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Dias da Cunha L, Rodrigues V, Vieira de Oliveira IC, Pozzobon Pereira AL. Impact of malocclusion and oral habits on oral health-related quality of life and sleep disturbance in young adults : A cross-sectional study. J Orofac Orthop 2024:10.1007/s00056-024-00555-w. [PMID: 39354221 DOI: 10.1007/s00056-024-00555-w] [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: 01/08/2023] [Accepted: 08/30/2024] [Indexed: 10/03/2024]
Abstract
PURPOSE The aim of this study was to investigate the impact of malocclusion and oral habits on oral health-related quality of life and sleep disturbance in young adults. METHODS A cross-sectional study was conducted with a sample of 213 young adults aged 18-30 years. Dental occlusion data were assessed through clinical examination. A questionnaire was used to collect data on oral habits. Outcomes were collected using the Oral Health Impact Profile (OHIP-14) and Mini Sleep Questionnaire. RESULTS Anterior open bite (adjusted odds ratio [OR] = 2.41, 95% confidence interval [CI] = 1.02-5.67, p = 0.044), swallowing disorders (adjusted OR = 2.39, 95% CI = 1.13-5.05, p = 0.022), and sleeping on hands were associated with a negative impact on oral health-related quality of life. Females (adjusted OR = 2.61, 95% CI = 1.10-6.17, p = 0.029), teeth grinding (adjusted OR = 2.78, 95% CI = 1.08-7.14, p = 0.034), biting lips or cheeks (adjusted OR = 4.28, 95% CI = 1.49-12.29, p = 0.007), and self-perception of need for orthodontic treatment (adjusted OR = 7.88, 95% CI = 2.12-29.30, p = 0.002) were associated as a risk for sleep disturbances. CONCLUSION The findings suggest that oral habits and some types of malocclusions can impact oral health-related quality of life. In addition, sleep disturbances were associated with a greater need for orthodontic treatment and a habit of grinding teeth in young adults.
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Affiliation(s)
- Luana Dias da Cunha
- Dentistry Graduate Program, Federal University of Maranhão, São Luís, Brazil
- School of Dentistry, Dom Bosco University, São Luís, Brazil
| | - Vandilson Rodrigues
- Dentistry Graduate Program, Federal University of Maranhão, São Luís, Brazil.
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Schaefer G, Jacobs C, Sagheb K, Al-Nawas B, Rahimi-Nedjat RK. Changes in the quality of life in patients undergoing orthognathic therapy - A systematic review. J Craniomaxillofac Surg 2024; 52:71-76. [PMID: 38129187 DOI: 10.1016/j.jcms.2023.10.004] [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: 01/20/2023] [Revised: 05/09/2023] [Accepted: 10/15/2023] [Indexed: 12/23/2023] Open
Abstract
The aim of this study was to investigate the impact of orthognathic therapy on patients' quality of life. Therefore, a systematic review was conducted including all prospective studies that compared pretherapeutic and posttherapeutic Oral Health Impact Profile (OHIP) or Overall Quality of Life (OQOL) questionnaire scores. Studies in patients with congenital deformities, clefts, or posttraumatic or cancer-associated deformities were excluded. Overall, 23 prospective studies were included; 8 used OHIP, 9 used OQOL and 6 used both questionnaires. A total of 1039 patients were identified (60.29% women, 39.71% men), with a mean age of 45.17 years. All analyzed studies showed in both OHIP and OQLQ an improvement of the quality of life in patients after orthognathic therapy. While improved scores could be observed in all investigated criteria, the studies demonstrated that social and aesthetic aspects showed the most prominent impact. Comparison of different Angle Classes showed, furthermore, that Class III patients had an even greater advantage over those with a Class II deformity. The review confirms that the quality of life in patients with orthognathic therapy improves significantly in all observed aspects. With regard to Angle Classes, Class III patients showed an even greater improvement than Class II patients.
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Affiliation(s)
- G Schaefer
- Department of Oral and Maxillofacial Surgery - Facial Plastic Surgery, Medical Center of the Johannes Gutenberg-University of Mainz, Mainz, Germany.
| | - C Jacobs
- Policlinic for Orthodontics, University Medical Center Jena, Germany
| | - K Sagheb
- Department of Oral and Maxillofacial Surgery - Facial Plastic Surgery, Medical Center of the Johannes Gutenberg-University of Mainz, Mainz, Germany
| | - B Al-Nawas
- Department of Oral and Maxillofacial Surgery - Facial Plastic Surgery, Medical Center of the Johannes Gutenberg-University of Mainz, Mainz, Germany
| | - R K Rahimi-Nedjat
- Department of Oral and Maxillofacial Surgery - Facial Plastic Surgery, Medical Center of the Johannes Gutenberg-University of Mainz, Mainz, Germany
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Sicari F, Merlo EM, Gentile G, Nucera R, Portelli M, Settineri S, Myles LAM, Militi A. Body Image and Psychological Impact of Dental Appearance in Adolescents with Malocclusion: A Preliminary Exploratory Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1691. [PMID: 37892353 PMCID: PMC10605373 DOI: 10.3390/children10101691] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Revised: 10/13/2023] [Accepted: 10/13/2023] [Indexed: 10/29/2023]
Abstract
BACKGROUND Body image and psychosocial functioning represent central challenges during adolescence and early adulthood. Malocclusion, defined as an irregularity in the alignment of the teeth, is known to negatively influence psychological outcomes. The current study aimed to elucidate the role of malocclusion, together with age, gender, and dental class, in body image and psychological functioning. METHODS A total of 126 participants aged from 12 to 19 years old (mean: 15.87, SD: 2.35, female participants: 52.4%, male participants: 47.6%) were recruited. Participants were visited at the University Hospital of Messina, Italy, and completed a sociodemographic questionnaire, the Body Image Concern Inventory (I-BICI), and the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). RESULTS Significant correlations were found between age, dental class, the BICI, and the PIDAQ. In particular, age showed a positive and significant correlation with PIDAQ-total score. The correlations between occlusal status and the BICI variables were all significant and positive. All correlations between occlusal status and the PIDAQ variables were all significant and positive, except for dental self-confidence. The correlations between the variables of the PIDAQ and BICI instruments were all significant and positive, except for dental self-confidence, where the directions were significant and negative. Moreover, age, gender, and occlusal status predicted BICI and PIDAQ scores. Age was a positive predictor for PIDAQ self-confidence, gender for BICI and PIDAQ total scores, along with dysmorphic symptoms, social impact, psychological impact, and aesthetic concerns. Several significant gender differences were highlighted by the analyses, with higher scores in the female group on all the BICI variables, except symptom interference, and all the PIDAQ variables, except dental self-confidence. CONCLUSIONS Malocclusion appeared to play a central role in the psychological, representational, and psychosocial life of the participants. This research suggests that malocclusion and dental issues influence the psychological, representational, and psychosocial life of adolescents. Further research is required to examine the psychological impact of dental problems.
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Affiliation(s)
- Federica Sicari
- Department of Cognitive Sciences, Psychology, Educational and Cultural Studies (COSPECS), University of Messina, 98100 Messina, Italy;
| | - Emanuele Maria Merlo
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | - Giulia Gentile
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | - Riccardo Nucera
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | - Marco Portelli
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | - Salvatore Settineri
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | | | - Angela Militi
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
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Närhi L, Mattila M, Tolvanen M, Pirttiniemi P, Silvola AS. The associations of dental aesthetics, oral health-related quality of life and satisfaction with aesthetics in an adult population. Eur J Orthod 2023; 45:287-294. [PMID: 36689299 DOI: 10.1093/ejo/cjac075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
AIM The aim of this study was to investigate the gender-specific associations between dental aesthetics, oral health-related quality of life (OHRQoL), and satisfaction with dental aesthetics in an adult population. MATERIALS AND METHODS The study population consisted of 1780 individuals (822 males and 958 females) from the Northern Finland Birth Cohort 1966 (NFBC1966). Dental aesthetics were evaluated from digital 3D dental models using the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN). Layperson and orthodontist panels evaluated the dental aesthetics of a smaller sample (n = 100). OHRQoL was measured using the Oral Health Impact Profile (OHIP-14) questionnaire. Satisfaction with dental aesthetics was asked with one separate question. Gender-specific analyses consisted of Mann-Whitney U-tests and Spearman's correlation coefficients. RESULTS More than half of the population had an aesthetically acceptable occlusion, and most of the individuals were satisfied with the aesthetics. The most severe aesthetic impairments were associated with the psychological dimensions of OHIP-14. There were significant but weak associations of AC and satisfaction with aesthetics, and satisfaction with aesthetics and OHRQoL. Significant gender differences were found, men having higher mean AC scores but women reporting lower OHRQoL. CONCLUSION At the population level, most of the individuals were satisfied with their aesthetics, despite different dental aesthetic conditions. The most severe aesthetic impairments were associated with decreased psychological well-being, women reporting more impacts compared to men.
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Affiliation(s)
- Linnea Närhi
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
| | - Minttu Mattila
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland
| | | | - Pertti Pirttiniemi
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
| | - Anna-Sofia Silvola
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
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Von Spreckelsen L, Jagst C, Köneke A. Einfluss der Dauer kieferorthopädischer Behandlung auf das
subjektive Empfinden der mundgesundheitsbezogenen
Lebensqualität. INFORMATIONEN AUS ORTHODONTIE & KIEFERORTHOPÄDIE 2022. [DOI: 10.1055/a-1925-4492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Zusammenfassung
Hintergrund Aufgrund der aktuell noch geringen Datenlage war es Ziel
dieser Studie, den Einfluss der Dauer einer kieferorthopädischen
Behandlung auf die mundgesundheitsbezogene Lebensqualität (MLQ) zu
untersuchen.
Methode Die beobachtende, prospektive Längsschnittstudie erfolgte
mit der deutschen Basisversion des Oral Health Impact Profile (OHIP-G14)
im Zeitraum von 2008–2018. Die MLQ wurde zu drei Zeitpunkten
(T1, T2, T3) bei 598 Patient*innen
innerhalb ihrer kieferorthopädischen Behandlung erhoben und die
Ergebnisse statistisch analysiert. Ein durchschnittlicher Anstieg
(∆OHIP-G14) von>2,00 Punkten wurde als klinisch relevant
(Minimal Important Difference, MID) und Zeichen einer herabgesetzten
mundgesundheitsbezogenen Lebensqualität definiert.
