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Johal A, Damanhuri SH, Colonio-Salazar F. Adult orthodontics, motivations for treatment, choice, and impact of appliances: A qualitative study. Am J Orthod Dentofacial Orthop 2024; 166:36-49. [PMID: 38520415 DOI: 10.1016/j.ajodo.2024.02.009] [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: 09/01/2023] [Revised: 02/01/2024] [Accepted: 02/01/2024] [Indexed: 03/25/2024]
Abstract
INTRODUCTION Understanding the rationale for adult patients undertaking orthodontic treatment and the impact of appliances on their quality of life has become increasingly important to research efforts and clinical care. This study aimed to understand why adult patients undergo orthodontic treatment and their overall experience with the choice of appliance. METHODS A cross-sectional qualitative study using semistructured interviews with adult patients from 4 private specialist orthodontic practices in the London region involving a purposive homogeneous sampling technique to obtain variation regarding gender, treatment modalities (fixed ceramic [FC], removable aligner [RA], and fixed lingual [FL] appliances), and stages of treatment (early, late, and posttreatment stage) was undertaken. A piloted topic guide was used to standardize data collection. Interviews were audio recorded, and field notes were taken. Data were transcribed verbatim and analyzed using framework methodology until data saturation was reached. RESULTS A total of 22 participants (FC, 8; RA, 8; and FL, 6), with a mean age of 38.9 ± 11.7 years, with the majority being female (n = 13; 59.1%), were interviewed. Psychosocial and dental health-related factors were reported as the main reasons to seek orthodontic treatment. Social factors and appliance features influence an adult's decision-making in selecting a specific orthodontic appliance. Wearing FC, RA, and FL was seen to have both positive and negative impacts on an adult's quality of life. Functional and psychological factors were the strong influencers on patients' treatment experience. CONCLUSIONS The study highlighted the influence of psychosocial factors and dental health concerns in the decision-making processes of adults seeking orthodontic treatment. FC, RA, and FL appear to affect an adult's quality of life, with functional and psychosocial factors being commonly reported.
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Affiliation(s)
- Ama Johal
- Centre for Oral Bioengineering, Institute of Dentistry, Queen Mary University of London, London, United Kingdom.
| | - Shahad Hatam Damanhuri
- Centre for Oral Bioengineering, Institute of Dentistry, Queen Mary University of London, London, United Kingdom
| | - Fiorella Colonio-Salazar
- Centre for Oral Bioengineering, Institute of Dentistry, Queen Mary University of London, London, United Kingdom
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Negruțiu BM, Vaida LL, Judea-Pusta C, Romanec C, Moca AE, Costea CP, Staniș CE, Rus M. Orthodontic Pain and Dietary Impact Considering Age Groups: A Comparative Study. J Clin Med 2024; 13:1069. [PMID: 38398382 PMCID: PMC10889229 DOI: 10.3390/jcm13041069] [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: 01/24/2024] [Revised: 02/09/2024] [Accepted: 02/10/2024] [Indexed: 02/25/2024] Open
Abstract
(1) Background: orthodontic treatment can frequently be associated with discomfort and pain, a significant factor contributing to treatment discontinuation. (2) Methods: This study, conducted on 160 orthodontic patients across different age groups, aimed to explore the influence of age on patients' responses to treatment, particularly regarding changes in dietary patterns and weight loss. The patients were categorized into three age groups and assessed through a questionnaire about pain perception, pain latency, dietary changes, and weight loss associated with orthodontic appliances. (3) Results: Younger patients (6-12 years) reported lower pain levels, shorter pain latency and fewer alterations in dietary habits compared to adults (over 18 years). Females over 18 represented a significant portion of the sample, suggesting a self-driven inclination towards orthodontic treatment for aesthetic reasons. Fixed orthodontic appliances induced more significant pain than removable ones. Adults experienced more changes in dietary habits and weight loss than younger individuals. (4) Conclusions: the results provide valuable insights for orthodontic practitioners aiming to mitigate adverse effects and improve overall patient experience during treatment.
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Affiliation(s)
- Bianca-Maria Negruțiu
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
| | - Luminița Ligia Vaida
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
| | - Claudia Judea-Pusta
- Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
| | - Cristian Romanec
- Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania
| | - Abel Emanuel Moca
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
| | - Cristina Paula Costea
- Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
| | | | - Marius Rus
- Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania;
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Gratsia S, Cocos A, Matsangas P, Shattuck N, Vastardis H. Cervical headgear therapy and sleep-related attributes. Am J Orthod Dentofacial Orthop 2023:S0889-5406(23)00104-X. [PMID: 37002113 DOI: 10.1016/j.ajodo.2022.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 12/01/2022] [Accepted: 12/01/2022] [Indexed: 06/19/2023]
Abstract
INTRODUCTION The study aimed to assess (1) the effect of the treatment with cervical headgear on patients' sleep-related attributes and well-being and (2) whether these sleep-related parameters (ie, sleep quality and quantity) were associated with patients' compliance during the orthodontic treatment. METHODS The study protocol was based on a prospective longitudinal quasi-experimental design. Participants (n = 26; 9 males; mean age, 12.4 ± 1.68 years) were patients in the Postgraduate Orthodontic Clinic, National and Kapodistrian University of Athens. All patients received treatment with a cervical headgear having an embedded TheraMon microsensor. Sleep was assessed by wrist-worn actigraphy for 59 ± 19 days. The Epworth Sleepiness Scale was used to assess average daytime sleepiness, whereas we used the Athens Insomnia Scale for insomnia symptoms. Oral health-related quality of life (OHRQOL) was assessed by the Oral Health Impact Profile (OHIP-14). RESULTS Patients slept on average 7.35 ± 0.42 h/d. Compared with the lowest sleep duration recommended for their age group, patients had an average chronic sleep deficit of 1.40 ± 0.49 h/d. Patients wore the headgear 90.9% of the days for 10.40 ± 4.17 h/d. However, only 7 (28%) patients reached or exceeded the wear-time recommendation of 12 h/d. In contrast, 2 (8%) patients wore headgear <5 h/d, 11 (44%) 5-10 h/d, and 12 (48%) patients wore headgear >10 h/d. Aggregated by participants, the median Epworth Sleepiness Scale score during the study was 3.40 (interquartile range [IQR], 4.85; range, 0.2-13.6), the median Athens Insomnia Scale score was 3.00 (IQR, 4.25; range, 0-7), and the median Oral Health Impact Profile score was 1.40 (IQR, 4.17; range, 0.0-20.8). Compared with patients who wore the orthodontic appliance >7.8 h/d, patients who wore it <7.8 h/d had worse average daytime sleepiness (P = 0.050) and worse OHRQOL (P = 0.019). CONCLUSIONS Orthodontic treatment with cervical headgear has no substantive negative effect on sleep attributes (quantity and quality), average daytime sleepiness and OHRQOL. However, poor compliance with orthodontic treatment seems to be associated with higher levels of daytime sleepiness.
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Affiliation(s)
- Sofia Gratsia
- Department of Orthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
| | | | | | | | - Heleni Vastardis
- Department of Orthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
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Doğrugören R, Demir GB, Topsakal KG, Duran GS, Gorgülü S. Analysis of the patient’s experiences on the related instagram posts about the orthodontic treatment. APOS TRENDS IN ORTHODONTICS 2023. [DOI: 10.25259/apos_9_2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
Abstract
Objectives:
The study aimed to comparatively evaluate the patients’ experiences with these treatments by analyzing the contents of the posts shared by the patients with clear aligner and fixed orthodontic treatment (FOT).
Material and Methods:
To reach the treatment methods, the hashtags “braces” for FOT and “aligner” for clear aligner treatment (CAT) were used in the Instagram search engine. To reach objective patient evaluations, clinicians’ posts, company posts, and influencers’ posts containing advertisements and collaborations were eliminated and direct patient posts were considered. Seventy-nine posts were included in the FOT group and 52 posts in the CAT group. The posts were evaluated comparatively in terms of the number of likes, followers of the profiles, comments and content, the gender of the patients, and the treatment stage.
