Abstract
Background: The aim of this study is to assess psychosocial impacts on oral health-related quality of life between individuals currently undergoing orthodontic treatment and those who have completed treatment.
Methods: A total of 135 individuals were selected from the Orthodontic Department at Rashid Latif Dental Hospital, Lahore, Pakistan. Current and previous orthodontic treatments were recorded. A questionnaire on oral impacts on daily performance was used to assess functional, psychological, and social limitations.
Results: The most prevalent psychosocial impact was difficulty in smiling/laughing (26.6%). Logistic regression analysis showed that individuals currently undergoing orthodontic treatment are 2.9 times more likely to experience difficulty in eating compared with individuals with completed orthodontic treatments, and the difference between groups was significant (p < 0.001). Furthermore, difficulty speaking was 6.7 times more likely to occur in individuals currently undergoing orthodontic treatment than in individuals with completed orthodontic treatment; the difference between groups was also significant.
Conclusion: Besides the normal and expected difficulties in eating, cleaning teeth, and speaking (i.e., functional impacts), individuals undergoing orthodontic treatment are prone to experience severe difficulties in smiling and going out. These issues are related to the psychosocial impacts and limitations of orthodontic treatment and demonstrate that the latter does not grant patients a higher status in society if they refrain from social settings and have difficulty smiling.
References
1. Gazit-Rappaport T, Haisraeli-Shalish M, Gazit E. Psychosocial reward of orthodontic treatment in adult patients. Eur J Orthod. 2010;32:441–6.
2. Arrow P, Brennan DS, Spencer J. Social acceptability of dental appearance and benefits of fixed orthodontic treatment: A 17‐year observational cohort study. J Public Health Dent. 2012;72:135–42.
3. Awaisi ZH, Asad S, Mahmood A. Patient perception regarding impact of orthodontic treatment. Pak Oral Dent J. 2011;31:96–9.
4. Choi SH, Cha JY, Lee KJ, Yu HS, Hwang CJ. Changes in psychological health, subjective food intake ability and oral health‐related quality of life during orthodontic treatment. J Oral Rehabil. 2017;44:860–9.
5. Sorooshian S, Kamarozaman AA. Fashion braces: An alarming trend. Sao Paulo Med J. 2018;136:497–8.
6. Wahab RMA, Hasan SK, Yamin NEM, Ibrahim Z. Awareness of fake braces usage among y-generations. J Int Dent Med Res. 2019;12:663–6.
7. Kamaruzaman DMS, Chiew SC, Bujang MA, Pang YR, Low JQW, Shafie RM. Fake braces among teenagers in Manjung district, Perak. Perak Med J. 2019;1.
8. Mulimani P, Vaid N. Through the murky waters of “Web-based Orthodontics,” can evidence navigate the ship? APOS Trends Orthod. 2017;7:207–10.
9. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11:3–11.
10. Sanadhya S, Aapaliya P, Jain S, Sharma N, Choudhary G, Dobaria N. Assessment and comparison of clinical dental status and its impact on oral health-related quality of life among rural and urban adults of Udaipur, India: A cross-sectional study. J Basic Clin Pharm. 2015;6:50–8.
11. World Health Organization. WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment: Field trial version, December 1996. Geneva: World Health Organization, 1996.
12. Gupta E. The determinants of oral health related quality of life in adults [dissertation]. United Kingdom: University of Sheffield; 2014.
13. Zhou Y, Wang Y, Wang X, Volière G, Hu R. The impact of orthodontic treatment on the quality of life a systematic review. BMC Oral Health. 2014;14:66.
14. Tsakos G, Allen PF, Steele JG, Locker D. Interpreting oral health‐related quality of life data. Community Dent Oral Epidemiol. 2012;40:193–200.
15. Usha G, Thippeswamy H, Nagesh L. Comparative assessment of validity and reliability of the Oral Impacts on Daily Performance (OIDP) frequency scale: A cross‐sectional survey among adolescents in Davanagere city, Karnataka, India. Int J Dent Hyg. 2013;11:28–34.
