Impact of Wearing Palatal Expanders on the Quality of Life of Children Aged 8 to 10 Years
Keywords:Orthodontics, Malocclusion, Palatal Expansion Technique, Quality of Life
Objective: To assess the impact of wearing palatal expanders on the oral health-related quality of life (OHRQoL) of children aged 8 to 10 years. Material and Methods: The sample consisted of 35 children aged 8 to 10 years treated at the orthodontics and pediatric dentistry outpatient clinics affiliated with the Dental School. Children were divided in two groups: 17 were submitted to palatal expansion treatment (Group 1), while 18 just received coronal polishing and topical fluoride application (Group 2). The Brazilian version of the Child Perceptions Questionnaire (CPQ8-10) was used to assess children’s OHRQoL. The questionnaire was administered before the expander was placed, at the end of its activation, and before its removal. Intervals between the interviews were similar in the two groups. Descriptive statistics and ANOVA were used for data analyses. Results: The overall CPQ8-10 score was not significantly different between the groups. The results show statistically significant differences between the two groups only for the functional limitations domain after activation of the appliance (p=0.001). Conclusion: Palatal expanders may negatively affect children's functions only during the initial wearing period.
Agou S, Locker D, Muirhead V, Tompson B, Streiner DL. Does psychological well-being influence oral-health-related quality of life reports in children receiving orthodontic treatment? Am J Orthod Dentofacial Orthop 2011; 139(3):369-77. https://doi.org/10.1016/j.ajodo.2009.05.034
Seehra J, Newton JT, Dibiase AT. Interceptive orthodontic treatment in bullied adolescents and its impact on self-esteem and oral-health-related quality of life. Eur J Orthod 2013; 35(5):615-21. https://doi.org/10.1093/ejo/cjs051
Martins MT, Sardenberg F, Bendo CB, Vale MP, Paiva SM, Pordeus IA. Dental caries are more likely to impact on children's quality of life than malocclusion or traumatic dental injuries. Eur J Paediatr Dent 2018; 19(3):194-8. https://doi.org/10.23804/ejpd.2018.19.03.5
Sardenberg F, Martins MT, Bendo CB, Pordeus IA, Paiva SM, Auad SM, et al. Malocclusion and oral health-related quality of life in Brazilian school children. Angle Orthod 2013; 83(1):83-9. https://doi.org/10.2319/010912-20.1
Bendo CB, Paiva SM, Varni JW, Vale MP. Oral health-related quality of life and traumatic dental injuries in Brazilian adolescents. Community Dent Oral Epidemiol 2014; 42(3):216-23. https://doi.org/10.1111/cdoe.12078
Freire-Maia FB, Auad SM, Abreu MH, Sardenberg F, Martins MT, Paiva SM, et al. Oral health-related quality of life and traumatic dental injuries in young permanent incisors in Brazilian schoolchildren: a multilevel approach. PLoS One 2015; 10(8):e0135369. https://doi.org/10.1371/journal.pone.0135369
Martins MT, Sardenberg F, Vale MP, Paiva SM, Pordeus IA. Dental caries and social factors: impact on quality of life in Brazilian children. Braz Oral Res 2015; 29(1):1-7. https://doi.org/10.1590/1807-3107BOR-2015.vol29.0133
Dutra SR, Pretti H, Martins MT, Bendo CB, Vale MP. Impact of malocclusion on the quality of life of children aged 8 to 10 years. Dental Press J Orthod 2018; 23(2):46-53. https://doi.org/10.1590/2177-6709.23.2.046-053.oar
Costa AA, Ferreira MC, Serra-Negra JM, Pordeus IA, Paiva SM. Impact of wearing fixed orthodontic appliances on oral health-related quality of life among Brazilian children. J Orthod. 2011; 38(4):275-81. https://doi.org/10.1179/14653121141632
Abreu LG, Lages EM, Abreu MH, Pereira LJ, Paiva SM. Preadolescent’s oral health-related quality of life during the first month of fixed orthodontic appliance therapy. J Orthod 2013; 40(3):218-24. https://doi.org/10.1179/1465313313Y.0000000053
Miamoto CB, Marques LS, Abreu LG, Paiva SM. Impact of two early treatment protocols for anterior dental crossbite on children’s quality of life. Dental Press J Orthod 2018; 23(1):71-8. https://doi.org/10.1590/2177-6709.23.1.071-078.oar
