Skip to main content
Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 2/2016

01.03.2016 | Original Article

Oral health-related quality of life after orthodontic treatment for anterior tooth alignment

Association with emotional state and sociodemographic factors

verfasst von: Jana Kolenda, Helge Fischer-Brandies, Robert Ciesielski, Bernd Koos

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The aim of this work was to evaluate associations of oral health-related quality of life (OHRQoL) with sociodemographic factors and with emotional state in adults after orthodontic treatment for anterior tooth alignment. Few studies have examined these specific associations in the past, one reason presumably being a lack of specific instruments.

Patients and methods

A total of 128 adult patients consecutively treated with multibracket appliances were contacted during the retention period. The response rate was 68 %. They were asked to complete both an emotional well-being test (Zerssen Mood Scale, Bf-S) and a 52-item orthodontic survey of OHRQoL, which we had developed based on the German version of the Oral Health Impact Profile (OHIP-G14).

Results

The study demonstrated a high association of self-perceived apperance with OHRQoL and a strong role of the teeth and mouth. Aside from a few exceptions, the patients’ responses in the survey did not reveal any significant gender-specific or age-specific differences. By contrast, patients in lower-than-normal spirits were found to also respond with significantly less favorable ratings to the survey items dealing with self-perceived overall attractiveness, facial attractivenss, and course of treatment.

