Pediatric patients' orthodontic treatment need, quality of life, and smiling patterns -- an analysis of patient, parent, and provider responses.

doi:10.1111/j.1752-7325.2010.00203.x

Paper

Pediatric patients' orthodontic treatment need, quality of life, and smiling patterns -- an analysis of patient, parent, and provider responses.

Published 2011 · Neha D Shah, Airton O. Arruda, M. Inglehart

Journal of public health dentistry

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8

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0

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Abstract

OBJECTIVES The objectives of this study is to explore the relationship between pediatric patients' orthodontic treatment need, the patients' assessments of their smile-related quality of life (QoL), their parents' proxy assessment of their child's QoL and own assessments of their child's smile, and the patients' objectively assessed smiling patterns. METHODS Survey data were collected from 102 patients (53 boys/49 girls; age range: 9-13 years) and their parents. Orthodontic treatment need was assessed with the Index of Complexity, Outcome, and Need (ICON). Smiling patterns were determined by videotaping patients' smiles while they watched a cartoon. Thirty predetermined sections of these tapes were then assessed by two independent raters to measure the patients' smiling patterns. RESULTS The aesthetic component and total ICON scores correlated with the patients' smile-related QoL (r = 0.25; P = 0.014/r = 0.23; P = 0.024), parental proxy assessments of the child's smile-related QoL (r = 0.29; P= 0.004/r = 0.26; P= 0.009), the parents' own assessments of their child's smile (r= 0.32; P= 0.002/ r = 0.29; P = 0.005), and the number of negative adjectives chosen by the parents to describe their child's smile (r= 0.32; P = 0.002/r = 0.30; P = 0.004). Although the smiling patterns were correlated with the patients' smile-related QoL responses (height of smile: r = 0.29; P = 0.005/number of teeth shown: r = 0.30; P = 0.004), the ICON scores were not correlated with the patients' smiling patterns. CONCLUSIONS Objectively assessed orthodontic treatment need correlates with the patients' and parents' assessments of the child's smile-related QoL scores. However, while objective smiling patterns are related with the patients' smile-related QoL, they are not correlated with the patients' orthodontic treatment need.

Observational Study

Study Snapshot

Pediatric patients' orthodontic treatment need correlates with their smile-related quality of life, but objective smiling patterns are not correlated with their orthodontic treatment need.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Pediatric patients' orthodontic treatment need, quality of life, and smiling patterns -- an analysis of patient, parent, and provider responses.

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Citations

Severe malocclusion negatively impacts adolescents' quality of life

Severe malocclusion negatively impacts adolescents' oral health-related quality of life, negatively impacting their emotional and social well-being.

Self-Perception of Brazilian Adolescents who need Orthodontic Treatment

Adolescents perceive the need for orthodontic treatment primarily due to malpositioned teeth, while skeletal anomalies and pain symptomatology have little impact on their perception.

The impact of malocclusions on oral health-related quality of life in children—a systematic review and meta-analysis

Malocclusions significantly lower oral health-related quality of life in children, with the impact varying based on age and cultural environment.

The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies.

Malocclusions negatively impact oral health-related quality of life in children and adolescents, particularly in emotional and social aspects.

Need for orthodontic treatment among Brazilian adolescents: evaluation based on public health

High prevalence of orthodontic treatment need among Brazilian adolescents (53.2%) is associated with demographic and subjective factors, challenging the goals of Brazil's universal public health system.