16. Bendo CB, Paiva SM, Torres CS, Oliveira AC, Goursand D, Pordeus IA, et al. Association between treated/ untreated traumatic dental injuries and impact on quality of life of Brazilian schoolchildren. Health Qual Life Outcomes. 2010;8:114.
17. Johal A, Alyaqoobi I, Patel R, Cox S. The impact of orthodontic treatment on quality of life and self-esteem in adult patients. Eur J Orthod. 2015;37:233–7.
18. Haag D, Peres K, Balasubramanian M, Brennan D. Oral conditions and health-related quality of life: A systematic review. J Dent Res. 2017;96:864–74.
19. Chen M, Wang DW, Wu LP. Fixed orthodontic appliance therapy and its impact on oral health-related quality of life in Chinese patients. Angle Orthod. 2010;80:49–53.
20. Nazir R, Mahmood A, Anwar A. Assessment of psychosocial impact of dental aesthetics and self perceived orthodontic treatment need in young adults. Pak Oral Dent J. 2014;34:312–6.
21. Liu Z, McGrath C, Hägg U. Changes in oral health-related quality of life during fixed orthodontic appliance therapy: An 18-month prospective longitudinal study. Am J Orthod Dentofacial Orthop. 2011;139:214–9.
22. Nuttall N, Tsakos G, Lader D, Hill K. Outcome and impact—A report from the Adult Dental Health Survey 2009. United Kingdom: NHS Information Centre, 2011.
23. Henson ST, Lindauer SJ, Gardner WG, Shroff B, Tufekci E, Best AM. Influence of dental esthetics on social perceptions of adolescents judged by peers. Am J Orthod Dentofacial Orthop. 2011;140:389–95.
24. Barbosa VS, Bossolan AP, Casati MZ, Nociti Jr FH, Sallum EA, Silvério KG. Clinical considerations for orthodontic treatment in periodontal patients. Perionews. 2012;6:635–41.
25. de Souza RA, de Oliveira AF, Pinheiro SM, Cardoso JP, Magnani MB. Expectations of orthodontic treatment in adults: The conduct in orthodontist/patient relationship. Dental Press J Orthod. 2013;18:88–94.
26. Anderson T, Thomas C, Ryan R, Dennes M, Fuller E. Children's dental health survey 2013 technical report England, Wales and Northern Ireland. London: Health and Social Care Information Centre, 2015.
27. Abdel-Kader HM. Psychosomatic norm in orthodontics: Problems and approach. World J Orthod. 2006;7:394–8.
28. Sardenberg F, Oliveira AC, Paiva SM, Auad SM, Vale MP. Validity and reliability of the Brazilian version of the psychosocial impact of dental aesthetics questionnaire. Eur J Orthod. 2011;33:270–5.
29. Pithon MM, Nascimento CC, Barbosa GC, Coqueiro Rda S. Do dental esthetics have any influence on finding a job? Am J Orthod Dentofacial Orthop. 2014;146:423–9.
30. Meeran NA. Iatrogenic possibilities of orthodontic treatment and modalities of prevention. J Orthod Sci. 2013;2:73–86.
31. Feu D, de Oliveira BH, de Oliveira Almeida MA, Kiyak HA, Miguel JA. Oral health-related quality of life and orthodontic treatment seeking. Am J Orthod Dentofacial Orthop. 2010;138:152–9.
32. Liu Z, McGrath C, Hägg U. The impact of malocclusion/orthodontic treatment need on the quality of life: A systematic review. Angle Orthod. 2009;79:585–91.
Recommended Citation
Shahzad HB, Iftikhar D, Huda Nu, Enver N, Awais F, Hussain S, et al. Psychosocial impacts of fixed orthodontic treatment in Lahore, Pakistan. Makara J Health Res. 2020;24.