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Reported changes in oral health-related quality of life in children and adolescents before, during, and after orthodontic treatment: a longitudinal study.
Eur J Orthod. 2019 03 29; 41(2):125-132.EJ

Abstract

OBJECTIVES

To investigate the changes in oral health-related quality of life (OHRQoL) before, during, and after orthodontic treatment, determine the relationship with the original treatment need and evaluate the influence of self-esteem (SE).

MATERIALS AND METHODS

OHRQoL questionnaires were used in an ongoing observational prospective cohort study at baseline (T0), 1 year after start (T1), and 1 month after the end of active orthodontic treatment (T2). Participants were 11-16-year-old at baseline and 215 complete cases were obtained from a total of 498. OHRQoL was scored by using the Child Perception Questionnaire (CPQ11-14), SE was assessed by the Dutch adaptation of the Harter's Self-Perception Profile for Adolescents and treatment need was defined by the Index of Orthodontic Treatment Need (IOTN). The Oral Aesthetic Subjective Impact Scale (OASIS) was included to score perceived treatment need. Data were analyzed with Spearman correlation, Mann-Whitney U-test and linear models for longitudinal data.

RESULTS

A significant decrease in IOTN and in OASIS was noted from T0-T1-T2 (P < 0.0001). CPQ results show a decrease from T0 to T2, from T1 to T2 and an increase from T0 to T1 (P < 0.0001). This was valid for the overall CPQ scores and its subdomains except for emotional well-being (EW), which decreases from T0-T1-T2. A correlation was found between baseline SE and the change of total CPQ scores between T0 and T2, also for EW (r = 0.325 and r = 0.354).

CONCLUSIONS

OHRQoL ameliorates after orthodontic treatment. High baseline SE works as a protective factor for OHRQoL.

Authors+Show Affiliations

Department of Oral Health Sciences Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Leuven, Belgium.Department of Oral Health Sciences Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Leuven, Belgium.Child and Adolescent Psychiatry/Pediatric Haemato-oncology, University Hospitals Leuven, Leuven, Belgium.Department of Oral Health Sciences Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Leuven, Belgium.Interuniversity Institute for Biostatistics and statistical Bioinformatics, KU Leuven and University Hasselt, Hasselt, Belgium.Department of Oral Health Sciences Orthodontics, KU Leuven and Dentistry, University Hospitals Leuven, Leuven, Belgium.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

29917078

Citation

Jaeken, Katrien, et al. "Reported Changes in Oral Health-related Quality of Life in Children and Adolescents Before, During, and After Orthodontic Treatment: a Longitudinal Study." European Journal of Orthodontics, vol. 41, no. 2, 2019, pp. 125-132.
Jaeken K, Cadenas de Llano-Pérula M, Lemiere J, et al. Reported changes in oral health-related quality of life in children and adolescents before, during, and after orthodontic treatment: a longitudinal study. Eur J Orthod. 2019;41(2):125-132.
Jaeken, K., Cadenas de Llano-Pérula, M., Lemiere, J., Verdonck, A., Fieuws, S., & Willems, G. (2019). Reported changes in oral health-related quality of life in children and adolescents before, during, and after orthodontic treatment: a longitudinal study. European Journal of Orthodontics, 41(2), 125-132. https://doi.org/10.1093/ejo/cjy035
Jaeken K, et al. Reported Changes in Oral Health-related Quality of Life in Children and Adolescents Before, During, and After Orthodontic Treatment: a Longitudinal Study. Eur J Orthod. 2019 03 29;41(2):125-132. PubMed PMID: 29917078.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reported changes in oral health-related quality of life in children and adolescents before, during, and after orthodontic treatment: a longitudinal study. AU - Jaeken,Katrien, AU - Cadenas de Llano-Pérula,Maria, AU - Lemiere,Jurgen, AU - Verdonck,Anna, AU - Fieuws,Steffen, AU - Willems,Guy, PY - 2018/6/20/pubmed PY - 2019/6/25/medline PY - 2018/6/20/entrez SP - 125 EP - 132 JF - European journal of orthodontics JO - Eur J Orthod VL - 41 IS - 2 N2 - OBJECTIVES: To investigate the changes in oral health-related quality of life (OHRQoL) before, during, and after orthodontic treatment, determine the relationship with the original treatment need and evaluate the influence of self-esteem (SE). MATERIALS AND METHODS: OHRQoL questionnaires were used in an ongoing observational prospective cohort study at baseline (T0), 1 year after start (T1), and 1 month after the end of active orthodontic treatment (T2). Participants were 11-16-year-old at baseline and 215 complete cases were obtained from a total of 498. OHRQoL was scored by using the Child Perception Questionnaire (CPQ11-14), SE was assessed by the Dutch adaptation of the Harter's Self-Perception Profile for Adolescents and treatment need was defined by the Index of Orthodontic Treatment Need (IOTN). The Oral Aesthetic Subjective Impact Scale (OASIS) was included to score perceived treatment need. Data were analyzed with Spearman correlation, Mann-Whitney U-test and linear models for longitudinal data. RESULTS: A significant decrease in IOTN and in OASIS was noted from T0-T1-T2 (P < 0.0001). CPQ results show a decrease from T0 to T2, from T1 to T2 and an increase from T0 to T1 (P < 0.0001). This was valid for the overall CPQ scores and its subdomains except for emotional well-being (EW), which decreases from T0-T1-T2. A correlation was found between baseline SE and the change of total CPQ scores between T0 and T2, also for EW (r = 0.325 and r = 0.354). CONCLUSIONS: OHRQoL ameliorates after orthodontic treatment. High baseline SE works as a protective factor for OHRQoL. SN - 1460-2210 UR - https://www.unboundmedicine.com/medline/citation/29917078/Reported_changes_in_oral_health_related_quality_of_life_in_children_and_adolescents_before_during_and_after_orthodontic_treatment:_a_longitudinal_study_ L2 - https://academic.oup.com/ejo/article-lookup/doi/10.1093/ejo/cjy035 DB - PRIME DP - Unbound Medicine ER -