Quality of Life in Subjects Suffering from Severe Skeletal Malocclusion before Orthodontic Treatment
Objective: The objective of this study was to determine the occurrence of oral health impacts among patients with severe skeletal malocclusions and dentofacial skeletal deformities before orthodontic treatment.
Methods: A cross-sectional study comprising of 45 adult patients referred for orthodontic or surgical- orthodontic treatment to the orthodontics department, Karachi Medical and Dental College, Abbasi Shaheed Hospital Karachi were included. The study group consisted of 29 females and 15 males with a mean age of 21.5 ± 5.4 years. Study was conducted for six months from 30th Oct 2016 to 30th April 2017. A purposive sampling was done on the bases of survey base study design. A self-com- pleted Oral Health Impact Profile (OHIP)-14 questionnaire was used to measure the quality of life before orthodontic treatment.
Inclusion criteria were subjects seeking orthodontic treatment at the department of orthodontics, den- tal OPD Karachi Medical and Dental College, Abbasi Shaheed Hospital, Karachi, Pakistan. Patients who had perceived a need for orthodontic treatment and who were about to undergo orthodontic therapy were included.
Subjects with chronic medical conditions, previous orthodontic treatment, and craniofacial anomalies such as cleft lip and palate, untreated dental caries, and poor periodontal health status as indicated by a community periodontal index score of 3 or more were excluded. The frequency, extent, and sever- ity scores were calculated from the OHIP-14. Malocclusions were registered at clinical examination. The frequency and mean extent and severity scores were compared among malocclusion groups and between genders. Descriptive and inferential statistical method was applied.
Results: Frequency of oral impact in malocclusion patient was 27.3% though test value was 56 (p value >0.00). Mean value for male and female patients with malocclusion is 22.06 + 7.1 and 21.34 + 4.4 (p value >0.626), respectively, which shows no significant difference present. Mean value for class I, II and III was 24.5, 28.9 and 30.5 (p value >0.44), respectively, which shows no significant differ- ence.
Conclusion: There was no difference noted in the class of skeleton malocclusion in quality of life of patients and there was no gender difference noted in oral health impact of patients.