Effectiveness of early orthodontic treatment with the twin-block appliance: A multicenter, randomized, controlled trial. Part 2: Psychosocial effects

Kevin O'Brien, Jean Wright, Frances Conboy, Stephen Chadwick, Ivan Connolly, Paul Cook, David Birnie, Mark Hammond, Nigel Harradine, David Lewis, Cathy McDade, Laura Mitchell, Alison Murray, Julian O'Neill, Mike Read, Stephen Robinson, Dai Roberts-Harry, Jonathan Sandler, Ian Shaw, Nancy W. Berk

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    Abstract

    The aims of this project were to evaluate whether early orthodontic treatment with the Twin-block appliance for the developing Class II Division 1 malocclusion resulted in any psychosocial benefits. This multicenter trial was carried out in the United Kingdom, with 174 children aged 8 to 10 years with Class II Division 1 malocclusions randomly allocated to receive treatment with Twin-block appliances or to an untreated control group. Data were collected at the start of the study and 15 months later. Results showed that early treatment with Twin-block appliances resulted in an increase in self-concept and a reduction of negative social experiences. The subjects also reported treatment benefits that could be related to improved self-esteem. Further research is needed to determine the extent to which these effects translate into social behavior and experiences.
    Original languageEnglish
    Pages (from-to)488-494
    Number of pages6
    JournalAmerican Journal of Orthodontics and Dentofacial Orthopedics
    Volume124
    Issue number5
    DOIs
    Publication statusPublished - Nov 2003

    Keywords

    • Child
    • Female
    • Human
    • Logistic Models
    • Male
    • psychology: Malocclusion, Angle Class II
    • Orthodontic Appliances, Functional
    • instrumentation: Orthodontics, Interceptive
    • Patient Satisfaction
    • Quality of Life
    • Questionnaires
    • Self Concept
    • Social Class
    • Social Desirability

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