Quality of life and psychosocial outcomes after fixed orthodontic treatment: a 17-year observational cohort study
Quality of life and psychosocial outcomes after fixed orthodontic treatment: a 17-year observational cohort study
复制标题
DOI：
10.1111/j.1600-0528.2011.00618.x
复制
发表时间：
2011-12-01
影响因子：
2.3
通讯作者：
Spencer, A. John
中科院分区：
文献类型：
--
作者：
Arrow, Peter;Brennan, David;Spencer, A. John
背景资料：几乎没有证据表明正畸治疗可以预防或减少龋齿、牙周病、牙外伤和颞下颌关节疾病的可能性，但咬合不正/正畸治疗需求的存在与生活质量之间存在适度的相关性。然而，很少有人知道正畸治疗的长期结果。本研究报告的生活质量和正畸治疗的心理社会后果的一个队列的成年人谁是在1988/1989年检查青少年的纵向随访。材料和方法：1988/1989年接受检查的儿童被邀请参加2005/2006年的随访。受访者完成了一份调查问卷，收集有关生活质量，接受正畸治疗和心理社会因素的信息，并邀请进行临床检查。口腔健康状况，包括咬合状态使用牙科美学指数进行了记录。采用方差分析和多元线性回归分析各测量因素之间的关系。结果：青少年期咬合状态与成年期生活质量之间无统计学显著相关。接受正畸治疗但不需要正畸治疗的个体的自尊水平（23.1，SD 5.2）和生活满意度（18.5，SD 3.7）均高于其他治疗组（自尊范围，20.0-22.7;生活满意度范围，16.4-18.1），方差分析分别为P < 0.01和P < 0.05。成年期咬合状态与生活质量显著相关，P < 0.01。多变量分析显示，青少年时期（“理想治疗”β = 0.70，P = 0.04）和成年期（“理想治疗”β = 1.66，P < 0.01）的咬合状态与生活质量之间存在统计学显著相关性。正畸治疗与心理社会因素（生活满意度;固定正畸治疗（FOT）β =-0.91，P = 0.02;自尊; FOT β =-1.39，P = 0.01）呈负相关。结论：咬合状态似乎与生活质量和心理社会因素的关系有限。接受固定正畸治疗似乎与口腔健康相关的生活质量无关，但似乎与自尊和生活满意度呈负相关。
Background: There is little evidence to suggest that orthodontic treatment can prevent or reduce the likelihood of dental caries or of periodontal disease or dental trauma and temporomandibular disorders, but there is a modest association between the presence of malocclusion/orthodontic treatment need and quality of life. However, little is known of the long-term outcomes of orthodontic treatment. This study reports on the longitudinal follow-up of quality of life and psychosocial outcomes of orthodontic treatment among a cohort of adults who were examined as adolescents in 1988/1989. Materials and Methods: Children who were examined in 1988/1989 were invited to a follow-up in 2005/2006. Respondents completed a questionnaire, which collected information on quality of life, receipt of orthodontic treatment and psychosocial factors, and were invited for a clinical examination. Oral health conditions including occlusal status using the Dental Aesthetic Index were recorded. Analysis of variance and multiple linear regression were used to examine the relationship between the measured factors. Results: There was no statistically significant association between occlusal status at adolescence and quality of life at adulthood. Those individuals who had orthodontic treatment but did not need orthodontic treatment had higher self-esteem (23.1, SD 5.2) and were more satisfied with life (18.5, SD 3.7) than other treatment groups (self-esteem range, 20.0-22.7; life satisfaction range, 16.4-18.1), anova P < 0.01 and P < 0.05, respectively. Occlusal status at adulthood was significantly associated with quality of life, P < 0.01. Multivariate analyses showed a statistically significant association between occlusal status at adolescence ('Desirable treatment' beta = 0.70, P = 0.04) and adulthood ('Desirable treatment' beta = 1.66, P < 0.01) with quality of life. Orthodontic treatment was negatively associated with psychosocial factors (life satisfaction; fixed orthodontic treatment (FOT) beta = -0.91, P = 0.02 and self-esteem; FOT beta = -1.39, P < 0.01). Conclusions: Occlusal status appears to have limited association with quality of life and psychosocial factors. Receipt of fixed orthodontic treatment does not appear to be associated with oral health-related quality of life but appears to be negatively associated with self-esteem and satisfaction with life.