Ergebnisse Von initial 598 eingeschlossenen Patient*innen
füllten 79 ProbandInnen die Fragebögen zu allen drei Zeitpunkten
vollständig aus und konnten in die Studie aufgenommen werden. Das
Durchschnittsalter lag zu Beginn der Behandlung bei 11,5 Jahren
(SD=3,3), am Ende der Behandlung bei 16,3 Jahren (SD=3,1). Die
durchschnittliche Behandlungsdauer betrug 4,7 Jahre (SD=2,3). Ein
Vergleich der erreichten Summenwerte zu den Zeitpunkten T1,
T2, T3 der ernannten Subgruppen (Geschlechter,
Altersgruppen, Behandlungsapparatur und -zeitraum) untereinander zeigte in
keiner der Gruppen signifikante Unterschiede (Mann-Whitney-U-Test,
Kruskal-Wallis-Test, Chi-Quadrat-Test p<0,05). Ein Vergleich der
Gesamtwerte der jeweiligen Zeitpunkte zeigte eine klinisch
(∆OHIP-G14>2,00) und statistisch signifikante Abnahme der MLQ
während der initialen Behandlungsphase (T1 vs. T2,
p<0,001). Die Verbesserung der MLQ am Ende der Behandlung (T2
vs. T3) war statistisch nicht signifikant (p=0,128) und hatte
keine klinische Auswirkung (MID ∆OHIP-G14<2,00). Weitere
Analysen der Behandlungsdauer und der OHIP-Summenwerte ergaben zu keinem
Zeitpunkt signifikante Abhängigkeit oder Korrelation zwischen
Behandlungsdauer und MLQ (β2=− 0,078,
β3=0,191, multiple lineare Regression,
p=0,05; r2=0,073, r3=0,103,
Spearman Korrelation, p=0,05).
Schlussfolgerung Im Vergleich zu T1 war die MLQ während
der Behandlung sowohl zu T2 als auch T3 leicht
herabgesetzt. Es kann jedoch festgestellt werden, dass der Durchschnitt der
erhobenen Summenwerte zu allen drei Zeitpunkten der Befragung (T1,
T2 und T3) im Normbereich der gesunden
Allgemeinbevölkerung lag. Hinsichtlich der Kernfrage dieser Studie
konnte kein Zusammenhang zwischen Behandlungsdauer und MLQ gezeigt werden. Das
Anstreben eines guten Behandlungsergebnisses im Rahmen einer differenzierten
kieferorthopädischen Therapie sollte daher nach Möglichkeit
einem raschen Abschluss der Behandlung vorangestellt werden.
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Affiliation(s)
- Lia Von Spreckelsen
- Die Kieferorthopäden am Meer in Kiel,
Wyk/Föhr, Bad Schwartau, Eckernförde
| | - Carolin Jagst
- Die Kieferorthopäden am Meer in Kiel,
Wyk/Föhr, Bad Schwartau, Eckernförde
| | - Andreas Köneke
- Die Kieferorthopäden am Meer in Kiel,
Wyk/Föhr, Bad Schwartau, Eckernförde
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Fadel MAV, Santos BZ, Antoniazzi RP, Koerich L, Bosco VL, Locks A. Prevalence of malocclusion in public school students in the mixed dentition phase and its association with early loss of deciduous teeth. Dental Press J Orthod 2022; 27:e2220120. [PMID: 36169495 PMCID: PMC9507017 DOI: 10.1590/2177-6709.27.4.e2220120.oar] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 06/07/2021] [Indexed: 11/25/2022] Open
Abstract
Objective: To determine the prevalence of malocclusion and its association with the early loss of deciduous teeth and other factors in children in the mixed dentition phase, aged six to eight years, enrolled in public schools in southern Brazil. Methods: A cross-sectional study was conducted with a representative sample of 528 children from municipal public schools in 2009. Data collection involved a clinical examination for the determination of early tooth loss, dental caries, tongue pressure and malocclusion (outcome), as well as the administration of a questionnaire. Poisson regression analysis with robust variance was used to model the association between malocclusion and the independent variables. Results: The prevalence of malocclusion and early tooth loss was 69.1% and 21.8%, respectively. In the raw data analysis, malocclusion was associated with age, early tooth loss, dental caries and tongue pressure. After the adjustment, the likelihood of malocclusion was greater among children older than eight years, those who exerted tongue pressure on the teeth and those with early tooth loss. The likelihood of malocclusion was 24% greater among children with early tooth loss, compared to those without tooth loss. Conclusion: The early loss of deciduous teeth was associated with the occurrence of malocclusion in the children studied.
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Affiliation(s)
| | | | - Raquel Pippi Antoniazzi
- Universidade Federal de Santa Maria, Departamento de Estomatologia, Faculdade de Odontologia (Santa Maria / RS, Brazil)
| | - Leonardo Koerich
- University of North Carolina, Department of Dentistry (Charlotte/NC, USA)
| | - Vera Lúcia Bosco
- Universidade Federal de Santa Catarina, Centro de Ciências Biológicas, Departamento de Odontologia, (Florianópolis/SC, Brazil)
| | - Arno Locks
- Universidade Federal de Santa Catarina, Centro de Ciências Biológicas, Departamento de Odontologia, (Florianópolis/SC, Brazil)
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7
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Zaugg FL, Molinero-Mourelle P, Abou-Ayash S, Schimmel M, Brägger U, Wittneben JG. The influence of age and gender on perception of orofacial esthetics among laypersons in Switzerland. J ESTHET RESTOR DENT 2022; 34:959-968. [PMID: 35324054 PMCID: PMC9545702 DOI: 10.1111/jerd.12906] [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: 10/20/2021] [Revised: 02/21/2022] [Accepted: 02/22/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The purpose of this study was to evaluate the perception and role of orofacial esthetics by laypersons, and how attitudes may be correlated with age and gender in Switzerland. MATERIAL AND METHODS Self-administrated questionnaires (SAQ) were distributed both conventionally and digitally to Swiss residents over 16 years of age (range 16-99 years). The participants were identified in the medical practice, at an open house of the ZMK Bern, in elderly care centers, and via the internet (Facebook and Instagram). To verify that the participants were Swiss residents and laypersons, they were checked by an operator (conventional) or were provided an exact description of eligible participants at the beginning of the SAQ (digital). The SAQ included 30 questions with multiple-choice responses and visual analogue scales (0-100) divided into four sections regarding dental appearance with respect to body esthetics, partner selection, employment and career opportunities, and overall health/quality-of-life. For statistical analysis, respondents were segregated into two age groups (<25 years and ≥25 years) and into two gender groups (male and female). Descriptive analyses, the Fisher exact test, and Welch's t-test were applied (α = 0.05). RESULTS Five hundred and two laypersons completed the SAQ. The study's hypothesis-that various age groups and genders have different perceptions of dental esthetics-was supported. The willingness to correct one's own dentition was lower among older participants (OR: 0.54; p = 0.001); charisma and dental esthetics were considered equally important with a trend toward charisma in both age groups (p = 0.003). The belief that excellent dentition improves employment chances at a job interview (OR: 0.47; p = 0.0003) was significantly lower among older participants, and the belief that dental correction would improve quality-of-life was significantly higher among older participants (OR: 1.81; p = 0.001). The assumption that individuals with attractive teeth appear happier was significantly lower among older respondents (OR: 0.67; p = 0.03). Women were less satisfied with their dental appearance and, proportionally, their willingness to receive correction was significantly higher (OR: 1.79; p = 0.01 and OR: 1.77; p = 0.002 relative to men, respectively). Moreover, male participants had a lower desire to have brighter teeth and undergo bleaching treatments (OR: 0.54; p = 0.002; OR: 0.53; p = 0.002). The proportion of men believing that having beautiful teeth improves attractiveness and employment chances was significantly lower (OR: 0.33; p = 0.02 and OR: 0.66; p = 0.04; respectively). CONCLUSIONS Within the limitations of this observational study, it was concluded that age and gender of laypersons in Switzerland have a significant impact on the perception of dental esthetics. CLINICAL SIGNIFICANCE Evaluating and quantifying perceptions of dental esthetics for daily life across various age groups and genders can improve clinicians' understanding of individual needs in order to offer patient-oriented dental care.
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Affiliation(s)
- Fiona-Leandra Zaugg
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Pedro Molinero-Mourelle
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Samir Abou-Ayash
- Section for Digital Implant and Reconstructive Dentistry [DIRecD], Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Martin Schimmel
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.,Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Urs Brägger
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Julia-Gabriela Wittneben
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.,Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Massachusetts, USA
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8
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OUP accepted manuscript. Eur J Orthod 2022; 44:603-613. [DOI: 10.1093/ejo/cjac015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Svalina A, Heikura E, Savolainen T, Serlo W, Sinikumpu JJ, Silvola AS, Salokorpi N. Appearance or attitude: what matters to craniosynostosis patients? Association of self-esteem, depressive symptoms, and facial aesthetics in patients with sagittal and metopic synostosis. Childs Nerv Syst 2022; 38:1929-1936. [PMID: 35732900 PMCID: PMC9522694 DOI: 10.1007/s00381-022-05587-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 05/31/2022] [Indexed: 12/02/2022]
Abstract
PURPOSE The aim of this study was to investigate the presence of depressive symptoms and self-esteem, and their association with facial asymmetry in adults who were operated on in early childhood due to metopic and sagittal craniosynostosis. METHODS The study population consisted of 49 non-syndromic patients of whom 41 had premature fusion of the sagittal and 8 of metopic suture. There were 64 controls from the Finnish National Register. Self-esteem, depressive symptoms, and subjective satisfaction with one's appearance were evaluated by using the Rosenberg self-esteem questionnaire (RSE), the short form of Beck Depression Inventory (R-BDI), and a purpose-designed questionnaire on satisfaction with facial and overall appearance. Aesthetic evaluation was done from standard photographs using panels. The facial symmetry was calculated by using 3D photogrammetric methods. RESULTS Patients did not have a lower self-esteem or experience significantly more moderate or severe depressive symptoms. However, 20% of the patients and 6% of the controls (p = 0.041) experienced mild depressive symptoms. There was no difference between self-assessed evaluation of appearance between the groups. Only weak correlation was found between facial asymmetry and RSE or R-BDI results (cc = 0.27-0.42, p < 0.05). The self-assessed evaluation of facial and overall appearance correlated strongly with the R-BDI results. CONCLUSION Non-syndromic craniosynostosis patients are as satisfied with their appearance in adulthood as the control group and do not experience a lower self-esteem or more depressive symptoms. Facial asymmetry does not correlate with low self-esteem or clinically significant depressive symptoms in adulthood. Subjective evaluation of one's appearance correlated with depressive symptoms. Age and gender do not influence the former results. Overall, patients are satisfied with their appearance.
