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Fulltext Oral health related quality of life assessment in orthodontic patients with anchorage reinforcement

Noreen Fitrisha Mat Nor, Sinniah, Saraswathy Devi, Maryati Md Dasor

Compendium of Oral Science, 2017;4(1):8-18.
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Objectives: To assess oral health related quality of life (OHRQoL) among orthodontic patients who had been allocated into three methods of orthodontic anchorage; transpalatal arch (TPA), modified TPA-Nance (TPA-Nance) and mini-implant (MI). Materials and Methods: This study was conducted in Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh and Puncak Perdana campus. Thirty-six orthodontic patients with anchorage requirement between 18 and 30 years old were recruited. The subjects were equally divided into three groups, which included 28 females and 8 males. The assessment of patients’ oral health related quality of life (OHRQoL) towards the anchorage supplementation using modified oral health impact profile (S-OHIP-14) questionnaires were carried out. The questionnaire was given at two time points, which was before the insertion of the allocated anchorage regime (T0) and after a week of insertion of the allocated anchorage regime (T1). Results: There was no statistical significant difference on functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability and handicap domains of OHIP-14 questionnaire between the three anchorage groups (p>0.05). Conclusion: The OHRQoL patterns, during the treatment with the anchorage reinforcement were very similar. This suggests that TPA, TPA-Nance and MI do not affect patients’ OHRQoL. The OHRQoL trends observed during the study can be communicated to patients and used to increase patients’ compliance since they are made aware of the whole treatment process.
Fulltext Development and validation of a novel screening instrument to prioritize the orthodontic referral of developing malocclusion in children: The index for interceptive orthodontics referral

Sinniah SD, Venkiteswaran A, Zakaria NN

Korean J Orthod, 2023 Mar 25;53(2):116-124.
PMID: 36960722 DOI: 10.4041/kjod22.229

OBJECTIVE: The absence of a guideline to refer to developing malocclusions appropriately, may be a contributing factor to the inadequacy of timely interceptive orthodontics provision. This study aimed to develop and validate a new orthodontic grading and referral index to be used by dental frontliners to prioritize the orthodontic referral of developing malocclusion in children based on its severity.
METHODS: A cross-sectional study involving clinical assessment with 413 schoolchildren aged between 8.1 and 11.9 years was conducted in 2018. All the presenting malocclusion was listed and graded based on a few dental guidelines to produce the draft index. The validity and reliability of the draft index were tested using twenty study models. Face and content validation was carried out using the content validation index and Modified Kappa Statistics.
RESULTS: Fourteen dental and occlusal anomalies were identified as components of malocclusion and three grades of referral (monitor, standard, urgent) were included in the final index. The scale-level content validity index average value of 0.86 and 0.87 was obtained for content and face validation, respectively. There was moderate to excellent agreement in the Modified Kappa Statistics for both validations. Excellent inter- and intra-assessor agreement was obtained. The new index displayed valid and reliable scores.
CONCLUSIONS: The Index for Interceptive Orthodontics Referral was developed and validated for the dental frontliners to identify and prioritize the developing malocclusion in children based on its severity and refer for orthodontic consultation to increase the possibility for interceptive orthodontics.

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