Conclusion

Dental appearance has a psychosocial impact on private and job-related interactions, which can increase the motivation of those affected to seek treament. Our orthodontic OHRQoL survey proved to be informative and practical. Findings that were especially striking included the patients’ high acceptance of the changes induced by treatment and their high willingness to recommend such treatment to other adults.
Literatur
1.
Zurück zum Zitat Allen PF, McMillan AS (1999) The impact of tooth loss in a denture wearing population: an assessment using the Oral Health Impact Profile. Community Dent Health 16(3):176–180PubMed Allen PF, McMillan AS (1999) The impact of tooth loss in a denture wearing population: an assessment using the Oral Health Impact Profile. Community Dent Health 16(3):176–180PubMed
2.
Zurück zum Zitat Allen PF, McMillan AS, Walshaw D, Locker D (1999) A comparison of the validity of generic- and disease-specific measures in the assessment of oral health-related quality of life. Community Dent Oral Epidemiol 27(5):344–352CrossRefPubMed Allen PF, McMillan AS, Walshaw D, Locker D (1999) A comparison of the validity of generic- and disease-specific measures in the assessment of oral health-related quality of life. Community Dent Oral Epidemiol 27(5):344–352CrossRefPubMed
3.
Zurück zum Zitat Awad MA, Locker D, Korner-Bitensky N, Feine JS (2000) Measuring the effect of intra-oral implant rehabilitation on health-related quality of life in a randomized controlled clinical trial. J Dent Res 79(9):1659–1663CrossRefPubMed Awad MA, Locker D, Korner-Bitensky N, Feine JS (2000) Measuring the effect of intra-oral implant rehabilitation on health-related quality of life in a randomized controlled clinical trial. J Dent Res 79(9):1659–1663CrossRefPubMed
4.
Zurück zum Zitat Bekes K, John MT, Schaller HG, Hirsch C (2011) The German version of the child perceptions questionnaire on oral health-related quality of life (CPQ-G11-14): population-based norm values. J Orofac Orthop. 72(3):223–233CrossRefPubMed Bekes K, John MT, Schaller HG, Hirsch C (2011) The German version of the child perceptions questionnaire on oral health-related quality of life (CPQ-G11-14): population-based norm values. J Orofac Orthop. 72(3):223–233CrossRefPubMed
5.
Zurück zum Zitat Berneburg M, Dietz K, Niederle C, Goz G (2010) Changes in esthetic standards since 1940. Am J Orthod Dentofacial Orthop 137(4):450.e1–9PubMed Berneburg M, Dietz K, Niederle C, Goz G (2010) Changes in esthetic standards since 1940. Am J Orthod Dentofacial Orthop 137(4):450.e1–9PubMed
6.
Zurück zum Zitat Bertolini F, Russo V, Sansebastiano G (2000) Pre- and postsurgical psycho-emotional aspects of the orthognathic surgery patient. Int J Adult Orthodon Orthognath Surg 15(1):16–23 Bertolini F, Russo V, Sansebastiano G (2000) Pre- and postsurgical psycho-emotional aspects of the orthognathic surgery patient. Int J Adult Orthodon Orthognath Surg 15(1):16–23
7.
Zurück zum Zitat Borelli C, Berneburg M (2010) “Beauty lies in the eye of the beholder”? Aspects of beauty and attractiveness. J Dtsch Dermatol Ges. 8(5):326–330CrossRefPubMed Borelli C, Berneburg M (2010) “Beauty lies in the eye of the beholder”? Aspects of beauty and attractiveness. J Dtsch Dermatol Ges. 8(5):326–330CrossRefPubMed
8.
Zurück zum Zitat Budtz-Jorgensen E, Chung JP, Rapin CH (2001) Nutrition and oral health. Best Pract Res Clin Gastroenterol 15(6):885–896CrossRefPubMed Budtz-Jorgensen E, Chung JP, Rapin CH (2001) Nutrition and oral health. Best Pract Res Clin Gastroenterol 15(6):885–896CrossRefPubMed
9.
Zurück zum Zitat Bullinger M, Pöppel E (1988) Lebensqualität in der Medizin: Schlagwort oder Forschungsansatz. Dtsch Ärztebl 11(B):504–5 Bullinger M, Pöppel E (1988) Lebensqualität in der Medizin: Schlagwort oder Forschungsansatz. Dtsch Ärztebl 11(B):504–5
10.
Zurück zum Zitat Carlsson GE (1984) Masticatory efficiency: the effect of age, the loss of teeth and prosthetic rehabilitation. Int Dent J 34(2):93–97PubMed Carlsson GE (1984) Masticatory efficiency: the effect of age, the loss of teeth and prosthetic rehabilitation. Int Dent J 34(2):93–97PubMed
