Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances

Mariana A Alghamdi,1 Nada J Farsi,2 Ali H Hassan3 1Faculty of Dentistry, 2Department of Dental Public Health, 3Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia Introduction and purpose: Wearing orthodontic appliances may negatively affect...

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Main Authors: Alghamdi MA, Farsi NJ, Hassan AH
Format: Article
Language:English
Published: Dove Medical Press 2017-03-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/comparison-of-oral-health-related-quality-of-life-of-patients-treated--peer-reviewed-article-PPA
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author Alghamdi MA
Farsi NJ
Hassan AH
author_facet Alghamdi MA
Farsi NJ
Hassan AH
author_sort Alghamdi MA
collection DOAJ
description Mariana A Alghamdi,1 Nada J Farsi,2 Ali H Hassan3 1Faculty of Dentistry, 2Department of Dental Public Health, 3Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia Introduction and purpose: Wearing orthodontic appliances may negatively affect a patient’s oral health-related quality of life (OHRQoL) physiologically, psychologically, and socially. Few studies have assessed the effect of palatal expanders on OHRQoL. The aim of this study was to evaluate the impact of palatal expanders on OHRQoL and to compare it with that of fixed orthodontic appliances. Materials and methods: All adolescent and adult orthodontic patients who were undergoing treatment with fixed appliances or palatal expanders between July 2015 and January 2016 in King Abdulaziz University Orthodontc Dental Clinics, were recruited (n=399). The OHRQoL of each participant was assessed using the shortened Arabic version of the Oral Health Impact Profile-14 questionnaire. OHRQoL was compared between users of fixed appliances and users of palatal expanders; it was also compared after stratifying the patients by gender. Chi-squared and Fisher’s exact tests were used, as indicated. Results: Palatal expanders had significantly greater negative effects on chewing ability (P≤0.01) and pronunciation (P=0.048). However, fixed orthodontic appliances had significantly greater negative impacts on mouth aching (P=0.003), difficulty in relaxing (P=0.01), irritability (P=0.001), and embarrassment (P≤0.01). Conclusion: Palatal expanders had a significantly greater negative impact on some aspects of OHRQoL when compared with fixed orthodontic appliances in adolescents and young adults. Keywords: OHRQoL, OHIP, OHIP-14, fixed orthodontic treatment, palatal expander
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spelling doaj.art-74fd672acff6407785ce13f34e4ea7612022-12-21T19:48:48ZengDove Medical PressPatient Preference and Adherence1177-889X2017-03-01Volume 1169970532171Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliancesAlghamdi MAFarsi NJHassan AHMariana A Alghamdi,1 Nada J Farsi,2 Ali H Hassan3 1Faculty of Dentistry, 2Department of Dental Public Health, 3Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia Introduction and purpose: Wearing orthodontic appliances may negatively affect a patient’s oral health-related quality of life (OHRQoL) physiologically, psychologically, and socially. Few studies have assessed the effect of palatal expanders on OHRQoL. The aim of this study was to evaluate the impact of palatal expanders on OHRQoL and to compare it with that of fixed orthodontic appliances. Materials and methods: All adolescent and adult orthodontic patients who were undergoing treatment with fixed appliances or palatal expanders between July 2015 and January 2016 in King Abdulaziz University Orthodontc Dental Clinics, were recruited (n=399). The OHRQoL of each participant was assessed using the shortened Arabic version of the Oral Health Impact Profile-14 questionnaire. OHRQoL was compared between users of fixed appliances and users of palatal expanders; it was also compared after stratifying the patients by gender. Chi-squared and Fisher’s exact tests were used, as indicated. Results: Palatal expanders had significantly greater negative effects on chewing ability (P≤0.01) and pronunciation (P=0.048). However, fixed orthodontic appliances had significantly greater negative impacts on mouth aching (P=0.003), difficulty in relaxing (P=0.01), irritability (P=0.001), and embarrassment (P≤0.01). Conclusion: Palatal expanders had a significantly greater negative impact on some aspects of OHRQoL when compared with fixed orthodontic appliances in adolescents and young adults. Keywords: OHRQoL, OHIP, OHIP-14, fixed orthodontic treatment, palatal expanderhttps://www.dovepress.com/comparison-of-oral-health-related-quality-of-life-of-patients-treated--peer-reviewed-article-PPAOHRQoLOHIPOHIP-14fixed orthodontic treatmentpalatal expander.
spellingShingle Alghamdi MA
Farsi NJ
Hassan AH
Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances
Patient Preference and Adherence
OHRQoL
OHIP
OHIP-14
fixed orthodontic treatment
palatal expander.
title Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances
title_full Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances
title_fullStr Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances
title_full_unstemmed Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances
title_short Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances
title_sort comparison of oral health related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances
topic OHRQoL
OHIP
OHIP-14
fixed orthodontic treatment
palatal expander.
url https://www.dovepress.com/comparison-of-oral-health-related-quality-of-life-of-patients-treated--peer-reviewed-article-PPA
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AT hassanah comparisonoforalhealthrelatedqualityoflifeofpatientstreatedbypalatalexpanderswithpatientstreatedbyfixedorthodonticappliances