Corradi-Dias L, Paiva SM, Pretti H, Pordeus IA, Abreu LG. Impact of the onset of fixed appliance therapy on adolescents’ quality of life using a specific condition questionnaire: A cross-sectional comparison between male and female individuals. J Orthod 2019; 46(3):195-204. https://doi.org/10.1177/1465312519851220
de Oliveira CM, Sheiham A. Orthodontic treatment and its impact on oral health-related quality of life in Brazilian adolescents. J Orthod 2004; 31(1):20-7. https://doi.org/10.1179/146531204225011364
Weissheimer A, de Menezes LM, Mezomo M, Dias DM, de Lima EM, Rizzatto SM. Immediate effects of rapid maxillary expansion with Haas-type and Hyrax-type expanders: a randomized clinical trial. Am J Orthod Dentofacial Orthop 2011; 140(3):366-76. https://doi.org/10.1016/j.ajodo.2010.07.025
Huynh T, Kennedy DB, Joondeph DR, Bollen AM. Treatment response and stability of slow maxillary expansion using Haas, Hyrax, and Quad-Helix appliances: a retrospective study. Am J Orthod Dentofacial Orthop 2009; 136(3):331-9. https://doi.org/10.1016/j.ajodo.2007.08.026
Martins MT, Ferreira FM, Oliveira AC, Paiva SM, Vale MP, Allison PJ, et al. Preliminary validation of the Brazilian version of the Child Perceptions Questionnaire 8-10. Eur J Paediatr Dent 2009; 10(3):135-40.
Sullivan K. Estatísticas de código aberto para a Saúde Pública. Available from: https://www.openepi.com/SampleSize/SSCC.htm. [Accessed on February 17, 2020]. [In Portuguese].
Jokovic A, Locker D, Tompson B, Guyatt G. Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent 2004; 26(6):512-8.
Costa JG, Galindo TM, Mattos CT, Cury-Saramago AA. Retention period after treatment of posterior crossbite with maxillary expansion: a systematic review. Dental Press J Orthod 2017; 22(2):35-44. https://doi.org/10.1590/2177-6709.22.2.035-044.oar
Costa AA, Serra-Negra JM, Bendo CB, Pordeus IA, Paiva SM. Impact of wearing fixed orthodontic appliances on quality of life among adolescents: Case-control study. Angle Orthod 2016; 86(1):121-6. https://doi.org/10.2319/100514716.1
Ramos-Jorge ML, Vieira-Andrade RG, Martins-Júnior PA, Cordeiro MM, Ramos-Jorge J, Paiva SM, et al. Level of agreement between self-administered and interviewer-administered CPQ8-10 and CPQ11-14. Community Dent Oral Epidemiol 2012; 40(3):201-9. https://doi.org/10.1111/j.1600-0528.2011.00652.x
Hanson ML, Barnard LW, Case JL. Tongue-thrust in preschool. Part II: dental occlusion patterns. Am J Orthod 1970; 57(1):15-22. https://doi.org/10.1016/0002-9416(70)90201-0
Martins-Júnior PA, Marques LS, Ramos-Jorge ML. Malocclusion: social, functional and emotional influence on children. J Clin Pediatr Dent 2012; 37(1):103-8. https://doi.org/10.17796/jcpd.37.1.y75430328427210j
Kallunki J, Sollenius O, Paulsson L, Petrén S, Dimberg L, Bondemark L. Oral health-related quality of life among children with excessive overjet or unilateral posterior crossbite with functional shift compared to children with no or mild orthodontic treatment need. Eur J Orthod 2019; 41(2):111-6. https://doi.org/10.1093/ejo/cjy033
Abreu LG, Melgaço CA, Lages EM, Abreu MH, Paiva SM. Effect of year one orthodontic treatment on the quality of life of adolescents, assessed by the short form of the Child Perceptions Questionnaire. Eur Arch Paediatr Dent 2014; 15(6):435-41. https://doi.org/10.1007/s40368-014-0135-y
Bishara SE, Staley RN. Maxillary expansion: Clinical implications. Am J Orthod Dentofacial Orthop 1987; 91(1):3-14. https://doi.org/10.1016/0889-5406(87)90202-2
Alghamdi MA, Farsi NJ, Hassan AH. Comparison of oral health-related quality of life of patients treated by palatal expanders with patients treated by fixed orthodontic appliances. Patient Prefer Adherence 2017; 11:699-705. https://doi.org/10.2147/PPA.S124519
How to Cite
Copyright (c) 2021 Pesquisa Brasileira em Odontopediatria e Clínica Integrada
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.