Schmahl Teresa, Steinhäuser Jost, Wewetzer Larisa, Goetz Katja
Institute of Family Medicine, University Medical Centre Schleswig-Holstein, Luebeck, Germany.
Patient Prefer Adherence. 2025 May 2;19:1273-1282. doi: 10.2147/PPA.S509901. eCollection 2025.
There has been a consistent upward trend in orthodontic treatment across all age groups. It is one of the longest and most common medical interventions for children. There is a growing interest in the connection between orthodontic treatment and children's oral health-related quality of life to provide an insight into treatment needs and outcomes, as well as long-term improvement in oral health. However, to our knowledge the impact of fixed orthodontic appliances on the mental health of the children, their social context and their families have not been sufficiently investigated and have not yet been summarized. The objectives were to provide an overview of empirical research regarding the impact of fixed orthodontic appliances on children's mental health, social context and families.
A comprehensive literature search was conducted across four databases. Studies investigating the effects and impact of fixed appliances on mental health, social context and families of children up to the age of 18 were included. Data were extracted by two independent reviewers. The studies were reviewed, their results compared and analyzed narratively.
Ultimately, 30 studies were analyzed. The most common conclusions were that oral health-related quality of life worsens during and improves again after treatment. The extent to which orthodontic treatment limits or affects children's lives, their mental health, personality, personal development and behavior has not been extensively investigated.
Evidence of the impact of fixed orthodontic appliances on mental health and social context of children and their families is basically missing. However, this would be crucial for the consideration of evidence-based recommendations. Therefore, the impact of fixed orthodontic appliances should be addressed in further empirical studies.
所有年龄组的正畸治疗都呈现出持续上升的趋势。正畸治疗是针对儿童最长且最常见的医疗干预措施之一。人们越来越关注正畸治疗与儿童口腔健康相关生活质量之间的联系，以便深入了解治疗需求和结果，以及口腔健康的长期改善情况。然而，据我们所知，固定正畸矫治器对儿童心理健康、社会环境及其家庭的影响尚未得到充分研究，也尚未进行总结。本研究的目的是概述关于固定正畸矫治器对儿童心理健康、社会环境和家庭影响的实证研究。
通过四个数据库进行了全面的文献检索。纳入了调查固定矫治器对18岁以下儿童心理健康、社会环境和家庭的影响的研究。由两名独立的审阅者提取数据。对这些研究进行了综述，并对其结果进行了比较和叙述性分析。
最终，分析了30项研究。最常见的结论是，与口腔健康相关的生活质量在治疗期间恶化，治疗后再次改善。正畸治疗对儿童生活、心理健康、个性、个人发展和行为的限制或影响程度尚未得到广泛研究。
基本上缺乏固定正畸矫治器对儿童及其家庭心理健康和社会环境影响的证据。然而，这对于考虑基于证据的建议至关重要。因此，固定正畸矫治器的影响应在进一步的实证研究中加以探讨。
