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Published in: BMC Oral Health 1/2024

Open Access 01-12-2024 | Aligner | Research

Impact of treament with orthodontic aligners on the oral health-related quality of life

Authors: Gabriela Luiza Nunes Souza, Esdras de Campos França, Marcelo de Araújo Lombardi, Giselle Cabral da Costa, Najara Barbosa da Rocha, Lucas Guimarães Abreu

Published in: BMC Oral Health | Issue 1/2024

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Abstract

Background

There is an increasing interest in information on the effects of orthodontic aligners on the oral health-related quality of life (OHRQoL) of people.

Aim

To compare the impact of orthodontic aligners versus conventional fixed appliances on OHRQoL, using a validated tool and controlling for sociodemographic and clinical variables.

Method

Sixty-one individuals participated in this study. Group 1 (G1) consisted of 33 individuals under treatment with orthodontic aligners and Group 2 (G2) comprised 28 individuals under treatment with conventional fixed appliances. OHRQoL was evaluated with the Oral Health Impact Profile (OHIP-14) in which 14 items are distributed across seven dimensions: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. The higher the score, the more negative is the perception of the individual regarding his/her OHRQoL. Descriptive statistics, Mann-Whitney test, and Poisson regression were performed. Effect Size (ES) and Minimal Clinically Important Difference (MCID) were also determined.

Results

Participants’ mean age was 30.69 years. Individuals in G1 had a significantly lower score for physical pain and the total score of OHIP-14 compared to individuals in G2 (p < 0.05). The ES was large (ES = 0.74) for physical pain and moderate (ES = 0.46) for the total score. The ES was moderate for physical disability (ES = 0.50). The difference between groups for physical pain (1.30) and for physical disability (0.90) was greater than the MCID (0.87 and 0.88, respectively). Poisson regression showed that G2 individuals showed a score for physical pain 1.39 times higher than those of G1 in the adjusted model (OR = 1.39, [1.03–1.89], p = 0.031).

Conclusion

Those under treatment with orthodontic aligners have a more positive perception of OHRQoL compared to those wearing fixed appliances.
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Metadata
Title
Impact of treament with orthodontic aligners on the oral health-related quality of life
Authors
Gabriela Luiza Nunes Souza
Esdras de Campos França
Marcelo de Araújo Lombardi
Giselle Cabral da Costa
Najara Barbosa da Rocha
Lucas Guimarães Abreu
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Aligner
Published in
BMC Oral Health / Issue 1/2024
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-024-04183-z

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