Dental aspects of quality of life in orthodontic patients

Relevance. Previous studies have shown an improvement in orthodontic patients’ health-related quality of life. It is interesting to study the effect of various orthodontic appliances on the patients’ quality of life. Purpose – to study the changes in dental parameters of the quality of life in patients with malocclusion before orthodontic treatment, during treatment with metal and ceramic vestibular braces and after treatment, using removable retainers.
Materials and methods. Using a validated Russian version of Oral Health Impact Profile (OHIP-49RU), we surveyed the quality of life in four patient groups: 1 - with malocclusion (n = 35), 2 – with removable retainers (n = 32), 3 – with metal brackets (n = 30), 4 – with ceramic brackets (n = 33). Statistical processing was carried out in Statistics 10. The study used descriptive statistics methods, e.g., nonparametric test methods determined the significance of sign differences: using the Kruskal-Wallis H, z tests and the χ2 test with Yates' correction.
Results. OHIP-49 score analysis revealed statistically significant differences among the studied groups of pa- tients (1 - functional limitation (H = 9.15; p <0.05), 2 - physical pain (H = 13.98; p < 0.01), 3 - psychological discomfort (H = 23.04; p <0.001), 4 - physical disability (H = 24.73; p <0.001), 5 - psychological disability (H = 11.03; p < 0.05), 6 - social disability (H = 16.21; p <0.01), 7 - handicap (H = 7.91; p <0.05)).
Conclusions. The patients, who had completed the orthodontic treatment and used removable retainers at night, demonstrated the best score in most sections of the questionnaire and the patients with malocclusion, who had presented to an orthodontist - the worst. Patients with the brackets had a higher score on the "Physical pain" section of the questionnaire (6.5 (3.0-8.0) with metal braces and 4.0 (2.0-7.0) with ceramic bracket system). The quality of life in patients with metal and ceramic brackets did not have statistically significant differences. 

1. Gábris K, Márton S, Madléna M. Prevalence of malocclusions in Hungarian adolescents. Eur J Orthod. 2006;28(5):467-70. doi: 10.1093/ejo/cjl027

2. Ciuffolo F, Manzoli L, D'Attilio M, Tecco S, Muratore F, Festa F, et al. Prevalence and distribution by gender of occlusal characteristics in a sample of Italian secondary school students: a cross-sectional study. Eur J Orthod. 2005;27(6):601-6. doi: 10.1093/ejo/cji043

3. Gelgor IE, Karaman AI, Ercan E. Prevalence of malocclusion among adolescents in Central Anatolia. Eur J Dent. 2007;1(3):125-131. Available from: https://pubmed.ncbi.nlm.nih.gov/19212555/

4. Akbari M, Lankarani KB, Honarvar B, Tabrizi R, Mirhadi H, Moosazadeh M. Prevalence of malocclusion among Iranian children: A systematic review and meta-analysis. Dent Res J (Isfahan). 2016;13(5):387-395. doi: 10.4103/1735-3327.192269.

5. Thilander B, Pena L, Infante C, Parada SS, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod. 2001;23(2):153-67. doi: 10.1093/ejo/23.2.153

6. Bagnenko NM, Bagnenko AS, Grebnev GA. The prevalence of the dento-maxillofacial abnormalities in the schoolchildren in Leningrad region. Russian Stomatology. 2015;8(4):70-57. (In Russ). doi:10.17116/rosstomat20158470-76

7. Kuzmina EM, Kuzmina IN, Vasina SA, Smirnova TA. Oral diseases prevalence among russIan population. Teeth condition. Dentofacial abnormalities. Prosthetic treatment need. Moscow:MSMSU.2009;236 p. (In Russ). Available from: https://www.elibrary.ru/item.asp?id=21357111

8. Bril EA, Shelomentseva OV, Syatkina KG, Makarova YuA, Ivanov AN, Cherepanova DS, et al. The prevalence and structure of dentoalveolar anomalies and deformations in children and adolescents of the city of Krasnoyarsk. The Dental Institute. 2020; 1:84-85. (In Russ). Available from: https://instom.spb.ru/catalog/article/15392/?view=pdf

9. Kuroyedova VD, Makarov AN. The prevalence of dentoalveolar anomalies in adults and the proportion of asymmetric forms among them. The world of medicine and biology. 2012; 2012;8(4):031-035. (In Russ). Available from: https://elibrary.ru/item.asp?id=18486236

10. Gorlacheva TV. The structure of dentoalveolar anomalies and the need for orthodontic treatment of persons with developing and formed permanent bite. Sovremennaya stomatologiya. 2021;1:68-74. (In Russ). Available from: https://elibrary.ru/item.asp?id=44930166

11. Arkhangelskaya AS, Dzhangildin YuT, Gardanova ZhR, Slabkovskaya AB, Gritsayuk VB, Ishukin SL, et al. Meaning of evaluation of quality of life in patients with dentoalveolar anomalies during orthodontic treatment. Bulletin of Neurology, Psychiatry and Neurosurgery. 2017;11:67-71. (In Russ). Available from: https://panor.ru/articles/znachenie-otsenki-kachestvazhizni-u-patsientov-s-zubochelyustnymi-anomaliyami-vprotsesse-ortodonticheskogo-lecheniya/49208.html

12. Mansour YuP, Kazantseva IA. Quality of life of adult patients with malocclusion during orthodontic treatment. Modern problems of science and education. 2014;4:295295. (In Russ). Available from: https://science-education.ru/ru/article/view?id=14062

13. Gileva OS, Libik TV, Khalilayeva EV, Danilov KV, Khalyavina IN, Gileva YeS, et al. Dental health in life quality criteria. Bashkortostan Medical Journal. 2011; 2011;6(3):6-11. (In Russ.). Available from: https://www.elibrary.ru/item.asp?id=17047841

14. Barer GM, Gurevich KG, Smirnyagina VV, Fabrikant EG. Use of dental measurements of quality of life. Stomatology for All. 2006;2:4-7. (In Russ). Available from: https://e-stomatology.ru/pressa/periodika/st_d_f/2_2006/

15. Sharma R, Drummond R, Wiltshire W, Schroth R, Lekic M, Bertone M, и др. Quality of life in an adolescent orthodontic population. Angle Orthod. 2021;91(6):718-724. doi: 10.2319/062820-592.1.

16. AlSeraidi M, Hansa I, Dhaval F, Ferguson DJ, Vaid NR. The effect of vestibular, lingual, and aligner appliances on the quality of life of adult patients during the initial stages of orthodontic treatment. Prog Orthod. 2021 Jan 18;22(1):3. doi: 10.1186/s40510-020-00346-0.