Results:
According to the results of the analysis, although the number of followers, likes, comments, and positive and neutral comments were higher in favor of the aligner group between the FOT and CAT groups, the rate of likes/followers was found to be higher in favor of the fixed treatment group (P < 0.05).
Conclusion:
Considering the literature, although studies on CATs on social media are limited, this media is seen as an effective factor in the treatment decision-making process of patients. While the most negative comments of individuals in fixed treatment were psychological effects, the most criticized issue in CAT was treatment fees.
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En PLX, SoYeon O, Nor NNM, Mei L, Farella M, Prasad S. Dietary experiences during fixed orthodontic treatment. APOS TRENDS IN ORTHODONTICS 2023. [DOI: 10.25259/apos_164_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Objectives:
Orthodontists generally recommend avoidance of certain foods during fixed appliance (FA) treatment, based on anecdotal information. This study aimed to identify the dietary preferences and experiences of patients undergoing FA treatment as a step toward the preparation of evidence-based dietary guidelines.
Material and Methods:
Questionnaires regarding dietary preferences and experiences of patients undergoing FA treatment were applied to a convenience sample of 38 adolescents (12 M; 26 F). Open-ended responses were summarized and visualized in a world cloud generator. 5-point Likert and Visual Analog Scales (VAS) were used to record the closed-ended responses. Descriptive statistics and multivariate analysis of variance were used to analyze questionnaire findings.
Results:
Lollies, apples, and nuts frequently caused problems with FA. The most frequent reason for avoiding certain types of food was worry about appliance breakage, followed by pain and sensitivity. VAS scores indicated that toffee and caramel scored highest (65.1% F and 54.1% M) for discomfort followed by corn on the cob (64.4% F and 48.7% M) and apples (56.6% F and 55.3% M). VAS scores did not differ significantly between the sexes (P > 0.05). Nearly, a quarter of the sample reported that FA negatively affected their eating behaviors, causing pain and discomfort during eating. No sex differences (P > 0.05) were found for negative experiences with food.
Conclusion:
Dietary preferences and experiences of patients undergoing FA treatment were identified concerning a New Zealand diet profile. A future study with a larger sample size will help formulate evidence-based dietary guidelines during FA treatment.
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Affiliation(s)
- Priscilla Lee Xie En
- Department of Orthodontics, Faculty of Dentistry, University of Otago, Dunedin, New Zealand,
| | - O. SoYeon
- Department of Orthodontics, Faculty of Dentistry, University of Otago, Dunedin, New Zealand,
| | | | - Li Mei
- Department of Orthodontics, Faculty of Dentistry, University of Otago, Dunedin, New Zealand,
| | - Mauro Farella
- Department of Orthodontics, Faculty of Dentistry, University of Otago, Dunedin, New Zealand,
| | - Sabarinath Prasad
- Department of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University, Dubai, United Arab Emirates,
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Muacevic A, Adler JR, Imani MM, Aghajani R, Khabbaz S, Shafiei Haghshenas E. Evaluation of Pain, Dietary Intake, Body Mass Index, and Periodontal Status in Patients Undergoing Fixed Orthodontic Treatment With Bite Raiser. Cureus 2022; 14:e32800. [PMID: 36694539 PMCID: PMC9859663 DOI: 10.7759/cureus.32800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2022] [Indexed: 12/24/2022] Open
Abstract
Background The aim of this study is to evaluate the effect of bite raisers on patients' body mass index (BMI), nutrient intake, periodontal status, and pain experienced during orthodontic treatment. Material and Methods This cohort study included 44 patients aged 18 to 35 years old; undergoing fixed orthodontic treatment. Patients of the intervention group received a composite resin bite raiser (3M Espe, St. Paul, USA) over their first mandibular molars along with fixed orthodontic appliances (slot 0.022 × 0.030", 3M Unitek, Monrovia, Calif), while the control group only received a fixed orthodontic appliance. Pain levels using the visual analog scale (VAS), dietary intake (calories, proteins, carbohydrate, and fat intake), body mass index (BMI), tooth mobility, bleeding on probing (BOP), and pocket depth (PD) were assessed for all patients in the first three months after fixed orthodontic appliance placement. The data were analyzed using SPSS software version 22.0 (IBM Corp, Armonk, NY, USA) at a significance level of 0.05. Results The pain had an increasing and then decreasing significant trend during the study for all patients (P<0.001). Calory intake also had an increasing and then decreasing significant trend for all participants (P=0.007). The consumption of carbohydrates and BMI significantly decreased during the study in both groups of patients (P<0.01) and tooth mobility, BOP, and PD significantly increased for all participants (P<0.001). No significant differences were observed between the intervention and control groups in terms of the above-mentioned variables. Conclusion The application of bite raiser does not influence patients' pain, dietary intake, BMI, and periodontal status. However, fixed orthodontic appliances affect patients' calorie and carbohydrate intake, patients' BMI, and periodontal indexes including tooth mobility, BOP, and PD.
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Muacevic A, Adler JR. The Impact of Orthodontic Treatment on Masticatory Performance: A Literature Review. Cureus 2022; 14:e30453. [PMID: 36415350 PMCID: PMC9674042 DOI: 10.7759/cureus.30453] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2022] [Indexed: 01/20/2023] Open
Abstract
The aim of this narrative review was to evaluate the possible association between orthodontic therapy and improved masticatory function. A search strategy was conducted using the PubMed database for up to January 2020 using the keywords "mastication" and "orthodontics". Only human studies investigating mastication in orthodontics settings were selected. The search strategy resulted in 1,011 articles, out of which 57 were included in the final analysis. Investigations have generally agreed that masticatory and chewing functions improved post-orthodontic and orthognathic treatments. Studies also showed improvement in the quality of life of patients' post-orthodontic treatment. The articles examined reinforced that besides esthetic reasons, orthodontic therapy does improve the masticatory and chewing functions of individuals, ultimately enhancing their health-related quality of life.
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Babaee Hemmati Y, Mirmoayed A, Ghaffari ME, Falahchai M. Eating‐ and oral health‐related quality of life in patients under fixed orthodontic treatment. Clin Exp Dent Res 2022; 8:1192-1201. [PMID: 35809225 PMCID: PMC9562793 DOI: 10.1002/cre2.631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 06/29/2022] [Accepted: 06/30/2022] [Indexed: 11/18/2022] Open
Abstract
Objective The eating problems and changes in the diet and dietary intake of patients under orthodontic treatment are of great importance, and the available studies on this topic are mostly qualitative. Thus, this study aimed to assess the oral health‐related quality of life (OHRQoL) and the eating‐related quality of life (ERQoL) of patients under fixed orthodontic treatment. Materials and Methods This prospective study evaluated 105 patients (65 males, 40 females) with a mean age of 26 ± 1.1 years, who required fixed orthodontic treatment. All participants filled out the Oral Health Impact Profile‐14 (OHIP‐14) questionnaire before treatment (T0), and at 1 (T1), 3 (T2), and 6 (T3) months after treatment, and the ERQoL questionnaire at 1 (T1), 3 (T2), and 6 (T3) months after treatment. Data were analyzed using repeated measures analysis of variance with Greenhouse–Geisser and Huynh‐Feldt corrections and Bonferroni test for pairwise comparisons (α = .05). Results The OHIP‐14 total score increased at T1 and decreased at T2 and T3, with significant differences between all four time points (p < .001). The ERQoL total score decreased over time, and significant differences were noted between all three time points (p < .001). No significant difference existed in OHRQoL or ERQoL with regard to gender at any time point (p > .05). Conclusion The reduction in OHRQoL due to fixed orthodontic treatment was temporary and improved over time. The eating problems also decreased with time.
