Changes in Children's Oral Health Related Quality of Life Following Orthodontic Treatment

Changes in Children's Oral Health Related Quality of Life Following Orthodontic Treatment
Author: Man Zhang
Publisher: Open Dissertation Press
Total Pages:
Release: 2017-01-27
Genre:
ISBN: 9781361438060

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This dissertation, "Changes in Children's Oral Health Related Quality of Life Following Orthodontic Treatment" by Man, Zhang, 張漫, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract of thesis entitled CHANGES IN CHILDREN'S ORAL HEALTH RELATED QUALITY OF LIFE FOLLOWING ORTHODONTIC TREATMENT Submitted by ZHANG MAN For the degree of Doctor of Philosophy at The University of Hong Kong in September 2007 Malocclusion is a common oral disorder and the demand for orthodontic care is increasing among children. There is a dearth of information as to how malocclusion and its treatment impacts on the life quality of children, which has obvious implications in assessing orthodontic treatment need and evaluating outcomes from orthodontic care. This prospective longitudinal study was conducted to identify associations between orthodontic treatment need and child oral health-related quality of life (COHQoL); to determine the level of agreement between parents' and children's perceptions of COHQoL; to determine changes in COHQoL as a result of undergoing fixed orthodontic appliance therapy and to determine changes in COHQoL following orthodontic treatment. Children (aged 11-14) seeking orthodontic treatment were recruited in this study and followed-up over a three year period. Children's parents were also recruited at baseline. Children self-completed the Child Perceptions Questionnaire (CPQ) at baseline (pre-treatment status and expectations of treatment), during orthodontic treatment (at one week, one month, three months, six months, twelve months, and eighteen months after insertion of fixed appliance), and 6-months post-treatment. Their parents completed the Parental Perception Questionnaire (PPQ) and Family Impact scale (FIS) prior to treatment. Children's pretreatment occlusal models were assessed by three commonly used occlusal indices: Index of Orthodontic Treatment Need (IOTN) including Aesthetic Components (AC) and Dental Health Components (DHC), Index of Complexity, Outcome and Need (ICON) and the Dental Aesthetic Index (DAI). Improvements in occlusion following orthodontic treatment was determined by assessing differences in ICON scores obtained from pre- and post- treatment orthodontic casts. CPQ scores and AC scores were significant correlated (r=0.27, p0.05). FIS scores were significantly correlated with scores of ICON (r= 0.26, pDuring orthodontic treatment significant changes in CPQ scores occurred (pThere was significant reduction in CPQ scores 6-months following orthodontic treatment compared to pre-treatment (p0.05). Perceived improvement in oral health was associated with improvement in COHQoL (reduction in CPQ scores) a

Oral Health-related Quality of Life

Oral Health-related Quality of Life
Author: Marita Rohr Inglehart
Publisher: Quintessence Publishing (IL)
Total Pages: 232
Release: 2002
Genre: Medical
ISBN:

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ABSTRACT: Helping patients achieve an optimal quality of life through patient-centered treatment planning should be the ultimate goal of all oral health care providers. However, this issue extends beyond the realm of the individual clinician's office. This text presents quality-of-life research from various fields, including psychology, public health, and general health care; discusses how a patient-centered approach can be applied to basic oral and craniofacial research, clinical dental practice, community dental health issues, and dental education; and addresses how oral health-related quality of life relates to treating and understanding different patient populations, such as children with special needs, medically compromised patients, patients with oral cancer, and patients with chronic facial pain. Also discussed is how factors such as race/ethnicity, gender, and age can affect oral health-related quality-of-life concerns and treatment strategies. Finally, the book offers an outlook on the role that oral health-related quality of life will play in future research and dental education.

