The objective and subjective outcome of orthodontic care in one municipal health center

Hirvinen, Heljä; Heikinheimo, Kaisa; Svedström-Oristo, Anna-Liisa

doi:10.3109/00016357.2011.575081

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…The second theme related to dental health and the first subtheme, aesthetic improvement, was one of the notable outcomes, with the relationship between aesthetic improvement and psychosocial effects also being evident. Recent research supports the current findings and concluded that patients who had undergone orthodontic treatment were more satisfied with their dental appearance than an untreated group (19). In future studies, it would be interesting to compare different malocclusions to investigate whether some patients benefit more from treatment than others.…”

Section: Discussionsupporting

confidence: 83%

Perceptions of outcomes of orthodontic treatment in adolescent patients: a qualitative study

AlQuraini

Shah

Cunningham

2019

European Journal of Orthodontics

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Background: The outcomes of orthodontic treatment are frequently classified as aesthetic, functional and psycho-social. However, there is limited research looking at outcomes of treatment in a qualitative manner from the patients' perspective. It is crucial to have a better understanding of these outcomes to allow management of expectations and enhance satisfaction with treatment. Objectives: To assess the outcomes of orthodontic treatment from the adolescent patient perspective. Subjects and Methods: This was a prospective qualitative study in which 20 adolescent patients (13-18 years), and parents, were interviewed using semi-structured in-depth interviews to assess how they felt about the outcomes of their treatment. The interviews were digitally recorded and transcribed verbatim and a content thematic analysis was undertaken using a framework approach. This publication reports on data from the patient interviews. Results: Thematic analysis identified three main themes, and associated subthemes. The themes were (i) health related behavioural changes, including improvement in the perceived ability to maintain good oral hygiene and better diet, (ii) dental health, encompassing enhanced aesthetics, function, and reduction in plaque accumulation and (iii) psychosocial influences, for example enhanced confidence, self-esteem and better social interactions. These themes support the quality of life benefits of treatment. Conclusion/ implications: Interviewing adolescent patients identified the important positive, and potentially long-term, benefits of orthodontic treatment. The results provide invaluable information which increases our understanding of the treatment we provide and gives important information which can be utilised when managing expectations during the informed consent stage. It is hoped that this may allow enhanced satisfaction following treatment.

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Section: Discussionsupporting

confidence: 83%

Perceptions of outcomes of orthodontic treatment in adolescent patients: a qualitative study

AlQuraini

Shah

Cunningham

2019

European Journal of Orthodontics

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“…For these reasons, it was decided to use the VAS (Visual Analog Scale) as a complementary method, as it is considered a clear, simple way to assess the patient’s esthetic perception and has been used by several authors ( 10 - 12 , 30 ). Some researchers highlight its simplicity and ease of use and the fact that the absence of numbers or images reduces the possibility of bias ( 31 ).…”

Section: Discussionmentioning

confidence: 99%

Relationship between perception of malocclusion and the psychological impact of dental aesthetics in university students

Bellot-Arcís

Montiel-Company

Pinho³

et al. 2015

J Clin Exp Dent

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Introduction and Objectives: The objectives were to assess the relationship between perceived smile aesthetics and perceived psychological impact as measured by the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), and their own perception of it using the Aesthetic Component of the Index of Orthodontic Treatment Need (IOTN-AC) and a Visual Analog Scale (VAS); relate the IOTN-AC and VAS to the PIDAQ; and study the predictive capacity of the scales for psychological impact. Material and Methods: A cross-sectional study was conducted in 447 college students in Spain and Portugal (average age 20.4 years, 33.1% men and 66.9% women). The online self-completed surveys used the recently-validated Spanish and Portuguese versions of the PIDAQ to assess the self–reported psychological impact of the students’ dental aesthetics and IOTN-AC and an ad hoc 100 mm VAS for their perception of their dental aesthetics. Results: PIDAQ was linearly correlated with IOTN AC and VAS. Pearson’s coefficient was 0.55 for PIDAQ and IOTN-AC (CI 95% 0.48-0.61) and -0.72 for PIDAQ and VAS (CI 95% -0.66 - -0.76). VAS and IOTN-AC were predictive variables in a linear regression model of the total PIDAQ score. The VAS diagnosed individuals whose dental aesthetics had a self-perceived psychological impact (area under the curve 0.827, CI 95% 0.787-0.868) more precisely than the IOTN-AC (area under the curve 0.742, CI 95% 0. 696-0.788). Conclusions: In adults patients, there is a significant linear relationship between perceived smile aesthetics and self-perceived psychological impact. Key words:Visual Analog Scale, Index of Orthodontic Treatment Need, malocclusion, psychological, aesthetics.

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“…The VAS was considered as a more straightforward way to ascertain the patient's perception of the aesthetics. Also, it was a quick method with high reproducibility (Heravi, Rashed, & Abachizadeh, 2011;Hirvinen, Heikinheimo, & Svedström-Oristo, 2012;Ioi, Nakata, & Counts, 2010).…”

Section: Generalizabilitymentioning

confidence: 99%

Oral status and aesthetics after nonsurgical periodontal treatment: Do patient's perception and dentist's evaluation agree?

Kaufmann

Hofer

Wiedemeier

et al. 2019

Clinical & Exp Dental Res

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Objectives Periodontal healing is often accompanied by side effects, which may cause an aesthetic deficit. The present investigation was focussed to compare patient's subjective perception of their posttherapy aesthetics with the objective measures of the results. Materials and methods Survey results from patients (subjective parameters) on oral status and aesthetics were compared against routine clinical parameters and corresponding survey results from treating dentists (objective parameters), both before and after periodontal treatment. Subjective outcome parameters were then suitably transformed and compared with the objective ones to investigate the agreement between patients' perception and actual outcomes. Results Objective recordings of periodontal status by the dentist and subjective awareness of the patient are quite contradictory to each other for almost all participants. Further, it was found that their aesthetics in the front were better after treatment, but dentist professionals targeted for future treatment needs. Conclusions In this study, it was found that patients improved aesthetically on the upper jaw front after the therapy, which was not shared by the dentists. This discrepancy was due to the clinicians' view on more aesthetic corrective procedures than on patients' need.

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The objective and subjective outcome of orthodontic care in one municipal health center

Abstract: Orthodontic treatment seems to improve both occlusal morphology and function. The high satisfaction with one's own dental appearance among the treated adolescents is worth noting.

Cited by 5 publications

References 18 publications

Perceptions of outcomes of orthodontic treatment in adolescent patients: a qualitative study

Perceptions of outcomes of orthodontic treatment in adolescent patients: a qualitative study

Relationship between perception of malocclusion and the psychological impact of dental aesthetics in university students

Oral status and aesthetics after nonsurgical periodontal treatment: Do patient's perception and dentist's evaluation agree?

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