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Affiliation(s)
- Yasamin Babaee Hemmati
- Department of Orthodontics, School of Dentistry, Dental Sciences Research Center Guilan University of Medical Sciences Rasht Iran
| | - Arastoo Mirmoayed
- School of Dentistry, Dental Sciences Research Center Guilan University of Medical Sciences Rasht Iran
| | - Mohammad Ebrahim Ghaffari
- School of Dentistry, Dental Sciences Research Center Guilan University of Medical Sciences Rasht Iran
| | - Mehran Falahchai
- Department of Prosthodontics, School of Dentistry, Dental Sciences Research Center Guilan University of Medical Sciences Rasht Iran
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Mulimani P, Popowics T. Effect of Orthodontic Appliances on the Oral Environment and Microbiome. FRONTIERS IN DENTAL MEDICINE 2022. [DOI: 10.3389/fdmed.2022.924835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Orthodontic treatment is an appliance-intensive endeavor, where an array of mechanical devices is used to bring about tooth movement. By virtue of remaining in close proximity to the enamel, gingiva and periodontal ligament intra-orally over a prolonged period of time, orthodontic appliances have a significant impact on the paradental tissues, oral environment and oral microbiome. Orthodontic appliances by acting as anchors for biofilm and plaque formation, accumulate bacteria and other micro-organisms in amounts unfavorable for maintenance of healthy equilibrium. The resulting loss of balance in the oral microbiome causes dysbiosis which manifests clinically as increased enamel demineralization, dental caries and periodontal disease. Mechanical removal of the accumulated plaque by maintaining rigorous oral hygiene has been proven to be the single most important factor to mitigate the harmful effects of dysbiosis. This review investigates how each of the various components of the orthodontic appliances, different types of appliances and unique surface properties of biomaterials have contributory effects at the interface of orthodontic biomaterials and oral biology. The information thus obtained will be critical in instituting the best diagnostic and therapeutic measures at the clinical level. It will also be instrumental in devising improvements and providing new directions for future research in general and precision orthodontics in particular.
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Motivation, Perception, and Behavior of the Adult Orthodontic Patient: A Survey Analysis. BIOMED RESEARCH INTERNATIONAL 2022; 2022:2754051. [PMID: 35281602 PMCID: PMC8916849 DOI: 10.1155/2022/2754051] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 01/11/2022] [Accepted: 02/17/2022] [Indexed: 01/14/2023]
Abstract
Purpose The article is aimed at improving the understanding of the sociocultural profile of adult orthodontic patients and their expectations. In particular, it addresses three main aspects: the motivation and needs that underpin the decision to start orthodontic treatment, how it influences the patients' daily life, and the different oral hygiene demands. Materials and Methods An online survey was completed by 276 patients undergoing orthodontic treatment with different techniques. The questions asked concerned gender, age, type of appliance, any previous orthodontic treatments, type of any previous retainers, reasons for therapy, satisfaction, pain, problems in eating, daily number of teeth brushings and flossings before and during the treatment, perception of cost, sensation of visibility of the appliance, and if they would recommend orthodontic treatment. Results A significant role within our sample is played by gender; 87.94% consisted of female patients out of which 72.57% wanted to improve their aesthetics, while only 54.84% of male patients cited the same reason. Invisible aligners were preferred by 67.70% of the patients due to them being considered the least painful, causing the fewest problems with eating, and the least visible. Metal braces were perceived as the less expensive treatment. Over a third of the patients (33.85%) had previously undergone orthodontic treatment, among them 54.05% wore a mobile retainer, 31.08% a fixed one, and 14.86% both. Daily tooth brushing and flossing increased during therapy with clear aligners by 48.94% and 126.39%, respectively. Conclusions The greatest demand for orthodontic treatments comes from women, as they pay more attention to aesthetics, which makes the clear aligners the most common choice. The relapse after orthodontic treatment seems to cause a higher demand for retreatment, and oral hygiene habits significantly improve during orthodontic treatment, especially with the clear aligners.
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Duarte L, Bezerra AP, Flores-Mir C, De Luca Canto G, Pereira LJ, Vega Gonçalves TMS. Activation and installation of orthodontic appliances temporarily impairs mastication. Angle Orthod 2022; 92:275-286. [PMID: 34878525 PMCID: PMC8887415 DOI: 10.2319/061221-469.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 10/01/2021] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To investigate the masticatory (masticatory performance, bite force, swallowing threshold, muscle activity, and questionnaires) and nutritional (nutrient intake) impacts of the activation and/or installation of different orthodontic appliances (fixed labial, lingual appliances, and clear aligners). MATERIALS AND METHODS Six electronic databases and gray literature were searched (up to May 2021) for relevant studies evaluating mastication and nutrition after activation/installation of orthodontic appliances. This review followed PRISMA guidelines and was registered at PROSPERO (CRD42020199510). The risk of bias (RoB 2 and ROBINS-I) and evidence quality Grading of Recommendations Assessment, Development, and Evaluation were analyzed. RESULTS Of 4226 recorded and screened, 15 studies were finally included. Masticatory performance (standardized mean difference [SMD]: 1.069; 95% coefficient interval [CI]: 0.619 to 1.518) and bite force (SMD: -2.542; 95% CI: -4.867 to -0.217) reduced in the first 24 to 48 hours of fixed labial appliance installation/activation, but they were both normalized after 30 days (P > .05). The swallowing threshold remained constant (P > .05). Nutritional intake was rarely reported but showed copper (P = .002) and manganese (P = .016) reductions, with higher calorie and fat intake (P < .05). Lingual appliances impacted chewing more than labial, and clear aligner wearers reported fewer chewing problems (P < .001). Low to very low levels of evidence were found. CONCLUSIONS Based on low to very low levels of evidence, mastication was reduced during the first 24 to 48 hours of fixed labial appliance activation/installation, but it was transitory (up to 30 days). Due to insufficient data, the nutritional impact of orthodontic appliances was not conclusive.
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Gnanasambandam V, Gnaneswar SM. Effects of orthodontic treatment on body mass index, food habits and self-esteem of patients: A prospective single-arm cohort study. J Taibah Univ Med Sci 2022; 17:818-825. [PMID: 36050955 PMCID: PMC9396052 DOI: 10.1016/j.jtumed.2022.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 01/19/2022] [Accepted: 02/07/2022] [Indexed: 12/03/2022] Open
Abstract
Objectives During orthodontic treatment, patients are often apprehensive about reduced food intake and loss of body weight. Body mass index (BMI) assessment is an inexpensive, easy method for screening and studying changes in weight categories. This research aimed to determine whether long-term changes in BMI, self-esteem, and food habits occur in patients during the first year of orthodontic treatment. Methods BMI was calculated for 120 patients undergoing orthodontic treatment. Data were collected at baseline, and after the end of the first, second, third, sixth, and twelfth months. Rosenberg's self-esteem scale was used for scoring self-esteem. The Food Habit Assessment Scale was used to study changes in eating habits. Statistical analysis was performed with repeated measures ANOVA followed by Tukey HSD post-hoc test for BMI scores and Kruskal–Wallis test followed by Dunn's multiple comparison post-hoc tests for the Rosenberg scale and food habits questionnaire. Results At the end of 12 months, 43.4% of patients had a decrease in BMI, 45.8% had a mild to moderate increase in BMI, and 10.8% of patients maintained their BMI levels. The changes were not statistically significant. Self-esteem changes were statistically significant for both genders. Changes in food habits were also significant. Conclusion BMI decreased for the first 3 months and gradually recovered by the end of the first year of treatment. Self-esteem scores showed a significant improvement in both genders. Patients reverted to pre-treatment food habits by the end of the year.
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Affiliation(s)
- Vimala Gnanasambandam
- Department of Orthodontics, Tamilnadu Government Dental College and Hospital, Chennai, India
| | - Sangeetha M. Gnaneswar
- Department of Orthodontics, SRM Dental College, SRM University, Chennai, India
- Corresponding address: Department of Orthodontics, SRM Dental College, SRM University, Ramapuram, Chennai, 600089 India.