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Affiliation(s)
- Anja Svalina
- Research Unit of Clinical Neuroscience, Oulu University Hospital and University of Oulu, Oulu, Finland. .,PEDEGO Research Group, University of Oulu, Oulu, Finland. .,Department of Neurosurgery, Oulu University Hospital, PO Box 21, 90029, Oulu, OYS, Finland.
| | - Emma Heikura
- grid.10858.340000 0001 0941 4873PEDEGO Research Group, University of Oulu, Oulu, Finland
| | - Tuula Savolainen
- grid.412326.00000 0004 4685 4917Medical Research Center, Oulu University Hospital, Oulu, Finland
| | - Willy Serlo
- grid.10858.340000 0001 0941 4873PEDEGO Research Group, University of Oulu, Oulu, Finland ,grid.412326.00000 0004 4685 4917Medical Research Center, Oulu University Hospital, Oulu, Finland ,grid.412326.00000 0004 4685 4917Department of Children and Adolescent, Oulu University Hospital, Oulu, Finland
| | - Juha-Jaakko Sinikumpu
- grid.10858.340000 0001 0941 4873PEDEGO Research Group, University of Oulu, Oulu, Finland ,grid.412326.00000 0004 4685 4917Medical Research Center, Oulu University Hospital, Oulu, Finland ,grid.412326.00000 0004 4685 4917Department of Children and Adolescent, Oulu University Hospital, Oulu, Finland
| | - Anna-Sofia Silvola
- grid.412326.00000 0004 4685 4917Medical Research Center, Oulu University Hospital, Oulu, Finland ,grid.10858.340000 0001 0941 4873Department of Orthodontics, Faculty of Medicine, Oral Health Sciences, University of Oulu, Oulu, Finland
| | - Niina Salokorpi
- grid.412326.00000 0004 4685 4917Research Unit of Clinical Neuroscience, Oulu University Hospital and University of Oulu, Oulu, Finland ,grid.412326.00000 0004 4685 4917Medical Research Center, Oulu University Hospital, Oulu, Finland
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10
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Svalina A, Vuollo V, Serlo W, Sinikumpu JJ, Silvola AS, Salokorpi N. Craniofacial characteristics and cosmetic satisfaction of patients with sagittal and metopic synostosis: a case-control study using 3D photogrammetric imaging. Childs Nerv Syst 2022; 38:781-788. [PMID: 34940889 PMCID: PMC8940850 DOI: 10.1007/s00381-021-05434-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Accepted: 12/09/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE The aim of this study was to investigate the craniofacial and aesthetic characteristics of adult metopic and sagittal craniosynostosis patients operated on in early childhood compared to controls. The goal was to find objective measurements that would correlate with the patient's subjective self-evaluation of their own cosmetic appearance. METHODS The study population consisted of 49 patients from whom 41 had premature fusion of the sagittal and in 8 of metopic suture. There were 65 age and gender matching controls from The Finish National Register. The 3D photogrammetric models were created from all patients and controls. The images were analysed using Rapidform 2006. Facial landmarks were set by the standard Farkas points. Facial symmetry parameters were calculated by using the landmarks and the mirror shell of the face. Aesthetic evaluation was done from standard photographs using panels. Subjective satisfaction with one's own appearance was evaluated using questionnaires. RESULTS Patients had the greatest asymmetry in the forehead area when compared to controls (symmetry percentage 59% versus 66%, p = 0.013). In the control group, the gap between the eyes was smaller than in the case group, resulting in an absolute 2 mm difference (p = 0.003). The area of the chin and the landmarks were more located on the left side in the patient group, resulting in up to a 1.1 mm difference between the groups (p = 0.003). Only a weak association was found between craniofacial symmetry and appearance evaluations. CONCLUSION Patients operated on because of sagittal and metopic synostoses were found to have facial asymmetry at long follow-up. However, the differences were < 3 mm and not clinically important. The long-term aesthetical outcome of the surgery performed because of sagittal or metopic craniosynostosis based on the 3D image evaluation was good.
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Affiliation(s)
- Anja Svalina
- Department of Neurosurgery, Oulu University Hospital, Oulu, Finland. .,Medical Research Center, Oulu University Hospital, Oulu, Finland.
| | - Ville Vuollo
- Medical Research Center, Oulu University Hospital, Oulu, Finland ,Faculty of Medicine, Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland
| | - Willy Serlo
- Medical Research Center, Oulu University Hospital, Oulu, Finland ,Department of Children and Adolescent, Oulu University Hospital, Oulu, Finland ,PEDEGO Research Group, University of Oulu, Oulu, Finland
| | - Juha-Jaakko Sinikumpu
- Medical Research Center, Oulu University Hospital, Oulu, Finland ,Department of Children and Adolescent, Oulu University Hospital, Oulu, Finland ,PEDEGO Research Group, University of Oulu, Oulu, Finland
| | - Anna-Sofia Silvola
- Medical Research Center, Oulu University Hospital, Oulu, Finland ,Department of Orthodontics, Faculty of Medicine, Oral Health Sciences, University of Oulu, Oulu, Finland
| | - Niina Salokorpi
- Department of Neurosurgery, Oulu University Hospital, Oulu, Finland ,Medical Research Center, Oulu University Hospital, Oulu, Finland ,Research Unit of Clinical Neuroscience, Oulu University Hospital and University of Oulu, Oulu, Finland
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11
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Frank AC, Kanzow P, Rödig T, Wiegand A. Comparison of the Bleaching Efficacy of Different Agents Used for Internal Bleaching: A Systematic Review and Meta-Analysis. J Endod 2021; 48:171-178. [PMID: 34762968 DOI: 10.1016/j.joen.2021.10.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 10/29/2021] [Accepted: 10/31/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The aim of this study was to analyze and compare the efficacy of different bleaching agents typically used for internal bleaching of endodontically treated discolored teeth. METHODS Electronic databases (PubMed, Web of Science, and Cochrane Library) were searched by 2 reviewers for clinical trials in which the color of endodontically treated discolored teeth before and after internal bleaching was examined using shade guide units (ΔSGU) or a spectrophotometer/colorimeter (ΔE). The efficacies of the bleaching agents were compared using subgroup analyses. Statistical heterogeneity was assessed with the Cochran Q test and I2 statistic. Publication bias was evaluated using funnel plots. RESULTS Eight studies were included in the systematic review, 6 of which could be included in the meta-analyses. Internal bleaching led to a significant change in tooth shade (ΔSGU: 6.27 [95% confidence interval, 5.36-7.17], ΔE: 12.83 [95% confidence interval, 9.46-16.20]). With regard to ΔSGU, the use of carbamide peroxide (35% or 37%), hydrogen peroxide (35%), and the combination of sodium perborate and hydrogen peroxide (3% or 30%) led to a better bleaching effect than sodium perborate (adjusted P value ≤ .026). Regarding ΔE, there were no significant differences between carbamide peroxide (37%), hydrogen peroxide (35%), and sodium perborate mixed with hydrogen peroxide (P = .051). The risk of bias of the included studies was classified as moderate to high. CONCLUSIONS Carbamide peroxide, hydrogen peroxide, and sodium perborate have a significant bleaching effect on discolored, root canal-treated teeth. For a valid assessment of shade stability and a comparison of bleaching agents and their concentrations, further studies with long-term recalls are necessary.
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Affiliation(s)
- Ariadne Charis Frank
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany.
| | - Philipp Kanzow
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - Tina Rödig
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - Annette Wiegand
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
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12
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Araujo MTDS, Squeff LR. Orthodontic camouflage as a treatment alternative for skeletal Class III. Dental Press J Orthod 2021; 26:e21bbo4. [PMID: 34524381 PMCID: PMC8439187 DOI: 10.1590/2177-6709.26.4.e21bbo4] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Accepted: 07/15/2021] [Indexed: 11/21/2022] Open
Abstract
Introduction: Skeletal Class III malocclusion is a deformity of complex treatment, with few intervention alternatives, which are further limited in nongrowing patients. In most cases, orthognathic surgery is the ideal treatment for adults, an option often refused by patients. Mild to moderate skeletal Class III malocclusions and acceptable facial esthetics can benefit from a course of treatment in which dental movements are used to compensate for the skeletal discrepancy. Objective: This study aimed to discuss orthodontic camouflage as an option for adult patients with Class III malocclusion, emphasizing its indications, implications and expected results.
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13
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Kämäräinen M, Savolainen J, Tynkkynen J, Kellokoski J, Pahkala R. Long-term patient satisfaction and the sense of coherence - a longitudinal study 10-15 years after orthognathic surgery. Acta Odontol Scand 2021; 79:377-382. [PMID: 33423587 DOI: 10.1080/00016357.2020.1869825] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE This study focuses on evaluating the long-term treatment outcome (10-15 years) and patient satisfaction after orthognathic treatment with bisagittal split osteotomy (BSSO). Furthermore, the aim was to evaluate whether the psychosocial factor, sense of coherence (SOC) associates with long-term patient satisfaction. MATERIALS AND METHODS Study sample consisted of 57 patients who had orthognathic treatment with BSSO. Self-completion questionnaires were distributed approximately 1.8 years and 10-15 years after surgery to evaluate treatment outcome. SOC was evaluated with a 12-scale questionnaire 10-15 years after the surgery. RESULTS After 10-15 years following BSSO, 96% of patients were highly or moderately satisfied with the treatment outcome and none expressed dissatisfaction. Less educated patients were more satisfied with the treatment outcome than those with a higher educational level. Patients who felt clear improvement in their facial appearance expressed higher satisfaction than those experiencing only minor facial improvement. Furthermore, patients with improvement in orofacial pains and headaches more often expressed high satisfaction than those without improvement of these symptoms. Patients with strong SOC seemed to have somewhat higher scores for functional aspects of long-term treatment outcome. CONCLUSIONS Post-treatment satisfaction with orthognathic treatment appears to be long-lasting. Psychosocial factors may play a role in long-term post-treatment satisfaction. Our study strongly suggests that psychosocial factors should be taken into account in the treatment planning of orthognathic patients.
