The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction: An overview of systematic reviews

Yassir A. Yassir (Lead / Corresponding author), Grant T. McIntyre, David R. Bearn

Research output: Contribution to journalArticle

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Abstract

Background: Patient perception with fixed appliance orthodontic treatment is important to improve oral health related quality of life.
Objective: To evaluate the impact of labial fixed appliance orthodontic care on patient perception before, during, and after treatment.
Search methods: Relevant systematic reviews investigating patient perception with fixed appliance orthodontic treatment were identified by searching electronic databases: MEDLINE via OVID (1946 to 31 December 2018), EMBASE (1974 to 31 December 2018), AMED (Allied and Complementary Medicine Database) (1985 to November 2018), PubMed (inception to 31 December 2018), Web of Science (1900 to 2018) and PsychINFO (1806 to 31 December 2018). Ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied.
Selection criteria: Only studies investigating patient perception of fixed appliance orthodontic treatment were included.
Data collection and analysis: Screening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)] and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings.
Results: A total of 163 articles investigating patient expectation, experience, and satisfaction with conventional ligation labial fixed orthodontic appliances were obtained. Of these, 152 observational or interventional studies were excluded, resulting in 11 eligible systematic reviews. Two were excluded as earlier reports of a Cochrane review. The quality of the reviews was variable (critically low, low, and moderate). The findings were: aesthetics represents a primary motive for orthodontic treatment; a temporary deterioration in the quality of life occurs during the initial phases of treatment; gender and ethnicity factors do not have an impact on patient perception of treatment; and a positive relationship between orthodontist-patient-parent is important to achieve patient compliance and satisfaction.
Conclusions: There is a lack of high-quality studies in terms of systematic reviews and meta-analyses for assessing patient perception with fixed appliance orthodontic treatment. The aesthetic impact of malocclusion is the main motive for seeking orthodontic treatment. Quality of life reduces during the initial stages of orthodontic treatment, but improves in the later stages of treatment. Assessment before, during and after orthodontic treatment is necessary to comprehensively assess patient perception at all stages of care.
Trial registration: CRD42019122653.
Original languageEnglish
Number of pages8
JournalEuropean Journal of Orthodontics
DOIs
Publication statusPublished - 31 May 2019

Fingerprint

Orthodontic Appliances
Lip
Orthodontics
Therapeutics
Quality of Life
Esthetics
Databases
Literature
Malocclusion
Oral Health
Patient Compliance
Complementary Therapies
Patient Satisfaction
PubMed
MEDLINE
Patient Selection
Ligation
Meta-Analysis

Keywords

  • Patient perception
  • Fixed appliance
  • Overview of systematic reviews

Cite this

@article{5a2eabd1066a4e5ab5f5d63e1965d5cf,
title = "The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction: An overview of systematic reviews",
abstract = "Background: Patient perception with fixed appliance orthodontic treatment is important to improve oral health related quality of life.Objective: To evaluate the impact of labial fixed appliance orthodontic care on patient perception before, during, and after treatment.Search methods: Relevant systematic reviews investigating patient perception with fixed appliance orthodontic treatment were identified by searching electronic databases: MEDLINE via OVID (1946 to 31 December 2018), EMBASE (1974 to 31 December 2018), AMED (Allied and Complementary Medicine Database) (1985 to November 2018), PubMed (inception to 31 December 2018), Web of Science (1900 to 2018) and PsychINFO (1806 to 31 December 2018). Ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied.Selection criteria: Only studies investigating patient perception of fixed appliance orthodontic treatment were included.Data collection and analysis: Screening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)] and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings.Results: A total of 163 articles investigating patient expectation, experience, and satisfaction with conventional ligation labial fixed orthodontic appliances were obtained. Of these, 152 observational or interventional studies were excluded, resulting in 11 eligible systematic reviews. Two were excluded as earlier reports of a Cochrane review. The quality of the reviews was variable (critically low, low, and moderate). The findings were: aesthetics represents a primary motive for orthodontic treatment; a temporary deterioration in the quality of life occurs during the initial phases of treatment; gender and ethnicity factors do not have an impact on patient perception of treatment; and a positive relationship between orthodontist-patient-parent is important to achieve patient compliance and satisfaction.Conclusions: There is a lack of high-quality studies in terms of systematic reviews and meta-analyses for assessing patient perception with fixed appliance orthodontic treatment. The aesthetic impact of malocclusion is the main motive for seeking orthodontic treatment. Quality of life reduces during the initial stages of orthodontic treatment, but improves in the later stages of treatment. Assessment before, during and after orthodontic treatment is necessary to comprehensively assess patient perception at all stages of care.Trial registration: CRD42019122653.",
keywords = "Patient perception, Fixed appliance, Overview of systematic reviews",
author = "Yassir, {Yassir A.} and McIntyre, {Grant T.} and Bearn, {David R.}",
note = "None",
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doi = "10.1093/ejo/cjz043",
language = "English",
journal = "European Journal of Orthodontics",
issn = "0141-5387",
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The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction : An overview of systematic reviews. / Yassir, Yassir A. (Lead / Corresponding author); McIntyre, Grant T.; Bearn, David R.