Oral Health Related Quality of Life Outcomes of Orthodontics in Children

Oral Health Related Quality of Life Outcomes of Orthodontics in Children
Author: Shoroog Agou
Publisher:
Total Pages: 450
Release: 2009
Genre:
ISBN: 9780494677339

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Contemporary conceptual models of health emphasize the importance of patient-based outcomes and recognize the complexity involved in their assessment. Various health conditions, personal, social, and environmental factors, are all thought to contribute to individual's quality of life. However, the impact of orthodontic treatment on Oral Health-related Quality of Life (OH-QOL) outcomes in children has not yet been systematically studied. Hence, this research was planned to assess the effect orthodontic treatment has on pediatric OH-QOL outcomes. Further, the important moderational role of children's psychological assets on OH-QOL reports is explored.Following completion of a preliminary study to confirm the psychometric properties of the Child Perception Questionnaire (CPQ11-14), the current two-phase study was undertaken. This consisted of a cross-sectional study examining the relationship among Self-Esteem (SE), malocclusion, and OH-QOL, and a longitudinal study examining the influence of orthodontics and children's Psychological Wellbeing (PWB) on OH-QOL reports.This PhD dissertation is presented in the "Publishable Style". The journals which hold the copyrights for the papers published from this thesis have given permission for the reproduction of the text and figures for this dissertation.The preliminary data confirmed that the CPQ11-14 is sensitive to change when used with children receiving orthodontic treatment. Our cross-sectional findings indicated that the impact of malocclusion on OH-QOL is substantial in children with low SE and identified SE as a salient determinant of OH-QOL in children seeking orthodontic treatment. Longitudinal data, on the other hand, detected significant improvement of OH-QOL outcomes after orthodontic treatment. As postulated, these improvements were most evident for the social and emotional domains of OH-QOL. However, covariate analysis emphasized the important role psychological factors play in moderating OH-QOL reports, as children with better PWB were more likely to report better OH-QOL regardless of their orthodontic treatment status.These results substantiate the validity of contemporary models of patient-based outcomes linking biological, personal, social, and environmental factors. Researchers and clinicians are encouraged to adopt this forward thinking approach when dealing with children with oro-facial conditions. Further studies with larger samples and longer follow-ups would be of value to expand on these findings.

Oral Health in Children, An Issue of Pediatric Clinics of North America E-Book

Oral Health in Children, An Issue of Pediatric Clinics of North America E-Book
Author: Max J. Coppes
Publisher: Elsevier Health Sciences
Total Pages:
Release: 2018-09-14
Genre: Medical
ISBN: 0323642241

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With collaboration of Dr. Bonita Stanton, Drs. Coppes and Fisher-Owens have created a current issue that looks at oral health in children, with a much needed update in the literature for pediatricians. Top experts have contributed clinical reviews on the following topics: Oral Health and Development; Infant Oral Health and the Influence of Habits; Prevention of tooth decay; Fluoride; Caries; Disparities in Children’s Oral Health (including Oral Health of Native Children); Children with Special Health Care Needs; Orthodontics; Oral Manifestations of Systemic Disease (specific to pediatrics and life course); Soft Tissue; Trauma; The Role of Primary Care Physicians (pediatricians and others) in Prevention Oral Disease; and Oral Health Care/Policies. Pediatricians will come away with the current clinical recommendations they need to improve oral health in children.

Handbook of Life Course Health Development

Handbook of Life Course Health Development
Author: Neal Halfon
Publisher: Springer
Total Pages: 667
Release: 2017-11-20
Genre: Medical
ISBN: 3319471430

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This book is open access under a CC BY 4.0 license. ​This handbook synthesizes and analyzes the growing knowledge base on life course health development (LCHD) from the prenatal period through emerging adulthood, with implications for clinical practice and public health. It presents LCHD as an innovative field with a sound theoretical framework for understanding wellness and disease from a lifespan perspective, replacing previous medical, biopsychosocial, and early genomic models of health. Interdisciplinary chapters discuss major health concerns (diabetes, obesity), important less-studied conditions (hearing, kidney health), and large-scale issues (nutrition, adversity) from a lifespan viewpoint. In addition, chapters address methodological approaches and challenges by analyzing existing measures, studies, and surveys. The book concludes with the editors’ research agenda that proposes priorities for future LCHD research and its application to health care practice and health policy. Topics featured in the Handbook include: The prenatal period and its effect on child obesity and metabolic outcomes. Pregnancy complications and their effect on women’s cardiovascular health. A multi-level approach for obesity prevention in children. Application of the LCHD framework to autism spectrum disorder. Socioeconomic disadvantage and its influence on health development across the lifespan. The importance of nutrition to optimal health development across the lifespan. The Handbook of Life Course Health Development is a must-have resource for researchers, clinicians/professionals, and graduate students in developmental psychology/science; maternal and child health; social work; health economics; educational policy and politics; and medical law as well as many interrelated subdisciplines in psychology, medicine, public health, mental health, education, social welfare, economics, sociology, and law.

