Document Type : Original articles


Ramadi First Sector for Healthcare, Al-Anbar Health Directorate, Ramadi, Anbar, Iraq.


Background: Functional and camouflage orthodontic treatments in cl II malocclusions are different treatment methods that are usually used in orthodontic practice. A comparison of patients' satisfaction with these two treatment groups is an important tool for the evaluation of treatment outcomes.
Objectives: We aimed to compare patients' satisfaction with orthodontic treatment subjectively (according to the opinion of patients) between functional and camouflage orthodontic treatments in patients with class II malocclusion.
Materials and methods: The sample of the study was formed from individuals whose treatments were finished between February 2017 and July 2020 at the Department of Orthodontics, Faculty of Dentistry at Suleyman Demirel University, Turkey. A satisfaction questionnaire was used to evaluate the satisfaction of the patients with the treatment process at the end of their treatment. The subjects of the study were selected from 2 genders and a total of 146 cases of average age 11-22 years. The research material consists of a satisfaction questionnaire that was given at the time of treatment end.
Results: The general satisfaction questionnaire score was found to be higher in the patients who received functional orthodontic treatment (P-value = 0.011). In the subgroups, the total questionnaire scores among the treatment subgroups were found to be quite similar.
Conclusion: In our study, the satisfaction level of the quality of life questionnaire was found to be high, while in response to more specific questions on satisfaction, some departments of the questionnaire found less satisfaction or dissatisfaction in patients. 


Main Subjects

[1]      C. M. Flanary and J. M. Alexander, “Patient responses to the orthognathic surgical experience: factors leading to dissatisfaction,” J. oral Maxillofac. Surg., vol. 41, no. 12, pp. 770–774, 1983.
[2]      Y.-H. