Changes in Oral Health Related Quality of Life of Adolescents with Class III Malocclusion Treated using Facemask or Active Skeletonized Sutural Distractor Appliance: A Randomised Clinical Trial
Author(s): Wael Ahmed Bayomy Mohamed, Rozita Hassan, Norma Ab Rahman*, Shaifulizan Ab. Rahman and Norkhafizah Saddki
Abstract
Introduction: The skeletal and/or dental discrepancies associated with malocclusion may limit a person’s physical, social, and psychological functioning, with a considerable impact on social acceptance and interactions, and overall well-being. Aim: This randomized clinical trial assessed changes in oral health-related quality of life (OHRQOL) of adolescent with Class III malocclusion treated with the conventional facemask (FM) and the Active Skeletonized Sutural Distractor (ASSD) appliance. Methods: A total of 68 late adolescents with Class III malocclusion were randomized into two treatment groups: the FM group (34 patients) and the ASSD group (34 patients). The OHRQOL of the patients was assessed using the Malay version of 14-item Oral Health Impact Profile (S-OHIP (M)). In each group, the OHRQOL was assessed twice, before treatment (T1) and 1 month after the respective active treatment phase (T2). Results: Of 68 adolescents, 8 from the ASSD group and 6 from the FM group dropped out, leaving a total of 54 participants, 26 in the ASSD group and 28 in the FM group. No significant difference was found in total mean S-OHIP (M) score between T1 and T2 in both the FM group and the ASSD group. Similarly, no significant difference was found in total mean S-OHIP (M) score between the FM group and ASSD group after treatment. Conclusion: No changes in OHRQOL were observed following Class III malocclusion treatment using FM and ASSD. In addition, the ASSD appliance did not seem to compromise the OHRQOL compared to the conventional FM.