Effectiveness of early orthodontic treatment with the twin-block appliance: a multicenter, randomized, controlled trial. Part 2: psychosocial effects

O’Brien, Kevin; Wright, Jean L.; Conboy, Frances; Chadwick, Stephen; Connolly, Ivan; Cook, Paul A.; Birnie, David; Hammond, Mark; Harradine, Nigel; Lewis, David H.; McDade, Cathy; Mitchell, Laura E.; Murray, Alison; O’Neill, Julian; Read, M. J. F.; Robinson, Stephen; Roberts-Harry, D; Sandler, Jonathan; Shaw, Ian; Berk, Nancy W.

doi:10.1016/j.ajodo.2003.06.001

Cited by 166 publications

(84 citation statements)

References 13 publications

(15 reference statements)

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“…We believe, therefore, it is unrealistic to expect that major long term changes in psychological well-being could be demonstrated . One randomised controlled trial did find a short term improvement in self-concept when children with a class II division 1 malocclusion were treated early (aged 8 to 10) compared with an untreated control; 30 however other studies have found that orthodontic treatment has no effect on the psychological well-being of individuals, and self-esteem in particular, over the long term. [31][32][33] This has not been a surprising finding to others either.…”

Section: Psychological Well-beingmentioning

confidence: 99%

What is the value of orthodontic treatment?

2015

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SummaryOrthodontic treatment is as popular as ever. Orthodontists frequently have long lists of people wanting treatment and the cost to the NHS in England was £261m in 2013-14 (approximately 11% of the NHS annual spend on dentistry). It is important that clinicians and healthcare commissioners constantly question the contribution of interventions towards improving the health of the population. In this article the authors outline some of the evidence for and against the claims that people with a malocclusion are at a disadvantage compared with those without a malocclusion and that orthodontic treatment has significant health benefits. The authors would like to point out that this is not a comprehensive and systematic review of the entire scientific literature. Rather the evidence is presented in order to stimulate discussion and debate.

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Section: Psychological Well-beingmentioning

confidence: 99%

What is the value of orthodontic treatment?

2015

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“…Class II division 1 malocclusion has been reported to be associated with less enhanced self-concept and a greater number of negative social experiences. 21 Children with Class III malocclusion have the poorest masticatory efficiency and ability, followed by those with Class II and Class I malocclusion. 22 In the present study, the Class II malocclusion group included only adolescents with Class II division 1 malocclusion because Class II division 2 is an infrequent occurrence (0.4%).…”

Section: Discussionmentioning

confidence: 99%

Condition-Specific Impacts on Quality of Life Attributed to Malocclusion by Adolescents with Normal Occlusion and Class I, II and III Malocclusion

Bernabé

Sheiham

Oliveira

2008

The Angle Orthodontist

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Objective: To compare the prevalence, intensity, and extent of condition-specific oral impacts on quality of life attributed to malocclusion by Brazilian adolescents with normal occlusion and those with Angle Class I, II, and III malocclusion. Materials and Methods: Four groups of 55 adolescents were configured such that each group represented normal occlusion, as well as Angle Class I, II, and III malocclusion. No radiographs were taken. Adolescents aged 15 to 16 years were selected from those attending all secondary schools in Bauru (Sao Paulo, Brazil). The Oral Impacts on Daily Performances index was used to collect data on condition-specific impacts (CSIs) attributed to malocclusion. The prevalence, as well as the intensity and extent, of CSIs was compared among the four groups with the use of Chi-square and Kruskal-Wallis tests, respectively. Results: Groups were comparable according to sex, age, and socioeconomic status. The prevalence of CSI was significantly different between groups (P ϭ .039). Class II and III malocclusion groups reported a higher prevalence of CSI than those with normal occlusion and Class I malocclusion. However, the intensity and extent of CSI were not significantly different between groups. Conclusions: The prevalence, but not the intensity and extent, of CSIs attributed to malocclusion differed among groups with different malocclusions. The present findings support the concept that malocclusion has physical, psychological, and social effects on quality of life.

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“…While this modality of treatment conferred early clinical and psychological benefits to the patient, 13,14 it had the disadvantages of longer treatment time, greater overall cost and patient burnout in later stages of treatment. 15 Late treatment with the twin block starting during or slightly after the onset of the peak in mandibular growth appears to be more effective than early treatment, as it induces more favorable mandibular skeletal modifications.…”

Section: Discussionmentioning

confidence: 99%

Correction of Skeletal Class II Malocclusion using Functional-Fixed Appliance Therapy

Surana¹,

Chakrabarty²,

Dhar³

2012

JIOS

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Single-phase treatment started during late mixed dentition using functional followed by fixed appliance therapy has proven to be the most effective approach to achieve correction of Class II malocclusion. This case report demonstrates the use of this treatment approach in an 11-year-old girl with skeletal and dental Class II malocclusion, large overjet, deep overbite, increased incisor exposure and a gummy smile. She was given a functional appliance for 1 year which was immediately followed by fixed mechanotherapy for final finishing and detailing of the occlusion. The magnitude of skeletal and dental correction achieved, along with the dramatic improvement in facial appearance of the patient, provides a strong case for establishing the efficacy of this treatment modality.

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Effectiveness of early orthodontic treatment with the twin-block appliance: a multicenter, randomized, controlled trial. Part 2: psychosocial effects

Cited by 166 publications

References 13 publications

What is the value of orthodontic treatment?

What is the value of orthodontic treatment?

Condition-Specific Impacts on Quality of Life Attributed to Malocclusion by Adolescents with Normal Occlusion and Class I, II and III Malocclusion

Correction of Skeletal Class II Malocclusion using Functional-Fixed Appliance Therapy

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