Bachar Reda, Giovanna Zanon, Luca Contardo, Mohammed Nahidh, Mariam Hmeidan
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引用次数: 0
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.
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.