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Affiliation(s)
- Minna Kämäräinen
- Faculty of Health Sciences, Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
- Oral and Maxillofacial Department, Kuopio University Hospital, Kuopio, Finland
| | - Jarno Savolainen
- Faculty of Health Sciences, Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
| | - Jenni Tynkkynen
- Faculty of Health Sciences, Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
| | - Jari Kellokoski
- Faculty of Health Sciences, Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
- Oral and Maxillofacial Department, Kuopio University Hospital, Kuopio, Finland
| | - Riitta Pahkala
- Oral and Maxillofacial Department, Kuopio University Hospital, Kuopio, Finland
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14
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Influence of surgically assisted rapid maxillary expansion on the interdental papilla height of maxillary central incisors. J Orofac Orthop 2021; 82:372-381. [PMID: 33507314 PMCID: PMC8550005 DOI: 10.1007/s00056-020-00274-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 11/08/2020] [Indexed: 10/27/2022]
Abstract
PURPOSE To evaluate the influence of orthodontic treatment with surgically assisted rapid maxillary expansion (SARME) on the interdental papilla height of maxillary central incisors. METHODS In this retrospective study, patients who completed orthodontic treatment including SARME at the Radboud University Medical Center Orthodontic Department before December 2019 were included. Frontal intraoral photographs taken before (T1) and after completion of treatment (T2) were examined to determine the papilla height between the maxillary central incisors using the Jemt classification. The difference between the Jemt classification at T1 and T2 (∆Jemt) was defined as the primary outcome variable. Secondary outcome variables were gender, age, treatment duration, type of expansion appliance, maximal central diastema during expansion, pretreatment overlapping between the central incisors, gingival biotype, crown morphology and the distance between the bone crest and incisal contact point. Kappa statistics and paired t‑tests were used to determine reliability of the measurements. Pearson's Χ2 test and independent t‑tests were used to compare the variables between the groups of patients with and without papillary recession. Finally, multiple logistic regression analysis was performed. RESULTS In all, 93 patients fulfilled the inclusion criteria and were included in the study. The Jemt score worsened for 30 patients (32%) between T1 and T2, indicating the occurrence of papillary recession. Incisal overlapping, crown morphology, small width to length ratio, increasing age and an increasing distance between crestal bone and the incisal contact point were factors associated with papillary recession. CONCLUSION After orthodontic treatment including SARME, one third of patients exhibited recession of papilla height of the maxillary central incisors.
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15
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Geramy A, Sheikhzade S, Nazarifar AM. Cephalometric and Anthropometric Changes and Their Relation to Patients' Satisfaction After Orthognathic Surgery. J Craniofac Surg 2020; 31:1022-1025. [PMID: 32049917 DOI: 10.1097/scs.0000000000006193] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE The aim of this prospective study was to evaluate the correlation between cephalometric and anthropometric facial changes and satisfaction level of class III patients after bimaxillary orthognathic surgery. METHODS AND MATERIALS Totally, 29 class III patients (mean age = 24.23 ± 4.2) undergoing one-piece Lefort 1 osteotomy and mandibular setback were included. Pre- and postoperative lateral cephalograms were taken. Thirteen cephalometric and 17 anthropometric facial measurements were evaluated. A 6-item questionnaire of Rustemeyer's study was used to assess patient's satisfaction after surgery. The Wilcoxon signed-rank test, paired sample t test and Spearman's correlation analysis were used as statistical analysis. RESULTS Facial aesthetic and masticatory improvement was highly significant (P < 0.001), while opinion differences between patients and relatives/friends were not significant (P = 0.334). Increased upper lip length (P = 0.037) and decreased nasal tip protrusion-nose height index (P = 0.017) correlated positively with aesthetic improvements after surgery. CONCLUSION Although the association between parameters and satisfaction questionnaire was found, other influential factors should be considered before surgery as well.
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Affiliation(s)
- Allahyar Geramy
- Dental Research Center Dentistry Research Institute, Tehran University of Medical Sciences, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran
| | - Sedighe Sheikhzade
- Dental Material Research center, Institute Of health, Babol University of Medical Sciences; Department of Orthodontics, School of Dentistry, Babol University of Medical Sciences, Babol
| | - Arezoo Mazaheri Nazarifar
- Department of Prosthodontics, School of dentistry, Isfahan University of Medical Sciences, Hezar-Jarib Ave, Isfahan, Iran
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16
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Paunonen J, Svedström-Oristo AL, Helminen M, Peltomäki T. Quality of life several years after orthodontic-surgical treatment with bilateral sagittal split osteotomy. Acta Odontol Scand 2020; 78:358-361. [PMID: 32037937 DOI: 10.1080/00016357.2020.1725110] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Objective: To analyse oral health related quality of life (OHRQoL) several years after orthognathic treatment in patients who had Class II malocclusion with retrognathic mandible.Material and methods: The initial study cohort comprised 151 patients with orthognathic treatment in 2007-2011. Of them, 77 patients (Group 1, mean age 41 years, range 19-71 years, 71% women) were clinically examined 6 years (range 4-8 years) after bilateral sagittal split osteotomy (BSSO). Group 2 included 24 former patients (mean 48 years, range 25-79 years, 50% women) who were willing to participate in a structured telephone interview. Group 3 consisted of 22 prospective patients (mean 35 years, range 18-56 years, 86% women) with a recent orthognathic treatment plan and awaiting treatment. QoL was assessed using two questionnaires, OHIP-14 and OQLQ.Results: Based on responses, patients who had received orthognathic treatment (Groups 1 and 2) had better QoL than those awaiting treatment (Group 3).Conclusion: Conventional orthognathic treatment, including mandibular advancement with BSSO, seems to have a positive long-term effect on patients' QoL. More long-term follow-up studies are needed to assess the real impact of treatment on patients' lives in the long run.
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Affiliation(s)
- Jaakko Paunonen
- Department of Oral Diseases, Seinäjoki Central Hospital, Seinäjoki, Finland
| | - Anna-Liisa Svedström-Oristo
- Department of Oral Development and Orthodontics, Institute of Dentistry, University of Turku, Turku, Finland
| | - Mika Helminen
- Science Center, Pirkanmaa Hospital District and School of Health Sciences, University of Tampere, Tampere, Finland
| | - Timo Peltomäki
- Faculty of Health Sciences, Institute of Dentistry, University of Eastern Finland, Tampere, Finland
- Field of Dentistry, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
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17
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Silvola AS, Närhi L, Tolvanen M, Pirttiniemi P. Gender-specific associations of malocclusion traits with oral health-related quality of life in a Finnish adult population. Eur J Orthod 2020; 42:242-249. [PMID: 31119283 DOI: 10.1093/ejo/cjz026] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
AIM The aim of this cross-sectional study was to investigate gender-specific associations of different malocclusion traits with oral health-related quality of life (OHRQoL) among Finnish adults. MATERIAL AND METHODS The study material comprised 1885 subjects from the Northern Finland Birth Cohort 1966. A clinical oral examination including registration of occlusion was carried out in connection with a 46-year follow-up examination. The 14-item Oral Health Impact Profile (OHIP-14) was used to measure OHRQoL. Subgroups with increased/decreased overjet, deep bite, open bite, lateral crossbite, and scissor bite were selected for further analysis. Subjects with normal occlusion were selected to form the normal occlusion group. Differences between subgroups and the normal occlusion group were evaluated for both genders separately. Education, number of teeth, caries, and orthodontic treatment history were chosen as confounding variables. Multivariate Poisson regression analyses were conducted to assess the effect of independent variables on OHRQoL. RESULTS After adjustments, decreased overjet, open bite, and scissor bite were associated with higher OHIP severity in women (P < 0.01). In men, deep bite was associated with higher OHIP severity (P = 0.007). Different malocclusion traits had associations with some OHIP dimension either in men or women. Orthodontic treatment history had a positive effect on OHRQoL in both genders. CONCLUSION The associations of malocclusion traits with OHRQoL differed between genders, with women reporting more impacts. Deviations from normal occlusion were generally found to have a negative impact on OHRQoL, but most of the adults with malocclusion seem to adapt to their condition.
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Affiliation(s)
- Anna-Sofia Silvola
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
| | - Linnea Närhi
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
| | - Mimmi Tolvanen
- Department of Community Dentistry, Institute of Dentistry, University of Turku, Finland.,Center for Life Course Health Research, Faculty of Medicine, University of Oulu, Finland
| | - Pertti Pirttiniemi
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
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18
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Demirovic K, Habibovic J, Dzemidzic V, Tiro A, Nakas E. Comparison of Oral Health-Related Quality of Life in Treated and Non-Treated Orthodontic Patients. Med Arch 2020; 73:113-117. [PMID: 31391699 PMCID: PMC6643358 DOI: 10.5455/medarh.2019.73.113-117] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Introduction: Malocclusion as an oral disorder can cause negative impact on individuals oral conditions, social interactions and self-esteem. Aim: The aim of this study was to compare oral health-related quality of life (OHQoL) of patients who had received fixed orthodontic treatment and patients who had not received fixed orthodontic treatment. Materials and Methods: Data were collected from 178 participants attended at professional dental office (mean age 22.71 years) in two groups (experimental and control). The experimental group comprised of 90 subjects who were in the retention phase, after their orthodontic treatment, and the control group comprised of 88 untreated subjects. Oral Health Impact Profile (OHIP-14) was used to assess the patients oral health related quality of life (OHQoL). Results: The control group had significantly higher OHIP-14 scores than experimental group (p < 0.001). Participants with treatment need reported a significantly greater negative impact on the overall OHRQoL score. Conclusion: Subjects with no history of orthodontic treatment had more negative oral health related quality (OHRQoL), than subjects who had completed orthodontic treatment. Dental malocclusion has significant negative impact on OHRQoL.
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Affiliation(s)
- Kenan Demirovic
- Private Practice for Orthodontics and Dentofacial Orthopedics, Sarajevo, Bosnia and Herzegovina
| | | | - Vildana Dzemidzic
- Department of Orthodontics, School of Dental Medicine, University of Sarajevo, Bosnia and Herzegovina
| | - Alisa Tiro
- Deparment of Orthodontics, School of Dental Medicine, University of Sarajevo, Bosnia and Herzegovina
| | - Enita Nakas
- Department of Orthodontics, School of Dental Medicine, University of Sarajevo, Bosnia and Herzegovina
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19
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Oral health-related quality of life following orthognathic surgery for class III correction its relationship with cephalometric changes. Int J Oral Maxillofac Surg 2019; 48:1434-1439. [DOI: 10.1016/j.ijom.2019.03.899] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Revised: 01/27/2019] [Accepted: 03/19/2019] [Indexed: 11/19/2022]
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20
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Shamel M, Al-Ankily MM, Bakr MM. Influence of different types of whitening tooth pastes on the tooth color, enamel surface roughness and enamel morphology of human teeth. F1000Res 2019; 8:1764. [PMID: 31839926 PMCID: PMC6900807 DOI: 10.12688/f1000research.20811.1] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/07/2019] [Indexed: 12/04/2022] Open
Abstract
Background: Tooth whitening usually includes the direct use of gels containing carbamide or hydrogen peroxide on the tooth enamel surface through a wide variety of products formulas. A generally new advancement in whitening of teeth uses the significant importance of the tooth color shift from yellow to blue in delivering a general enhancement in the observation of tooth whiteness. The aim of the current work was to measure the tooth whitening effects, surface roughness and enamel morphology of six different types of blue covarine-containing and blue covarine-free toothpastes using in vitro models. Methods: A total of 70 sound extracted human premolars were randomly and equally divided into seven groups, and each subjected to tooth brushing using different toothpastes. Tooth color and enamel surface roughness were measured before and after the brushing procedure using a white light interferometer, and scanning electron microscopy (SEM) was used to assess tooth surface after the procedure. Results: Toothpaste containing blue covarine resulted in the greatest improvement in tooth color amongst all groups as well as a statistically significant color difference when compared to blue covarine-free toothpaste. Furthermore, blue covarine-containing toothpaste resulted in fewer morphological changes to the enamel surface. This was confirmed with SEM images that showed smooth enamel surfaces with fine scratches. Conclusions: The results from the present study show that blue covarine containing toothpastes are reliable, effective in tooth whitening and produce less surface abrasion when compared to blue covarine-free toothpastes.