11.
Zurück zum Zitat Christopherson EA, Briskie D, Inglehart MR (2009) Objective, subjective, and self-assessment of preadolescent orthodontic treatment need—a function of age, gender, and ethnic/racial background? J Public Health Dent 69(1):9–17 Christopherson EA, Briskie D, Inglehart MR (2009) Objective, subjective, and self-assessment of preadolescent orthodontic treatment need—a function of age, gender, and ethnic/racial background? J Public Health Dent 69(1):9–17
12.
Zurück zum Zitat Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrance Erlbaum Associates, Hillsdale Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrance Erlbaum Associates, Hillsdale
14.
Zurück zum Zitat Cunningham SJ, Feinmann C (1998) Psychological assessment of patients requesting orthognathic surgery and the relevance of body dysmorphic disorder. Br J Orthod 25(4):293–298CrossRefPubMed Cunningham SJ, Feinmann C (1998) Psychological assessment of patients requesting orthognathic surgery and the relevance of body dysmorphic disorder. Br J Orthod 25(4):293–298CrossRefPubMed
15.
Zurück zum Zitat Cunningham SJ, Hunt NP (2001) Quality of life and its importance in orthodontics. J Orthod. 28(2):152–158CrossRefPubMed Cunningham SJ, Hunt NP (2001) Quality of life and its importance in orthodontics. J Orthod. 28(2):152–158CrossRefPubMed
16.
Zurück zum Zitat Dimberg L, Arnrup K, Bondemark L (2014) The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod 7(3):238–247 Dimberg L, Arnrup K, Bondemark L (2014) The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod 7(3):238–247
17.
Zurück zum Zitat Felton JM (1998) Psychological consideration in orthodontics. J Okla Dent Assoc 88(4):30, 8–9 Felton JM (1998) Psychological consideration in orthodontics. J Okla Dent Assoc 88(4):30, 8–9
18.
Zurück zum Zitat Gasper D (2007) Human well-being: concepts and conceptualizations. In: McGillivray M (ed) Human well-being concept and measuremen. Palgrave Macmillan, Houndmills, pp 23–64 Gasper D (2007) Human well-being: concepts and conceptualizations. In: McGillivray M (ed) Human well-being concept and measuremen. Palgrave Macmillan, Houndmills, pp 23–64
19.
Zurück zum Zitat Gazit-Rappaport T, Haisraeli-Shalish M, Gazit E (2010) Psychosocial reward of orthodontic treatment in adult patients. Eur J Orthod 32(4):441–446CrossRefPubMed Gazit-Rappaport T, Haisraeli-Shalish M, Gazit E (2010) Psychosocial reward of orthodontic treatment in adult patients. Eur J Orthod 32(4):441–446CrossRefPubMed
20.
Zurück zum Zitat Group W, Orley J (1993) Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Qual Life Res 2(2):153–159CrossRef Group W, Orley J (1993) Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Qual Life Res 2(2):153–159CrossRef
21.
Zurück zum Zitat Hatch JP, Rugh JD, Clark GM, Keeling SD, Tiner BD, Bays RA (1998) Health-related quality of life following orthognathic surgery. Int J Adult Orthodon Orthognath Surg. 13(1):67–77PubMed Hatch JP, Rugh JD, Clark GM, Keeling SD, Tiner BD, Bays RA (1998) Health-related quality of life following orthognathic surgery. Int J Adult Orthodon Orthognath Surg. 13(1):67–77PubMed
22.
Zurück zum Zitat Heydecke G (2002) Patient satisfaction as outcome measure in clinical studies of oral health. Schweiz Monatsschr Zahnmed 112(4):330–336PubMed Heydecke G (2002) Patient satisfaction as outcome measure in clinical studies of oral health. Schweiz Monatsschr Zahnmed 112(4):330–336PubMed
23.
Zurück zum Zitat Hirsch A (1997) Was ist Lebensqualität? Diabetes Dialog. 1:1–4 Hirsch A (1997) Was ist Lebensqualität? Diabetes Dialog. 1:1–4
24.
Zurück zum Zitat Hoppenreijs TJ, Hakman EC, van’t Hof MA, Stoelinga PJ, Tuinzing DB, Freihofer HP (1999) Psychologic implications of surgical-orthodontic treatment in patients with anterior open bite. Int J Adult Orthodon Orthognath Surg 14(2):101–12 Hoppenreijs TJ, Hakman EC, van’t Hof MA, Stoelinga PJ, Tuinzing DB, Freihofer HP (1999) Psychologic implications of surgical-orthodontic treatment in patients with anterior open bite. Int J Adult Orthodon Orthognath Surg 14(2):101–12
