正畸矫治器治疗对口腔健康相关生活质量的影响。

Impact of treatment with orthodontic aligners on the oral health-related quality of life.

机构信息

Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Associação Brasileira de Odontologia, Belo Horizonte, Brazil.

出版信息

BMC Oral Health. 2024 Apr 5;24(1):419. doi: 10.1186/s12903-024-04183-z.

DOI:10.1186/s12903-024-04183-z

PMID:38580945

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10996220/

Abstract

BACKGROUND

There is an increasing interest in information on the effects of orthodontic aligners on the oral health-related quality of life (OHRQoL) of people.

AIM

To compare the impact of orthodontic aligners versus conventional fixed appliances on OHRQoL, using a validated tool and controlling for sociodemographic and clinical variables.

METHOD

Sixty-one individuals participated in this study. Group 1 (G1) consisted of 33 individuals under treatment with orthodontic aligners and Group 2 (G2) comprised 28 individuals under treatment with conventional fixed appliances. OHRQoL was evaluated with the Oral Health Impact Profile (OHIP-14) in which 14 items are distributed across seven dimensions: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. The higher the score, the more negative is the perception of the individual regarding his/her OHRQoL. Descriptive statistics, Mann-Whitney test, and Poisson regression were performed. Effect Size (ES) and Minimal Clinically Important Difference (MCID) were also determined.

RESULTS

Participants' mean age was 30.69 years. Individuals in G1 had a significantly lower score for physical pain and the total score of OHIP-14 compared to individuals in G2 (p < 0.05). The ES was large (ES = 0.74) for physical pain and moderate (ES = 0.46) for the total score. The ES was moderate for physical disability (ES = 0.50). The difference between groups for physical pain (1.30) and for physical disability (0.90) was greater than the MCID (0.87 and 0.88, respectively). Poisson regression showed that G2 individuals showed a score for physical pain 1.39 times higher than those of G1 in the adjusted model (OR = 1.39, [1.03-1.89], p = 0.031).

CONCLUSION

Those under treatment with orthodontic aligners have a more positive perception of OHRQoL compared to those wearing fixed appliances.

摘要

背景

人们对正畸矫正器对口腔健康相关生活质量（OHRQoL）影响的信息越来越感兴趣。

目的

使用经过验证的工具，控制社会人口统计学和临床变量，比较正畸矫正器与传统固定矫治器对 OHRQoL 的影响。

方法

61 名参与者参与了这项研究。第 1 组（G1）由 33 名接受正畸矫正器治疗的患者组成，第 2 组（G2）由 28 名接受传统固定矫治器治疗的患者组成。采用 Oral Health Impact Profile（OHIP-14）评估 OHRQoL，该量表共有 14 个项目分布在 7 个维度：功能受限、身体疼痛、心理不适、身体残疾、心理残疾、社会障碍和障碍。分数越高，个体对其 OHRQoL 的感知越负面。进行描述性统计、Mann-Whitney 检验和泊松回归。还确定了效应量（ES）和最小临床重要差异（MCID）。

结果

参与者的平均年龄为 30.69 岁。与 G2 组相比，G1 组的个体在身体疼痛和 OHIP-14 总分方面的得分明显较低（p<0.05）。身体疼痛的 ES 较大（ES=0.74），总分的 ES 为中度（ES=0.46）。身体残疾的 ES 为中度（ES=0.50）。身体疼痛（1.30）和身体残疾（0.90）两组之间的差异大于 MCID（分别为 0.87 和 0.88）。泊松回归显示，调整模型中 G2 组个体的身体疼痛评分比 G1 组高 1.39 倍（OR=1.39，[1.03-1.89]，p=0.031）。