Mazia Jawaid, Tabassum Ahsan Qadeer.
Assessment of the changes in the oral health related quality of life 24 hours following insertion of fixed orthodontic appliance components - an observational cross-sectional study conducted at Bahria University Medical and Dental College Karachi..
J Pak Med Assoc Jan ;69(5):677-83.

To evaluate the changes in Oral Health Related Quality of Life 24 hours following insertion of fixed orthodontic appliance components, and to compare the results between different age groups and genders. The observational cross-sectional study was conducted from July to December 2017 at Bahria University Medical and Dental College, Karachi, and comprised patients from the Orthodontics outpatient department enrolled via convenience sampling. Oral Health Impact Profile questionnaire was used to assess the Oral Health Related Quality of Life after placement of separators, bands and brackets. Patients were assessed before the appliances were placed and 24 hours after the insertions. Changes were evaluated and age and gender groups were compared using SPSS 17. Of the 70 patients, 20(28%) were males and 50(72%) were females. The overall mean age of the sample was 18.3}3.8 years. Oral Health Impact Profile scores showed significant deterioration of oral health quality 24 hours after the placement of brackets (p<0.05). However, there was no significant deterioration of lack of self-confidence (p=0.19), avoid smiling (p=0.11) and embarrassment (p=0.62) after the placement of separators and bands. There was no significant difference across genders (p>0.05), but young adults had significantly higher mean difference compared to adolescents after placement of bands (p<0.05). The Oral Health Related Quality of Life significantly deteriorated 24hours following the insertion of separators, bands and brackets.

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