ISSN 2415-3060 (print), ISSN 2522-4972 (online)
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JMBS 2021, 6(1): 237–243
https://doi.org/10.26693/jmbs06.01.237
Dentistry

Comprehensive Analysis of the Quality of Orthodontic Treatment of Transcarpathian Teenagers

Klitynska O. V. 1, Ivaskevych V. Z. 1, Hasiuk N. V. 2
Abstract

The high prevalence of dental anomalies and deformities requires a careful approach to orthodontic treatment, especially to improve quality of life. The purpose of the study was to determine the effectiveness of orthodontic care by index assessment of the results of correction of dental anomalies and determination of the psychosocial profile in adolescents of the Transcarpathian region. Material and methods. The object of the study were 68 adolescents from the Transcarpathian region. Determination of the correction of dental and maxillary apparatus anomalies was performed by calculating the relevant part of the ICON index, calculating the evaluation of the results. The quality of life of adolescents was assessed using the OHIP-14 quality of life questionnaire. Statistical analysis was performed after consolidation of results using the application package Statistica 10.0 (StatSoft, Inc., USA) and Microsoft Office Excel 2010. Results and discussion. Many studies in the field of psychology have determined that self-esteem is a core characteristic of the individual and together with the level of claims is a regulator of human activity and significantly affects its development. The result of self-esteem depends on how a person evaluates his/her success in joint activities where he/she is a member. This is especially true for teenagers and adolescence. The most important aspect of impaired quality of life in patients of this subgroup were problems of psychological and social nature, issues of external attractiveness, which prevailed even over the physical aspects of the impact, which is quite typical of adolescence. In patients with moderate orthodontic treatment there was a statistically significant improvement on the scales of psychological discomfort (from 6.4±0.6 points to 3.96±0.6 points; p <0.05), psychological disability (from 6.5±0.5 points to 2.18±0.5 points; p <0.05) and social disability (from 5.4±0.5 points to 3.36±0.5 points; p <0.05). Patients in this group after solving problems related to the aesthetics of the smile, as well as discomfort during communication, felt greater psychological comfort, relief in interaction with others and peers. There was a noteworthy shift of accentuation in such patients from problems with appearance to study and active social life. Among patients with severe orthodontic treatment, the most pronounced dynamics was observed on all scales of dental quality of life: on the scale of masticatory dysfunction (from 5.7±1.0 points to 3.12±1.0 points; p <0.05), physical pain (from 7.5±0.7 points to 2.01±0.7 * points; p <0.05), psychological discomfort (from 7.9±0.6 points to 3.48±0.6 points; p <0.05) physical disability (from 7.7±0.5 points to 3.20±0.5 points; p <0.05), psychological disability (from 7.5±0.4 points to 3.41±0.5 points; p <0.05). Conclusion. According to the study results, the success of orthodontic treatment (indicators of severity and effectiveness of orthodontic treatment according to the ISO index) directly correlated with the level of quality of life (r = 0.62; p <0.05)

Keywords: orthodontic treatment, ICON index, OHIP-14 quality of life questionnaire, Transcarpathian region, adolescents

