Original Article
 
Impact of orthodontic treatment on oral health related quality of life at a Tertiary Hospital in Lagos, Nigeria: A pilot study
Oyapero A.1, Ogunbanjo B.O.1, Adegbite K.O.2, Ajisafe O.A.2
1Department of Preventive Dentistry, Lagos State University Teaching Hospital, Ikeja, Lagos.
2Department of Child Dental Health, Lagos State University Teaching Hospital, Ikeja, Lagos.

Article ID: 100019D01OA2016
doi:10.5348/D01-2016-19-OA-6

Address correspondence to:
Oyapero A.
Department of Preventive Dentistry
Lagos State University Teaching Hospital
Ikeja
Lagos

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How to cite this article
Oyapero A, Ogunbanjo BO, Adegbite KO, Ajisafe OA. Impact of orthodontic treatment on oral health related quality of life at a Tertiary Hospital in Lagos, Nigeria: A pilot study. Edorium J Dent 2016;3:45–53.


Abstract
Aims: Malocclusion may not be life-threatening but it is an important public health problem, which has impact on the domains of discomfort, social and functional limitations. Orthodontic treatment may also cause functional restrictions, discomfort and pain. This study aimed to determine the impact of orthodontic treatment on the oral health-related quality of life (OHRQoL) of a group of patients receiving care at the Lagos State University Teaching Hospital, Ikeja, Lagos. (LASUTH).
Methods: This descriptive study was conducted among patients that were registered for care at the orthodontic clinic and had commenced fixed appliance therapy for one month. A structured interviewer administered questionnaire was used to obtain the socio-demographic information and to assess the orthodontic profile as well as the OHRQoL of the respondents.
Results: The highest OHRQOL scores were observed in the subdomains of self-consciousness, pain, discomfort on chewing, being irritable and embarrassment. Subjects aged between 21–40 years had the highest mean impact scores (32.93±7.86). Similarly, females and tertiary educated respondents had the highest mean impact scores (29.93±7.48). Respondents with definite malocclusion had the lowest mean OHIP-14 scores (18.00) while the respondent with very severe handicapping malocclusion had the highest mean scores (26.98). Respondents that had poor oral hygiene had a higher mean OHIP-14 scores (1.93±0.54) even though the association was not statistically significant.
Conclusion: Orthodontic treatment appears to be associated with a negative impact on the OHRQoL of respondents at the early stage of orthodontic treatment. This impact was highest in females, those aged between 21–40 years and those with a tertiary education. It is imperative that patients are adequately psychologically prepared before treatment commences and that care is taken to reduce iatrogenic damage to improve their likelihood of completing it.

Keywords: Malocclusion, Oral Health related quality of life, Orthodontic treatment


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Author Contributions:
Oyapero A. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ogunbanjo B.O. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Adegbite K.O. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ajisafe O.A. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Oyapero A. et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.