THE RELATIONSHIP BETWEEN ORTHODONTIC TREATMENT NEED AND ORAL HEALTH RELATED
QUALITY OF LIFE OF SCHOOL CHILDREN
Had difficulty doing
useful jobs
No impact
207 (98)
199 (98)
66 (86)
95 (99)
19 (54)
10 (43)
Impact
4 (2)
3 (2)
10 (14)
1 (1)
16 (46)
13 (57)
No impact
207 (98)
200 (99)
70 (92)
91 (95)
22 (63)
8 (35)
Impact
4 (2)
2 (1)
6 (8)
5 (5)
13 (37)
15 (65)
No impact
207 (98)
199 (98)
76 (100)
96 (100)
23 (66)
11 (48)
Impact
4 (2)
3 (2)
0(0)
0 (0)
12 (44)
12 (52)
0.001
0.001
0.001
0.001
0.001
0.001
Felt life in general
less satisfactory
Have been unable to
function
the impact of malocclusion on OHRQoL of
young adults and emphasize the importance
of patient-based evaluation of oral health
status and oral health needs. However, they
showed that orthodontic treatment needs
did not significantly affect speech and word
pronunciation. While similar to our study other
researchers observed a strong association
between speech disorders and dentofacial
abnormalities
(21-24).
The
difference
between this study and the study conducted
by Hassan and Amin Hel (20) might be the
difference between the ages of the subjects
since in their study the subjects were 21 to 25
years old. In a wider age range Masood et al
(13) assessed OHRQoL in young people aged
15–25, and the association between IOTN, sex,
age and education level, and OHRQoL. Similar
to our study, they found that malocclusion has a
significant negative impact on OHRQoL and its
domains. Likewise, they reported no difference
in impact between males and females. With
respect to the gender differences, the findings
of our study were in contradiction with the
study of de Oliveria and Sheiham (25), who
reported that sex significantly affects the
impact of malocclusion on OHRQOL, and
women were 1.22 times more likely to have
an impact than men.
Both IOTN and OHIP-14 are reliable instruments;
nevertheless, they have some limitations. One of
the major limitations of OHIP-14 is that it does
not elicit the specific cause(s) of the impacts
recorded, which can be related to a variety of
oral health conditions and not necessarily the
subject’s malocclusion. IOTN may be a relatively
insensitive instrument to measure minor occlusal
traits and irregularities which mostly affect
patient appearance and about which a patient is
deeply concerned (26).
Conclusions
Malocclusion has a negative impact on both
physical and psychological aspects of the
daily life of subjects who are in definite need
for orthodontic treatment. These impacts are
similar for both male and female subjects.
Conflict of Interest and Sources for Funding:
No
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