Singh Jaideep, Kumar Amit, Sodani Vasudha, Kumar Amit, Jawaid Moazzam, Wasnik Milind
Department of Orthodontics and Dentofacial Orthopaedics, Maharana Pratap Dental College, Kanpur, Uttar Pradesh, India.
Department of Orthodontics and Dentofacial Orthopaedics, Mithila Minority Dental College and Hospital, Darbhanga, Bihar, India.
J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1327-S1332. doi: 10.4103/jpbs.jpbs_142_21. Epub 2021 Nov 10.
Malocclusions are expected to affect subjective attraction, social recognition, and intellect. For dentofacial deformities, functional concerns can also arise. The previous research has established a gradient on oral health-related quality of life (OHRQoL) scores through malocclusion intensity, particularly in the social and emotional realms. This study is used to assess the quality of oral health.
A total of sixty patients began orthodontic therapy at a tertiary-care facility. Treatment in the orthodontic clinic is restricted to serious malocclusions. The study was selected from patients who meet the qualifying requirements of extreme malocclusion and orofacial clefting. The research removed patients with diagnosed hereditary syndromes. Patients got either single-arch or double-arch fixed equipment during their orthodontic procedure. Subjects were categorized as orthodontic patients with extreme malocclusions, needing orthodontic therapy, and severe spinal discrepancies, requiring both orthodontic treatment and orthognatic surgery. The overall score of one subject was 0-56, while the domain score was 0-8. Higher ratings for oral health profiles reflect a stronger effect on the relative quality of life of oral health.
For the 14 objects, the mean baseline Oral Health Impact Profile-14 (OHIP-14) score for all three categories was not statistically different for about half of the items. For surgery participants, the OHIP-14 baseline scores were nearly twice as large as the scores of the other two categories for each of these things ( = 0.05). There were a lot of statistically important variations involving the categories, and the three most significant ones are revealing pattern here. The multiple comparison power of nonsignificant predictive variables was extremely weak for the area of physical pain is 5.2%; 41.2% of remaining tests, and 84% for the functional limitation and mental deficiency domain.
Patients receiving a mixture of orthognathic surgery and orthodontic therapy have comparatively low OHRQoL baseline; however in contrast with normal and cleft patients, they still gain the most from care.
错牙合畸形预计会影响主观吸引力、社会认可度和智力。对于牙颌面畸形，还可能出现功能方面的问题。先前的研究已通过错牙合畸形的严重程度在口腔健康相关生活质量（OHRQoL）评分上建立了梯度，尤其是在社会和情感领域。本研究用于评估口腔健康质量。
共有60名患者在一家三级医疗机构开始正畸治疗。正畸诊所的治疗仅限于严重的错牙合畸形。该研究选取了符合极重度错牙合畸形和口面部裂伤合格要求的患者。研究排除了诊断患有遗传性综合征的患者。患者在正畸过程中接受单弓或双弓固定矫治器。受试者被分为患有极重度错牙合畸形的正畸患者、需要正畸治疗的患者以及存在严重脊柱差异、需要正畸治疗和正颌手术的患者。一名受试者的总分是0 - 56分，而各领域得分是0 - 8分。口腔健康概况得分越高，表明对口腔健康相对生活质量的影响越大。
对于这14名受试者，在大约一半的项目中，所有三个类别的平均基线口腔健康影响概况 - 14（OHIP - 14）评分在统计学上没有差异。对于手术参与者，在这些项目中的每一项上，OHIP - 14基线评分几乎是其他两个类别的两倍（P = 0.05）。类别之间存在许多具有统计学意义的差异，这里揭示了三个最显著的差异。对于身体疼痛领域，无显著预测变量的多重比较能力非常弱，为5.2%；其余测试的为41.2%，功能限制和心理缺陷领域为84%。
接受正颌手术和正畸治疗相结合的患者的OHRQoL基线相对较低；然而，与正常患者和腭裂患者相比，他们仍从治疗中获益最多。
