Department of Orthodontics, Faculty of Dentistry, Mansoura University, Mansoura, 35516, Egypt.
BMC Oral Health. 2023 Jul 19;23(1):502. doi: 10.1186/s12903-023-03205-6.
The objective of this study was to explore and compare patient's experience with the use of a removable functional appliance or fixed orthodontic appliance and its influence on oral health-related quality of life.
This clinical trial included 81 participants having Class II Division 1 and age ranging between 10 and 16 years. The participants were included in any of a three equal groups according to the set inclusion and exclusion criteria; Group 1: patients treated with a Twin-Block functional appliance; Group 2: patients treated with a fixed orthodontic appliance only; and Group 3 (control group): patients not in orthodontic treatment yet. The COHIP SF-19 was used. Patients were given the questionnaire as follows: Group 1: (1) after at least 8 months from starting treatment; (2) after completing phase 1 by 2-3 months without wearing the appliance; Group 2: (1) just before debonding; (2) after finishing the treatment by 2-3 months without any appliances; and Group 3: (1) at the patient's first visit to the orthodontic clinic; (2) after 2-3 months from the first visit to the orthodontic clinic and before starting any treatment.
The 81 participants were 31 males and 50 females with median age of 13 years. The total COHIP SF-19 scores at baseline were 57 (49-64), 67 (63-72), and 47 (42-53) for the Twin-Block, the fixed appliance, and the malocclusion groups, respectively. Two-month mean scores adjusted to the baseline scores were 64.82 ± 1.15, 65.65 ± 1.47, and 54.45 ± 1.44 for the Twin-Block, the fixed appliance, and the malocclusion groups, respectively.
Both at baseline and two-months (adjusted to the baseline scores), participants in the malocclusion group showed compromised socio-emotional quality of life and reported the poorest total OHRQoL. At the baseline, better socio-emotional and total OHRQoL was reported by the fixed appliance group compared to the Twin-Block group but, after two months both groups gave similar sores. Therefore; patients' perceptions about their experience with the orthodontic appliance might change.
本研究旨在探讨和比较患者使用可摘功能性矫治器或固定矫治器的体验及其对口腔健康相关生活质量的影响。
本临床试验纳入了 81 名年龄在 10 至 16 岁之间、安氏Ⅱ类 1 分类的患者。根据纳入和排除标准，将患者分为三组；组 1：使用 Twin-Block 功能性矫治器治疗的患者；组 2：仅使用固定矫治器治疗的患者；组 3（对照组）：未接受正畸治疗的患者。使用 COHIP SF-19 问卷。以下是患者完成问卷的时间点：组 1：（1）开始治疗后至少 8 个月；（2）第 1 阶段完成后 2-3 个月不戴矫治器。组 2：（1）刚拆除托槽；（2）治疗结束后 2-3 个月不戴任何矫治器。组 3：（1）患者首次就诊于正畸科；（2）首次就诊于正畸科后 2-3 个月，未开始任何治疗。
81 名参与者中，男性 31 名，女性 50 名，中位年龄为 13 岁。Twin-Block 组、固定矫治器组和错颌畸形组的 COHIP SF-19 总分在基线时分别为 57（49-64）、67（63-72）和 47（42-53）。调整至基线的 2 个月平均得分分别为 Twin-Block 组 64.82±1.15、固定矫治器组 65.65±1.47 和错颌畸形组 54.45±1.44。
在基线和 2 个月时（调整至基线评分），错颌畸形组患者的社会心理生活质量受损，报告的总体口腔健康相关生活质量最差。在基线时，固定矫治器组的社会心理和总体口腔健康相关生活质量优于 Twin-Block 组，但 2 个月后两组的评分相似。因此，患者对正畸矫治器体验的看法可能会发生变化。
