Department of Oral Health Sciences-Orthodontics, Katholieke Universiteit Leuven & Dentistry, University Hospitals Leuven.
Eur J Orthod. 2014 Apr;36(2):186-91. doi: 10.1093/ejo/cjt035. Epub 2013 Jun 6.
As a continuation of a baseline study on oral health-related quality of life (OHRQoL) and the role of self-esteem (SE), the aim of this research is to investigate the changes in OHRQoL reports in children during orthodontic treatment and the influence of SE.
This longitudinal study comprised 109 children (50 boys and 59 girls) aged 11-16 years, all receiving orthodontic treatment. Questionnaires were administered at baseline and at follow-up (1 year after start of orthodontic treatment). OHRQoL was assessed by the child perception questionnaire (CPQ). The Dutch adaptation of the Harter's Self-Perception Profile for Adolescents was used to assess SE and the Index of Orthodontic Treatment Need defined the need for treatment. The questionnaires also included questions related to motivation for treatment. Spearman correlations, Wilcoxon signed rank tests and Mann-Whitney U-tests were performed.
A significant increase in total CPQ score was found during orthodontic treatment. This increase was also significant for the subdomains functional limitations, oral symptoms, and social well-being, whereas for the subdomain emotional well-being a non-significant decrease in CPQ score was found. Children with high SE at baseline showed significantly lower variability in OHRQoL measures at follow-up.
OHRQoL deteriorates in children during orthodontic treatment. There is evidence that SE can be a protective factor in OHRQoL during orthodontic treatment.
作为一项关于口腔健康相关生活质量（OHRQoL）和自尊（SE）的基线研究的延续，本研究旨在调查正畸治疗期间儿童 OHRQoL 报告的变化以及 SE 的影响。
这是一项纵向研究，共纳入 109 名 11-16 岁的儿童（50 名男孩和 59 名女孩），均接受正畸治疗。在基线和随访（正畸治疗开始后 1 年）时进行问卷调查。采用儿童感知问卷（CPQ）评估 OHRQoL。采用荷兰版哈特尔青少年自我感知量表评估 SE，采用正畸治疗需求指数定义治疗需求。问卷还包括与治疗动机相关的问题。进行 Spearman 相关分析、Wilcoxon 符号秩检验和 Mann-Whitney U 检验。
在正畸治疗期间，CPQ 总分显著增加。在功能障碍、口腔症状和社会幸福感等子领域，CPQ 评分的增加也具有统计学意义，而在情绪幸福感子领域，CPQ 评分的下降无统计学意义。基线 SE 较高的儿童在随访时 OHRQoL 测量的变异性显著降低。
在正畸治疗期间，儿童的 OHRQoL 会恶化。有证据表明，SE 可能是正畸治疗期间 OHRQoL 的保护因素。
