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Oral health-related quality of life after orthodontic treatment for anterior tooth alignment

Association with emotional state and sociodemographic factors

Mundgesundheitsbezogenen Lebensqualität nach ästhetischen kieferorthopädischen Maßnahmen mit Frontzahnstellungskorrektur

Assoziation mit Stimmungslage und soziodemographischen Faktoren

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Abstract

Objectives

The aim of this work was to evaluate associations of oral health-related quality of life (OHRQoL) with sociodemographic factors and with emotional state in adults after orthodontic treatment for anterior tooth alignment. Few studies have examined these specific associations in the past, one reason presumably being a lack of specific instruments.

Patients and methods

A total of 128 adult patients consecutively treated with multibracket appliances were contacted during the retention period. The response rate was 68 %. They were asked to complete both an emotional well-being test (Zerssen Mood Scale, Bf-S) and a 52-item orthodontic survey of OHRQoL, which we had developed based on the German version of the Oral Health Impact Profile (OHIP-G14).

Results

The study demonstrated a high association of self-perceived apperance with OHRQoL and a strong role of the teeth and mouth. Aside from a few exceptions, the patients’ responses in the survey did not reveal any significant gender-specific or age-specific differences. By contrast, patients in lower-than-normal spirits were found to also respond with significantly less favorable ratings to the survey items dealing with self-perceived overall attractiveness, facial attractivenss, and course of treatment.

Conclusion

Dental appearance has a psychosocial impact on private and job-related interactions, which can increase the motivation of those affected to seek treament. Our orthodontic OHRQoL survey proved to be informative and practical. Findings that were especially striking included the patients’ high acceptance of the changes induced by treatment and their high willingness to recommend such treatment to other adults.

Zusammenfassung

Zielsetzung

Die vorliegende Untersuchung analysierte die Assoziation von mundgesundheitsbezogener Lebensqualität (MLQ) mit soziodemographischen Faktoren und Stimmungslage bei erwachsenen kieferorthopädischen Patienten nach Frontzahnstellungskorrektur. Nur wenige Studien untersuchten bislang diese spezifischen Assoziationen. Ein Grund ist möglicherweise ein Mangel an für diese Fragestellung spezifischen Untersuchungsinstrumenten.

Methode

Insgesamt wurden 128 konsekutiv mit Multibracketapparatur behandelte erwachsene Patienten in der Retentionsphase angeschrieben (Rücklaufquote 68 %). Die Stimmungslage wurde mit der Befindlichkeitsskala nach Zerssen (Bf-S) gemessen, ferner beantworteten die Patienten einen kieferorthopädischen Zusatzuntersuchungsbogen (52 Items zur MLQ) basierend auf dem OHIP-G-14.

Ergebnisse

Die Untersuchungsergebnisse belegten den hohen Stellenwert des eigenen Erscheinungsbildes auf die MLQ sowie den wesentlichen Einfluss von Zähnen und Mundpartie. Es zeigten sich, bis auf wenige Ausnahmen, keine signifikanten geschlechts- oder altersspezifischen Unterschiede. Dagegen bewerteten Patienten mit „hyponormalem“ Wohlbefinden die Aussagen des Untersuchungsbogens zur Einschätzung der eigenen gesamten Attraktivität, der Attraktivität des eigenen Gesichtes und zum Ablauf der Behandlung signifikant schlechter.

Schlussfolgerungen

Das Erscheinungsbild der Zähne hat psychosoziale Auswirkungen auf das persönliche und berufliche Umfeld des Patienten, dies kann sich fördernd auf die Behandlungsmotivation auswirken. Der verwendete kieferorthopädische MLQ-Untersuchungsbogen zeigte sich aussagefähig und praktikabel. Besonders auffällig war eine im Ergebnis hohe positive Resonanz der Patienten auf die Veränderungen durch die Behandlung und eine hohe Zustimmung, die Behandlung weiter zu empfehlen.

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Authors and Affiliations

  1. Department of Orthodontics, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus 26, 24105, Kiel, Germany

    Jana Kolenda, Helge Fischer-Brandies, Robert Ciesielski & Bernd Koos

  2. Department of Orthodontics, University Medicine Rostock, Strempelstrasse 13, 18057, Rostock, Germany

    Bernd Koos

Authors
  1. Jana Kolenda
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  2. Helge Fischer-Brandies
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  3. Robert Ciesielski
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  4. Bernd Koos
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Correspondence to Bernd Koos.

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Conflict of interest

Jana Kolenda, Helge Fischer-Brandies, Robert Ciesielski, and Bernd Koos state that there are no conflicts of interest.

All studies on humans described in the present manuscript were carried out with the approval of the responsible ethics committee and in accordance with national law and the Helsinki Declaration of 1975 (in its current, revised form). Informed consent was obtained from all patients included in studies

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Priv.-Doz. Dr. med. dent. Bernd Koos.

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Kolenda, J., Fischer-Brandies, H., Ciesielski, R. et al. Oral health-related quality of life after orthodontic treatment for anterior tooth alignment. J Orofac Orthop 77, 138–145 (2016). https://doi.org/10.1007/s00056-016-0018-4

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