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12-03-2018 | Uitgave 8/2018

Impact of orthodontic treatment on adolescents’ quality of life: a longitudinal evaluation of treated and untreated individuals

Tijdschrift:: Quality of Life Research > Uitgave 8/2018

Auteurs:: Lucas Guimarães Abreu, Thiago Rezende dos Santos, Camilo Aquino Melgaço, Mauro Henrique Nogueira Abreu, Elizabeth Maria Bastos Lages, Saul Martins Paiva

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Abstract

Purpose

To assess the impact of fixed appliance therapy on the quality of life of a cohort of Brazilian adolescents.

Methods

The treatment group was composed of individuals who started orthodontic treatment. The control group was composed of individuals not selected for immediate treatment. Adolescents answered the Brazilian short form of the Child Perceptions Questionnaire (CPQ_11–14). Higher scores indicate a greater negative impact on quality of life. Adolescents in the treatment group completed four sets of interviews: prior to appliances’ bonding (T1), 1 month (T2), 6 months (T3) and 12 months (T4) after appliances’ placement. Adolescents in the control group were assigned to a comparable schedule. Statistics included inter-group comparisons, Friedman and Wilcoxon tests, and mixed-effects models.

Results

In the treatment group, the functional limitation score was higher at T1 (p = 0.004) and T2 (p = 0.007) compared to T4. The emotional well-being score was higher at T1 compared to T2 (p < 0.001), T3 (p < 0.001) and T4 (p < 0.001). The overall CPQ_11–14 score was higher at T1 compared to T2 (p = 0.005), T3 (p < 0.001) and T4 (p < 0.001). The overall CPQ_11–14 score was also higher at T2 compared to T3 (p = 0.001). No significant change was found in the control group. In the mixed-effects models, the interaction between group (treatment) and time was significant for functional limitations (p < 0.001), emotional well-being (p < 0.001), social well-being (p = 0.004) and the overall CPQ_11–14 score (p < 0.001).

Conclusion

Quality of life improved among adolescents undergoing orthodontic treatment. Orthodontists should inform patients what they might expect regarding the physical and the psychosocial repercussions of appliance therapy.

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Titel: Impact of orthodontic treatment on adolescents’ quality of life: a longitudinal evaluation of treated and untreated individuals
Auteurs:: Lucas Guimarães Abreu
Thiago Rezende dos Santos
Camilo Aquino Melgaço
Mauro Henrique Nogueira Abreu
Elizabeth Maria Bastos Lages
Saul Martins Paiva
Publicatiedatum: 12-03-2018
DOI: https://doi.org/10.1007/s11136-018-1830-7
Uitgeverij: Springer International Publishing
Tijdschrift: Quality of Life Research An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - An Official Journal of the International Society of Quality of Life Research
Uitgave 8/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649

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Abstract

Purpose

Methods

Results

Conclusion

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