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Čalušić Šarac M, Anić Milošević S, Matošić Ž, Lapter Varga M. Oral Hygiene Behavior of Croatian Adolescents during Fixed Orthodontic Treatment: A Cross-sectional Study. Acta Stomatol Croat 2022; 55:359-366. [PMID: 35001931 PMCID: PMC8734450 DOI: 10.15644/asc55/4/3] [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: 09/29/2021] [Accepted: 11/19/2021] [Indexed: 12/05/2022] Open
Abstract
Objective To investigate the impact of fixed orthodontic treatment on adolescents' oral hygiene behavior and to examine their food consuption during fixed orthodontic treatment, as well as their motivation to maintain oral hygiene. Materials and methods This research was carried out in a form of a survey questionnaire consisting of 23 questions. The sample comprised 170 adolescent patients aged from 11 to 19 who underwent the fixed orthodontic treatment at the Orthodontic Clinic of the Zagreb University Hospital Centre. Results The orthodontic appliance did not interfere with the patients’ maintenance of oral hygiene, but it made the consumption of certain foods more difficult. Most adolescents brushed their teeth twice a day, using medium-soft brushes (35%). Regarding additional oral hygiene aids, 72.4% of the respondents used interdental brushes, more than 50% of the respondents used antiseptic mouthwashes for mouth rinsing, whereas only 31.2% of the tested population used dental floss (4.1% of which daily). The respondents were highly motivated to maintain oral hygiene by their orthodontists (96.5%), but only a small number of the respondents were informed about the importance of an adequate diet while undergoing a fixed orthodontic treatment. Conclusion Orthodontists should provide their patients with detailed instructions on hygiene maintenance and adequate diet during orthodontic treatment to minimize negative side effects of the fixed orthodontic treatment. Patients should be motivated upon each follow-up examination and encouraged to use as many oral hygiene aids in their daily routines as possible.
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Affiliation(s)
| | | | - Željana Matošić
- Department of Orthodontics, School of Dental Medicine University of Zagreb
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Prado LH, Previato K, Delgado RZR, Nelson Filho P, Bezerra Segato RA, Nakane Matsumoto MA, Neuppmann Feres MF. Adolescents' perception of malocclusion, their motivations, and expectations concerning the orthodontic treatment. Is it all about attractiveness? A qualitative study. Am J Orthod Dentofacial Orthop 2022; 161:e345-e352. [PMID: 35031194 DOI: 10.1016/j.ajodo.2021.10.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 10/01/2021] [Accepted: 10/01/2021] [Indexed: 11/01/2022]
Abstract
INTRODUCTION In addition to essential clinical parameters, orthodontic treatment outcomes should also consider patients' opinions and perceptions, which could be comprehensively clarified with a qualitative scientific approach. Considering that the information on younger patients' views is scarce, the objective of this study was to investigate how adolescent orthodontic patients perceive malocclusion, and their motivations and expectations concerning orthodontic corrective treatment. METHODS In this descriptive qualitative study, 12 adolescents aged 12 to 14 years and of both genders, covering a heterogeneous collection of malocclusions, were recruited from the waiting list of an Orthodontics Graduate Course. They were individually interviewed before the appliance insertion by an experienced researcher using an interview guide and photographic records to stimulate patients' self-perception of their oral condition. The interviews proceeded simultaneously with transcription analyses until saturation. After the transcription evaluation, the framework analysis technique was performed. RESULTS Data derived from the transcription analyses were grouped into 3 major themes: perceptions concerning the concepts of normality and abnormality regarding oral health; self-perceptions regarding malocclusion and other discrepancies; and motivations for seeking orthodontic treatment and expectations related to the results. CONCLUSIONS Attractiveness was exceptionally relevant among adolescent patients. Most interviewees seemed to focus their attention on esthetically upsetting dentofacial traits, which they expected to be corrected by orthodontic treatment. In addition to self-oriented appearance-driven motivations, parents, other health professionals, friends, and peers also influenced adolescents' perception of their need for treatment. The achievement of a normal dentofacial status seems to be closely attached to social and individual aspirations.
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Affiliation(s)
- Luara Hernandes Prado
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Kárila Previato
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Renata Zoraida Rizental Delgado
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
| | - Paulo Nelson Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Raquel Assed Bezerra Segato
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Mirian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Murilo Fernando Neuppmann Feres
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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15
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OUP accepted manuscript. Eur J Orthod 2022; 44:369-376. [DOI: 10.1093/ejo/cjac008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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A qualitative study of orthodontic patients' experiences in quarantine during the COVID-19 pandemic outbreak. Am J Orthod Dentofacial Orthop 2021; 161:e498-e506. [PMID: 35337705 PMCID: PMC8666321 DOI: 10.1016/j.ajodo.2021.11.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 11/01/2021] [Accepted: 11/01/2021] [Indexed: 11/23/2022]
Abstract
Introduction Methods Results Conclusions
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Albaqami G, Abreu LG, Bernabé E. Is wearing orthodontic appliances associated with eating difficulties and sugar intake among British adolescents? A cross-sectional study. Eur J Orthod 2021; 43:193-199. [PMID: 33184645 DOI: 10.1093/ejo/cjaa071] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
AIM To determine whether wearing orthodontic appliances was associated with eating difficulty and lower sugars intake among British adolescents. METHODS This study analysed data from 4116 12- and 15-year-olds who participated in the 2013 Children's Dental Health Survey in the UK. Information on eating difficulties in the past 3 months and usual intake of six sugary items was collected through self-administered questionnaires. The presence and type of orthodontic appliances (fixed or removable) were assessed during clinical examinations. Logistic regression was used to evaluate the association between wearing orthodontic appliances and eating difficulty whereas linear regression was used to evaluate the association between wearing orthodontic appliances and sugars intake. Regression models were adjusted for socio-demographic, behavioural, and clinical characteristics of adolescents. RESULTS 12.9 per cent of the 4116 adolescents wore orthodontic appliances (10.1 per cent fixed and 2.8 per cent removable), 21.0 per cent reported eating difficulties and the mean daily intake of sugars was 5.3 times/day (SD: 3.7, range: 0-20). Adolescents with fixed appliances had 4.02 (95% CI: 3.03, 5.33) greater odds of reporting eating difficulty than those with no appliances, but no differences were found between adolescents wearing removable and no appliances. No association was found between wearing orthodontic appliances and daily sugars intake either [coefficients of 0.20 (95% CI: -0.27, 0.66) and -0.30 (95% CI: -0.96 to 0.36) for adolescents wearing fixed and removable appliances, respectively]. CONCLUSION Wearing fixed orthodontic appliances were associated with greater odds of reporting eating difficulty, but not with lower sugars intake among British adolescents.
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Affiliation(s)
- Ghaliah Albaqami
- Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, UK
| | - Lucas Guimarães Abreu
- Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, UK.,Department of Child's and Adolescent's Oral Health, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Eduardo Bernabé
- Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, UK
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Ozdemir M, Ilhan A, Gorucu-Coskuner H, Taner T, Bilgic P. Assessment of food consumption changes in adolescents during orthodontic treatment. Am J Orthod Dentofacial Orthop 2021; 159:604-612. [PMID: 33583694 DOI: 10.1016/j.ajodo.2019.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 10/01/2019] [Accepted: 11/01/2019] [Indexed: 10/22/2022]
Abstract
INTRODUCTION This study aimed to evaluate the changes in food consumption in adolescents during orthodontic treatment. METHODS Twenty-five adolescents aged between 12 and 18 years participated in the study. Before the treatment, the participants were interviewed, and their food consumption frequency and 24-hour retrospective food consumption records were taken. Participants were followed up for 3 months, that is, in the first, fourth, and 12th week of the treatment. In the interviews, questions about food consumption changes and posttreatment pain were asked to the participants, and 24-hour retrospective food consumption records were obtained. RESULTS When the food consumption records of the adolescents before the orthodontic treatment and at the first week, first month, and third month of the active orthodontic treatment were compared, there was no significant difference between total energy, protein, and carbohydrate intake. However, total fat intake decreased in the first week of treatment and increased significantly during the treatment period (P = 0.05). There was a significant decrease in the amount of fiber (P = 0.039), vitamin E (P = 0.043), and vitamin C (P = 0.048) intake of patients during the orthodontic treatment. CONCLUSIONS Nutrition and feeding habits are important for growth and development in adolescence. In adolescents having orthodontic treatment, vitamin C, vitamin E, and fiber intake decreased significantly, especially in the first weeks of treatment. The intake of these nutrients did not return to their initial levels by the 12th week of the orthodontic treatment. It is thought that cooperation with dietitians and orthodontists might minimize the undesired nutritional effects of the orthodontic treatment.
