Aligner therapy in adolescents: first-year results on the impact of therapy on oral health-related quality of life and oral hygiene

Objectives The aim of this multicenter clinical study was to examine the oral health-related quality of life and oral hygiene in adolescents before and during aligner therapy. Materials and methods Forty subjects (18 ♀, 22 ♂; mean age: 13.6 years) scheduled for aligner therapy (Invisalign® Teen) wer...

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Veröffentlicht in:Clinical oral investigations 2023-01, Vol.27 (1), p.369-375
Hauptverfasser: Sauer, Mareike Kristin, Drechsler, Thomas, Peron, Priscilla Ferrari, Schmidtmann, Irene, Ohlendorf, Daniela, Wehrbein, Heinrich, Erbe, Christina
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container_end_page 375
container_issue 1
container_start_page 369
container_title Clinical oral investigations
container_volume 27
creator Sauer, Mareike Kristin
Drechsler, Thomas
Peron, Priscilla Ferrari
Schmidtmann, Irene
Ohlendorf, Daniela
Wehrbein, Heinrich
Erbe, Christina
description Objectives The aim of this multicenter clinical study was to examine the oral health-related quality of life and oral hygiene in adolescents before and during aligner therapy. Materials and methods Forty subjects (18 ♀, 22 ♂; mean age: 13.6 years) scheduled for aligner therapy (Invisalign® Teen) were given oral health-related quality of life questionnaires, Oral Health Impact Profile (OHIP-G14) and Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ), to complete within their treatment (visit 1: 0 start of therapy; visit 2: 0 + 4 weeks; visit 3: 0 + 10 weeks; visit 4: 0 + 6 months; visit 5: 0 + 1 year). To assess oral hygiene, a questionnaire to take home was used, and plaque level was evaluated with the Quigley-Hein Plaque Index (TMQH) modified by Turesky et al. Results The OHIP-G14 mean score before aligner therapy was 3.3 ± 3.2, and 4.9 ± 5.4 after 1 year. The PIDAQ showed a positive psychological change in the well-being, as well as a more effective at-home oral hygiene regime. On average, the TMQH remained at a low level (grade 2 of 0–5). The initial insertion of the aligners caused the most significant changes in all parameters (except TMQH). Conclusion Oral health-related quality of life is only slightly affected during the first year of aligner therapy in adolescents. Oral hygiene at home is intensified and there is no increased dental plaque accumulation. Clinical relevance Dentofacial esthetics is a subset of the so-called Oral H-Related Quality of Life (OHRQoL) which should be considered more during orthodontic therapy.
doi_str_mv 10.1007/s00784-022-04741-1
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Materials and methods Forty subjects (18 ♀, 22 ♂; mean age: 13.6 years) scheduled for aligner therapy (Invisalign® Teen) were given oral health-related quality of life questionnaires, Oral Health Impact Profile (OHIP-G14) and Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ), to complete within their treatment (visit 1: 0 start of therapy; visit 2: 0 + 4 weeks; visit 3: 0 + 10 weeks; visit 4: 0 + 6 months; visit 5: 0 + 1 year). To assess oral hygiene, a questionnaire to take home was used, and plaque level was evaluated with the Quigley-Hein Plaque Index (TMQH) modified by Turesky et al. Results The OHIP-G14 mean score before aligner therapy was 3.3 ± 3.2, and 4.9 ± 5.4 after 1 year. The PIDAQ showed a positive psychological change in the well-being, as well as a more effective at-home oral hygiene regime. On average, the TMQH remained at a low level (grade 2 of 0–5). The initial insertion of the aligners caused the most significant changes in all parameters (except TMQH). Conclusion Oral health-related quality of life is only slightly affected during the first year of aligner therapy in adolescents. Oral hygiene at home is intensified and there is no increased dental plaque accumulation. Clinical relevance Dentofacial esthetics is a subset of the so-called Oral H-Related Quality of Life (OHRQoL) which should be considered more during orthodontic therapy.</description><identifier>ISSN: 1436-3771</identifier><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-022-04741-1</identifier><identifier>PMID: 36308561</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adolescents ; Dental plaque ; Dentistry ; Esthetics, Dental ; Humans ; Hygiene ; Medicine ; Oral Health ; Oral Hygiene ; Original ; Original Article ; Orthodontics ; Plaque index ; Quality of life ; Quality of Life - psychology ; Questionnaires ; Surveys and Questionnaires ; Teenagers ; Well being</subject><ispartof>Clinical oral investigations, 2023-01, Vol.27 (1), p.369-375</ispartof><rights>The Author(s) 2022</rights><rights>2022. 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Materials and methods Forty subjects (18 ♀, 22 ♂; mean age: 13.6 years) scheduled for aligner therapy (Invisalign® Teen) were given oral health-related quality of life questionnaires, Oral Health Impact Profile (OHIP-G14) and Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ), to complete within their treatment (visit 1: 0 start of therapy; visit 2: 0 + 4 weeks; visit 3: 0 + 10 weeks; visit 4: 0 + 6 months; visit 5: 0 + 1 year). To assess oral hygiene, a questionnaire to take home was used, and plaque level was evaluated with the Quigley-Hein Plaque Index (TMQH) modified by Turesky et al. Results The OHIP-G14 mean score before aligner therapy was 3.3 ± 3.2, and 4.9 ± 5.4 after 1 year. The PIDAQ showed a positive psychological change in the well-being, as well as a more effective at-home oral hygiene regime. On average, the TMQH remained at a low level (grade 2 of 0–5). The initial insertion of the aligners caused the most significant changes in all parameters (except TMQH). Conclusion Oral health-related quality of life is only slightly affected during the first year of aligner therapy in adolescents. Oral hygiene at home is intensified and there is no increased dental plaque accumulation. 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Materials and methods Forty subjects (18 ♀, 22 ♂; mean age: 13.6 years) scheduled for aligner therapy (Invisalign® Teen) were given oral health-related quality of life questionnaires, Oral Health Impact Profile (OHIP-G14) and Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ), to complete within their treatment (visit 1: 0 start of therapy; visit 2: 0 + 4 weeks; visit 3: 0 + 10 weeks; visit 4: 0 + 6 months; visit 5: 0 + 1 year). To assess oral hygiene, a questionnaire to take home was used, and plaque level was evaluated with the Quigley-Hein Plaque Index (TMQH) modified by Turesky et al. Results The OHIP-G14 mean score before aligner therapy was 3.3 ± 3.2, and 4.9 ± 5.4 after 1 year. The PIDAQ showed a positive psychological change in the well-being, as well as a more effective at-home oral hygiene regime. On average, the TMQH remained at a low level (grade 2 of 0–5). The initial insertion of the aligners caused the most significant changes in all parameters (except TMQH). Conclusion Oral health-related quality of life is only slightly affected during the first year of aligner therapy in adolescents. Oral hygiene at home is intensified and there is no increased dental plaque accumulation. Clinical relevance Dentofacial esthetics is a subset of the so-called Oral H-Related Quality of Life (OHRQoL) which should be considered more during orthodontic therapy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36308561</pmid><doi>10.1007/s00784-022-04741-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1950-640X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescents
Dental plaque
Dentistry
Esthetics, Dental
Humans
Hygiene
Medicine
Oral Health
Oral Hygiene
Original
Original Article
Orthodontics
Plaque index
Quality of life
Quality of Life - psychology
Questionnaires
Surveys and Questionnaires
Teenagers
Well being
title Aligner therapy in adolescents: first-year results on the impact of therapy on oral health-related quality of life and oral hygiene
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