [Indexed: 05/03/2023] Open
Abstract
This systematic review aimed to critically assess the available evidence regarding the effectiveness and efficiency of clear aligners in the comprehensive treatment of complex cases accompanied by premolars extraction. An electronic literature search by two reviewers was independently done on 27 February 2023 in the following databases without time and language limitations: Pubmed®, Scoups®, Google Scholar, Cochrane Library database, Web of Science™, and Proquest Database Open. Randomized controlled trials (RCTs) of any type, non-randomized clinical trials (CCT), cohort studies, and prospective, retrospective, and cross-sectional studies were reviewed. The risk of bias in included studies was assessed using the Risk of Bias (RoB 2.0) tool for randomized trials and the Risk of Bias in Non-randomized Studies (ROBINS-I) tool for non-randomized studies. After carefully searching the literature, six trials were included in this systematic review, three RCTs, two retrospective cohort studies, and one CCT. Two hundred eighty-three patients were included (186 females, 97 males). Three studies found that there were no differences between the clear aligners and fixed appliances when evaluations were done using the American Board of Orthodontists Objective Grading System (ABO-OGS) or the Peer Assessment Rating (PAR) index. Two studies found that there were some differences between predicted and achieved tooth movements when clear aligners were used in premolars extraction cases. Based on the included studies, the duration of treatment was shorter with fixed appliances than the clear aligners when applied to orthodontic extraction cases. Both clear aligners and fixed appliances were found effective in the orthodontic treatment of premolar extraction-based cases. Fixed appliances have the advantage of achieving better buccolingual inclination and occlusal contacts in a shorter treatment duration. Treatment with clear aligners might be associated with differences between predicted and achieved tooth movements. Therefore, the characteristics of these techniques should be considered when making a treatment decision.
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Affiliation(s)
- Samer T Jaber
- Department of Orthodontics, University of Damascus, Damascus, SYR
| | | | - Kinda Sultan
- Department of Orthodontics, University of Damascus, Damascus, SYR
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Chen Z, Zhou H, Zhang K, Wang X, Zhong L, Hou Y, Chen Y. The clinical efficacy of periodontally accelerated osteogenic orthodontics in patients with bone fenestration and dehiscence: a retrospective study. Head Face Med 2022; 18:40. [PMID: 36476624 PMCID: PMC9730663 DOI: 10.1186/s13005-022-00344-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 11/29/2022] [Indexed: 12/12/2022] Open
Abstract
PURPOSE The objective of the study was to explore the effect of periodontally accelerated osteogenic orthodontics (PAOO) in orthodontic patients with bone dehiscence and fenestration in the anterior alveolar region of the mandible. METHODS A retrospective study was performed in 42 patients with bone dehiscence and fenestrations in the anterior alveolar region of the mandible who underwent the PAOO technique. The bleeding index (BI), probing depth (PD), keratinized gingiva width (KGW), gingival recession level (GRL), and gingival phenotype were recorded and assessed at baseline and 6 and 12 months postoperatively. Cone-beam computerized tomography was used to measure bone volume in terms of root length (RL), horizontal bone thickness at different levels, and vertical bone height at baseline and 6 months and 12 months after surgery. RESULTS The sample was composed of 42 patients (22 males and 20 females; mean age, aged 25.6 ± 4.8 years) with 81 teeth showing dehiscence/fenestrations and 36 sites presenting gingival recessions. There was no significant difference in BI, PD, or KGW (between baseline and 6 or 12 months postoperatively) based on the clinical evaluations (P > 0.05). Gingival recession sites demonstrated a significant reduction in the GRL after surgery (P < 0.05). Furthermore, the proportion of teeth with a thick gingival phenotype increased from 33.61% at baseline to 53.13% at the end of the follow-up. In addition, the bone thickness measurements at the mid-root and crestal levels were markedly increased compared with the baseline values (P < 0.05), although the increase in thickness at the apical level was not statistically significant (P > 0.05). CONCLUSIONS Within the limitations of the study, the results show that the PAOO technique is beneficial to periodontal conditions in terms of soft and hard tissue augmentation. The PAOO procedure may represent a safe and efficient treatment for orthodontic patients with bone dehiscence and fenestration. TRIAL REGISTRATION This study was approved by the ethics committee of the stomatological hospital affiliated with Xi'an Jiaotong University (xjkqll [2019] No. 016) and registered in the Chinese Clinical Trial Registry (ChiCTR2100053092).
