Department of Orthodontics, School of Dentistry, Dental Sciences Research Center, Guilan University of Medical Sciences, Rasht, Iran.
School of Dentistry, Dental Sciences Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Clin Exp Dent Res. 2022 Oct;8(5):1192-1201. doi: 10.1002/cre2.631. Epub 2022 Jul 9.
The eating problems and changes in the diet and dietary intake of patients under orthodontic treatment are of great importance, and the available studies on this topic are mostly qualitative. Thus, this study aimed to assess the oral health-related quality of life (OHRQoL) and the eating-related quality of life (ERQoL) of patients under fixed orthodontic treatment.
This prospective study evaluated 105 patients (65 males, 40 females) with a mean age of 26 ± 1.1 years, who required fixed orthodontic treatment. All participants filled out the Oral Health Impact Profile-14 (OHIP-14) questionnaire before treatment (T0), and at 1 (T1), 3 (T2), and 6 (T3) months after treatment, and the ERQoL questionnaire at 1 (T1), 3 (T2), and 6 (T3) months after treatment. Data were analyzed using repeated measures analysis of variance with Greenhouse-Geisser and Huynh-Feldt corrections and Bonferroni test for pairwise comparisons (α = .05).
The OHIP-14 total score increased at T1 and decreased at T2 and T3, with significant differences between all four time points (p < .001). The ERQoL total score decreased over time, and significant differences were noted between all three time points (p < .001). No significant difference existed in OHRQoL or ERQoL with regard to gender at any time point (p > .05).
The reduction in OHRQoL due to fixed orthodontic treatment was temporary and improved over time. The eating problems also decreased with time.
正畸治疗患者的饮食问题和饮食变化非常重要，关于这个主题的可用研究大多是定性的。因此，本研究旨在评估固定正畸治疗患者的口腔健康相关生活质量（OHRQoL）和与饮食相关的生活质量（ERQoL）。
这项前瞻性研究评估了 105 名（65 名男性，40 名女性）年龄平均为 26±1.1 岁、需要固定正畸治疗的患者。所有参与者在治疗前（T0）、治疗后 1 个月（T1）、3 个月（T2）和 6 个月（T3）填写了口腔健康影响简表-14（OHIP-14）问卷，并在治疗后 1 个月（T1）、3 个月（T2）和 6 个月（T3）填写了 ERQoL 问卷。数据采用重复测量方差分析，采用 Greenhouse-Geisser 和 Huynh-Feldt 校正及 Bonferroni 检验进行两两比较（α=.05）。
OHIP-14 总分在 T1 时升高，在 T2 和 T3 时降低，四个时间点之间存在显著差异（p<.001）。ERQoL 总分随时间降低，三个时间点之间存在显著差异（p<.001）。在任何时间点，性别对 OHRQoL 或 ERQoL 均无显著差异（p>.05）。
固定正畸治疗导致的 OHRQoL 下降是暂时的，随时间推移而改善。饮食问题也随时间减少。
