Oral Health-Related Quality of Life among Adolescents in the First 6 Months of Fixed Orthodontic Therapy

Cláudia Gonçalves Fahd, Gustavo Garcia Castro (), Ana Carla Souza Costa, Cyrene Piazera Silva Costa, Ceci Nunes Carvalho, Célia Regina Maio Pinzan-Vercelino and Meire Coelho Ferreira ()
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Cláudia Gonçalves Fahd: Post-Graduation Program in Dentistry, Ceuma University, São Luís 65075-120, Brazil
Gustavo Garcia Castro: Post-Graduation Program in Dentistry, Ceuma University, São Luís 65075-120, Brazil
Ana Carla Souza Costa: Post-Graduation Program in Dentistry, Ceuma University, São Luís 65075-120, Brazil
Cyrene Piazera Silva Costa: Post-Graduation Program in Dentistry, Ceuma University, São Luís 65075-120, Brazil
Ceci Nunes Carvalho: Post-Graduation Program in Dentistry, Ceuma University, São Luís 65075-120, Brazil
Célia Regina Maio Pinzan-Vercelino: Dentistry Department, University Center Ingá, Rio de Janeiro 87035-510, Brazil
Meire Coelho Ferreira: Post-Graduation Program in Dentistry, Ceuma University, São Luís 65075-120, Brazil

IJERPH, 2023, vol. 20, issue 23, 1-9

Abstract: Clarification on disabilities that may arise during orthodontic treatment allows patients to have more realistic expectations. This prospective study assessed the impact of fixed orthodontic therapy on adolescents’ quality of life over 6 months. A total of 78 adolescents aged 11–17 years were included. Quality of life was measured using the Child Perceptions Questionnaire (CPQ 11–14 , short form) at five moments: before treatment (T0), one week (T1), one month (T2), three months (T3), and six months (T4) after treatment initiation. Multiple and pairwise comparisons were conducted for CPQ 11–14 scores (Friedman and Wilcoxon test; effect size). Changes in the quality of life were assessed as mean differences (T0–T1 and T0–T4) in total and domain scores (Kruskal–Wallis and Mann–Whitney test) (α = 5%). Significant differences were observed between T0 and T4 in the oral symptoms’ domain ( p < 0.001), and between T0 and T1, T2, T3, and T4 for emotional well-being ( p < 0.001 for all). Significant differences in impact were also found between T0 and T2, T3, and T4 with regard to social well-being ( p = 0.004, =0.049, and <0.001, respectively). Orthodontic therapy positively impacted the emotional and social aspects of adolescents’ quality of life. Negative effects were primarily related to pain, mouth sores, and difficulty biting or chewing. Understanding the symptoms and feelings of orthodontic patients aids professionals in decision-making.

Keywords: adolescents; quality of life; orthodontics; longitudinal study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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