Patient-Reported Outcome Measures on Oral Hygiene, Periodontal Health, and Treatment Satisfaction of Orthodontic Retention Patients up to Ten Years after Treatment—A Cross-Sectional Study

Barbro Fostad Salvesen, Jostein Grytten, Gunnar Rongen and Vaska Vandevska-Radunovic
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Barbro Fostad Salvesen: Department of Orthodontics, Institute of Clinical Dentistry, University of Oslo, 0317 Oslo, Norway
Jostein Grytten: Department of Community Dentistry, University of Oslo, 0317 Oslo, Norway
Gunnar Rongen: Department of Community Dentistry, University of Oslo, 0317 Oslo, Norway
Vaska Vandevska-Radunovic: Department of Orthodontics, Institute of Clinical Dentistry, University of Oslo, 0317 Oslo, Norway

IJERPH, 2022, vol. 19, issue 8, 1-10

Abstract: Background: This cross-sectional study evaluated patient-reported outcome measures (PROMs) on (1) oral hygiene, (2) periodontal health, (3) retainer failure, (4) orthodontic treatment satisfaction, and (5) outcome satisfaction in orthodontic retention patients. The purpose of the study was to evaluate whether orthodontic retention treatment is associated with patient-reported outcome measures on oral hygiene, periodontal health, and treatment satisfaction. Methods: A ten-item questionnaire on the five PROMs was conducted among 211 consecutive retention patients up to ten years following orthodontic treatment. Linear regression models were computed to detect possible associations between the PROMs and retention treatment or patient characteristics. Results: The presence of a fixed lingual retainer was not associated with the reduced ability to perform oral hygiene, self-perceived periodontal health, or orthodontic outcome satisfaction. Older patients were more content with the orthodontic treatment result ( p < 0.05). Patients with fixed lingual retainers in the mandible were less satisfied with the course of orthodontic treatment ( p < 0.05). Smokers more often reported gingival bleeding ( p < 0.05). Females reported increased gingival recessions ( p < 0.05) and perceived their teeth as longer than before treatment ( p < 0.05). Longer orthodontic treatment duration corresponded to retainer failure ( p < 0.05). Conclusions: In general, long-term orthodontic retention patients were satisfied with orthodontic treatment. These patients reported the satisfactory ability to perform adequate oral hygiene and periodontal health, and they communicated a high degree of treatment and outcome contentment. However, patients with a retainer in the mandible were less satisfied with orthodontic treatment.

Keywords: long-term retention; fixed orthodontic retainers; periodontal health; treatment and outcome satisfaction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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