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Affiliation(s)
- Ziling Chen
- grid.43169.390000 0001 0599 1243Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, China ,grid.43169.390000 0001 0599 1243Department of Periodontology, College of Stomatology, Xi’an Jiaotong University, Xi’an, People’s Republic of China
| | - Huan Zhou
- grid.43169.390000 0001 0599 1243Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, China ,grid.43169.390000 0001 0599 1243Department of Periodontology, College of Stomatology, Xi’an Jiaotong University, Xi’an, People’s Republic of China
| | - Kaili Zhang
- grid.43169.390000 0001 0599 1243Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, China ,grid.43169.390000 0001 0599 1243Department of Periodontology, College of Stomatology, Xi’an Jiaotong University, Xi’an, People’s Republic of China
| | - Xu Wang
- grid.43169.390000 0001 0599 1243Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, China ,grid.43169.390000 0001 0599 1243Department of Periodontology, College of Stomatology, Xi’an Jiaotong University, Xi’an, People’s Republic of China
| | - Liangqiuyue Zhong
- grid.43169.390000 0001 0599 1243Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, China ,grid.43169.390000 0001 0599 1243Department of Periodontology, College of Stomatology, Xi’an Jiaotong University, Xi’an, People’s Republic of China
| | - Yuxia Hou
- grid.43169.390000 0001 0599 1243Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, China ,grid.43169.390000 0001 0599 1243Department of Orthodontics, College of Stomatology, Xi’an Jiaotong University, Xi’an, People’s Republic of China
| | - Yue Chen
- grid.43169.390000 0001 0599 1243Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an, China ,grid.43169.390000 0001 0599 1243Department of Periodontology, College of Stomatology, Xi’an Jiaotong University, Xi’an, People’s Republic of China
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Wang T, Li H, Fan X, Guo Y. A survey regarding orthodontic treatment among contemporary college freshmen in China. BMC Oral Health 2022; 22:355. [PMID: 35974403 PMCID: PMC9382845 DOI: 10.1186/s12903-022-02388-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 08/10/2022] [Indexed: 11/14/2022] Open
Abstract
Background A growing number of Chinese residents are seeking orthodontic treatment. The aim of the study was to investigate rates of orthodontic publicity, orthodontic treatment history and related factors among college freshmen in China, to preliminarily understand the current situation of orthodontic publicity and treatment in China, especially after the 2020s. Methods Referred to previous studies, a self-designed online questionnaire of Chinese college freshmen was conducted. The questionnaire was divided into two parts, after collecting basic information, we investigated orthodontic publicity rate and orthodontic treatment history with starting age, relapse phenomenon, satisfaction score and willingness to re-treatment. Factors hindering first-time and second-time treatment were also collected. The statistical analysis was performed using the Chi-square test, t-test, Kruskal–Wallis test and logistic regression analysis. Results The response rate was 100% and 3308 responses were included. The male to female ratio was 1524:1784 with a mean age of 18.43 years (SD 0.91 years). Statistically significant of economic administrative regions, age, major and orthodontics engagement of relatives or friends were found on prevalence and rate of orthodontic treatment (P < 0.05). Average opinion on orthodontic treatment was “satisfied” and most claimed a phenomenon of relapse (slight relapse: 38.22%, obvious relapse: 23.12%), where age, major and orthodontics engagement of relatives or friends showed statistically significant. Retreatment willingness was correlation with start age and relapse phenomenon. For those who refused first-time treatment, except for good tooth arrangement condition, pain, long-time span, and cost weighted, while for those who refused re-treatment, the fair of discomfort and long-time span ranked at the top. Conclusions In contemporary China, the prevalence and rate of orthodontic treatment had been greatly promoted. Earlier age for receiving orthodontic treatment was also discovered. Subjective factors regarding psychology, self-requirement affected the need of orthodontic treatment. Contemporary Chinese college freshmen had a high ability of judging dental alignment, while improve of overall orthodontic care level is still required.
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Affiliation(s)
- Tianyi Wang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, 14# Third Section, Renmin Nan Road, Chengdu, 610041, China
| | - Haolin Li
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, 14# Third Section, Renmin Nan Road, Chengdu, 610041, China
| | - Xi Fan
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, 14# Third Section, Renmin Nan Road, Chengdu, 610041, China
| | - Yongwen Guo
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, 3rd Section, No. 14, Renmin South Road, Chengdu, 610041, Sichuan, China.
