engleski

Parental influence is the most important predictor of child’s orthodontic treatment demand in preadolescent age

Aim: To explore predictive value of objective treatment need, impaired quality of life, and parental influence in orthodontic treatment demand in preadolescents and adolescents. Secondary goal was to validate 16-item Child Perceptions Questionnaire 11-14. Materials and Methods: Predictors of treatment demand were explored in 197 orthodontic patients ; 93 preadolescents (51% females) and 104 adolescents (55% females). Index of Orthodontic Treatment Need (IOTN DHC) was used to assess objective treatment need. Hierarchical linear regression and multilevel binary logistic regression models were used to explore predictive power of age, gender, objective treatment need, impaired quality of life and parental influence on treatment demand. Results: Impaired emotional well-being, parental influence and IOTN DHC were significant linear predictors of treatment demand (β=0.335, 0.221 and 0.152). In logistic regression analysis, by controlling for gender, objective treatment need and impaired quality of life, parental influence revealed as the most important predictor of treatment demand in preadolescents (OR=7.7) while objective treatment need in adolescents (OR=4.5). Increase of impairment in EW by one scalar point increased treatment demand by 1.3-1.4 times in both age groups. Conclusions: Greater parental agreement and motivation for treatment could result in higher preadolescents' cooperation. Orthodontic treatment in adolescents could be more effective with patient-oriented approach.

Quality of life ; Orthodontic treatment ; Treatment demand ; Parents

Financirano s projekta "Odrednice učinkovitosti terapije narušenih funkcija i izgleda orofacijalnog područja“, potpora Sveučilišta u Rijeci (uniri-biomed-18-22 ; trajanje 2019.-2021.), voditelj prof. dr. sc. Stjepan Špalj