Long-Term Impact of Orthodontic Treatment on Oral Behaviours, Temporomandibular Disorder-Related Pain, and Anxiety: An 18-Month Prospective Study.

IF 1.7 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Bachar Reda, Giovanna Zanon, Luca Contardo, Mohammed Nahidh, Mariam Hmeidan
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Abstract

Objective: Orthodontic treatment is a common approach for correcting malocclusion but is often associated with discomfort. The aim of this study was to assess the longitudinal changes in oral behaviours, temporomandibular disorder (TMD)-related pain and anxiety among university students undergoing orthodontic treatment compared to untreated controls.

Materials and methods: A prospective cohort study was conducted at the University of Trieste, Italy. Participants were grouped based on the presence or absence of active orthodontic treatment and asked to complete an electronic survey comprising the Oral behaviour checklist-21 (OBC-21), TMD pain screener and generalised anxiety disorder-7 (GAD-7) at baseline (T0), after 6 months (T1), 12 months (T2) and 18 months (T3). Repeated measures ANOVA analysed within-group changes over time, while mixed ANOVA assessed group-time interactions.

Results: A total of 114 participants completed all follow-ups, with 57 in each group and comparable sex distribution. In the orthodontic group, no significant changes were observed across the three measures (p > 0.05). The non-orthodontic group showed a slight increase in OBC-21 scores after 12 months (p = 0.034) and a decrease in GAD-7 scores after 18 months (p = 0.048). Mixed ANOVA confirmed the absence of significant changes in the pattern of scores between the orthodontic and non-orthodontic groups over time (p > 0.05).

Conclusion: Orthodontic treatment does not significantly influence oral behaviours, TMD-related pain or anxiety over time. Routine screening for these factors in orthodontic patients is not required as a standard practice for all orthodontic patients; instead, individualised assessment should be based on clinical indications.

正畸治疗对口腔行为、颞下颌疾病相关疼痛和焦虑的长期影响:一项为期18个月的前瞻性研究。
目的:正畸治疗是矫正错牙合的常用方法,但常伴有不适。本研究旨在评估接受正畸治疗的大学生与未接受正畸治疗的对照组相比,口腔行为、颞下颌紊乱(TMD)相关疼痛和焦虑的纵向变化。材料和方法:在意大利的里雅斯特大学进行了一项前瞻性队列研究。参与者根据是否进行了积极的正畸治疗进行分组,并被要求在基线(T0)、6个月(T1)、12个月(T2)和18个月(T3)后完成一份电子调查,包括口腔行为检查表-21 (OBC-21)、TMD疼痛筛查和广泛性焦虑障碍-7 (GAD-7)。重复测量方差分析分析组内随时间的变化,而混合方差分析评估组内相互作用。结果:共有114名参与者完成了所有随访,每组57人,性别分布相似。在正畸组中,三个措施间无明显变化(p < 0.05)。非正畸组12个月后OBC-21评分略有升高(p = 0.034), 18个月后GAD-7评分略有下降(p = 0.048)。混合方差分析证实正畸组和非正畸组的评分模式随时间没有显著变化(p < 0.05)。结论:正畸治疗对口腔行为、tmd相关疼痛和焦虑无显著影响。并非所有正畸患者都需要对这些因素进行常规筛查;相反,个体化评估应该基于临床适应症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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