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Liu C, Wong L, Hameed O, Pandis N, Seehra J. Predictors of treatment decisions made by adult orthodontic patients presenting with unerupted permanent teeth. Int Orthod 2020; 19:76-81. [PMID: 33248909 DOI: 10.1016/j.ortho.2020.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 10/28/2020] [Accepted: 10/30/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Unerupted permanent teeth are amongst the most commonly occurring dental anomalies in adults and present unique treatment challenges. The aim of this retrospective study was to (1) identify the prevalence of adult patients with unerupted teeth attending a multidisciplinary clinic and (2) to identify predictors (age, gender, incisor and skeletal classification) which influence the patients treatment decision. MATERIAL AND METHODS Consecutive adult patients with unerupted permanent teeth attending the Joint Orthodontic-Restorative clinic were identified. Study variables were collected using a prespecified data collection form. Descriptive statistics were employed; Fisher's exact test was used to detect associations between variables and treatment decision outcome. Ordinal logistic regression derived multinomial regression relative risk ratios (RRR) and 95% confidence intervals (CI) were calculated for the effect of age, gender, incisor and skeletal classification on treatment decision/outcome. RESULTS Sixty-six patients with impacted teeth were identified from a sample of 483. The prevalence of adults with unerupted teeth was 13.7%. The mean age was 30.7 years (SD 11.2). The majority of the sample had a Class I incisor relationship (54.6%) or Class I skeletal base relationship (54.6%), and the most common distribution of impacted teeth was a single unerupted upper right canine (34.9%). Orthodontic treatment (non-extraction or extraction basis incorporating the alignment or removal of impacted teeth) and restorative treatment only were equally favoured. Factors including age, gender, incisor and skeletal classification did not appear to influence or predict the final treatment decision. CONCLUSIONS In this sample, adults presenting with impacted teeth favoured certain treatment modalities: orthodontic treatment only and restorative treatment only. Factors such as age, gender, incisor and skeletal classification did not influence the outcome.
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Affiliation(s)
- Catherine Liu
- Queen's hospital, barking, havering and redbridge university hospitals trust, department of oral and maxillofacial surgery, RM7 0AG Romford, United Kingdom
| | - Lilia Wong
- Kings college hospital NHS Foundation Trust, King's college London, department of orthodontics, faculty of dentistry, oral and craniofacial sciences, Bessemer road, SE5 9RS London, United Kingdom
| | - Othman Hameed
- Kings college hospital NHS Foundation Trust, King's college London, department of orthodontics, faculty of dentistry, oral and craniofacial sciences, Bessemer road, SE5 9RS London, United Kingdom
| | - Nikolaos Pandis
- University of Bern, dental school/medical faculty, department of orthodontics and dentofacial orthopaedics, Bern, Switzerland
| | - Jadbinder Seehra
- Guy's hospital, Guy's and Saint-Thomas NHS Foundation Trust, King's college London, faculty of dentistry, oral and craniofacial sciences, department of orthodontics, floor 25, SE1 9RT London, United Kingdom.
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de Oliveira Meira ACL, Custodio W, Vedovello Filho M, Borges TM, C Meneghim MD, Santamaria M, Vedovello SAS. How is orthodontic treatment need associated with perceived esthetic impact of malocclusion in adolescents? Am J Orthod Dentofacial Orthop 2020; 158:668-673. [PMID: 32978016 DOI: 10.1016/j.ajodo.2019.09.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 09/01/2019] [Accepted: 09/01/2019] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The purpose of this research was to evaluate the esthetic impact of orthodontic treatment need in adolescents. METHODS This cross-sectional study was performed with 1172 adolescents aged 12 (n = 638) years and 15 (n = 534) years from Salvador, Bahia, Brazil. The esthetic impact was the following outcome variables: Aesthetic Component of the Index of Orthodontic Treatment Need and the Oral Aesthetic Subjective Impact Scale. The normative orthodontic treatment need was assessed by the Dental Health Component of the Index of Orthodontic Treatment Need (IOTN-DHC) and by the Dental Aesthetic Index (DAI). Logistic regression models were adjusted, estimating crude odds ratio with the respective 95% confidence intervals. The variables with P ≤0.20 in the individual analyses were tested in multiple logistic regression models, remaining the variables with P ≤0.05. RESULTS The results showed a statistically significant association for the esthetic impact (Aesthetic Component of the Index of Orthodontic Treatment Need and the Oral Aesthetic Subjective Impact Scale) when assessing the normative orthodontic treatment need by the DAI (P <0.05). However, there was no significant association between subjective esthetic impact and normative needs when using the IOTN-DHC (P >0.05). CONCLUSIONS DAI was more associated with the adolescents' esthetic concern than IOTN-DHC and should be the Index of Orthodontic Treatment Need to be selected to complement the patient's self-perception.
