EVALUATION OF THE RELATIONSHIP BETWEEN ORTHODONTIC TREATMENT NEED AND ORAL HEALTH-RELATED QUALITY OF LIFE OF 11-15 YEAR OLD CHILDREN WITH DIFFERENT MALOCCLUSIONS: A CROSS-SECTIONAL STUDY

Year 2022, Volume: 10 Issue: 2, 63 - 69, 01.09.2022

Kevser Kurt Demirsoy S. Kutalmış Büyük Nursu Becet Feridun Abay

https://doi.org/10.21765/pprjournal.1111250

Abstract

ABSTRACT
Objective: The aim of this cross-sectional study is to determine the orthodontic treatment need and oral health-related quality of life (OHRQoL) in children aged 11-15 and to evaluate the effect of orthodontic treatment need on oral health-related quality of life in different malocclusion groups.
Individuals and Methods: 261 children (158 girls, 103 boys) aged 11-15 years (mean 13.03±1.93 years in girls, 12.66±1.75 years in boys) who deserved orthodontic treatment constituted the material of the study. Individuals were divided into 3 groups according to their dental malocclusions as Angle Class I, Class II and Class III. Data collection tools; Index of Orthodontic Treatment Need (IOTN) Dental Health Component (IOTN-DHC), IOTN Aesthetic Component (IOTN-AC), Oral Health Impact Profile-14 (OHIP-14) and Clinical Examination Data Form. OHIP-14 was used to measure OHRQoL. IOTN-DHC and IOTN-AC (orthodontist & self-perception) were used to determine the need for orthodontic treatment. Data were collected through questionnaires, personal interviews, and intraoral examinations. Mann Whitney U test, Kruskal-Wallis test and Kendall tau-b correlation test were used to evaluate the data and the significance level was determined as P<0.05.
Results: It was determined that there was no difference between the genders in terms of OHIP-14, IOTN-DHC and IOTN-AC variables (P>0.05). While there was no significant difference between malocclusion groups in terms of OHIP-14 scores, IOTN-DHC scores indicating the need for orthodontic treatment were found to be significantly higher in the Class III malocclusion group (P<0.005). The IOTN-AC (self-perception) scores, in which children with Class II malocclusion evaluated their dental status according to their own aesthetic perceptions, were found to be significantly higher. While IOTN-DHC and IOTN-AC scores were highly correlated in all malocclusion groups, the correlation between IOTN scores and OHIP-14 scores was not statistically significant.
Conclusion: The need for orthodontic treatment determined in different malocclusion groups may not affect the OHRQoL of the patients. In children aged 11-15 years, OHRQoL indices may be helpful in determining treatment priority as an adjunct to traditional diagnostic methods.

Keywords

Malocclusion, Oral Health-Related Quality of Life, Index of Orthodontic Treatment Need, OHIP-14, Child.

11-15 YAŞ ARASI FARKLI MALOKLUZYONLARA SAHİP ÇOCUKLARDA ORTODONTİK TEDAVİ İHTİYACI VE AĞIZ SAĞLIĞINA İLİŞKİN YAŞAM KALİTESİ ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ: KESİTSEL BİR ÇALIŞMA

Abstract

ÖZ
Amaç: Bu kesitsel çalışmanın amacı 11-15 yaş arası çocuklarda ortodontik tedavi ihtiyacının ve ağız sağlığı ile ilgili yaşam kalitesinin (OHRQoL) belirlenmesi ve farklı malokluzyon gruplarında ortodontik tedavi ihtiyacının, OHRQoL üzerindeki etkisinin değerlendirilmesidir.
Bireyler ve Yöntem: Ortodontik tedavi görme isteği bulunan 11-15 yaş arası (kızlarda ort. 13.03 ± 1.93 yıl, erkeklerde ort. 12.66 ± 1.75 yıl) 261 çocuk (158 kız, 103 erkek) çalışmanın gerecini oluşturmuştur. Bireyler dental malokluzyonlarına göre Angle Sınıf I, Sınıf II ve Sınıf III olarak 3 gruba ayrıldı. Veri toplama araçları; Ortodontik Tedavi İhtiyacı Diş Sağlığı Bileşeni indeksi (IOTN-DHC), IOTN Estetik Bileşeni indeksi (IOTN-AC), Ağız sağlığı etki profili (Oral Health Impact Profile-14 (OHIP-14)) ve Klinik Muayene Veri Formudur. OHRQoL'yi ölçmek için OHIP-14 kullanıldı. IOTN-DHC ve IOTN-AC (ortodontist & kendi algısı) ise ortodontik tedavi gereksinimini belirlemek amacıyla kullanıldı. Veriler anketler, kişisel görüşmeler ve intraoral muayeneler yoluyla toplandı. Verilerin değerlendirilmesinde Mann Whitney U testi, Kruskal-Wallis testi ve Kendall tau-b korelasyon testi kullanıldı ve anlamlılık düzeyi P<0.05 olarak belirlendi.
Bulgular: Cinsiyetler arasında OHIP-14, IOTN-DHC ve IOTN-AC değişkenleri açısından farklılık bulunmadığı belirlendi (P>0.05). Malokluzyon grupları arasında OHRQoL ölçme verisi olan OHIP-14 skorları açısından anlamlı farklılık bulunmazken ortodontik tedavi gereksinimini belirten IOTN-DHC skorları Sınıf III malokluzyon grubunda anlamlı derecede yüksek olduğu bulundu (P<0.005). Sınıf II malokluzyona sahip çocukların dental durumlarını kendi estetik algılarına göre değerlendirdikleri IOTN-AC (kendi algısı) skorları ise anlamlı derecede yüksek bulundu. Tüm malokluzyon gruplarında IOTN-DHC ve IOTN-AC skorları yüksek korelasyon gösterirken, IOTN skorları ve OHIP-14 skorları arasındaki korelasyon istatistiksel olarak anlamlı değildi.
Sonuç: Farklı malokluzyon gruplarında belirlenen ortodontik tedavi ihtiyacı, hastaların OHRQoL'sini etkilemeyebilir. 11-15 yaş arası çocuklarda OHRQoL indeksleri geleneksel teşhis metotlarına yardımcı olarak tedavi önceliğinin belirlenmesinde faydalı olabilir.

Keywords

Malokluzyon, Ağız Sağlığı ile İlişkili Yaşam Kalitesi, Ortodontik Tedavi Gereksinim İndeksi, OHIP-14, Çocuk.

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