25.
Zurück zum Zitat Jaeger A, Flechsig G, Luhr HG (1995) The motivation and experiences of patients in connection with orthodontic-oral surgery combined therapy. A patient survey with consideration of the clinical and psychosocial factors. Fortschr Kieferorthop 56(5):265–273CrossRef Jaeger A, Flechsig G, Luhr HG (1995) The motivation and experiences of patients in connection with orthodontic-oral surgery combined therapy. A patient survey with consideration of the clinical and psychosocial factors. Fortschr Kieferorthop 56(5):265–273CrossRef
26.
Zurück zum Zitat John MT (2005) Oral health-related quality of life is substantially impaired in patients who seek referral to a periodontal specialty practice. J Evid Based Dent Pract. 5(2):82–83CrossRefPubMed John MT (2005) Oral health-related quality of life is substantially impaired in patients who seek referral to a periodontal specialty practice. J Evid Based Dent Pract. 5(2):82–83CrossRefPubMed
27.
28.
Zurück zum Zitat Kenealy PM, Kingdon A, Richmond S, Shaw WC (2007) The Cardiff dental study: a 20-year critical evaluation of the psychological health gain from orthodontic treatment. Br J Health Psychol. 12(Pt 1):17–49CrossRefPubMed Kenealy PM, Kingdon A, Richmond S, Shaw WC (2007) The Cardiff dental study: a 20-year critical evaluation of the psychological health gain from orthodontic treatment. Br J Health Psychol. 12(Pt 1):17–49CrossRefPubMed
29.
Zurück zum Zitat Kiyak HA, Hohl T, Sherrick P, West RA, McNeill RW, Bucher F (1981) Sex differences in motives for and outcomes of orthognathic surgery. J Oral Surg. 39(10):757–764PubMed Kiyak HA, Hohl T, Sherrick P, West RA, McNeill RW, Bucher F (1981) Sex differences in motives for and outcomes of orthognathic surgery. J Oral Surg. 39(10):757–764PubMed
30.
Zurück zum Zitat Loochtan RM, Cole RM (1991) Adolescent suicide in orthodontics: results of a survey. Am J Orthod Dentofacial Orthop. 100(2):180–187CrossRefPubMed Loochtan RM, Cole RM (1991) Adolescent suicide in orthodontics: results of a survey. Am J Orthod Dentofacial Orthop. 100(2):180–187CrossRefPubMed
31.
Zurück zum Zitat McGuinness NJ (2008 ) Orthodontic evolution: an update for the general dental practitioner. Part 2: psychosocial aspects of orthodontic treatment, stability of treatment, and the TMJ-orthodontic relationship. J Ir Dent Assoc 54(3):128–31 McGuinness NJ (2008 ) Orthodontic evolution: an update for the general dental practitioner. Part 2: psychosocial aspects of orthodontic treatment, stability of treatment, and the TMJ-orthodontic relationship. J Ir Dent Assoc 54(3):128–31
32.
Zurück zum Zitat Michiels G, Sather AH (1994) Determinants of facial attractiveness in a sample of white women. Int J Adult Orthodon Orthognath Surg. 9(2):95–103PubMed Michiels G, Sather AH (1994) Determinants of facial attractiveness in a sample of white women. Int J Adult Orthodon Orthognath Surg. 9(2):95–103PubMed
33.
Zurück zum Zitat Oliveira PG, Tavares RR, Freitas JC (2013) Assessment of motivation, expectations and satisfaction of adult patients submitted to orthodontic treatment. Dental Press J Orthod 18(2):81–7 Oliveira PG, Tavares RR, Freitas JC (2013) Assessment of motivation, expectations and satisfaction of adult patients submitted to orthodontic treatment. Dental Press J Orthod 18(2):81–7
34.
35.
Zurück zum Zitat Rozen RD, Ordway DE, Curtis TA, Cantor R (1972) Psychosocial aspects of maxillofacial rehabilitation. I. The effect of primary cancer treatment. J Prosthet Dent 28(4):423–428CrossRefPubMed Rozen RD, Ordway DE, Curtis TA, Cantor R (1972) Psychosocial aspects of maxillofacial rehabilitation. I. The effect of primary cancer treatment. J Prosthet Dent 28(4):423–428CrossRefPubMed
36.
