ArticleBMC oral health2024
A longitudinal pilot study examining the influence of the orthodontic system chosen in adult patients (brackets versus aligners) on oral health-related quality of life and anxiety.
Article in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed.
- Perception of oral hygiene during orthodontic treatment: an eye-tracking and cross-sectional study.Scientific reports · 2026Article
- Orthodontic Need Among Adult Patients Seeking Oral Rehabilitation in Craiova.Journal of clinical medicine · 2026Article
- Patients' needs, expectations & concerns regarding clear aligner treatment.Clinical oral investigations · 2026Article
- Quality of Life in Orthodontic Patients Before and After Appliance Therapy: A Narrative Review.Journal of clinical medicine · 2026Review
- Dietary changes in patients with clear aligners compared with fixed orthodontic appliances during the early stages of orthodontic treatment: A systematic review.Korean journal of orthodontics · 2026Article
- Long-Term Impact of Orthodontic Treatment on Oral Behaviours, Temporomandibular Disorder-Related Pain, and Anxiety: An 18-Month Prospective Study.Orthodontics & craniofacial research · 2025Article
- Patient experiences with clear aligners: a scoping review.European journal of orthodontics · 2025Article
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Abstract
backgroundIn recent years, the demand for orthodontic treatment with aligners has increased, led by patient need, as aligners typically provide them with improved aesthetics and less physical discomfort. In deciding with the patient on an appropriate orthodontic system, it is important to take into account the potential discomfort and the perceptions that patients have in relation to their treatment. The objective of this study was to analyze the influence of brackets or aligners on oral health-related quality of life (OHRQoL) and anxiety levels in a sample of adult patients during the first month of treatment.
methodsThe pilot study was carried out at the Dental Clinic of the University of Salamanca between November 2023 and February 2024. Eighty adult patients who initiated orthodontic treatment were selected and divided into two groups: the brackets group (Victory®; 3 M Unitek, California, USA) (n = 40) and the aligners group (Invisalign®; Align Technology, California, USA) (n = 40). OHRQoL was analyzed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire, and anxiety was analyzed using the State-Trait Anxiety Inventory (STAI). The follow-up time was one month, with scores recorded at the beginning (T0) and one month after starting treatment (T1).
resultsThe mean patient age was 33.70 (± 5.45) years old. The total sample (n = 80) consisted of 66.2% men and 33.8% women. In the brackets group, one month after starting treatment, the dimension with the highest impact was that of physical pain (5.62 ± 1.51). In the aligners group, where the dimension of psychological disability had the highest score (4.22 ± 1.02). In the brackets group the total OHIP score was higher at one month (T1) (33.98 ± 6.81) than at the start of treatment (T0) (21.80 ± 3.34); this greater impact on OHRQoL one month after starting treatment was not observed in the aligners group (T1 = 27.33 ± 6.83; T0 = 27.33 ± 6.22). The orthodontic system used did not influence participants' anxiety (p > 0.05). Age and sex were not influential factors in either OHRQoL or anxiety.
conclusionsThe bracket system significantly influenced patients' OHRQoL. In the sample studied, no influence of the orthodontic system (brackets versus aligners) on anxiety was observed.
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