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Affiliation(s)
- Merve Ozdemir
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Azad Ilhan
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Hande Gorucu-Coskuner
- Department of Orthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Tülin Taner
- Department of Orthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Pelin Bilgic
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
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Longstaff S, Davies K, Benson P. Exploring 10-15-year-old patients' perspectives of fixed orthodontic treatment. J Orthod 2021; 48:110-117. [PMID: 33573439 DOI: 10.1177/1465312520981077] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To explore and understand young people's perspectives of fixed orthodontic treatment. In particular, understanding how young people perceived and experienced having a fixed appliance and how their experiences can change during their treatment. DESIGN Qualitative study carried out longitudinally. SETTING In-depth qualitative interviews carried out in participants' homes, video diaries recorded by participants when and where they wish. PARTICIPANTS Fifteen patients aged 10-15 years undergoing NHS fixed appliance treatment. METHODS Data were collected by in-depth interviews and video diaries throughout the participants' course of orthodontic treatment. Data were analysed using thematic analysis. RESULTS Young people's friends, family and social media influenced how young people felt about the appearance of their teeth. Young people can perceive negative social judgements are made about them based on the appearance of their teeth; however, the appearance of the brace was not a concern. For some of the young people, the presence of the brace formed a rite of passage throughout adolescence. Pain and discomfort caused by fixed appliances was expected and tolerated and felt normal with time. CONCLUSION Young people's perceptions about appearance are influenced by people around them and social media. The physical feeling of the brace was normalised, although it did affect young people's lives.
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Affiliation(s)
- Sarah Longstaff
- University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, UK
| | | | - Philip Benson
- Department of Orthodontics, University of Sheffield, Sheffield, UK
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Perry J, Popat H, Johnson I, Farnell D, Morgan MZ. Professional consensus on orthodontic risks: What orthodontists should tell their patients. Am J Orthod Dentofacial Orthop 2020; 159:41-52. [PMID: 33221095 DOI: 10.1016/j.ajodo.2019.11.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2019] [Revised: 11/01/2019] [Accepted: 11/01/2019] [Indexed: 12/24/2022]
Abstract
INTRODUCTION Effective communication of risk is a requisite for valid consent, shared decision-making, and the provision of person-centered care. No agreed standard for the content of discussions with patients about the risks of orthodontic treatment exists. This study aimed to produce a professional consensus recommendation about the risks that should be discussed with patients as part of consent for orthodontic treatment. METHODS A serial cross-sectional survey design using a modified electronic Delphi technique was used. Two survey rounds were conducted nationally in the United Kingdom using a custom-made online system. The risks used as the prespecified items scored in the Delphi exercise were identified through a structured literature review. Orthodontists scored treatment risks on a 1-9 scale (1 = not important, 9 = critical to discuss with patients). The consensus that a risk should be discussed as part of consent was predefined as ≥70% orthodontists scoring risk as 7-9 and <15% scoring 1-3. RESULTS The electronic Delphi was completed by 237 orthodontists who reached a professional consensus that 10 risks should be discussed as part of consent for orthodontic treatment; demineralization, relapse, resorption, pain, gingivitis, ulceration, appliances breaking, failed tooth movements, treatment duration, and consequences of no treatment. CONCLUSIONS A professional orthodontic consensus has been reached that 10 key risks should be discussed with patients as part of consent for orthodontic treatment. The information in this evidence base should be tailored to patients' individual needs and delivered as part of a continuing risk communication process.
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Affiliation(s)
- John Perry
- Cardiff University School of Dentistry, Cardiff University, Cardiff, United Kingdom.
| | - Hashmat Popat
- Cardiff University School of Dentistry, Cardiff University, Cardiff, United Kingdom
| | - Ilona Johnson
- Cardiff University School of Dentistry, Cardiff University, Cardiff, United Kingdom
| | - Damian Farnell
- Cardiff University School of Dentistry, Cardiff University, Cardiff, United Kingdom
| | - Maria Z Morgan
- Cardiff University School of Dentistry, Cardiff University, Cardiff, United Kingdom
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Bradley E, Shelton A, Hodge T, Morris D, Bekker H, Fletcher S, Barber S. Patient-reported experience and outcomes from orthodontic treatment. J Orthod 2020; 47:107-115. [PMID: 32116083 DOI: 10.1177/1465312520904377] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To measure patient-reported impact of orthodontic treatment in terms of pre-treatment concerns, treatment experience and treatment outcome. SETTING Four sites in Yorkshire, including two secondary care settings (Leeds Dental Institute and St Luke's Hospital, Bradford) and two specialist orthodontic practices. DESIGN Cross-sectional survey. PARTICIPANTS NHS orthodontic patients (aged 12+ years) who have completed comprehensive orthodontic treatment, excluding orthognathic surgery and craniofacial anomalies. METHODS Participants were opportunistically identified by the direct clinical care team during scheduled appointments and those eligible were invited to participate. Data were collected using the Orthodontic Patient Treatment Impact Questionnaire (OPTIQ), a validated 12-item measure with questions relating to pre-treatment experience, impact of treatment and outcome from treatment. RESULTS Completed questionnaires for analysis included 120 from primary care and 83 from secondary care. The most common pre-treatment concerns were alignment (89%) and being embarrassed to smile (63%). The most common expectations from orthodontic treatment were improved confidence to eat (87%) and smile (72%) in front of others, improved appearance of teeth (85%) and reduced teasing/bullying (63%). Only 67% respondents recalled receiving written information and the lowest recall related to retainer type and length of retention. The most commonly reported complications were sore mouth (68%), fixed appliance breakage (61%) and gingivitis (39%). Treatment caused greatest impact in relation to pain, limitations in eating and effect on speech. Overall satisfaction with orthodontic treatment was reported by 96% of respondents, 87% would have orthodontic treatment again (if needed) and 91% would recommend treatment to a friend. CONCLUSIONS The OPTIQ is a useful patient-reported tool to identify pre-treatment concerns and expectations, treatment experience and outcome. Orthodontic treatment leads to high levels of satisfaction.
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Affiliation(s)
| | | | - Trevor Hodge
- School of Dentistry, University of Leeds, Leeds, UK
| | | | | | | | - Sophy Barber
- School of Dentistry, University of Leeds, Leeds, UK
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Kettle JE, Hyde AC, Frawley T, Granger C, Longstaff SJ, Benson PE. Managing orthodontic appliances in everyday life: A qualitative study of young people's experiences with removable functional appliances, fixed appliances and retainers. J Orthod 2020; 47:47-54. [PMID: 32009494 DOI: 10.1177/1465312519899671] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To compare young people's experiences of wearing a range of orthodontic appliances. DESIGN A cross-sectional, qualitative study with purposive sampling. SETTING UK dental teaching hospital. PARTICIPANTS Twenty-six orthodontic patients aged 11-17 years. METHODS Patients participated in in-depth semi-structured interviews. All interviews were transcribed verbatim and analysed thematically. RESULTS Young people reported physical, practical and emotional impacts from their appliances. Despite these reported impacts, participants described 'getting used' to and, therefore, not being bothered by their appliance. Framework analysis of the data identified a multi-dimensional social process of managing everyday life with an appliance. This involves addressing the 'dys-appearance' of the body through physically adapting to an appliance. This process also includes psychological approaches, drawing on social networks, developing strategies and situating experiences in a longer-term context. Engaging in this process allowed young people to address the physical, practical and emotional impacts of their appliances. CONCLUSION This qualitative research has identified how young people manage everyday life with an appliance. Understanding this process will help orthodontists to support their patients.