In: European Journal of Orthodontics, 31.05.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction

T2 - An overview of systematic reviews

AU - Yassir, Yassir A.

AU - McIntyre, Grant T.

AU - Bearn, David R.

N1 - None

PY - 2019/5/31

Y1 - 2019/5/31

N2 - Background: Patient perception with fixed appliance orthodontic treatment is important to improve oral health related quality of life.Objective: To evaluate the impact of labial fixed appliance orthodontic care on patient perception before, during, and after treatment.Search methods: Relevant systematic reviews investigating patient perception with fixed appliance orthodontic treatment were identified by searching electronic databases: MEDLINE via OVID (1946 to 31 December 2018), EMBASE (1974 to 31 December 2018), AMED (Allied and Complementary Medicine Database) (1985 to November 2018), PubMed (inception to 31 December 2018), Web of Science (1900 to 2018) and PsychINFO (1806 to 31 December 2018). Ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied.Selection criteria: Only studies investigating patient perception of fixed appliance orthodontic treatment were included.Data collection and analysis: Screening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)] and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings.Results: A total of 163 articles investigating patient expectation, experience, and satisfaction with conventional ligation labial fixed orthodontic appliances were obtained. Of these, 152 observational or interventional studies were excluded, resulting in 11 eligible systematic reviews. Two were excluded as earlier reports of a Cochrane review. The quality of the reviews was variable (critically low, low, and moderate). The findings were: aesthetics represents a primary motive for orthodontic treatment; a temporary deterioration in the quality of life occurs during the initial phases of treatment; gender and ethnicity factors do not have an impact on patient perception of treatment; and a positive relationship between orthodontist-patient-parent is important to achieve patient compliance and satisfaction.Conclusions: There is a lack of high-quality studies in terms of systematic reviews and meta-analyses for assessing patient perception with fixed appliance orthodontic treatment. The aesthetic impact of malocclusion is the main motive for seeking orthodontic treatment. Quality of life reduces during the initial stages of orthodontic treatment, but improves in the later stages of treatment. Assessment before, during and after orthodontic treatment is necessary to comprehensively assess patient perception at all stages of care.Trial registration: CRD42019122653.

AB - Background: Patient perception with fixed appliance orthodontic treatment is important to improve oral health related quality of life.Objective: To evaluate the impact of labial fixed appliance orthodontic care on patient perception before, during, and after treatment.Search methods: Relevant systematic reviews investigating patient perception with fixed appliance orthodontic treatment were identified by searching electronic databases: MEDLINE via OVID (1946 to 31 December 2018), EMBASE (1974 to 31 December 2018), AMED (Allied and Complementary Medicine Database) (1985 to November 2018), PubMed (inception to 31 December 2018), Web of Science (1900 to 2018) and PsychINFO (1806 to 31 December 2018). Ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied.Selection criteria: Only studies investigating patient perception of fixed appliance orthodontic treatment were included.Data collection and analysis: Screening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)] and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings.Results: A total of 163 articles investigating patient expectation, experience, and satisfaction with conventional ligation labial fixed orthodontic appliances were obtained. Of these, 152 observational or interventional studies were excluded, resulting in 11 eligible systematic reviews. Two were excluded as earlier reports of a Cochrane review. The quality of the reviews was variable (critically low, low, and moderate). The findings were: aesthetics represents a primary motive for orthodontic treatment; a temporary deterioration in the quality of life occurs during the initial phases of treatment; gender and ethnicity factors do not have an impact on patient perception of treatment; and a positive relationship between orthodontist-patient-parent is important to achieve patient compliance and satisfaction.Conclusions: There is a lack of high-quality studies in terms of systematic reviews and meta-analyses for assessing patient perception with fixed appliance orthodontic treatment. The aesthetic impact of malocclusion is the main motive for seeking orthodontic treatment. Quality of life reduces during the initial stages of orthodontic treatment, but improves in the later stages of treatment. Assessment before, during and after orthodontic treatment is necessary to comprehensively assess patient perception at all stages of care.Trial registration: CRD42019122653.

KW - Patient perception

KW - Fixed appliance

KW - Overview of systematic reviews

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DO - 10.1093/ejo/cjz043

M3 - Article

C2 - 31147683

JO - European Journal of Orthodontics

JF - European Journal of Orthodontics

SN - 0141-5387

ER -