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Affiliation(s)
| | - William Custodio
- Araras Dental School, University Center of Hermínio Ometto Foundation-FHO, Araras, São Paulo, Brazil
| | - Mario Vedovello Filho
- Araras Dental School, University Center of Hermínio Ometto Foundation-FHO, Araras, São Paulo, Brazil
| | - Técia M Borges
- Department of Community Dentistry, University of Feira de Santana, Feira de Santana, Bahia, Brazil
| | - Marcelo de C Meneghim
- Department of Community Dentistry, Piracicaba Dental School, The University of Campinas, Piracicaba, São Paulo, Brazil
| | - Milton Santamaria
- Araras Dental School, University Center of Hermínio Ometto Foundation-FHO, Araras, São Paulo, Brazil
| | - Silvia A S Vedovello
- Araras Dental School, University Center of Hermínio Ometto Foundation-FHO, Araras, São Paulo, Brazil.
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Abstract
OBJECTIVE The objective of this study was to determine the duration of orthognathic-surgical treatment conducted with conventional pre- and post-surgical orthodontic treatment phases. MATERIAL AND METHODS The study material was comprised of the files of 185 consecutive patients treated in Oral and Maxillofacial Unit, Tampere University Hospital, Finland, in 2007-2014. The files were reviewed and the following data was obtained: gender and age of patients, ICD-10 diagnosis, type of malocclusion, duration of pre- and post-surgical orthodontic treatment and type of operation. RESULTS Total treatment duration (median) from placement of separating rings for banding until fixed orthodontic appliances were removed and retention period started was 31.1 months, of which pre-surgical orthodontics took 24.4 months and postsurgical 6.4 months. Treatment duration (median) was in BSSO was 32.1, LeFort 1 30.1 and bimaxillary osteotomy 29.7 months. Orthodontic extractions were performed in 35 patients (19%). If the orthodontic treatment included tooth extraction, the duration of pre-surgical treatment was on average 10 months longer, which is a statistically highly significant difference (p < .001, linear regression). CONCLUSIONS Tooth extractions (excluding 3rd molars) included in pre-surgical orthodontic treatment prolong treatment time by an average of 8-9 months.
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Affiliation(s)
- Jaakko Paunonen
- Department of Ear and Oral Diseases, Tampere University Hospital, Tampere, Finland
| | - Mika Helminen
- Science Center, Pirkanmaa Hospital District and Faculty of Social Sciences, University of Tampere, Tampere, Finland
| | - Timo Peltomäki
- Department of Ear and Oral Diseases, Tampere University Hospital, Tampere, Finland
- Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland
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Lin F, Ren M, Yao L, He Y, Guo J, Ye Q. Psychosocial impact of dental esthetics regulates motivation to seek orthodontic treatment. Am J Orthod Dentofacial Orthop 2017; 150:476-82. [PMID: 27585776 DOI: 10.1016/j.ajodo.2016.02.024] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2015] [Revised: 02/01/2016] [Accepted: 02/01/2016] [Indexed: 10/21/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the psychosocial impact of dental esthetics for adults seeking orthodontic treatment. METHODS The Chinese version of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) was administered to 393 adults, aged 18 to 30 years. The participants were divided into 2 groups: an intervention group (received orthodontic treatment) and a control group (rejected orthodontic treatment). Baseline malocclusion severity was assessed using the Index of Orthodontic Treatment Need (IOTN). RESULTS The Wilcoxon signed rank test showed no statistically significant difference between the groups for the dental health component (DHC) of the IOTN (P = 0.134). Total and subscale PIDAQ scores of the intervention group were higher than those of the control group and differed significantly in each group among the 4 IOTN-DHC grades; self-confidence scores in the control group (F = 1.802; P >0.05) were the exception. Correlations between the PIDAQ scores and the IOTN-DHC grades were strong in each group. DHC grades, psychological impact, social impact, and aesthetic concern had significant impacts on patients accepting orthodontic treatment. CONCLUSIONS The psychosocial impact of dental esthetics played an important role in the decision-making process of adults seeking orthodontic treatment. Importantly, participants with low self-awareness of the potential psychosocial impact rejected orthodontic treatment, despite the need for severe normative treatment.
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Affiliation(s)
- Feiou Lin
- Attending physician, Department of Orthodontics, School of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, China; PhD postgraduate student, School and Hospital of Stomatology, Shandong University, Jinan, Shandong, China; visiting scholar, College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia
| | - Manman Ren
- Master, School of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Linjie Yao
- Attending physician, Department of Pedodontics, School of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Yan He
- Lecturer, Discipline of Orthodontics, Oral Health Centre, University of Queensland, Brisbane, Queensland, Australia
| | - Jing Guo
- Professor, Department of Orthodontics, School and Hospital of Stomatology, Shandong University, Jinan, Shandong, China
| | - Qingsong Ye
- Adjunct professor, School of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, China; professor, Discipline of Orthodontics, Oral Health Centre, University of Queensland, Brisbane, Queensland, Australia.
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