Choi S-H, Cha J-Y, Lee K-J, Yu H-S, Hwang C-J
Department of Orthodontics, The Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea.
J Oral Rehabil. 2017 Nov;44(11):860-869. doi: 10.1111/joor.12556. Epub 2017 Sep 10.
Assessing changes in patient's psychological health and oral health-related quality of life (OHRQoL) over time during orthodontic treatment may help clinicians to treat patients more carefully. To evaluate changes in mental health, self-reported masticatory ability and OHRQoL during orthodontic treatment in adults, this prospective study included 66 adults (30 men, 36 women; mean age, 24·2 ± 5·2 years). Each patient completed the Korean versions of the State-Trait Anxiety Inventory, Zung Self-Rating Depression Scale, Rosenberg self-esteem scale, key subjective food intake ability (KFIA) test for five key foods and Oral Health Impact Profile-14 (OHIP-14K) at baseline (T0), 12 months after treatment initiation (T1) and debonding (T2). All variables changed with time. Self-esteem and the total OHIP-14K score significantly decreased and increased, respectively, at T1, with a particular increase in the psychological and social disabilities scores. There were no significant differences in any questionnaire scores before and after treatment. The total OHIP-14K score was positively correlated with trait anxiety and depression, and negatively correlated with self-esteem and KFIA at T0, regardless of the treatment duration. Older patients showed a significant increase in the total OHIP-14K score at T1 and T2. OHRQoL worsened with an increase in the treatment duration. Our results suggest that OHRQoL temporarily deteriorates, with the development of psychological and social disabilities, during orthodontic treatment. This is related to the baseline age, psychological health and self-reported masticatory function. However, patients recover once the treatment is complete.
评估正畸治疗过程中患者心理健康和口腔健康相关生活质量（OHRQoL）随时间的变化，可能有助于临床医生更仔细地治疗患者。为了评估成人正畸治疗期间心理健康、自我报告的咀嚼能力和OHRQoL的变化，这项前瞻性研究纳入了66名成年人（30名男性，36名女性；平均年龄24.2±5.2岁）。每位患者在基线（T0）、治疗开始后12个月（T1）和拆除矫治器时（T2）完成了韩国版的状态-特质焦虑量表、zung自评抑郁量表、罗森伯格自尊量表、针对五种关键食物的关键主观食物摄入能力（KFIA）测试以及口腔健康影响程度量表-14（OHIP-14K）。所有变量均随时间变化。自尊和OHIP-14K总分在T1时分别显著降低和升高，心理和社会功能障碍得分尤其增加。治疗前后任何问卷得分均无显著差异。无论治疗持续时间如何，OHIP-14K总分在T0时与特质焦虑和抑郁呈正相关，与自尊和KFIA呈负相关。老年患者在T1和T2时OHIP-14K总分显著增加。OHRQoL随着治疗持续时间的增加而恶化。我们的结果表明，在正畸治疗期间，OHRQoL会暂时恶化，并伴有心理和社会功能障碍的出现。这与基线年龄、心理健康和自我报告的咀嚼功能有关。然而，治疗完成后患者会恢复。