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Affiliation(s)
- Mohamed Shamel
- Oral Biology Department, The British University in Egypt, Cairo, Egypt
| | | | - Mahmoud M. Bakr
- School of Dentistry and Oral Health, Griffith University, Mount Gravatt, Queensland, 4222, Australia
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21
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Paes da Silva S, Pitchika V, Baumert U, Wehrbein H, Schwestka-Polly R, Drescher D, Kühnisch J, Wichelhaus A. Oral health-related quality of life in orthodontics: a cross-sectional multicentre study on patients in orthodontic treatment. Eur J Orthod 2019; 42:270-280. [DOI: 10.1093/ejo/cjz064] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Summary
Objective
This study aimed to assess oral health-related quality of life (OHRQoL) in relation to associated covariates in orthodontic patients of different age groups (children, adolescents, and adults) in a cross-sectional study.
Methods
A total of 898 subjects (50.6% females, 49.4% males; mean age 16.89 years) undergoing orthodontic treatment anonymously completed the German version of the Oral Health Impact Profile (OHIP-G14) to assess OHRQoL in addition to completing 23 other items. Descriptive, exploratory statistical analysis and multiple linear regression modelling were performed.
Results
The mean score of the OHIP-G14 was 8.3 for the 6- to 11-year olds, 8.9 for the 12- to 17-year olds, and 12.6 for adults. Physical pain (Subscale 2) was the highest factor in all groups. Additionally, a relevant factor was Subscale 3 (psychological discomfort). A linear regression model showed that, in the adolescent group, aesthetics in combination with pain had a significant negative influence on OHRQoL, whereas, in the adult group, function in combination with pain showed the same significant negative influence. Second, except for the children, fixed appliances had a significant negative effect on OHRQoL compared to removable appliances.
Conclusions
Our study showed that the majority of the 6- to 11-year olds and 12- to 17-year olds reported a good OHRQoL. Nevertheless, adolescents and adults who reported aesthetic/pain and function/pain problems, respectively, as reasons for orthodontic treatment showed a significant occurrence for reduced OHRQoL. Fixed appliances, in comparison with removable appliances, also resulted in a significant reduction in OHRQoL for both groups.
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Affiliation(s)
- Susie Paes da Silva
- Department of Orthodontics and Dentofacial Orthopedics, University Hospital, LMU Munich, Munich, Germany
| | - Vinay Pitchika
- Department of Operative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany
| | - Uwe Baumert
- Department of Orthodontics and Dentofacial Orthopedics, University Hospital, LMU Munich, Munich, Germany
| | - Heinrich Wehrbein
- Department of Orthodontics, Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany
| | | | - Dieter Drescher
- Department of Orthodontics, Heinrich-Heine-University, Duesseldorf, Germany
| | - Jan Kühnisch
- Department of Operative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany
| | - Andrea Wichelhaus
- Department of Orthodontics and Dentofacial Orthopedics, University Hospital, LMU Munich, Munich, Germany
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22
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González MJ, Romero M, Peñacoba C. Psychosocial dental impact in adult orthodontic patients: what about health competence? Health Qual Life Outcomes 2019; 17:110. [PMID: 31242920 PMCID: PMC6595686 DOI: 10.1186/s12955-019-1179-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2018] [Accepted: 06/11/2019] [Indexed: 11/13/2022] Open
Abstract
Background Several studies have assessed the psychological benefits of orthodontic treatment; however, the impact of competence on psychological benefits remains unknown. Aims: To analyze the change of the perception of psychosocial dental impact in a sample of adults undergoing orthodontic treatment (mild/moderate dental malocclusions) and to assess the possible moderating effect of health competence level. Methods A longitudinal prospective design was used. Three time points were included: baseline (T0), 6 months after starting orthodontic treatment (T1) and once treatment had finished (T2). The pretreatment sample consisted of 78 patients recruited from the Rey Juan Carlos University Dental Clinic, all of whom had moderate malocclusions and were going to undergo orthodontic treatment for approximately 18 months with fixed metal multibrackets. All participants were instructed to complete the Spanish version of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and the aesthetic component of the Index of Orthodontic Treatment Need (IOTN-AC) on the three points of the research. Statistical analysis involved the General Linear Model (GLM) repeated-measures ANOVA to test if the outcome measures of psychosocial dental impact significantly changed over time during orthodontic treatment (baseline, at 6-month evaluation and posttreatment). To assess the effect of the previous health competence levels (high/low) in the change from baseline to the 6-month assessment, for each PIDAQ dimension, a 2*2 (time*group) repeated measures ANOVA was performed. Results A significant increase was observed in dental self-confidence values (T0-T1 and T0-T2). Similar results were observed for the psychological impact variables and for the IOTN-AC scores, which showed significant decreases between T0 and T1 and between T0 and T2. Finally, significantly decreases were observed between T0 and T2 in aesthetic concern. Interaction effects were found regarding the health competence variable from T0-T1 for the psychological impact, social impact and aesthetic concern and the IOTN-AC index, with significant development results regarding the high competence group. Conclusions The first 6 months of orthodontic treatment seemed to be key to the development of psychosocial dental impact perception, during which the role of health competence was of great importance to developing a positive change. It is necessary to follow a biopsychosocial approach towards orthodontic treatment.
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Affiliation(s)
- María José González
- Department of Orthodontics, Universidad Rey Juan Carlos, Avda de Atenas s/n 28922 Alcorcón, Madrid, Spain.
| | - Martín Romero
- Department of Orthodontics, Universidad Rey Juan Carlos, Avda de Atenas s/n 28922 Alcorcón, Madrid, Spain
| | - Cecilia Peñacoba
- Psychology Department, Rey Juan Carlos University, Alcorcón, Madrid, Spain
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Krooks L, Pirttiniemi P, Tolvanen M, Kanavakis G, Lähdesmäki R, Silvola AS. Association of facial sagittal and vertical characteristics with facial aesthetics in the Northern Finland Birth Cohort 1966. Eur J Orthod 2019; 41:279-285. [PMID: 30215708 DOI: 10.1093/ejo/cjy062] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
OBJECTIVE To explore the association of facial sagittal and vertical dimensions with aesthetic assessment by three panel groups. MATERIALS AND METHODS The study population comprised adult individuals from the Northern Finland Birth Cohort 1966 (NFBC1966). A clinical oral examination including digital facial photographs was performed. The study population was divided into subjects with the lowest and highest values in soft tissue measurements in lower anterior facial height percentage (LAFH%) (60 subjects) and antero-posterior jaw relationship [soft tissue A-point, nasion, and B-point (ANB) angle; 60 subjects] and a control group (30 subjects). Frontal and profile facial photographs were presented to three panel groups: five orthodontists, five dentists, and five laypersons, who evaluated the photographs using the visual analogue scale (VAS). RESULTS This study showed significant differences in VAS mean scores between the panel groups. Curve estimation revealed a significant quadratic association between aesthetic VAS evaluation and ANB angle for all panel groups. The association between ANB angle and perceived facial attractiveness was highest among orthodontists (R2 = 0.276, P = 0.001 for males; R2 = 0.285, P = 0.001 for females). However, no statistically significant association was found between facial attractiveness and LAFH%. CONCLUSION Facial sagittal dimensions appeared to influence facial aesthetics more than vertical dimensions in middle-aged adults. In their perception of facial aesthetics, orthodontists were more influenced by antero-posterior jaw relationships than dentists and laypersons. The overall perception of facial attractiveness related to facial dimensions appeared to differ between the panel groups in female and male faces.
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Affiliation(s)
- Laura Krooks
- Department of Oral Development and Orthodontics, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu
| | - Pertti Pirttiniemi
- Department of Oral Development and Orthodontics, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu.,Oral and Maxillofacial Department, Oulu University Hospital, Medical Research Center Oulu
| | - Mimmi Tolvanen
- Department of Community Dentistry, Institute of Dentistry, University of Turku, Finland
| | - Georgios Kanavakis
- Department of Oral Development and Orthodontics, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu.,Department of Orthodontics and Pediatric Dentistry, UZB-University School of Dental Medicine, University of Basel, Switzerland
| | - Raija Lähdesmäki
- Department of Oral Development and Orthodontics, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu.,Oral and Maxillofacial Department, Oulu University Hospital, Medical Research Center Oulu
| | - Anna-Sofia Silvola
- Department of Oral Development and Orthodontics, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu.,Oral and Maxillofacial Department, Oulu University Hospital, Medical Research Center Oulu
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24
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Bindayel NA, Alwadei A, Almosa N, Aasser W, Qazali A, Samran A, Alqerban A. Evaluation of bracket failure in relation to different factors in patients experiencing comprehensive orthodontic treatment: A Retrospective Cohort Study. JOURNAL OF ORAL RESEARCH 2019. [DOI: 10.17126/joralres.2019.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective: The aim of this study was to investigate loose brackets in relation to various related factors in orthodontic patients who had completed orthodontic treatment. Material and Methods: In this retrospective study, 738 medical records of patients who had undergone comprehensive orthodontic treatment and matched specific inclusion criteria were selected. Paired t-tests and ANOVA, along with the Mann-Whitney test and Kruskal–Wallis analyses were performed to compare the means of variables between selected subgroups. Results: Loose brackets were found most frequently on premolars, followed by incisors and then canines (p<0.01). Male and young patients were found to have a higher incidence of loose brackets compared to female and adult patients (p=0.044 and p<0.01, respectively). The highest correlation coefficient value was found between treatment duration and total number of loose brackets (0.393), which was statistically significant. Conclusions: The frequency of total number of loose brackets increased with younger age group. Premolar teeth were found to be the most commonly affected teeth, followed by incisors and canines. Mandibular teeth presented more loose brackets than maxillary.
