Research Article
Volume 19 Issue 2 - 2020
Was Treatment with Fixed Orthodontic Appliances as Expected?
Yassir A Yassir1*,Halla A Hamdan2 and Sarah A Nabbat3
1Assistant Professor, Orthodontic Department, College of Dentistry, University of Baghdad, Iraq
2Graduated Dentist, College of Dentistry, University of Baghdad, Iraq
3Postgraduate Student, Orthodontic Department, College of Dentistry, University of Baghdad, Iraq
*Corresponding Author: Yassir A Yassir, Orthodontic Department, College of Dentistry, University of Baghdad, Iraq.
Received: December 17, 2019; Published: January 21, 2020




Abstract

Objective: This study designed to identify actual patients’ expectations and experiences during fixed appliance orthodontic treatment.

Materials and Methods: A self-administered questionnaire survey was conducted for orthodontic patients who were within 3 - 9 months of their fixed appliance treatment at the College of Dentistry-University of Baghdad. Both genders were included without restrictions in terms of age. The questionnaire was developed, translated to Arabic, and face validated. Then, the participants were consented to read and fill the questionnaire and basing their answers according to their individual experience. Descriptive statistics were used and Chi-square compared between genders.

Results: One-hundred and one patients with an average age of 17.93 years participated in this survey (29% males and 72% females). There were no significant differences in the responses between males and females (P > 0.05). The fixed appliance was not expected as is, but it was expected to improve the smile, facial appearance, and oral health. Insufficient information about the adverse effects and duration of treatment was noted, however patients perceived their teeth movement. Twenty-two% of the patients were in need of further information regarding teeth cleaning, while only 6% needed extra information about eating with braces. Pain and improvement in facial appearance were noted by the 77% of the participants and 84% did not feel any embarrassment during treatment.

Conclusion: Adequate illustrations showing the fixed appliance before treatment should be used. Furthermore, patients should be advised to read the patient information sheet carefully.