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Affiliation(s)
- Jennifer E Kettle
- School of Clinical Dentistry, University of Sheffield, Sheffield, South Yorkshire, UK
| | - Amy C Hyde
- School of Clinical Dentistry, University of Sheffield, Sheffield, South Yorkshire, UK
| | - Tom Frawley
- School of Clinical Dentistry, University of Sheffield, Sheffield, South Yorkshire, UK
| | - Clare Granger
- School of Clinical Dentistry, University of Sheffield, Sheffield, South Yorkshire, UK
| | - Sarah J Longstaff
- School of Clinical Dentistry, University of Sheffield, Sheffield, South Yorkshire, UK
| | - Philip E Benson
- School of Clinical Dentistry, University of Sheffield, Sheffield, South Yorkshire, UK
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Aljohani SR, Alsaggaf DH. Adherence to Dietary Advice and Oral Hygiene Practices Among Orthodontic Patients. Patient Prefer Adherence 2020; 14:1991-2000. [PMID: 33116442 PMCID: PMC7586054 DOI: 10.2147/ppa.s277034] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 10/06/2020] [Indexed: 01/10/2023] Open
Abstract
INTRODUCTION Adherence to dietary advice and proper oral hygiene practices during orthodontic treatment are critical to maintaining good oral health and achieving successful treatment results. Thus, understanding patients' habits and practices before, during, and after orthodontic treatment is needed to ensure better oral health-related behavior among these patients. PURPOSE To investigate sugar-related dietary habits, visits to dental hygienists and dentists, and oral hygiene practices among patients during orthodontic treatment and after treatment compared to patients before treatment. METHODS A cross-sectional self-administered survey collected data from 375 patients (aged 10 years and older) from the Orthodontic Department at King Abdulaziz University Dental Hospital, Jeddah, Saudi Arabia. Patients were grouped according to their history of receiving orthodontic treatment into: patients before orthodontic treatment, patients during treatment, and patients after treatment. The survey assessed sugar-related dietary habits, frequency of visits to hygienists and dentists, and oral hygiene practices. RESULTS Patients during orthodontic treatment and those after treatment were less likely to eat sticky food compared to patients before treatment (OR=0.4, 95% CI=0.2-0.9 and OR=0.5, 95% CI=0.3-0.9, respectively). No significant differences were found in the odds of dental visits among the groups. Compared to patients before orthodontic treatment, patients during treatment and patients after treatment had higher odds of tooth brushing twice or more per day (OR=4.8, 95% CI=1.7-14.3, and OR=4.0, 95% CI=1.2-13.6, respectively) and were more likely to brush for an adequate time (OR=2.6, 95% CI=1.6-4.4 and OR=1.9, 95% CI=1.0-3.5, respectively). Moreover, the likelihood of flossing once daily was higher in patients during treatment and in patients after treatment relative to those before treatment. However, only patients during orthodontic treatment used interdental brushes more than patients before treatment. CONCLUSION Patients' oral health-related behavior seems to improve during and after orthodontic treatment. The findings of this study suggest that orthodontists can play a role in improving oral hygiene practices among their patients. More reinforcement of dietary instructions and periodic dental and hygiene visits is needed during orthodontic follow-up appointments.
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Affiliation(s)
- Salha R Aljohani
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- Correspondence: Salha R AljohaniDepartment of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Alsulemaneya, PO Box 80209, Jeddah21589, Saudi ArabiaTel +966 504684941Fax +966 12 692 1262 Email
| | - Doaa H Alsaggaf
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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Hwang S, Jang W, Choi YJ, Chung CJ, Kim KH. A longitudinal comparison of body height growth of orthodontically treated Class I and Class III adolescents compared with the general population. Am J Orthod Dentofacial Orthop 2019; 156:383-390. [PMID: 31474268 DOI: 10.1016/j.ajodo.2018.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Revised: 09/01/2018] [Accepted: 09/01/2018] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the height growth of Class I and III orthodontic patients according to the Fishman skeletal maturation index (SMI) and to compare it with that of a general population. METHODS The study sample included 81 Class I and 71 Class III adolescents who had height measurements and hand-wrist radiographs taken annually and categorized according to SMI. Height completion rate, residual height, height increase per sequential SMI stage, and height velocity were analyzed. Sex differences were evaluated and comparisons between Class I and Class III groups were made. In addition, the height of orthodontic patients was indirectly compared with that of the general population. RESULTS In boys and girls, height completion rate was >90% at SMI 6, residual height was fewer than 10 cm at SMI 7, and height increase per sequential SMI stage was greatest from SMI 6 to SMI 7. Height velocity was greatest from SMI 5 to SMI 6 in boys and from SMI 4 to SMI 5 in girls. CONCLUSIONS There was no significant difference in body height parameters for all SMI stages between Class I and Class III adolescents. Adolescents who had orthodontic treatment were not shorter in stature at growth completion compared with the general population.
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Affiliation(s)
- Soonshin Hwang
- Department of Orthodontics, Gangnam Severance Dental Hospital, Seoul, Korea; Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Woowon Jang
- Department of Orthodontics, Gangnam Severance Dental Hospital, Seoul, Korea; Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Yoon Jeong Choi
- Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Chooryung J Chung
- Department of Orthodontics, Gangnam Severance Dental Hospital, Seoul, Korea; Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Kyung-Ho Kim
- Department of Orthodontics, Gangnam Severance Dental Hospital, Seoul, Korea; Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea.
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Celebi F, Turk T, Bicakci AA. Effects of low-level laser therapy and mechanical vibration on orthodontic pain caused by initial archwire. Am J Orthod Dentofacial Orthop 2019; 156:87-93. [PMID: 31256846 DOI: 10.1016/j.ajodo.2018.08.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 08/01/2018] [Accepted: 08/01/2018] [Indexed: 10/26/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the effects of mechanical vibration and low-level laser therapy on orthodontic pain after placement of the initial archwire. METHODS Sixty subjects with 3-6 mm maxillary dental crowding, a nonextraction fixed treatment plan, and no medical history were included in this study. The subjects were randomly divided into 3 groups, equally distributed by sex. In each subject, preadjusted edgewise appliances were placed in the maxillary arch from the left first molar to the right first molar, and a 0.014-inch round nickel-titanium archwire was fully engaged with elastomeric ties and cut at the end of first molar bondable tube. In group 1 (mean age 13.98 ± 2.68 y), mechanical vibration was performed 3 times: immediately, 24 hours, and 48 hours after engagement of the initial archwire. In group 2 (mean age 14.86 ± 2.06 y), low-level laser therapy was applied once: immediately after the insertion of the initial archwire. Group 3 (mean age 14.41 ± 1.78 y) served as the control group. Pain scores were determined with the use of a visual analog scale (VAS). RESULTS Although no statistically significant differences were found among the groups (P >0.05), the mean VAS scores for the mechanical vibration group were consistently lower than those of the control and low-level laser therapy groups at all measured time points. CONCLUSIONS The mechanical vibration group had lower, though nonsignificant, VAS scores for all measured time points. Additional clinical trials are recommended for more definitive conclusions.
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Affiliation(s)
- Fatih Celebi
- Department of Orthodontics, Faculty of Dentistry, Gaziosmanpasa University, Tokat, Turkey.
| | - Tamer Turk
- Department of Orthodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey
| | - Ali Altug Bicakci
- Department of Orthodontics, Faculty of Dentistry, Gaziosmanpasa University, Tokat, Turkey
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Ohkubo M, Ueda T, Sugito H, Watanabe A, Seshima F, Morioka T, Yajima Y. Two-year Survey of Trends at Food Introduction Booth at Suidobashi Hospital of Tokyo Dental College. THE BULLETIN OF TOKYO DENTAL COLLEGE 2018; 59:213-221. [PMID: 30224616 DOI: 10.2209/tdcpublication.2017-0047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
A working group established at Tokyo Dental College Suidobashi Hospital considered how to manage patients experiencing difficulties with food intake during the process of dental treatment. This resulted in the opening of an in-hospital booth dedicated to providing advice on such problems. A survey was performed to determine the number of patients utilizing this facility and the department which they were attending with the aim of investigating factors involved in eating-related problems. The results revealed that patients were being referred to the booth from the departments of dental prosthetics, conservative dentistry, oral and maxillofacial surgery (by both dentists and dietitians), oral implantation, and orthodontics. Patients were provided with information on the booth by their dentist or dietician, either by means of introductory materials or verbally. These patients were requested to complete a questionnaire, with informed consent, over a 2-year period. The participants were classified according to age and original dental problem on attending this hospital and the results analyzed. The inability to eat hard foodstuffs, difficulty in chewing, inability to open the mouth, insufficient nutrition, unbalanced nutrition, intraoral pain, and difficulty in swallowing were all identified as problems related to eating. A total of 1,948, 413 visitors had received introductory materials, while 156 had learned of the facility verbally. Looking at department as a factor, the inability to eat hard foodstuffs and difficulty chewing occupied a large percentage of the reported problems for all departments. Taken together, these results revealed that many patients experienced difficulties in eating during the process of treatment. This indicates that it is necessary to give the appropriate eating instructions to each patient according to their specific needs and stage of dental treatment.