Full text: PDF (Ukr) 300K

References
  1. Klitinska OV. Kompleksne obgruntuvannya diahnostyky, profilaktyky ta poetapnoho likuvannya kariyesu u ditey, yaki postiyno prozhyvayut v umovakh bioheokhimichnoho defitsytu ftoru ta yodu [Complex diagnostics, prevention, and preventive care of children, as well as living in the minds of biologic deficiency of fluorine and iodine]. Abstr. Dr. Sci. (Med.). Poltava; 2015. 40 p. [Ukrainian]
  2. Kaskova LF, Artemiev AV, Berejnaia EE, Amosova LI. Osobennosti stomatolohicheskoho statusa naseleniya territorii Ukrainy v raznye istoricheskie epokhi [Features of the dental status of the population of the territory of Ukraine in different historical periods]. Georgian Medical News. 2014; 12 (237): 35–40. [Russian]
  3. Proffit William R. The timing of early treatment: an overview. J Orthod Dentofacial Orthop. 2006 Apr; 129 (4 Suppl): 47-9. https://doi.org/10.1016/j.ajodo.2005.09.014
  4. Sato S, Kooistra W, Watanabe T, Matsumoto S, Medlin L. A new araphid diatom genus Psammoneis gen. nov. (Plagiogrammaceae, Bacillariophyta) with three new species based on SSU and LSU rDNA sequence data and morphology. Phycologia. 2008; 47(5): 510-28. https://doi.org/10.2216/08-04.1
  5. Mohammad RJ. Correlation between skeletal development and maxillary canine eruption. Indian J Dental Research. 2020; 3: 408-413
  6. Bayoumi1 A, Alkayya M, Alsharif M, Alsharif Sh, Albeesh N, Al-Sebaei NO, et al. Quality-of-Life Assessment in Orthognathic Surgery Patients: The effect of Orthognathic Surgery on Aesthetic Perception, Psychosocial well-being, and Oral Function. Int J Dent & Oral Heal. 2017; 3: 1 1-6. https://doi.org/10.25141/2471-657X-2017-1.0001
  7. Gordeyeva AV. Tryvozhnist molodshykh shkolyariv u protsesi adaptatsiyi do shkoly: shlyakhy ta metody psykhokorektsiyi [The thirteenth anniversary of young schools in the process of adaptation to schools: hat and methodical psychocorexia]. Psychologist. 2009; 14: 1-24. [Russian]
  8. Cunningham SJ, Hunt NP. Quality of life and its importance in orthodontics. J Orthod. 2001 Jun; 28(2): 152-8. https://doi.org/10.1093/ortho/28.2.152
  9. Klitinska OV, Gasyuk NV, Kostenko YeY, Gurando VR. Statistical model of caries formation and progression in children of preschool and early school age domiciled in biogeochemical deficiency of fluorine and iodine. J Stomat (Polish Dental Association). 2017; 70(6): 674-678. https://doi.org/10.5604/01.3001.0010.7725
  10. Mirchuk BN. Complex treatment of teeth maxillary anomalies at children with the correction of the adaptation processes and modeling of jaws bone tissue. Abstr. Dr. Sci. (Med.). Odessa; 2009. 367 p.
  11. Borzabadi-Farahani A, Borzabadi-Farahani A, Eslamipour F. The relationship between the ICON index and Aesthetic Components of the IOTN Index. World J Orthod. 2010 Spring; 11(1): 43-8.
  12. Khomenko LA, Kiselnikova LP, Smolar NI. Terapevtycheskaya stomatolohyya detskoho vozrasta [Therapeutic dentistry of children]. K: Book Plus; 2013. 864 s. [Russian]
  13. Golovanova IA, Liahova NO. Medyko-sotsialne obgruntuvannya optymizovanoi modeli nadannya ortodontychnoi dopomohy dytyachomu naselennyu na rehionalnomu rivni [Medico-social substantiation of the optimized model of providing orthodontic care to children at the regional level]. Economics and health law. 2018; 2(8): 11-6. [Ukrainian]
  14. «Healthy people 2020». Available from: https://www.cdc.gov/dhdsp/hp2020.htm
  15. Grey DG, Gillgrass TJ. Orthodontic need, complexity, outcome, and demographics of patients treated by orthodontists working in Scottish hospitals. EFOSA Quality Newsletter. 2006; 6: 2-12.
  16. Liausas R, Labanauskas Z, Svalkauskiene V, Smailiene D, Vaiciuniene J. Orthodontic treatment complexity, outcome and need among school age patients of Lithuanian university of health sciences clinic of orthodontics. Stomatologija. 2019; 21(1): 28-32.
  17. Isiekwe GI, Aikins AA. Self-perception of dental appearance and aesthetics in a student population. Int Orthodontics. 2019 Jun; 17(3): 506-512. https://doi.org/10.1016/j.ortho.2019.06.010