Toti Çeljana, Droboniku Etleva, Kaçani Gerta, Tepedino Michele, Meto Aida, Fiorillo Luca, D'Amico Cesare, Hysi Dorjan, Ndreu Kevin, Cicciù Marco, Tanellari Olja
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine, Tirana, Albania.
Department of Dental Therapy, Faculty of Dental Medicine, University of Medicine, Tirana, Albania.
Eur J Dent. 2023 May;17(2):374-380. doi: 10.1055/s-0042-1744374. Epub 2022 Sep 12.
The aim of the present study was to evaluate the effects of orthodontic treatment on patients' oral health-related quality of life (OHRQoL) in a population aged 17 to 21 years. The influence of gender and malocclusion severity was also investigated.
In the present study, 108 patients were enrolled. Each patient completed a questionnaire about oral health impact profile (OHIP)-14 before treatment and after 12 months of treatment. The severity of the initial malocclusion was evaluated through the index for orthodontic treatment need (IOTN).
Statistical analysis was performed to assess the presence of difference in OHRQoL score before and after the treatment, and the influence of gender and IOTN score on the observed outcomes.
We found no significant differences related to gender regarding their perception of how malocclusion affects the quality of life before orthodontic treatment. Moreover, no significant differences were found between males and females regarding their perception of how orthodontic treatment affects the quality of life 12 months after orthodontic treatment. Also, the analysis showed no statistically significant difference between males and females in the correlation IOTN-OHIP for Grades 2 and 3. A statistically significant difference between males and females was found only in Grade 4, both before ( = 0.046) and after treatment ( = 0.051).
Finally, OHIP-14 can be a valuable instrument to assess the perceptions and the expectations of patients toward orthodontic treatment.
本研究旨在评估正畸治疗对17至21岁人群口腔健康相关生活质量（OHRQoL）的影响。同时还研究了性别和错牙合严重程度的影响。
本研究纳入了108名患者。每位患者在治疗前和治疗12个月后均完成了一份关于口腔健康影响程度量表（OHIP）-14的问卷。通过正畸治疗需求指数（IOTN）评估初始错牙合的严重程度。
进行统计分析以评估治疗前后OHRQoL评分的差异，以及性别和IOTN评分对观察结果的影响。
我们发现，在正畸治疗前，关于错牙合如何影响生活质量的认知方面，性别之间没有显著差异。此外，在正畸治疗12个月后，关于正畸治疗如何影响生活质量的认知方面，男性和女性之间也没有显著差异。而且，分析表明，在2级和3级的IOTN-OHIP相关性方面，男性和女性之间没有统计学上的显著差异。仅在4级中，治疗前（P = 0.046）和治疗后（P = 0.051）发现男性和女性之间存在统计学上的显著差异。
最后，OHIP-14可以成为评估患者对正畸治疗的认知和期望的有价值工具。