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Affiliation(s)
- Mai Ohkubo
- Suidobashi Hospital, Tokyo Dental College.,Department of Oral Health and Clinical Science, Division of Dysphagia Rehabilitation, Tokyo Dental College
| | - Takayuki Ueda
- Suidobashi Hospital, Tokyo Dental College.,Department of Removable Prosthodontics and Gerontology, Tokyo Dental College
| | - Hiroki Sugito
- Suidobashi Hospital, Tokyo Dental College.,Department of Operative Dentistry, Cariology and Pulp Biology, Tokyo Dental College.,Department of Dental Hygiene, Tokyo Dental Junior College
| | - Akira Watanabe
- Suidobashi Hospital, Tokyo Dental College.,Department of Oral and Maxillofacial Surgery, Tokyo Dental College
| | - Fumi Seshima
- Suidobashi Hospital, Tokyo Dental College.,Department of Periodontology, Tokyo Dental College
| | - Toshiyuki Morioka
- Suidobashi Hospital, Tokyo Dental College.,Department of Removable Partial Prosthodontics, Tokyo Dental College
| | - Yasutomo Yajima
- Suidobashi Hospital, Tokyo Dental College.,Department of Oral Implantology, Tokyo Dental College
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Almeida ABD, Leite ICG, Silva GAD. Evidence in Orthodontics related to qualitative research. Dental Press J Orthod 2018; 23:64-71. [PMID: 30304155 PMCID: PMC6150700 DOI: 10.1590/2177-6709.23.4.064-071.oar] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Accepted: 08/06/2017] [Indexed: 11/22/2022] Open
Abstract
Introduction: Research in Orthodontics has historically followed the positivist model based on the direct relationship of cause and effect between diseases and their specific etiological factors. Despite the objectivity and the great potential of statistical procedures, quantitative methods have progressively been sharing space with other models that can encompass the multiplicity of factors that affect the health-disease process, which until such time was reduced to its biological dimension. Objectives: This study aims, through an integrative review, to identify orthodontics articles published over a 10-year period that have used, exclusively or not, some method of qualitative research, and analyze the main aspects of their content. Methods: A survey was performed on Pubmed, Medline, Scopus, and Lilacs databases from 2007 to 2016 with a focus on the applicability of the qualitative methodology in orthodontic research. Results: The 27 articles selected showed a trend to increase in publications, with the most recent four years concentrating almost 60% of them. Most studies were from Europe, particularly the UK, and the more frequent study objectives were related to the perception of people about the reasons for orthodontic treatment, about the aesthetic and psychosocial impact of malocclusion or orthodontic treatment, and the implications of these factors for their quality of life. Conclusions: Because of its potential to explore behaviours and socio-cultural attitudes sustained in subjectivity, qualitative research offers new possibilities for orthodontic studies and can be used in an exclusive or complementary way in relation to quantitative methods.
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Affiliation(s)
- Anderson Barbosa de Almeida
- Universidade Federal de Juiz de Fora, Faculdade de Medicina, Departamento de Saúde Coletiva, Programa de Pós-graduação em Saúde, ênfase em Saúde Brasileira (Juiz de Fora/MG, Brazil)
| | | | - Girlene Alves da Silva
- Universidade Federal de Juiz de Fora, Faculdade de Medicina, Departamento de Saúde Coletiva (Juiz de Fora/MG, Brazil)
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Fleming PS, Al-Moghrabi D, Fudalej P, Pandis N. Orthodontic pain: The use of non-pharmacological adjuncts and its effect on compliance. Semin Orthod 2018. [DOI: 10.1053/j.sodo.2018.04.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Adolescent perceptions of orthodontic treatment risks and risk information: A qualitative study. J Dent 2018; 74:61-70. [PMID: 29702151 DOI: 10.1016/j.jdent.2018.04.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 04/08/2018] [Accepted: 04/13/2018] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION For effective risk communication, clinicians must understand patients' values and beliefs in relation to the risks of treatment. This qualitative study aimed to explore adolescent perceptions of orthodontic treatment risks and risk information. METHODS Five focus groups were carried out with 32 school/college pupils aged 12-18 in Wales, UK. Participants were purposively selected and had all experienced orthodontic treatment. A thematic approach was used for analysis and data collection was completed at the point of data saturation. RESULTS Four themes emerged from the data; (a) day-to-day risks of orthodontic treatment, (b) important orthodontic risk information, (c) engaging with orthodontic risk information and (d) managing the risks of orthodontic treatment. Day-to-day risks of orthodontic treatment that were affecting participants "here and now" were of most concern. Information about preventing the risks of treatment was deemed to be important. Participants did not actively seek risk information but engaged passively with information from convenient sources. Perceptions of risk susceptibility influenced participants' management of the risks of orthodontic treatment. CONCLUSIONS This study demonstrates that adolescent patients can understand information about the nature and severity of orthodontic treatment risks. However, adolescent patients can have false perceptions if the risks are unfamiliar, perceived only to have a future impact or if seen as easy to control. Adolescent patients must be provided with timely and easily accessible risk information and with practical solutions to prevent the risks of treatment. CLINICAL SIGNIFICANCE The views and experiences gathered in this study can assist clinicians to better understand their young patients' beliefs about treatment risks, facilitate effective risk communication and contribute to improved patient-centred care.
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Imani MM, Jalali A, Ezzati E, Heirani Z, Dinmohammadi M. A decision-making process to undergo orthodontic treatment: a qualitative study. Patient Prefer Adherence 2018; 12:2243-2251. [PMID: 30464414 PMCID: PMC6214418 DOI: 10.2147/ppa.s177462] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Orthodontics is a medical treatment and a rehabilitation service provided for individuals in need. Due to the high cost involved in performing this type of treatment along with the current attitude in communities toward it as a cosmetic service, it is essential to investigate the decision-making process to undergo orthodontic interventions among Iranian individuals and families. METHODS To conduct this qualitative study using grounded theory, 18 participants were selected through purposive sampling method and received semi-structured interviews each lasting 50-70 minutes. Eventually, the data were saturated after the fulfillment of 19 interviews. During the interviews, simultaneous analysis was also performed according to the method proposed by Strauss and Corbin (1998) and then the data were analyzed within three stages of open, axial, and selective coding. RESULTS Analysis of the clients' statements produced 207 codes, 22 sub-categories, and 9 main categories, including distorted mental self-image, hope to look more attractive, inappropriate interactions with family and those around, family's views toward the problem, social conditions, financial constraints, challenges in the family, as well as decision making to undergo orthodontic treatment, and finally, the main factor of hope for a better future were highlighted. CONCLUSION The results showed that the main facilitating factor was "hope for a better future" for which families could accept numerous difficulties, such as high cost and repeated follow-ups due to the importance of beauty and meeting their children's sense of satisfaction.
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Affiliation(s)
- Mohammad Moslem Imani
- Department of Orthodontics, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Amir Jalali
- Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran,
- Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran,
| | - Ebraheim Ezzati
- Anesthesiology Medical Department, School of Paramedical Kermanshah, University of Medical Sciences, Kermanshah, Iran
| | - Zeinab Heirani
- Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mohammadreza Dinmohammadi
- Department of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
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Hussain AS, Al Toubity MJ, Elias WY. Methodologies in Orthodontic Pain Management: A Review. Open Dent J 2017; 11:492-497. [PMID: 28979577 PMCID: PMC5611706 DOI: 10.2174/1874210601711010492] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Revised: 05/18/2017] [Accepted: 08/12/2017] [Indexed: 02/05/2023] Open
Abstract
Introduction: Patients experience pain and discomfort during active orthodontic treatment with fixed appliances. Pain is considered a subjective response to noxious stimuli. It can vary from person to person and is influenced by certain factors such as age, gender, previous pain experiences, stress or anxiety, and type of appliance. Objective: The objective of this literature review was to discuss conventional versus recently introduced treatment modalities used in pain management for orthodontic patients. Discussion: According to the reviewed articles, both pharmacological and non-pharmacological methods were introduced in orthodontic pain management. However, orthodontists must use their best professional judgment to assess each case individually and select an appropriate treatment modality based on pain threshold level of an individual. Conclusion: Nevertheless, further investigations are required in this field.
