ArticleJournal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie2026
Long-term oral health-related quality of life (OHRQol) in adults with class III malocclusion treated by dental compensation.
Article in Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe goal is to assess long-term oral health-related quality of life in adults who had previously undergone compensatory orthodontic treatment for class III malocclusion and to identify associated factors.
methodsA total of 26 patients who underwent treatment by dental compensation more than 5 years ago were followed for an average of 14 years and were evaluated using cephalograms, photographs, the Oral Health Impact Profile (OHIP)-14 questionnaire, and self-perception questions on treatment stability. Poisson regression was used to analyze the association between quality of life and the stability of class III treatment, considering posttreatment cephalometric measurements, sex, posttreatment age (T2), treatment and posttreatment duration, use of retainers, tooth extractions, gingival recession, and clinical changes in incisor alignment.
resultsThe median OHIP-14 score was 3 (range 0-8.5), indicating a good level of quality of life over the long-term. In all, 30.76% of patients reported minor worsening in treatment results after its completion. When asked to identify the observed changes that occurred after treatment, whether in the teeth, face, or both regions, 80% associated the worsening with the dental region. Of these, 90% reported willingness to undergo orthodontic retreatment. Only 12% of the variation in OHIP-14 scores was attributed to the chosen predictor variables, and none of the analyzed variables showed a significant association with quality of life (p = 0.20-0.99).
conclusionAdults with class III malocclusion subjected to treatment with dental compensation reported a good OHRQoL in the long-term, even in the presence of minor posttreatment changes. Cephalometric changes, clinical and assessed demographic factors did not significantly impact quality of life.
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