Zurück zum Zitat Sarwer DB, Zanville HA, LaRossa D, Bartlett SP, Chang B, Low DW et al (2004) Mental health histories and psychiatric medication usage among persons who sought cosmetic Surgery. Plast Reconstr Surg 114(7):1927–1933 CrossRefPubMed Sarwer DB, Zanville HA, LaRossa D, Bartlett SP, Chang B, Low DW et al (2004) Mental health histories and psychiatric medication usage among persons who sought cosmetic Surgery. Plast Reconstr Surg 114(7):1927–1933 CrossRefPubMed
37.
Zurück zum Zitat Schmidt A, Ciesielski R, Orthuber W, Koos B (2013) Survey of oral health-related quality of life among skeletal malocclusion patients following orthodontic treatment and orthognathic surgery. J Orofac Orthop. 74(4):287–294CrossRefPubMed Schmidt A, Ciesielski R, Orthuber W, Koos B (2013) Survey of oral health-related quality of life among skeletal malocclusion patients following orthodontic treatment and orthognathic surgery. J Orofac Orthop. 74(4):287–294CrossRefPubMed
38.
Zurück zum Zitat Shaw WC, Richmond S, Kenealy PM, Kingdon A, Worthington H (2007) A 20-year cohort study of health gain from orthodontic treatment: psychological outcome. Am J Orthod Dentofacial Orthop. 132(2):146–157CrossRefPubMed Shaw WC, Richmond S, Kenealy PM, Kingdon A, Worthington H (2007) A 20-year cohort study of health gain from orthodontic treatment: psychological outcome. Am J Orthod Dentofacial Orthop. 132(2):146–157CrossRefPubMed
39.
Zurück zum Zitat Slade GD (1997) Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 25(4):284–290CrossRefPubMed Slade GD (1997) Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 25(4):284–290CrossRefPubMed
40.
Zurück zum Zitat Tung AW, Kiyak HA (1998) Psychological influences on the timing of orthodontic treatment. Am J Orthod Dentofacial Orthop. 113(1):29–39CrossRefPubMed Tung AW, Kiyak HA (1998) Psychological influences on the timing of orthodontic treatment. Am J Orthod Dentofacial Orthop. 113(1):29–39CrossRefPubMed
41.
Zurück zum Zitat Viazis AD (1991) A new measurement of profile esthetics. J Clin Orthod. 25(1):15–20PubMed Viazis AD (1991) A new measurement of profile esthetics. J Clin Orthod. 25(1):15–20PubMed
42.
Zurück zum Zitat Von Zerssen D, Koeller DM (1976) Klinische Selbstbeurteilungsskala (KSB-S) aus dem Münchener Psychiatrischen Informationssystem. Die Befindlichkeitsskala. Beltz Test Gesellschaft mbH, Weinheim Von Zerssen D, Koeller DM (1976) Klinische Selbstbeurteilungsskala (KSB-S) aus dem Münchener Psychiatrischen Informationssystem. Die Befindlichkeitsskala. Beltz Test Gesellschaft mbH, Weinheim
43.
Zurück zum Zitat von Zerssen D, von Koeller DM, Rey ER (1970) Die Befindlichkeitsskala (B-S)- ein einfaches Instrument zur Objektivierung von Befindlichkeitsstörungen, insbesondere im Rahmen von Längsschnittuntersuchungen. Arzneimittelforschung 20(7):915–918 von Zerssen D, von Koeller DM, Rey ER (1970) Die Befindlichkeitsskala (B-S)- ein einfaches Instrument zur Objektivierung von Befindlichkeitsstörungen, insbesondere im Rahmen von Längsschnittuntersuchungen. Arzneimittelforschung 20(7):915–918
44.
Zurück zum Zitat Wolford LM, Chemello PD, Hilliard F (1994) Occlusal plane alteration in orthognathic surgery—part I: effects on function and esthetics. Am J Orthod Dentofacial Orthop. 106(3):304–316CrossRefPubMed Wolford LM, Chemello PD, Hilliard F (1994) Occlusal plane alteration in orthognathic surgery—part I: effects on function and esthetics. Am J Orthod Dentofacial Orthop. 106(3):304–316CrossRefPubMed
Metadaten
Titel
Oral health-related quality of life after orthodontic treatment for anterior tooth alignment
Association with emotional state and sociodemographic factors
verfasst von
Jana Kolenda
Helge Fischer-Brandies
Robert Ciesielski
Bernd Koos
Publikationsdatum
01.03.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe 2/2016
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-016-0018-4

Weitere Artikel der Ausgabe 2/2016

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 2/2016 Zur Ausgabe

Mitteilungen DGKFO

Mitteilungen der DGKFO

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.