Comparison of the Opinions of Adolescents With Different Orthodontic Treatment Needs

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Clinical and Experimental Dental Research Pub Date : 2024-08-28 DOI:10.1002/cre2.944

Larisa Krekmanova, Shams Shakrchi, Amina Gicic, Julia Naoumova

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Abstract

Background

The aim of this study was to compare oral health-related quality of life (OHRQoL) among adolescents granted (G) versus not granted (NG) publicly funded orthodontic treatment.

Materials and Methods

Adolescents aged 15–20 years who were granted versus not granted publicly funded orthodontic treatment responded to a web-based survey, assessing OHRQoL in relation to functional impact, psychological impact, and motivators for orthodontic treatment. Before the survey, pretesting of the questionnaire was conducted to ensure its reliability. Differences between the groups were tested using the chi-squared and Mann–Whitney U-tests. Reliability was assessed using Cohen's κ and Pearson's correlation coefficient during the pretest phase.

Results

One hundred and forty patients, equally distributed between a G and an NG group, responded to the survey. Gender, age, and demographic distribution were comparable in both groups. All respondents expressed a high subjective treatment need and similar answers regarding functional aspects. Orthodontic treatment motivators (G: 86.2% and NG: 94.7%, p = 0.443) were primarily related to improved self-esteem, overall well-being, facial appearance, and being able to laugh without embarrassment. The NG group expressed a more negative OHRQoL impact due to the appearance of their teeth compared with the G group (p < 0.001) and a negative impact caused by the position of their teeth (p < 0.001).

Conclusions

Orthodontic treatment need indices should aim to reinforce subjective measures as adolescents express similar motivators for orthodontic treatment, regardless of the clinician's objectively based decision about treatment need.

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不同正畸治疗需求的青少年的意见比较

背景本研究旨在比较获得（G）和未获得（NG）政府资助的青少年口腔正畸治疗的口腔健康相关生活质量（OHRQoL）。材料与方法 15-20 岁的青少年接受了与未接受政府资助的正畸治疗，他们对一项基于网络的调查做出了回应，该调查评估了与功能影响、心理影响和正畸治疗动机相关的口腔健康相关生活质量（OHRQoL）。在调查之前，对问卷进行了预先测试，以确保其可靠性。使用卡方检验和曼-惠特尼 U 检验对各组之间的差异进行了检验。在预试阶段，使用 Cohen's κ 和 Pearson's 相关系数对可靠性进行了评估。结果 140 名患者（G 组和 NG 组各占一半）回答了调查问卷。两组患者的性别、年龄和人口分布情况相当。所有受访者都表达了较高的主观治疗需求，对功能方面的回答也相似。正畸治疗的动机（G 组：86.2%，NG 组：94.7%，p = 0.443）主要与提高自尊、整体健康、面部美观以及能够开怀大笑而不尴尬有关。与 G 组相比，NG 组因牙齿外观（p < 0.001）和牙齿位置（p < 0.001）对 OHRQoL 的负面影响更大。结论正畸治疗需求指数应以加强主观测量为目标，因为无论临床医生对治疗需求做出何种客观决定，青少年对正畸治疗都表达了类似的动机。

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.