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Paunonen J, Helminen M, Sipilä K, Peltomäki T. Temporomandibular disorders in Class II malocclusion patients after surgical mandibular advancement treatment as compared to non-treated patients. J Oral Rehabil 2019; 46:605-610. [PMID: 30868620 DOI: 10.1111/joor.12790] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 03/01/2019] [Accepted: 03/09/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Severe malocclusions may cause functional and aesthetic problems and symptoms of temporomandibular disorders (TMD). Studies have investigated association between malocclusions and TMDs and shown controversial findings. OBJECTIVE Purpose of this investigation was to examine the prevalence of TMD sub-diagnoses, using Diagnostic Criteria for the TMD (DC/TMD), in patients with Class II malocclusion and retrognathic mandible who had undergone mandibular advancement surgery 4-8 years previously, and to compare their frequencies with non-treated patients with a similar pre-existing condition. METHODS Study cohort comprised 151 patients who had orthognathic treatment due to mandibular retrognathia in 2007-2011. Seventy-seven (51%) participated in the study (Group 1). Group 2 comprised 22 patients who were planned for orthognathic treatment but had not started their treatment. Patients filled in the Finnish version of the DC/TMD Symptom Questionnaire and were examined using to the DC/TMD Axis I. DC/TMD Symptom Questionnaire were inquired by phone from 24 of the 74 patients who did not participate in the study. RESULTS Results showed that Group 2 had more myalgia (13% vs 50%, P < 0.001) and arthralgia (18% vs 65%, P < 0.001) sub-diagnoses than Group 1. A tendency was noted that Group 2 had more pain-related TMD symptoms than Group 1. No differences were found between Groups 1 and 3 in gender and age distribution or frequency TMD symptoms. CONCLUSION Prevalence of especially pain-related TMD diagnoses was higher in Group 2 compared to Group 1, thus indicating a possible beneficial effect of this treatment for TMD.
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Affiliation(s)
- Jaakko Paunonen
- Department Oral Diseases, Seinäjoki Central Hospital, Seinäjoki, Finland
| | - Mika Helminen
- Research, Development and Innovation Centre, Tampere University Hospital, Tampere, Finland.,Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
| | - Kirsi Sipilä
- Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, Oulu, Finland.,Oral and Maxillofacial Department, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland
| | - Timo Peltomäki
- Field of Dentistry, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.,Institute of Dentistry, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
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Ferrando-Magraner E, García-Sanz V, Bellot-Arcís C, Montiel-Company JM, Almerich-Silla JM, Paredes-Gallardo V. Oral health-related quality of life of adolescents after orthodontic treatment. A systematic review. J Clin Exp Dent 2019; 11:e194-e202. [PMID: 30805125 PMCID: PMC6383897 DOI: 10.4317/jced.55527] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2018] [Accepted: 01/14/2019] [Indexed: 11/05/2022] Open
Abstract
Background Given the prevalence of malocclusions and the impact they have on oral health, patients' quality of life assessments provide useful information, not only in terms of patients' needs and expectations before treatment, but about whether or not orthodontic treatments meet them satisfactorily. The present systematic review was carried out to evaluate changes in the quality of life of adolescent patients after orthodontic treatment. Material and Methods An electronic search was conducted in the Pubmed, Embase, Cochrane and Scopus databases. The review followed PRISMA guidelines for systematic reviews and meta-analyses. Results Of the 817 studies identified in the initial search, only 10 met the inclusion criteria. In relation to the instrument used to assess oral health-related quality of life (OHRQoL), half the studies used the oral health impact profile-14 (OHIP-14) and the other half the child perceptions questionnaire (CPQ 11-14). All the studies, with the exception of Benson et al., reported a significant improvement in OHRQoL at the end of treatment. Conclusions There is a positive association between OHRQoL and orthodontic treatment in adolescent patients. Key words:Quality of life, life quality, oral health related quality of life, QoL, OHRQoL, orthodontic treatment, adolescents, teenagers.
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Affiliation(s)
- Elena Ferrando-Magraner
- Pre-doctoral student, Orthodontic Teaching Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Verónica García-Sanz
- Associate lecturer, Orthodontic Teaching Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Carlos Bellot-Arcís
- Assistant Lecturer, Orthodontic Teaching Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - José-María Montiel-Company
- Post-doctoral contract lecturer, Preventive Dentistry Teaching Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - José-Manuel Almerich-Silla
- Tenured lecturer, Preventive Dentistry Teaching Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
| | - Vanessa Paredes-Gallardo
- Post-doctoral contract lecturer, Orthodontic Teaching Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
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Impact of Le-Fort I osteotomy on anatomical and functional aspects of the nasal airway and on quality of life. Eur Arch Otorhinolaryngol 2019; 276:1065-1073. [PMID: 30643961 DOI: 10.1007/s00405-018-05277-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Accepted: 12/29/2018] [Indexed: 10/27/2022]
Abstract
OBJECTIVES Orthognathic surgery is a well-established procedure for skeletal deformities. Beneficial influences to the posterior airway space (PAS) have been described, but little is known about the subjective aesthetical and functional nasal aspects after orthognathic surgery. The aim of this study was to evaluate nasal airflow by anterior rhinomanometry and volumetric changes in the nasal airway space after mono- or bimaxillary surgery using cone-beam computed tomography (CBCT) and a new segmentation software. Furthermore, changes of patient's quality of life (QoL) should be assessed. METHODS Ten patients (9 skeletal class malformation III, 1 skeletal class malformation I) were included. CBCT images, rhinological inspections and anterior rhinomanometries were performed before (T0) and after surgery (T1). All patients completed the FROI-17, the ROE and the SF-36 questionnaires. RESULTS A significant postoperative gain for nasal airway volume compared with the baseline was shown (p < 0.014). No statistically significant differences between pre- and postoperative flow rates were found (p = 0.114). Pre- and postoperative cohorts did not differ in responses of disease-specific (ROE and FROI-17) and generic QoL questionnaires (SF-36). CONCLUSION Maxillary relocation surgery leads to a significant increase in nasal airway space. Subjectively, orthognathic patients did not experience any functional but psychosocial aspects after bimaxillary surgery.
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Influence of overjet and overbite on soft tissue profile in mature adults: A cross-sectional population study. Am J Orthod Dentofacial Orthop 2019; 155:57-63.e3. [DOI: 10.1016/j.ajodo.2018.02.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2017] [Revised: 02/01/2018] [Accepted: 02/01/2018] [Indexed: 11/19/2022]
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Recovery pattern following bimaxillary orthognathic surgery: Differences between sexes. J Craniomaxillofac Surg 2019; 47:138-142. [DOI: 10.1016/j.jcms.2018.11.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Revised: 09/20/2018] [Accepted: 11/02/2018] [Indexed: 11/23/2022] Open
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30
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Paunonen J, Helminen M, Peltomäki T. Long-term stability of mandibular advancement with bilateral sagittal split osteotomy. J Craniomaxillofac Surg 2018; 46:1421-1426. [DOI: 10.1016/j.jcms.2018.05.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2018] [Revised: 05/02/2018] [Accepted: 05/08/2018] [Indexed: 11/17/2022] Open
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Safari S, Mahdian A, Motamedian SR. Applications of stem cells in orthodontics and dentofacial orthopedics: Current trends and future perspectives. World J Stem Cells 2018; 10:66-77. [PMID: 29988866 PMCID: PMC6033713 DOI: 10.4252/wjsc.v10.i6.66] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Revised: 04/19/2018] [Accepted: 05/09/2018] [Indexed: 02/06/2023] Open
Abstract
A simple overview of daily orthodontic practice involves use of brackets, wires and elastomeric modules. However, investigating the underlying effect of orthodontic forces shows various molecular and cellular changes. Also, orthodontics is in close relation with dentofacial orthopedics which involves bone regeneration. In this review current and future applications of stem cells (SCs) in orthodontics and dentofacial orthopedics have been discussed. For craniofacial anomalies, SCs have been applied to regenerate hard tissue (such as treatment of alveolar cleft) and soft tissue (such as treatment of hemifacial macrosomia). Several attempts have been done to reconstruct impaired temporomandibular joint. Also, SCs with or without bone scaffolds and growth factors have been used to regenerate bone following distraction osteogenesis of mandibular bone or maxillary expansion. Current evidence shows that SCs also have potential to be used to regenerate infrabony alveolar defects and move the teeth into regenerated areas. Future application of SCs in orthodontics could involve accelerating tooth movement, regenerating resorbed roots and expanding tooth movement limitations. However, evidence supporting these roles is weak and further studies are required to evaluate the possibility of these ideas.
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Affiliation(s)
- Shiva Safari
- Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran 13819, Iran
| | - Arezoo Mahdian
- Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran 13819, Iran
| | - Saeed Reza Motamedian
- Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran 13819, Iran.
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Penha KVDF, Sousa ACS, Oliveira CA, de Andrade RSB, Vasconcelos DFP. A swift, easy and cheap protocol to evaluate the tooth bleaching in vitro. J Clin Exp Dent 2018; 10:e579-e584. [PMID: 29930777 PMCID: PMC6005090 DOI: 10.4317/jced.54828] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 04/11/2018] [Indexed: 11/13/2022] Open
Abstract
Background This study aims to develop a protocol that optimizes in vitro dental bleaching procedures in a cheap, fast and accessible manner. Material and Methods 18 bovine incisors were cut and polished in enamel/dentin and submitted to staining in coffee solution during 72 hours. After the standardization and staining of the enamel surfaces, three groups (n = 6) were formed to receive three different gels, WHITENESS (commercial gel); H2O2 - 5% (manipulated gel); CARBOPOL GEL (manipulated gel and without H2O2). The color of the enamel surfaces was evaluated using digital images, obtained with digital camera and controlled luminosity, before and after staining, as well as after each bleaching step. Results The average bleaching after 48 hours of procedure was: WHITENESS with 13.6 (± 1.2); H2O2 (5%) with 9.8 (± 1.4) and CARBOPOL GEL with 2.9 (± 0.6). After 72 hours, WHITENESS presented a mean of 15.8 (± 0.7), the H2O2 group (5%) 14.4 (± 1.5) and CARBOPOL GEL 4.6 (± 1.0). After completing 96 hours of whitening, WHITENESS presented an average of 18.3 (± 0.8), H2O2 (5%) 16.7 (± 1.4) and CARBOPOL GEL 7.3 (± 0.8). Our data demonstrated that the protocol development for us can be used to evaluate dental bleaching in a short time, with 96 hours already was possible to detect significant differences, when compared with the longer times of experimental dental bleaching. Conclusions The proposed protocol guarantees statistically significant results in 96 hours, confirming the efficacy, cheapness, viability and practicality of the protocol developed in this study. Key words:Enamel, color, aesthetics.
