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Title: Discomfort associated with fixed orthodontic appliances: determinant factors and influence on quality of life
Keywords: Adolescents - Fixed orthodontic appliance
Adolescents - Quality of life
Adolescentes - Aparelho ortodôntico
Adolescentes - Qualidade de vida
Issue Date: 2014
Publisher: Dental Press International
Citation: MARQUES, L. S. et al. Discomfort associated with fixed orthodontic appliances: determinant factors and influence on quality of life. Dental Press Journal of Orthodontics, Maringá, v. 19, n. 3, p. 102-107, May/Jun. 2014.
Abstract: OBJECTIVE: To investigate the determinant factors of discomfort attributed to the use of fixed orthodontic appliance and the effect on the quality of life of adolescents. MATERIAL AND METHODS : Two hundred and seventy-two individuals aged between 9 and 18 years old, enrolled in public and private schools and undergoing orthodontic treatment with fixed appliance participated in this cross-sectional study. The participants were randomly selected from a sample comprising 62,496 individuals of the same age group. Data was collected by means of questionnaires and an interview. Discomfort intensity and bio-psychosocial variables were assessed using the Oral Impact on Daily Performance questionnaire. Self-esteem was determined using the Global Negative Self-Evaluation questionnaire. Statistical analysis involved the chi-square test and both simple and multiple Poisson regression analyses. RESULTS: Although most individuals did not present discomfort, there was a prevalence of 15.9% of impact on individuals' daily life exclusively due to the use of fixed orthodontic appliance . Age [PR: 3.2 (95% CI: 1.2-8.5)], speech impairment [PR: 2.2 (95% CI: 1.1-4.6)], poor oral hygiene [PR: 2.4 (95% CI: 1.2-4.8)] and tooth mobility [PR: 3.9 (95% CI: 1.8-8.1)] remained independently associated with a greater prevalence of discomfort (P ≤ 0.05). CONCLUSIONS: Discomfort associated with the use of fixed orthodontic appliances exerted a negative influence on the quality of life of the adolescents comprising the present study. The determinants of this association were age, poor oral hygiene, speech impairment and tooth mobility.
Appears in Collections:DME - Artigos publicados em periódicos

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