교정치료의 불편함과 일상활동에 대한 구강 내 영향

Patient-Reported Discomfort and Oral Impacts on Daily Performance during Orthodontic Treatment

Introduction: The main purpose of this study was to compare (1) discomfort during orthodontic treatment; and (2) Oral Impact on Daily Performance (OIDP) among different genders and age groups. Methods: This study involved 89 participants (47 adolescents, 42 adults) who were undergoing orthodontic fixed appliance treatment. Data was collected using two questionnaires - the OIDP questionnaire and discomfort during orthodontic treatment questionnaire. The OIDP questionnaire consisted of 8-items that evaluated the impact of oral conditions on an individual’s ability to perform daily activities; the discomfort during orthodontic treatment questionnaire consisted of twelve questions relating to the treatment experience. Results: Questionnaire responses showed that the most uncomfortable part of orthodontic treatment was ‘It is uncomfortable when the dental instrument is pressed against my gum and lips.’ There were no statistically significant differences between the two groups in discomfort during orthodontic treatment questionnaire. For the OIDP questionnaire, the scores related to physical performance were the highest compared to psychosocial and social performance in both groups. Out of the eight questions in the OIDP questionnaire, ‘Social contact’ had a much higher score in the adult group (0.48 ± 0.71) than in the adolescent group (0.19 ± 0.40) (P=0.02). Conclusions: In mostcases,discomfortwasrelatedto the use of dentalinstruments, which therefore show that the design of dentalinstruments should be improved. Also, this study showed that the discomfort caused by orthodontic treatment on daily activities had a larger impact, causing more inconvenience compared to the discomfort during the actual orthodontic treatment in the dental clinic.