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Affiliation(s)
| | - Anne-Carolyne-Santos Sousa
- Laboratory of Histological Analysis and Preparation (LAPHIS), Federal University of Piaui, Parnaiba, PI, Brazil
| | - Camila-Araújo Oliveira
- Laboratory of Histological Analysis and Preparation (LAPHIS), Federal University of Piaui, Parnaiba, PI, Brazil
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Şahin B, İlgün G. Assessment of the efficiency of dental services in Turkey. HEALTH POLICY AND TECHNOLOGY 2018. [DOI: 10.1016/j.hlpt.2018.03.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Salokorpi N, Savolainen T, Sinikumpu JJ, Ylikontiola L, Sándor GK, Pirttiniemi P, Serlo W. Outcomes of 40 Nonsyndromic Sagittal Craniosynostosis Patients as Adults: A Case-Control Study With 26 Years of Postoperative Follow-up. Oper Neurosurg (Hagerstown) 2018; 16:1-8. [DOI: 10.1093/ons/opy047] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Accepted: 02/19/2018] [Indexed: 12/22/2022] Open
Affiliation(s)
- Niina Salokorpi
- Department of Neurosurgery, Oulu University Hospital, Oulu, Finland
- Medical Research Centre, Oulu University Hospital, Oulu, Finland
| | - Tuula Savolainen
- Department of Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland
- Medical Research Centre, Oulu University Hospital, Oulu, Finland
| | - Juha-Jaakko Sinikumpu
- Medical Research Centre, Oulu University Hospital, Oulu, Finland
- Department of Children and Adolescent, Oulu University Hospital, Oulu, Finland
- PEDEGO Research group, University of Oulu, Oulu, Finland
| | - Leena Ylikontiola
- Medical Research Centre, Oulu University Hospital, Oulu, Finland
- Department of Tissue Engineering and Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland
| | - George K Sándor
- Medical Research Centre, Oulu University Hospital, Oulu, Finland
- Department of Tissue Engineering and Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland
| | - Pertti Pirttiniemi
- Department of Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland
- Medical Research Centre, Oulu University Hospital, Oulu, Finland
| | - Willy Serlo
- Medical Research Centre, Oulu University Hospital, Oulu, Finland
- Department of Children and Adolescent, Oulu University Hospital, Oulu, Finland
- PEDEGO Research group, University of Oulu, Oulu, Finland
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Jussila P, Krooks L, Näpänkangas R, Päkkilä J, Lähdesmäki R, Pirttiniemi P, Raustia A. The role of occlusion in temporomandibular disorders (TMD) in the Northern Finland Birth Cohort (NFBC) 1966. Cranio 2018; 37:231-237. [PMID: 29308993 DOI: 10.1080/08869634.2017.1414347] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE To investigate the role of occlusion in temporomandibular disorders (TMDs) in the Northern Finland Birth Cohort 1966 (NFBC 1966). METHODS Subjects (n = 1962) participated in clinical medical and dental examinations. The association between TMD signs and diagnoses with occlusal disturbances, i.e. malocclusions and occlusal interferences, was examined. Pearson's chi-square test, as expressed by odds ratios (OR) and 95% confidence intervals (CI) and logistic regression models, were used in the analysis. RESULTS A statistically significant association was found between myalgia and lateral scissor bite and also between arthralgia and lateral deviation in the retruded contact position and intercuspal contact position (RCP-ICP) slide. Pain in the masticatory muscles was associated with negative overjet and the amount of RCP-ICP slide. DISCUSSION Occlusal factors showed a statistically significant association with TMD. The TMD signs were associated with unstable occlusion, especially the amount and lateral deviation in RCP-ICP slide, as well as negative overjet.
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Affiliation(s)
- Päivi Jussila
- a Research Unit of Oral Health Sciences, Faculty of Medicine , University of Oulu , Oulu , Finland.,b Medical Research Center , Oulu University Hospital and University of Oulu , Oulu , Finland
| | - Laura Krooks
- a Research Unit of Oral Health Sciences, Faculty of Medicine , University of Oulu , Oulu , Finland.,b Medical Research Center , Oulu University Hospital and University of Oulu , Oulu , Finland
| | - Ritva Näpänkangas
- a Research Unit of Oral Health Sciences, Faculty of Medicine , University of Oulu , Oulu , Finland.,b Medical Research Center , Oulu University Hospital and University of Oulu , Oulu , Finland
| | - Jari Päkkilä
- c Department of Mathematical Sciences , University of Oulu , Oulu , Finland
| | - Raija Lähdesmäki
- a Research Unit of Oral Health Sciences, Faculty of Medicine , University of Oulu , Oulu , Finland.,b Medical Research Center , Oulu University Hospital and University of Oulu , Oulu , Finland
| | - Pertti Pirttiniemi
- a Research Unit of Oral Health Sciences, Faculty of Medicine , University of Oulu , Oulu , Finland.,b Medical Research Center , Oulu University Hospital and University of Oulu , Oulu , Finland
| | - Aune Raustia
- a Research Unit of Oral Health Sciences, Faculty of Medicine , University of Oulu , Oulu , Finland.,b Medical Research Center , Oulu University Hospital and University of Oulu , Oulu , Finland
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Souki MQ. Severe Angle Class III skeletal malocclusion associated to mandibular prognathism: orthodontic-surgical treatment. Dental Press J Orthod 2018; 21:103-114. [PMID: 28125146 PMCID: PMC5278940 DOI: 10.1590/2177-6709.21.6.103-114.bbo] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Accepted: 10/06/2016] [Indexed: 11/21/2022] Open
Abstract
The present case report describes the orthodontic treatment of a young adult patient (18y / 1m), Class III skeletal malocclusion, with mandibular prognathism and significant dental compensation. The canine relation was Class III, incisors with tendency to crossbite and open bite, moderate inferior crowding, and concave profile. Skeletal correction of malocclusion, facial profile harmony with satisfactory labial relationship, correction of tooth compensation and normal occlusal relationship were obtained with orthodontic treatment associated to orthognathic surgery. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO), as part of the requirements to become a BBO diplomate.
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Affiliation(s)
- Marcelo Quiroga Souki
- Certificate and MSD in Orthodontics, PUC-Minas. Brazilian Board of Orthodontic Diplomate
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37
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Effect of malocclusion on adults seeking orthodontic treatment. Am J Orthod Dentofacial Orthop 2017; 152:778-787. [DOI: 10.1016/j.ajodo.2017.04.023] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Revised: 04/01/2017] [Accepted: 04/01/2017] [Indexed: 11/23/2022]
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A longitudinal study of changes in psychosocial well-being during orthognathic treatment. Int J Oral Maxillofac Surg 2017; 46:1380-1386. [DOI: 10.1016/j.ijom.2017.05.004] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Revised: 02/28/2017] [Accepted: 05/09/2017] [Indexed: 11/22/2022]
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Antoniazzi RP, Fischer LDS, Balbinot CEA, Antoniazzi SP, Skupien JA. Impact of excessive gingival display on oral health-related quality of life in a Southern Brazilian young population. J Clin Periodontol 2017; 44:996-1002. [DOI: 10.1111/jcpe.12753] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/22/2017] [Indexed: 11/30/2022]
Affiliation(s)
| | - Luana de S. Fischer
- Department of Periodontology; Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | | | | | - Jovito A. Skupien
- School of Dentistry; Franciscan University Center; Santa Maria RS Brazil
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40
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Pietilä R, Tolvanen M, Peltomäki T, Svedström-Oristo AL. Symptoms in the masticatory system and related quality of life in prospective orthognathic patients. Acta Odontol Scand 2017; 75:402-406. [PMID: 28502207 DOI: 10.1080/00016357.2017.1324637] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The aim of this study was to investigate the relation between orthognathic patients' self-reported symptoms in the head and neck region and their quality of life (QoL). MATERIAL AND METHODS Participants included were consecutive patients (n = 50) referred to the assessment of orthognathic treatment need and voluntary first-year university students (n = 29). All participants filled in the Orthognathic Quality of Life Questionnaire (OQLQ) and a structured diary created by the authors. The median values of Orthognathic Quality of Life (OQOL) sum and subscores, satisfaction with oral function and number of awakenings were compared between patients and controls. Further, correlations between the OQOL sum and subscores, satisfaction with oral function and number of awakenings were analyzed. RESULTS Patients reported significantly more symptoms (p = .013) and woke up significantly more often than the controls (p = .032). Their OQOL sum scores were significantly higher (indicating a lower OQOL) (p = .001), and they were significantly less satisfied with their oral function than the controls (p < .001). Among the awakened and not-rested patients, the most commonly reported symptoms were pain in the head and/or neck region and fatigue and/or stiffness in the jaws. CONCLUSIONS Experiences of pain and discomfort have a significant impact on patients' OQOL and well-being.
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Affiliation(s)
- Riikka Pietilä
- Institute of Dentistry, University of Turku, Turku, Finland
| | - Mimmi Tolvanen
- Department of Community Dentistry, Institute of Dentistry, University of Turku, Turku, Finland
| | - Timo Peltomäki
- Oral and Maxillofacial Unit of Tampere University Hospital, Tampere, Finland
- Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland
| | - Anna-Liisa Svedström-Oristo
- Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland
- Department of Oral Development and Orthodontics, Institute of Dentistry, University of Turku, Turku, Finland
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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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Bergkulla N, Hänninen H, Alanko O, Tuomisto M, Kurimo J, Miettinen A, Svedström-Oristo AL, Cunningham S, Peltomäki T. Introduction and assessment of orthognathic information clinic. Eur J Orthod 2017; 39:660-664. [DOI: 10.1093/ejo/cjx025] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Yamamoto M, Torii K, Sato M, Tanaka J, Tanaka M. Analysis of gaze points for mouth images using an eye tracking system. J Prosthodont Res 2017; 61:379-386. [PMID: 28057443 DOI: 10.1016/j.jpor.2016.12.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Revised: 11/30/2016] [Accepted: 12/09/2016] [Indexed: 11/27/2022]
Abstract
PURPOSE We aimed to clarify whether people stare at non-esthetic restorations by analyzing the gaze point of laypersons looking at mouth images with intraoral non-esthetic restoration. METHODS The gaze points of 47 laypersons who do not visit dentists were measured using an eye tracker. The stimuli were 18 photographs of mouths with or without a non-esthetic tooth restoration, each randomly shown for 5s. The analysis sites included a tooth with non-esthetic restoration and the same tooth on the opposite side of the mouth. We measured the proportion of participants who first fixated on each analysis site, and total fixation time for each site. RESULTS In images without non-esthetic restorations, a similar proportion of participants first fixated on each analysis site. However, more participants first fixated on non-esthetic restorations when the images contained them. Total fixation time for each site did not differ significantly between the left and right sides in the images without non-esthetic restoration (P>0.05). Participants fixated on the non-esthetic restoration significantly more in the images containing them (P<0.01). CONCLUSIONS Within the limitations of this study, the present findings suggest that in photographs of the mouth with non-esthetic restoration on either side, the non-esthetic restoration is first gazed before the opposite side. In addition, the non-esthetic restoration is gazed longer than the opposite side, and there was no major difference in the fixation time regarding the state of non-esthetic restoration.
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Affiliation(s)
- Mayu Yamamoto
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Osaka, Japan.
| | - Katsunori Torii
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Osaka, Japan
| | - Masaki Sato
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Osaka, Japan
| | - Junko Tanaka
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Osaka, Japan
| | - Masahiro Tanaka
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Osaka, Japan
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Abstract
The literature shows that the indications for orthognathic surgery (OS) are often functional problems and unsatisfactory facial esthetics. This study investigated the esthetic outcomes and overall satisfaction following OS. Somatosensory change is a relatively common complication and its influence on the level of satisfaction was studied. The social-networking web site Facebook was used to identify the study population. An online questionnaire was performed using the website SurveyMonkey. In all, 105 (9%) respondents from the Danish Facebook group about OS, called Kaebeoperation (jaw surgery), were enrolled in the study. The respondents consisted of 12 men and 93 women, with a mean age of 27 ± 9 years. Fifty-four percent replied that esthetic concerns were the reason for the OS. Eighty-four percent reported improvement in facial esthetics after the OS. Men indicated a higher degree of improvement in beauty than women (P = 0.030). Sixty-four percent replied that their attractiveness had been increased after OS. Eighty-six percent were happy with the results and 89% would recommend the surgery to others in need. No significant differences in esthetic results and satisfaction were seen with regard to sex, age, and somatosensory change. High satisfaction and improvement in facial esthetic after OS were seen. Young patients (16-25 years) and men indicated a higher degree of satisfaction than old (>25 years) patients and women. The use of social media seems to be an interesting platform for qualitative scientific research in certain age groups. Further prospective and objective studies about the esthetic improvement after OS should be performed.
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45
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Isiekwe GI, Sofola OO, Onigbogi OO, Utomi IL, Sanu OO, daCosta OO. Dental esthetics and oral health-related quality of life in young adults. Am J Orthod Dentofacial Orthop 2016; 150:627-636. [DOI: 10.1016/j.ajodo.2016.03.025] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Revised: 03/01/2016] [Accepted: 03/01/2016] [Indexed: 12/23/2022]
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de Couto Nascimento V, de Castro Ferreira Conti AC, de Almeida Cardoso M, Valarelli DP, de Almeida-Pedrin RR. Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation. Angle Orthod 2016; 86:839-845. [PMID: 26901114 PMCID: PMC8600842 DOI: 10.2319/072215-496.1] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Accepted: 12/01/2015] [Indexed: 08/13/2023] Open
Abstract
OBJECTIVE To evaluate whether orthodontic treatment in adults requiring oral rehabilitation is effective for increasing patients' self-esteem and quality of life (QoL). MATERIALS AND METHODS The sample consisted of 102 adult patients (77 women and 25 men) aged between 18 and 66 years (mean, 35.1 years) requiring oral rehabilitation and orthodontic treatment simultaneously. Rosenberg's Self-Esteem (RSE) Scale and a questionnaire about QoL based on the Oral Health Impact Profile (OHIP-14) were used to determine self-esteem and QoL scores retrospectively. Questionnaires were carried out in two stages, T1 (start of treatment) and T2 (6 months after). To compare score changes between T1 and T2, the data obtained from the RSE Scale were evaluated with paired t tests, and data from the quality-of-life questionnaire were assessed by applying descriptive statistics. RESULTS The results showed a statistically significant increase in self-esteem (P < .001) and a great improvement on patients' QoL. CONCLUSIONS Orthodontic treatment causes a significant increase in self-esteem and QoL, providing psychological benefits for adult patients in need of oral rehabilitation.
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Affiliation(s)
- Vanessa de Couto Nascimento
- MSc Student, Department of Orthodontics, Institute of Dentistry, Sagrado Coração University, Bauru, SP, Brazil
| | | | - Maurício de Almeida Cardoso
- Professor, Department of Orthodontics, Institute of Dentistry, Sagrado Coração University, Bauru, SP, Brazil
| | - Danilo Pinelli Valarelli
- Professor, Department of Orthodontics, Institute of Dentistry, Sagrado Coração University, Bauru, SP, Brazil
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Svedström-Oristo AL, Ekholm H, Tolvanen M, Peltomäki T. Self-reported temporomandibular disorder symptoms and severity of malocclusion in prospective orthognathic-surgical patients. Acta Odontol Scand 2016; 74:466-70. [PMID: 27339119 DOI: 10.1080/00016357.2016.1199815] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE The objective of this study is to analyze the association between self-reported symptoms of temporomandibular joint disorder (TMD) and the severity of malocclusion in prospective orthognathic-surgical patients. MATERIAL AND METHODS The subjects consisted of 50 consecutive patients (13 males and 37 females) referred to two university clinics for assessment of orthodontic-surgical treatment need. Data considering self-reported TMD symptoms were gathered using a semi-structured diary. At the first appointment, all patients rated the importance of treatment (on a scale of 1-10) and assessed self-perceived dental appearance using a VAS scale. The scale was anchored with photographs 1 and 10 from the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN). Study models were assessed by an experienced orthodontic specialist using the Peer Assessment Rating (PAR) index and the Index of Complexity, Outcome and Need (ICON). Association between the PAR and ICON scores and the number of reported symptoms was analyzed statistically. RESULTS Seventy-one percent of patients reported experiencing TMD symptoms. The most prevalent symptoms were pain in the head and/or neck region and fatigue in the TMJ region. The number of symptoms was highest in the morning. Ninety percent of males and 86% of females rated the importance of treatment as high; males experiencing TMD symptoms tended to rate surgery as more important compared with males with no symptoms (p = 0.056). CONCLUSIONS In this sample, the results cannot unambiguously confirm an association between self-reported symptoms of TMD and objectively defined severity of malocclusion.
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48
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Ashari A, Mohamed AM. Relationship of the Dental Aesthetic Index to the oral health-related quality of life. Angle Orthod 2016; 86:337-42. [PMID: 26017471 PMCID: PMC8603622 DOI: 10.2319/121014-896.1] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2015] [Accepted: 04/01/2015] [Indexed: 01/25/2024] Open
Abstract
OBJECTIVE To assess the impact of malocclusion on the quality of life. MATERIALS AND METHODS This cross-sectional study involved 150 subjects attending the Primary Care Unit with no history of orthodontic treatment. The Dental Aesthetic Index (DAI) with 10 occlusal characteristics were measured on study models. Oral health-related quality of life (OHRQoL) was assessed with the Malaysian version of the Oral Health Impact Profile questionnaire (OHIP-14). The Spearman rank-order correlation coefficient was used to evaluate the relationship between the malocclusion and quality of life. RESULTS Significantly weak correlations (r = .176) were found between the DAI and the OHRQoL. Females and the younger age group (12-19 years) tended to score higher on the OHIP-14 than their counterparts. For males, domain 3 (psychological discomfort; r = .462), domain 4 (physical disability; r = .312), domain 7 (handicap; r = .309), and overall score (r = .289) were weak correlates but significant to the DAI compared with females. The older age group showed a significant weak correlation in domain 3 (psychological discomfort; r = .268) and domain 7 (handicap; r = .238), whereas the younger age group showed no correlation with any domain. CONCLUSIONS The DAI score does not predict the effect of malocclusion on the OHRQoL.
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Affiliation(s)
- Asma Ashari
- a Training Lecturer and Dental Officer, Department of Orthodontics, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Alizae M Mohamed
- b Head, Orthodontics Specialist and Lecturer, Department of Orthodontics, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
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49
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Trushkowsky RD, Alsadah Z, Brea LM, Oquendo A. The Interplay of Orthodontics, Periodontics, and Restorative Dentistry to Achieve Aesthetic and Functional Success. Dent Clin North Am 2015; 59:689-702. [PMID: 26140975 DOI: 10.1016/j.cden.2015.03.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Previously dentists focused on repair and maintenance of function. However, the emphasis of many patients and dentists is now on esthetics. Often there is a need for the disciplines of orthodontics, periodontics, restorative dentistry, and maxillofacial surgery to work together in order to achieve optimum results. Currently the sequencing planning process begins with esthetics and then function, structure, and ultimately biology.
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Affiliation(s)
- Richard D Trushkowsky
- Advanced Program for International Dentists in Aesthetic Dentistry, Department of Cariology and Comprehensive Care, New York University College of Dentistry, 345 East 24th Street, Clinic 7W, New York, NY 10010, USA.
| | - Zainab Alsadah
- Advanced Program for International Dentists in Aesthetic Dentistry, New York University College of Dentistry, 345 East 24th Street, Clinic 7W, New York, NY 10010, USA
| | - Luis M Brea
- Advanced Program for International Dentists in Aesthetic Dentistry, Department of Cariology and Comprehensive Care, New York University College of Dentistry, 345 East 24th Street, Clinic 7W, New York, NY 10010, USA
| | - Anabella Oquendo
- Advanced Program for International Dentists in Aesthetic Dentistry, Department of Cariology and Comprehensive Care, New York University College of Dentistry, 345 East 24th Street, Clinic 7W, New York, NY 10010, USA
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50
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Migliorucci RR, Sovinski SRP, Passos DCBDOF, Bucci AC, Salgado MH, Nary Filho H, Abramides DVM, Berretin-Felix G. Orofacial functions and quality of life in oral health in subjects with dentofacial deformity. Codas 2015. [DOI: 10.1590/2317-1782/20152014162] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
PURPOSE: To investigate the influence of the facial pattern in orofacial functions (OFFs) and quality of life (QoL), and their relationship in individuals with dentofacial deformities (DFD). METHODS: As approved by the Research Ethics Committee, 36 subjects, aged between 18 and 40 years, divided into three groups of seven female and five male participants, i.e., facial pattern I (n=12), pattern II (n=12) and pattern III (n=12), participated in this study. The OFFs were assessed using the MBGR protocol and QoL by the Oral Health Impact Profile (OHIP-14) questionnaire. Comparisons between OFFs and facial patterns were made using the Kruskal-Wallis test, and the correlation between the facial pattern and QoL by means of Spearman's test, considering a 5% significance level. RESULTS: A significant difference (p<0.05) was observed when comparing patterns I and II, and patterns I and III, with no difference between patterns II and III, neither in the OHIP-14 nor in the MBGR. A significant linear correlation (r=0.666; p<0.05) was verified between the MBGR and the OHIP-14, showing that the worse the OFFs, the worse the QoL. CONCLUSION: The facial pattern influenced the performance of the OFFs and the QoL in individuals presenting DFD, with a greater occurrence of changes for patterns II and III, and the worse the OFFs, the worse the QoL in cases with DFD.
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