Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026
Impact of orthodontic treatment of class II division 1 malocclusion with twin block or Sander bite-jumping appliance during puberty on oral health-related quality of life and family functioning : Randomized controlled trial.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Cukaj Ademi Hana, Zigante Martina, Uhac Ludvig Mia, Palomo Juan Martin, Spalj Stjepan
Аннотация
OBJECTIVE: To investigate quality of life changes, family impacts, and predictors of successful overjet (OJ) reduction in patients treated with removable functional appliances for prominent upper front teeth.
PATIENTS AND METHODS: A total of 86 cases were analyzed, whose ages ranged from 11 to 13 years (median 12; 43% female). They were randomly allocated to treatment by twin block (TB) and Sander bite-jumping appliance (SBJ). OJ was measured before and after 1 year, and the Child Perceptions Questionnaire, Parental-Caregivers Perceptions Questionnaire, and Family Impact Scale were self-administered.
RESULTS: Treatment was unsuccessful in 33% of patients (discontinued regular check-ups or OJ reduction ≤ 40%). In successfully treated individuals, there was a reduction in problems related to child emotional well-being (EW) and oral symptoms, parental EW, and family impacts (p ≤ 0.010). In unsuccessfully treated individuals, there was a reduction in problems related to child EW and social well-being (p ≤ 0.036). In the multiple logistic regression model, sex, type of appliance, and parental perception of the child's functional limitations before treatment were predictors of successful OJ reduction (p < 0.001). Success odds were 8.1 times increased with TB compared to SBJ appliance (95% confidence interval [CI] 2.4-27.6; p = 0.001), 5 times in males (95% CI 1.6-15.5; p = 0.006) and 5 times when parents observed lowered functional limitations (≤ 4) in their child (95% CI 1.5-16.4; p = 0.008).
CONCLUSION: Appliance type, sex, and parental perceptions of a child's functional limitations predicted treatment success. Both successfully and unsuccessfully treated young adolescents reported improvement in oral health-related quality of life, implying that unsuccessfully treated patients convinced themselves that it was worth being treated.
PATIENTS AND METHODS: A total of 86 cases were analyzed, whose ages ranged from 11 to 13 years (median 12; 43% female). They were randomly allocated to treatment by twin block (TB) and Sander bite-jumping appliance (SBJ). OJ was measured before and after 1 year, and the Child Perceptions Questionnaire, Parental-Caregivers Perceptions Questionnaire, and Family Impact Scale were self-administered.
RESULTS: Treatment was unsuccessful in 33% of patients (discontinued regular check-ups or OJ reduction ≤ 40%). In successfully treated individuals, there was a reduction in problems related to child emotional well-being (EW) and oral symptoms, parental EW, and family impacts (p ≤ 0.010). In unsuccessfully treated individuals, there was a reduction in problems related to child EW and social well-being (p ≤ 0.036). In the multiple logistic regression model, sex, type of appliance, and parental perception of the child's functional limitations before treatment were predictors of successful OJ reduction (p < 0.001). Success odds were 8.1 times increased with TB compared to SBJ appliance (95% confidence interval [CI] 2.4-27.6; p = 0.001), 5 times in males (95% CI 1.6-15.5; p = 0.006) and 5 times when parents observed lowered functional limitations (≤ 4) in their child (95% CI 1.5-16.4; p = 0.008).
CONCLUSION: Appliance type, sex, and parental perceptions of a child's functional limitations predicted treatment success. Both successfully and unsuccessfully treated young adolescents reported improvement in oral health-related quality of life, implying that unsuccessfully treated patients convinced themselves that it was worth being treated.