Evidence map›Paper›PMID 38668755›Full record

ArticleJournal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie2025

Quality of orthodontic care-A multicenter cohort study in a German convenience sample : Part 2: Cross-sectional patient-reported outcomes after orthodontic treatment.

Isabelle Graf, Niko Christian Bock, Theodosia Bartzela, Vera Röper, Uwe Schumann, Karl Reck, Hans-Joachim Helms, Karolin Hoefer, Ulrike Fritz, Michael Wolf and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Isabelle GrafDepartment of Orthodontics, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany. isabelle.graf@uk-koeln.de.
Niko Christian BockDepartment of Orthodontics, Faculty of Medicine and University Hospital of Gießen, University of Gießen, Gießen, Germany.
Theodosia BartzelaDepartment of Orthodontics, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Vera RöperDepartment of Orthodontics, Hannover Medical School, Hannover, Germany.
Uwe SchumannOrthodontic practice, Essen, Germany.
Karl ReckOrthodontic practice, Pulheim, Germany.
Hans-Joachim HelmsDepartment of Medical Statistics, University Medical Centre, Göttingen, Germany.
Karolin HoeferDepartment of Operative Dentistry and Periodontology, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany.
Ulrike FritzDepartment of Orthodontics, Faculty of Medicine and University Hospital RWTH Aachen, RWTH Aachen, Aachen, Germany.
Michael WolfDepartment of Orthodontics, Faculty of Medicine and University Hospital RWTH Aachen, RWTH Aachen, Aachen, Germany.
Dirk WiechmannDepartment of Orthodontics, Hannover Medical School, Hannover, Germany.
Paul-Georg Jost-BrinkmannCenter for Dental and Craniofacial Sciences, Department of Orthodontics and Dentofacial Orthopedics, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Sabine RufDepartment of Orthodontics, Faculty of Medicine and University Hospital of Gießen, University of Gießen, Gießen, Germany.
Bert BraumannDepartment of Orthodontics, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn light of the growing interest in orthodontic care and its effectiveness in Germany, part 2 of this multicenter cohort study evaluated patient-reported outcomes such as oral health-related quality of life (OHRQoL), oral hygiene habits, oral health beliefs, and potential influencing factors.

methodsOf 586 patients screened from seven German study centers, data from 343 patients were analyzed for this part of the study. At the end of their orthodontic treatment, study participants filled out a questionnaire of either the German long version of the Oral Health Impact Profile (OHIP-G 49) or the German short version of the Child Oral Health Impact Profile (COHIP-19), depending on their age, as well as questions about their oral hygiene behavior and beliefs. Patient-, treatment- and occlusion-related factors were analyzed to account for potential influencing factors with regard to patients' OHRQoL after orthodontic treatment.

resultsIn all, 222 study participants filled out the OHIP-based and 121 the COHIP-based questionnaire. The mean OHIP-G 49 score was 12.68 and the mean OHIP-G 14 score was 3.09; the mean COHIP-19 score was 6.52 (inverted score 69.48). For OHIP-G 49 scores, a nonsignificant trend towards a higher score for male patients (14.45 vs 11.54; p = 0.061) was detected, while this trend was inverse for the COHIP-19 scores, i.e., female patients reported more impairment (total score 6.99 vs. 5.84; p = 0.099). Analyses suggested a trend towards better OHRQoL for patients who classified for the Peer Assessment Rating (PAR) Index improvement rate group 'greatly improved' as well as for nonsmokers. Oral hygiene habits and beliefs after orthodontic treatment were estimated to be good.

conclusionIn this German cohort, OHRQoL proved to be good and was rather unimpaired after orthodontic treatment. Furthermore, self-reported oral hygiene behavior and oral health beliefs represented good health awareness.

Indexed as

MalocclusionOral HealthOral HygieneOrthodontics, CorrectivePatient Reported Outcome MeasuresQuality of Health CareQuality of LifeAdolescentAdultChildCohort StudiesCross-Sectional StudiesFemaleGermanyHumansMaleChild Oral Health Impact ProfileOral Health Impact ProfileOral health-related quality of lifePatient centerednessTreatment outcome

Identifiers

PMID38668755
PMCPMC12540623

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.