The impact of orthodontic treatment on the quality of life a systematic review

BMC Oral Health

RongDang Hu²  Gerald Volière¹  XiuYing Wang²  Yi Wang²  Yu Zhou² 

[1] School & Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China;Department of Orthodontics, Hospital of Stomatology, Wenzhou Medical University, 113 west college road, 325000 Wenzhou, China

关键词: Oral health–related quality of life;    Quality of life;    Orthodontic treatment;    Malocclusion;   

Others  :  1109661
DOI  :  10.1186/1472-6831-14-66

 received in 2014-05-29, accepted in 2014-06-05,  发布年份 2014

【 摘 要 】

Background

Although a great number of specific quality of life measures have been developed to analyze the impact of wearing fixed appliances, there is still a paucity of systematic appraisal of the consequences of orthodontics on quality of life. To assess the current evidence of the relationship between orthodontic treatment and quality of life.

Methods

Four electronic databases were searched for articles concerning the impact of orthodontic treatment on quality of life published between January 1960 and December 2013. Electronic searches were supplemented by manual searches and reference linkages. Eligible literature was reviewed and assessed by methodologic quality as well as by analytic results.

Results

From 204 reviewed articles, 11 met the inclusion criteria and used standardized health related quality of life and orthodontic assessment measures. The majority of studies (7/11) were conducted among child/adolescent populations. Eight of the papers were categorized as level 1 or 2 evidence based on the criteria of the Oxford Centre for Evidence-Based Medicine. An observed association between quality of life and orthodontic treatment was generally detected irrespective of how they were assessed. However, the strength of the association could be described as modest at best. Key findings and future research considerations are described in the review.

Conclusions

Findings of this review suggest that there is an association (albeit modest) between orthodontic treatment and quality of life. There is a need for further studies of their relationship, particularly studies that employ standardized assessment methods so that outcomes are uniform and thus amenable to meta-analysis.

【 授权许可】

   
2014 Zhou et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]O’Brien K, Kay L, Fox D, Mandall N: Assessing oral health outcomes for orthodontics–measuring health status and quality of life. Community Dent Health 1998, 15:22-26.
• [2]Sergl HG, Klages U, Zentner A: Functional and social discomfort during orthodontic treatment–effects on compliance and prediction of patients’ adaptation by personality variables. Eur J Orthod 2000, 22:307-315.
• [3]Doll GM, Zentner A, Klages U, Sergl HG: Relationship between patient discomfort, appliance acceptance and compliance in orthodontic therapy. J Orofac Orthop 2000, 61:398-413.
• [4]Cohen LK, Jago JD: Toward the formulation of sociodental indicators. Int J Health Serv 1976, 6:681-698.
• [5]Shaw WC, Addy M, Ray C: Dental and social effects of malocclusion and effectivenessof orthodontic treatment: a review. Community Dent Oral Epidemiol 1980, 8:36-45.
• [6]Liu Z, McGrath C, Hagg U: The impact of malocclusion/orthodontic treatment need on the quality of life. A systematic review. Angle Orthod 2009, 79:585-591.
• [7]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.
• [8]Johnson PD, Cohen DA, Aiosa L, McGorray S, Wheeler T: Attitudes and compliance of pre-adolescent children during early treatment of Class II malocclusion. Clin Orthod Res 1998, 1:20-28.
• [9]Allen PF: Assessment of oral health related quality of life. Health Qual Life Outcomes 2003, 1:40. BioMed Central Full Text
• [10]Heneghan C, Badenoch D: Levels of evidence and grades of recommendation. In Evidence-Based Medicine Toolkit. 1st edition. London: BMJ Books; 2002:51-54.
• [11]Chen YM, Mai LX, Li YR: Oral health-related quality of life of fixed orthodontic appliance therapy in adult patients. Chin J Stomal Res 2012, 4:49-53.
• [12]Wu LP, Zhu SL, Li YH: Oral health-related quality of life in patients with fixed orthodontic. Chin J Stomal Res 2009, 7:416-420.
• [13]Zhang M, McGrath C, Hagg U: Changes in oral health-related quality of life during fixed orthodontic appliance therapy. Am J Orthod Dentofacial Orthop 2008, 133:25-29.
• [14]Feu D, Miguel JA, Celeste RK, Oliveira BH: Effect of orthodontic treatment on oral health-related quality of life. Angle Orthod 2013, 83:892-898.
• [15]Liu Z, McGrath C, Hagg 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, 139:214-219.
• [16]Agou S, Locker D, Muirhead V, Tompson B, Streiner DL: Does psychological well-being influence oral-health-related quality of life reports in children receiving orthodontic treatment? Am J Orthod Dentofacial Orthop 2011, 139:369-377.
• [17]Costa A, Ferreira MC, Serra-Negra JM, Pordeus IA, Paiva SM: Impact of wearing fixed orthodontic appliances on oral health-related quality of life among Brazilian children. J Orthod 2011, 38:275-281.
• [18]Palomares NB, Celeste RK, Oliveira BH, Miguel JA: How does orthodontic treatment affect young adults’ oral health-related quality of life? Am J Orthod Dentofacial Orthop 2012, 141:751-758.
• [19]Lin AH, Chen WJ: Impact of orthodontic treatment on oral health-related quality of life. Slomatology 2012, 32:429-432.
• [20]De Oliveira CM, Sheiham A: Orthodontic treatment and its impact on oral health-related quality of life in Brazilian adolescents. J Orthod 2004, 31:20-27. discussion 15
• [21]Bernabe E, Sheiham A, Tsakos G, De Oliveira CM: The impact of orthodontic treatment on the quality of life in adolescents: a case-control study. Eur J Orthod 2008, 30:515-520.
• [22]Bowling A: Measuring health: a review of quality of life measurement scales. Maidenhead: Open University Press; 2005.
• [23]Locker D: Oral health and quality of life. Oral Health Prev Dent 2004, 2(Suppl 1):247-253.
• [24]Moher D, Liberati A, Tetzlaff J, Altman DG: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 2009, 62:1006-1012.
• [25]Nattrass C, Sandy JR: Adult orthodontics–a review. Br J Orthod 1995, 22:331-337.
• [26]Grimes DA, Schulz KF: Bias and causal associations in observational research. Lancet 2002, 359:248-252.