Keywords: Fixed Appliance; Patient Expectations; Patient Experiences

References

  1. Proffit WR., et al. “Contemporary orthodontics”. 4th edition. St. Louis, Missouri: Mosby Elsevier (2007):14-23.
  2. Azuma S., et al. “Beneficial effects of orthodontic treatment on quality of life in patients with malocclusion”. Tohoku Journal of Experimental Medicine 214 (2008): 39-50.
  3. Mtaya M., et al. “Prevention of malocclusion and its relationship with socio demographic factors, dental caries and oral hygiene in 12 to 14-year-old Tanzanian schoolchildren”. European Journal of Orthodontics 31.5 (2009): 467-476.
  4. Dimberg L., et al. “The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies”. European Journal of Orthodontics 37.3 (2015): 238-247.
  5. Jung MH. “An evaluation of self-esteem and quality of life in orthodontic patients: effects of crowding and protrusion”. The Angle Orthodontist 85.5 (2015): 812-819.
  6. De Couto Nascimento V., et al. “Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation”. The Angle Orthodontist 86.5 (2016): 839-845.
  7. Kok YV., et al. “Comparing a quality of life measure and the Aesthetic Component of the Index of Orthodontic Treatment Need (IOTN) in assessing orthodontic treatment need and concern”. Journal of Orthodontics 31.4 (2004): 312-318.
  8. Sergl HG., et al. “Functional and social discomfort during orthodontic treatment- effects on compliance and prediction of patients’ adaptation by personality variables”. European Journal of Orthodontics 22.3 (2000): 307-315.
  9. Bergius M., et al. “Pain in orthodontics. A review and discussion of the literature”. Journal of Orofacial Orthopedics 61.2 (2000): 125-137.
  10. Bergius M., et al. “Experience of pain during an orthodontic procedure”. European Journal of Oral Sciences 110.2 (2002): 92-98.
  11. Erdinc AM and Dincer B. “Perception of pain during orthodontic treatment with fixed appliances”. European Journal of Orthodontics 26.1 (2004): 79-85.
  12. Krishnan V. “Orthodontic pain: from causes to management – a review”. European Journal of Orthodontics 29.2 (2007): 170-179.
  13. Scott P., et al. “Perception of discomfort during initial orthodontic tooth alignment using a self-ligating or conventional bracket system: a randomized clinical trial”. European Journal of Orthodontics 30.3 (2008): 227-232.
  14. Xiaoting L., et al. “Interventions for pain during fixed orthodontic appliance therapy. A systematic review”. The Angle Orthodontist 80.5 (2010): 925-932.
  15. Sandhu SS and Sandhu J. “Orthodontic pain – an interaction between age and sex in early and middle adolescence”. The Angle Orthodontist 83.6 (2013): 966-972.
  16. Rakhshan H and Rakhshan V. “Pain and discomfort perceived during the initial stage of active fixed orthodontic treatment”. Saudi Dental Journal 27.2 (2015): 81-87.
  17. Palomares NB., et al. “How does orthodontic treatment affect young adults’ oral health related quality of life? ” American Journal of Orthodontics and Dentofacial Orthopedics 141.6 (2012): 751-758.
  18. Pithon MM., et al. “Do dental esthetics have any influence on finding a job? ” American Journal of Orthodontics and Dentofacial Orthopedics 146.4 (2014): 423-429.
  19. Johal A., et al. “The impact of orthodontic treatment on quality of life and self-esteem in adult patients”. European Journal of Orthodontics 37.3 (2015): 233-237.
  20. Mondloch MV., et al. “Does how you do depend on how you think you’ll do? A systematic review of the evidence for a relation between patients’ recovery expectations and health outcomes”. Canadian Medical Association Journal 165.2 (2001): 174-179.
  21. Carr AJ., et al. “Is quality of life determined by expectations or experience? ” British Medical Journal 322.7296 (2001): 1240-1243.
  22. Albino JE., et al. “Psychological and social effects of orthodontic treatment”. Journal of Behavioral Medicine 17.1 (1994): 81-98.
  23. O’Brien K., et al. “Assessing oral health outcomes for orthodontics–measuring health status and quality of life”. Community Dental Health Journal 15.1 (1998): 22-26.
  24. Cunningham SJ and Hunt NP. “Quality of life and its importance in orthodontics”. Journal of Orthodontics 28.2 (2001): 152-158.
  25. Kiyak HA., et al. “The emotional impact of orthognathic surgery and conventional orthodontics”. American Journal of Orthodontics 88.3 (1985): 224-234.
  26. De Oliveira CM and Sheiham A. “Orthodontic treatment and its impact on oral health-related quality of life in Brazilian adolescents”. Journal of Orthodontics 31.1 (2004): 20-27.
  27. Hunt O., et al. “Professional perceptions of the benefits of orthodontic treatment”. European Journal of Orthodontics 23.3 (2001): 315-323.
  28. O’Brien K., et al. “The child perception questionnaire is valid for malocclusions in the United Kingdom”. American Journal of Orthodontics and Dentofacial Orthopedics 129.4 (2006): 536-540.
  29. Prado RF., et al. “Prospective evaluation of the psychosocial impact of the first 6 months of orthodontic treatment with fixed appliance among young adults”. The Angle Orthodontist 86.4 (2016): 644-648.
  30. Brattstrom V., et al. “Treatment co-operation in orthodontic patients”. British Journal of Orthodontics 18.1 (1991): 37-42.
  31. Rasool G., et al. “Orthodontic treatment and patient’s expectations”. POJ 4.2 (2012): 44-47.
  32. Yassir AY., et al. “Three questionnaires to assess the perception of fixed orthodontic therapy before, during and after treatment: validity and reliability”. European Journal of Orthodontics 39.4 (2017): 402-410. 
  33. Steiner DL and Norman GR. “Health measurement scales: A practical guide to their development and use”. Oxford: Oxford University Press (2008).
  34. Yassir AY., et al. “Audit comparing the BOS fixed appliances PIL with actual patient experience during treatment: Local clinical audit”. Clinical Effect Bull (2017b): 40-42.
  35. Yassir YA., et al. “A randomized clinical trial of the effectiveness of 0.018-inch and 0.022-inch slot orthodontic bracket systems: part 2: quality of treatment”. European Journal of Orthodontics 41.2 (2019): 143-153.
  36. Carter LA., et al. “The impact of orthodontic appliances on eating – young people's views and experiences”. Journal of Orthodontics 42.2 (2015): 114-122.
  37. Scheurer PA., et al. “Perception of pain as a result of orthodontic treatment with fixed appliances”. European Journal of Orthodontics 18.4 (1996): 349-357.
  38. Firestone AR., et al. “Patients’ anticipation of pain and pain-related side effects, and their perception of pain as a result of orthodontic treatment with fixed appliances”. European Journal of Orthodontics 21.4 (1999): 387-396.
  39. Zhang M., et al. “Patients’ expectations and experiences of fixed orthodontic appliances therapy. Impact on quality of life”. The Angle Orthodontist 77.2 (2007): 318-322.
  40. Krukemeyer AM., et al. “Pain and orthodontic treatment”. The Angle Orthodontist 79.6 (2009): 1175-1181.
Citation: Yassir A Yassir., et al. “Was Treatment with Fixed Orthodontic Appliances as Expected?. EC Dental Science 19.2 (2020): 01-11.

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