Korean J Orthod.  2014 Nov;44(6):304-311. 10.4041/kjod.2014.44.6.304.

Effect of malocclusion or orthodontic treatment on oral health-related quality of life in adults

Affiliations
  • 1Department of Orthodontics, Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University, Iksan, Korea. pigtail@wku.ac.kr

Abstract


OBJECTIVE
The purpose of this study was to evaluate the effect of malocclusion or orthodontic treatment on oral health-related quality of life (OHRQoL) in adults.
METHODS
The sample consisted of 860 adults (378 men and 482 women, aged 18-39 years) who were clinically evaluated for malocclusion or orthodontic treatment experience. Participants were divided into 4 groups as follows: normal occlusion, malocclusion, fixed treatment, and retention. OHRQoL was assessed with the short form of the Oral Health Impact Profile (OHIP-14) and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ).
RESULTS
The malocclusion group and the fixed treatment group had significantly higher OHIP-14 scores than the normal occlusion group and the retention group (p < 0.001). The malocclusion group had the highest PIDAQ score, while the normal occlusion group and the retention group had the lowest PIDAQ score (p < 0.001). Women had higher OHIP-14 and PIDAQ scores than men. A significant positive correlation was found between OHIP-14 and PIDAQ scores (p < 0.01).
CONCLUSIONS
Malocclusion has a negative impact on OHRQoL, but this could be improved in adults through orthodontic treatment. These OHRQoL questionnaires can provide additional useful information on specific aspects of orthodontic patients' psychological state.

Keyword

Psychology; Orthodontic treatment; Malocclusion; Quality of life

MeSH Terms

Adult*
Esthetics
Female
Humans
Male
Malocclusion*
Oral Health
Psychology
Quality of Life*
Surveys and Questionnaires

Cited by  3 articles

Part I. What drives Korean adults to seek orthodontic treatment: Reliability and validity of a measurement instrument for the perception of orthodontic treatment
Min-Hee Oh, Eun-A Kim, Ae-Hyun Park, MinSoo Kim, Jin-Hyoung Cho
Korean J Orthod. 2020;50(6):363-372.    doi: 10.4041/kjod.2020.50.6.363.

Five-year investigation of a large orthodontic patient population at a dental hospital in South Korea
Yongxu Piao, Sung-Jin Kim, Hyung-Seog Yu, Jung-Yul Cha, Hyoung-Seon Baik
Korean J Orthod. 2016;46(3):137-145.    doi: 10.4041/kjod.2016.46.3.137.

A three-dimensional photogrammetric analysis of the facial esthetics of the Miss Korea pageant contestants
Kab Soo Jang, Mohamed Bayome, Jae Hyun Park, Ki-Ho Park, Hong-Beom Moon, Yoon-Ah Kook
Korean J Orthod. 2017;47(2):87-99.    doi: 10.4041/kjod.2017.47.2.87.