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Affiliation(s)
| | | | - Wael Y Elias
- Oral Diagnostic Science Department, King Abdul-Aziz University, Faculty of Dentistry, Jeddah, KSA
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Guo L, Feng Y, Guo HG, Liu BW, Zhang Y. Consequences of orthodontic treatment in malocclusion patients: clinical and microbial effects in adults and children. BMC Oral Health 2016; 16:112. [PMID: 27793138 PMCID: PMC5084385 DOI: 10.1186/s12903-016-0308-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2016] [Accepted: 10/20/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Malocclusion is a common disease of oral and maxillofacial region. The study was aimed to investigate levels changes of periodontal pathogens in malocclusion patients before, during and after orthodontic treatments, and to confirm the difference between adults and children. METHOD One hundred and eight malocclusion patients (46 adults and 62 children at the school-age) were randomly selected and received orthodontic treatment with fixed orthodontic appliances. Subgingival plaques were Porphyromonas gingivalis (P.gingivalis), Fusobacterium nucleatum (F. nucleatum), Prevotella intermedia (P. intermedia) and Tannerella forsythensis (T. forsythensis) collected from the observed regions before and after treatment. Clinical indexes, including plaque index (PLI), gingival index (GI), sulcus bleeding index (SBI), probing depth (PD) and attachment loss (AL) of observed teeth were examined. RESULTS The detection rates of P.gingivalis, F. nucleatum, P. intermedia and T. forsythensis increased from baseline to the third month without significant difference, and then returned to pretreatment levels 12 month after applying fixed orthodontic appliances. Adults' percentage contents of P.gingivalis, F. nucleatum, P. intermedia and T. forsythensis were significantly higher than those of children at baseline and the first month, but not obvious at the third month. PLI and SBI were increased from baseline to the first and to the third month both in adults and children groups. Besides, PD were increased from baseline to first month, followed by a downward trend in the third month; however, all patients were failed to detect with AL. CONCLUSIONS Periodontal and microbiological statuses of malocclusion patients may be influenced by fixed orthodontic appliances in both adults and children, more significant in children than in adults. Some microbiological indexes have synchronous trend with the clinical indexes. Long-term efficacy of fixed orthodontic appliances for malocclusion should be confirmed by future researches.
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Affiliation(s)
- Li Guo
- Department of Stomatology, Ninth Hospital of Xi'an, No. 151, 2nd Ring Road East, Xi'an, 710054, People's Republic of China.
| | - Ying Feng
- Department of Stomatology, Ninth Hospital of Xi'an, No. 151, 2nd Ring Road East, Xi'an, 710054, People's Republic of China
| | - Hong-Gang Guo
- Department of Orthopedic, Engineering University Hospital of PAPF, Xi'an, 710086, People's Republic of China
| | - Bo-Wen Liu
- Department of Orthodontics, School of Stomatology, China Medical University, Shenyang, China
| | - Yang Zhang
- Department of Orthodontics, School of Stomatology, China Medical University, Shenyang, China
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Kazancı F, Aydoğan C, Alkan Ö. Patients' and parents' concerns and decisions about orthodontic treatment. Korean J Orthod 2016; 46:20-6. [PMID: 26877979 PMCID: PMC4751297 DOI: 10.4041/kjod.2016.46.1.20] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Revised: 06/03/2015] [Accepted: 06/23/2015] [Indexed: 11/12/2022] Open
Abstract
Objective Patients' and parents' expectations are important in orthodontic treatment decision making. The literature generally demonstrates the perceived benefits of orthodontic treatment, but patients' and their parents' concerns about orthodontic treatment have not been investigated comprehensively. The aim of this study was to identify patients' and parents' concerns about orthodontic treatment and compare them according to sex, age, and treatment demand level. Methods One hundred and eighty-nine children and their parents were interviewed about concerns related to orthodontic treatment. Patients and parents were asked about orthodontic treatment decisions. Answers were recorded as "yes," "no," or "don't know." Chi-squared and Fisher's exact tests were used to compare concerns between age groups, sexes, and treatment demand levels. Kappa statistics were used to assess agreement between patients and their parents. Results Concerns about orthodontic treatment were gathered under 10 items as follows: "feeling pain," "the appearance of braces," "being teased," "avoiding smiling," "speech problems," "dietary changes," "problems with transportation," "economic problems," "long treatment duration," and "missing school." There was no statistically significant difference in concerns between the sexes or age groups. Some concern items and treatment demand were inversely related in patients. Conclusions The results of this study demonstrate patients' and parents' concerns about orthodontic treatment. Differences between the concerns of patients with different treatment demands imply that children might reject orthodontic treatment because of their concerns. Appropriate consultation of patients addressing their concerns may help reduce anxiety and improve the acceptance of treatment.
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Affiliation(s)
- Fatih Kazancı
- Department of Orthodontics, Faculty of Dentistry, Yüzüncü Yıl University, Van, Turkey
| | - Cihan Aydoğan
- Department of Orthodontics, Faculty of Dentistry, Yüzüncü Yıl University, Van, Turkey
| | - Özer Alkan
- Department of Orthodontics, Faculty of Dentistry, Yüzüncü Yıl University, Van, Turkey
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Marshman Z, Gupta E, Baker SR, Robinson PG, Owens J, Rodd HD, Benson PE, Gibson B. Seen and heard: towards child participation in dental research. Int J Paediatr Dent 2015; 25:375-82. [PMID: 26061706 DOI: 10.1111/ipd.12179] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND There has been an increasing emphasis in many countries worldwide to capture the views of children on health services and research. A previous systematic review found that most oral health research from 2000 to 2005 was conducted on children and highlighted the need for greater research with children. AIM To describe the extent to which oral health research between 2006 and 2014 has been conducted with or on children. DESIGN Systematic review. Electronic databases were searched for the literature on child dental health. Each identified paper was examined by two researchers and categorised based on the extent to which children were involved in the research, the type of study (evaluative or otherwise), the country of origin, and the clinical discipline. RESULTS The search included 2950 papers after application of the exclusion criteria. Of these, 17.4% were with children, 18.3% involved the use of proxies (parents or clinician), and 64.2% were on children. CONCLUSIONS The proportion of studies from 2006 to 2014 involving research with children has increased from 7.3% in 2000-2005. This systematic review provides evidence for movement towards children's involvement in dental research over the last 10 years. Future dental research must focus on incorporating children's perspectives into the evaluation of dental treatments to improve outcomes for children.
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Affiliation(s)
- Zoe Marshman
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Ekta Gupta
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Sarah R Baker
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Peter G Robinson
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Janine Owens
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Helen D Rodd
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Philip E Benson
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Barry Gibson
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
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Carter LA, Geldenhuys M, Moynihan PJ, Slater DR, Exley CE, Rolland SL. The impact of orthodontic appliances on eating — young people’s views and experiences. J Orthod 2015; 42:114-22. [DOI: 10.1179/1465313314y.0000000128] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Magalhães IB, Pereira LJ, Andrade AS, Gouvea DB, Gameiro GH. The influence of fixed orthodontic appliances on masticatory and swallowing threshold performances. J Oral Rehabil 2014; 41:897-903. [PMID: 25155222 DOI: 10.1111/joor.12218] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/31/2014] [Indexed: 11/28/2022]
Affiliation(s)
- I. B. Magalhães
- Department of Clinical Dentistry; Vale do Rio Verde University - UNINCOR; Tres Coracoes Brazil
| | - L. J. Pereira
- Department of Physiology and Pharmacology; Federal University of Lavras - UFLA; Lavras Brazil
| | - A. S. Andrade
- Department of Pediatric Dentistry; State University of Campinas - UNICAMP; Piracicaba Brazil
| | - D. B. Gouvea
- Department of Physiology; Federal University of Rio Grande do Sul - UFRGS; Porto Alegre Brazil
| | - G. H. Gameiro
- Department of Physiology; Federal University of Rio Grande do Sul - UFRGS; Porto Alegre Brazil
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