Oral Health Related Quality of Life of Preschoolers with Severe Caries After Dental Rehabilitation Under General Anesthesia

Oral Health Related Quality of Life of Preschoolers with Severe Caries After Dental Rehabilitation Under General Anesthesia
Author: Cameron Grant
Publisher:
Total Pages: 0
Release: 2018
Genre:
ISBN:

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Purpose: To determine changes in the oral-health related quality of life (OHRQoL) of preschool-aged children with severe early childhood caries (S-ECC) following dental surgery under general anesthesia (GA). Methods: Parents/caregivers completed a questionnaire including the Early Childhood Oral Health Impact Scale (ECOHIS). Data analysis included descriptive statistics, bivariate analyses, effect size, and multiple linear regression. A p value ≤ 0.05 was significant. Results: Overall, 150 children were enrolled; mean age 47.7±14.2 months and 52% female. Mean total ECOHIS score was 6.3±5.3. Higher scores (more negative OHRQoL) were associated with single parent and low income households (

Use of the Child and Parent Perceptions Questionnaires to Assess the Impact of Oral Health on the Quality of Life in American Children, Ages 11-14 Years

Use of the Child and Parent Perceptions Questionnaires to Assess the Impact of Oral Health on the Quality of Life in American Children, Ages 11-14 Years
Author: Misty D. Lenk
Publisher:
Total Pages: 186
Release: 2006
Genre: Malocclusion in children
ISBN:

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Abstract: "Quality of life" is a dynamic construct. Broadly defined, it is an individual's satisfaction with the major areas of his/her life. It is associated with multiple variables and subject to change over time. An objective of this investigation was to evaluate if malocclusion and other oro-facial conditions affect oral health-related quality of life (OHRQoL). A further goal was to evaluate if changes in OHRQ0L occur with orthodontic treatment. A final aim was to evaluate the correlation between child and caregiver reports of OHRQoL. A convenience sample of 11-14-year-old children and their caregivers was recruited: pediatric group (N=64); orthodontic group (N=68); and cleft group (N48). Subjects completed OHRQ0L questionnaires at enrollment, 6-months and 12-months. The effects of group, time, and group X time were investigated using factorial ANOVA and Tukey-Kramer procedure, and the correlation between child and guardian responses was evaluated by comparing 31 questions common to both questionnaires utilizing the Pearson product-moment procedure. Group and time had significant effects on child OHRQ0L scores, and a significant interaction between group and time was found for the child subjects' 'emotional wellbeing' domain. Post hoc tests revealed significant differences in OHRQoL between the cleft groups and the orthodontic and pediatric dental groups across time. They also revealed significant changes in the orthodontic group's OHRQoL at the 12-month time period. Parents perceived oral and orofacial conditions to have significant impacts on child OHRQoL, with the parents of the cleft groups reporting their children to have significantly worse OHRQ0L compared to the reports of the orthodontic and pediatric dental parents. Parents also viewed their children's 'emotional well being' to change with time and the interaction of group and time to significantly impact 'functional limitation.' Post hoc tests revealed parents of the orthodontic group to report significantly more functional limitations at the 6-month time period when compared to baseline. Finally, Pearson product-moment procedure revealed a significant, positive relationship between caregiver and child responses to the OHRQoL questionnaires. Results from the present investigation suggest that the OHRQ0L of children is variable and influenced by oral condition, that OHRQoL improves during the first year of orthodontic care, and that parent perceptions of child OHRQoL is positively correlated with child reports. Supported in part by the Delta Dental Fund, an affiliate of the Delta Dental Plan of Ohio.