Reference

1. Trotman CA, McNamara JA Jr. Orthodontic treatment: outcome and effectiveness. Monograph No. 30, Craniofacial growth series, Center for Human Growth and Development. Ann Arbor: University of Michigan;1995. p. 345–357.
2. Giddon DB. Orthodontic applications of psychological and perceptual studies of facial esthetics. Semin Orthod. 1995; 1:82–93. PMID: 8935047.
3. Varela M, García-Camba JE. Impact of orthodontics on the psychologic profile of adult patients: a prospective study. Am J Orthod Dentofacial Orthop. 1995; 108:142–148. PMID: 7625386.
Article
4. Albino JE, Lawrence SD, Tedesco LA. Psychological and social effects of orthodontic treatment. J Behav Med. 1994; 17:81–98. PMID: 8201614.
Article
5. Birkeland K, Bøe OE, Wisth PJ. Subjective assessment of dental and psychosocial effects of orthodontic treatment. J Orofac Orthop. 1997; 58:44–61. PMID: 9300838.
6. Shaw WC, Richmond S, Kenealy PM, Kingdon A, Worthington H. A 20-year cohort study of health gain from orthodontic treatment: psychological outcome. Am J Orthod Dentofacial Orthop. 2007; 132:146–157. PMID: 17693363.
Article
7. O'Brien K, Kay L, Fox D, Mandall N. Assessing oral health outcomes for orthodontics--measuring health status and quality of life. Community Dent Health. 1998; 15:22–26. PMID: 9791611.
8. Hamdan AM. The relationship between patient, parent and clinician perceived need and normative orthodontic treatment need. Eur J Orthod. 2004; 26:265–271. PMID: 15222710.
Article
9. Gherunpong S, Tsakos G, Sheiham A. A socio-dental approach to assessing children's orthodontic needs. Eur J Orthod. 2006; 28:393–399. PMID: 16723372.
Article
10. Phillips C, Beal KN. Self-concept and the perception of facial appearance in children and adolescents seeking orthodontic treatment. Angle Orthod. 2009; 79:12–16. PMID: 19123700.
Article
11. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003; 31(Suppl 1):3–23. PMID: 15015736.
12. Cunningham SJ, Hunt NP. Quality of life and its importance in orthodontics. J Orthod. 2001; 28:152–158. PMID: 11395531.
Article
13. Inglehart MR, Bagramian R. Oral health-related quality of life. Chicago: Quintessence Pub;2002. p. 1–6.
14. Rusanen J, Lahti S, Tolvanen M, Pirttiniemi P. Quality of life in patients with severe malocclusion before treatment. Eur J Orthod. 2010; 32:43–48. PMID: 19726489.
Article
15. Masood Y, Masood M, Zainul NN, Araby NB, Hussain SF, Newton T. Impact of malocclusion on oral health related quality of life in young people. Health Qual Life Outcomes. 2013; 11:25. PMID: 23443041.
Article
16. Bellot-Arcís C, Montiel-Company JM, Almerich-Silla JM. Psychosocial impact of malocclusion in Spanish adolescents. Korean J Orthod. 2013; 43:193–200. PMID: 24015389.
Article
17. Palomares NB, Celeste RK, Oliveira BH, Miguel JA. How does orthodontic treatment affect young adults' oral health-related quality of life? Am J Orthod Dentofacial Orthop. 2012; 141:751–758. PMID: 22640677.
Article
18. Gazit-Rappaport T, Haisraeli-Shalish M, Gazit E. Psychosocial reward of orthodontic treatment in adult patients. Eur J Orthod. 2010; 32:441–446. PMID: 20089570.
Article
19. Agou S, Locker D, Muirhead V, Tompson B, Streiner DL. Does psychological well-being influence oral-health-related quality of life reports in children receiving orthodontic treatment? Am J Orthod Dentofacial Orthop. 2011; 139:369–377. PMID: 21392693.
Article
20. Korean Association of Orthodontics Malocclusion White Paper Publication Committee. Cephalometric analysis of normal occlusion in Korean adults. Seoul: Korean Association of Orthodontists;1997.
21. Bae KH, Kim HD, Jung SH, Park DY, Kim JB, Paik DI, et al. Validation of the Korean version of the oral health impact profile among the Korean elderly. Community Dent Oral Epidemiol. 2007; 35:73–79. PMID: 17244140.
Article
22. Allen PF, Locker D. Do item weights matter? An assessment using the oral health impact profile. Community Dent Health. 1997; 14:133–138. PMID: 9332036.
23. Klages U, Claus N, Wehrbein H, Zentner A. Development of a questionnaire for assessment of the psychosocial impact of dental aesthetics in young adults. Eur J Orthod. 2006; 28:103–111. PMID: 16257989.
Article
24. Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994; 11:3–11. PMID: 8193981.
25. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997; 25:284–290. PMID: 9332805.
Article
26. Hassan AH, Amin Hel-S. Association of orthodontic treatment needs and oral health-related quality of life in young adults. Am J Orthod Dentofacial Orthop. 2010; 137:42–47. PMID: 20122429.
Article
27. Feu D, de Oliveira BH, de Oliveira Almeida MA, Kiyak HA, Miguel JA. Oral health-related quality of life and orthodontic treatment seeking. Am J Orthod Dentofacial Orthop. 2010; 138:152–159. PMID: 20691356.
Article
28. Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nuttall N, et al. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol. 2004; 32:107–114. PMID: 15061859.
Article
29. Pabari S, Moles DR, Cunningham SJ. Assessment of motivation and psychological characteristics of adult orthodontic patients. Am J Orthod Dentofacial Orthop. 2011; 140:e263–e272. PMID: 22133960.
Article
30. Zhang M, McGrath C, Hägg U. Patients' expectations and experiences of fixed orthodontic appliance therapy. Impact on quality of life. Angle Orthod. 2007; 77:318–322. PMID: 17319768.
31. Schmidt A, Ciesielski R, Orthuber W, Koos B. Survey of oral health-related quality of life among skeletal malocclusion patients following orthodontic treatment and orthognathic surgery. J Orofac Orthop. 2013; 74:287–294. PMID: 23807255.
Article
32. Liu Z, McGrath C, Hägg U. Changes in oral health-related quality of life during fixed orthodontic appliance therapy: an 18-month prospective longitudinal study. Am J Orthod Dentofacial Orthop. 2011; 139:214–219. PMID: 21300250.
Article
33. Chen M, Wang DW, Wu LP. Fixed orthodontic appliance therapy and its impact on oral health-related quality of life in Chinese patients. Angle Orthod. 2010; 80:49–53. PMID: 19852639.
Article
34. de Paula Júnior DF, Santos NC, da Silva ET, Nunes MF, Leles CR. Psychosocial impact of dental esthetics on quality of life in adolescents. Angle Orthod. 2009; 79:1188–1193. PMID: 19852614.
35. Lee SJ. A study on the effects of malocclusion or orthodontic treatment on self-esteem in female adults [PhD thesis]. Iksan, Korea: Wonkwang University;2012.
36. Kim CM. Effects of malocclusion or orthodontic treatment on the interpersonal relationship of female adults [PhD thesis]. Iksan, Korea: Wonkwang University;2012.
Full Text Links
  • KJOD
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr