Oral health–related quality of life changes in standard, cleft, and surgery patients after orthodontic treatment

Introduction The purpose of this study was to investigate the effect of orthodontic treatment on oral health–related quality of life (OHRQoL) in groups of standard patients with severe malocclusions; cleft lip, cleft palate, or cleft lip and palate patients; and orthognathic surgery patients. Method...

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Bibliographic Details
Published in:American journal of orthodontics and dentofacial orthopedics 2015-10, Vol.148 (4), p.568-575
Main Authors: Antoun, Joseph S, Fowler, Peter V, Jack, Hannah C, Farella, Mauro
Format: Article
Language:English
Subjects:
Adolescent
Adult
Affect
Attitude to Health
Child
Cleft Lip - psychology
Cleft Lip - surgery
Cleft Palate - psychology
Cleft Palate - surgery
Dentistry
Dentofacial Deformities - psychology
Dentofacial Deformities - surgery
Female
Humans
Index of Orthodontic Treatment Need
Interpersonal Relations
Male
Malocclusion - psychology
Malocclusion - therapy
Oral Health
Orthodontics, Corrective - psychology
Orthognathic Surgical Procedures - psychology
Patient Satisfaction
Quality of Life
Self Concept
Speech - physiology
Stress, Psychological - psychology
Young Adult
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Summary:Introduction The purpose of this study was to investigate the effect of orthodontic treatment on oral health–related quality of life (OHRQoL) in groups of standard patients with severe malocclusions; cleft lip, cleft palate, or cleft lip and palate patients; and orthognathic surgery patients. Methods The study sample consisted of 83 consecutive patients undergoing treatment at the orthodontic unit of Christchurch Hospital, Christchurch, New Zealand, divided into 3 groups: 30 adolescents with severe malocclusions; 24 adolescents with cleft lip, cleft palate, or cleft lip and palate; and 29 adults with severe skeletal discrepancies requiring both orthognathic surgery and orthodontic treatment. Each patient completed the Short Form of the Oral Health Impact Profile (OHIP-14) questionnaire before and after orthodontic treatment. Results The baseline OHIP-14 subscale scores among the 3 study groups were significantly different, with the surgery patients having nearly twice the OHIP-14 scores of the other 2 groups for nearly half of the items ( P  
ISSN:0889-5406
1097-6752
DOI:10.1016/j.ajodo.2015.03.028