Citation Information :
Popoola OO, Popoola O, Chowdhury CR. A Cross-sectional Study of the Impact of Fixed Orthodontic Treatment on Self-esteem and Oral Health-related Quality of Life. 2024; 1 (3):44-51.
Aim and background: Orthodontic treatment has garnered significant scholarly attention over the past decade, likely driven by growing global awareness of malocclusion and the corresponding increase in demand for orthodontic interventions. Despite the rising popularity and demand for such treatments, there remains a lack of clarity regarding treatment outcomes and the psychological impact on patients, particularly within the Ghanaian population. The study investigated the association among fixed orthodontic treatment (FOT), self-esteem, and quality-of-life (QoL) as well as the extent to which malocclusion severity and sociodemographic factors contribute to the variations in self-esteem and QoL among patients.
Materials and methods: A total of 112 participants (56 FOT-treated and 56 FOT-untreated) aged between 18 and 52 years were selected from 3 different dental practices through multistage sampling techniques. Participants completed a questionnaire that contained sociodemographic information and a battery of standardized psychological scales that measure self-esteem and QoL. A clinical assessment was undertaken to determine the severity of malocclusion among FOT-untreated participants using the index of orthodontic treatment need.
Results: The result indicated a significant improvement in dental self-esteem (p = 0.001) as well as the social (p = 0.001) and physical domains (p = 0.001) of oral health-related QoL (OHRQoL) among patients who have undergone FOT. Additionally, patients assessed to possess severe malocclusion significantly reported lower functioning in the physical domain of OHRQoL than those with moderate malocclusion (p = 0.025). Sociodemographic factors, such as age and marital status, also significantly influenced the reported QoL and self-esteem by patients.
Conclusion: Overall, the study provided supporting evidence of improvement in OHRQoL and dental self-esteem with FOT.
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