Sabit fonksiyonel aygıtların bireylerin ağzıyla ilgili yaşam kalitesine etkisi

Year 2022, Volume: 39 Issue: 3, 52 - 57, 07.09.2022

Fatma Tekin , Burcu Baloş Tuncer

https://doi.org/10.17214/gaziaot.981947

Abstract

Amaç: Bu çalışmada, sabit fonksiyonel aygıt uygulanan hastaların ve ebeveynlerinin tedavi beklentilerini belirlemek, bu aygıtların bireylerin ağızla ilgili yaşam kalitelerine etkisini değerlendirmek amaçlandı.
Gereç ve Yöntem: Angle sınıf II,1 maloklüzyona sahip, ortodontik tedavide forsus fatigue resistant aygıtı (FFRD) kullanımı planlanmış olan toplam 50 hasta (39 kadın, 11 erkek, ortalama yaş 16.24 yıl) çalışmaya dahil edildi. Tedavi öncesi hasta ve ebeveynlerinin tedavi beklentilerine ilişkin bilgiler kaydedildi. Hastaların mevcut ortodontik anomalilerinin genel sağlık durumları üzerindeki algı düzeyini ölçmek üzere tasarlanmış olan Oral Health Impact Profile (OHIP-14) anketi braketlemeden 1 ay sonra (T1) ve sabit fonksiyonel aygıtın yerleştirilmesinden 1 ay sonra (T2) alındı. İstatistiksel değerlendirmede dönemler arası fark analizi için Wilcoxon Signed Rank testi, cinsiyetler arası değerlendirme için Mann-Whitney U testi kullanıldı.
Bulgular: Ortodontik tedavi isteğinde hastaların dişlerinin düzgün sıralanmasını önemli bulduğu; ebeveynlerinin ise yüz estetiğini daha önemli bulduğu belirlendi. Cinsiyetler arası karşılaştırmada, kızların mevcut ortodontik problemlerini daha önemli buldukları görüldü (p<0.05). Yaşam kalitesi anket sonuçlarına göre, en yüksek skorlar sırasıyla ‘yemek yemede problem’ ve ‘ağrı hissi’ ile ilgili olup; tedavi dönemleri arasında anlamlı düzeyde fark bulunmadı.
Sonuç: Bu çalışma ile; sabit fonksiyonel aygıt uygulamasının hastaların ağızla ilgili yaşam kalitelerine ciddi düzeyde bir yan etkisi olmadığı vurgulanmıştır. Hastalar, psikolojik ve sosyal etkileşimden ziyade fonksiyonel limitasyonlarla karşılaşabilirler. Bu bulgular; ilgili cihazlarla ilişkili endişelerin giderilmesinde klinisyenlere yardımcı olabilir.

Keywords

Ortodonti, ortodontik aletler, fonksiyonel, yaşam kalitesi

Effects of fixed functional devices on patients’ oral health-related quality of life

Abstract

Objective: To determine treatment expectations of patients and parents, and the initial effects of fixed functional devices on oral health-related quality of life.
Materials and Method: The study comprised 50 patients (39 female, 11 male, mean age 16.24 years) with Angle Class II,1 malocclusion, who were planned to be treated with forsus fatigue resistant device (FFRD). Treatment expectations of the patients and their parents/legal guardians were assessed before the treatment. The Oral Health Impact Profile (OHIP-14) was assessed 1-month after bonding (T1), and repeated 1-month after placement of FFRD (T2). Statistical analysis included Wilcoxon Signed Rank test for the evaluation of the differences in scores between treatment periods and Mann-Whitney U test for the evaluation of gender differences. Results: Main motivation for seeking orthodontic treatment was to improve dental appearance for the patients, and facial esthetics for their parents. Results declared that girls took their orthodontic problems more seriously than boys (p<0.05). The highest mean scores in OHIP-14 were achieved for “difficulty in eating”, and “feeling pain”. No significant difference between treatment periods was noted.
Conclusion: This study highlighted the lack of serious adverse effects of the use of fixed functional devices on patients’ quality of life, and that patients might probably experience problems about physical status, mainly for functional limitations, rather than psychological status and social interactions. The findings may assist clinicians in understanding the concerns about these appliances.

Keywords

Orthodontics, orthodontic appliances, functional, quality of life

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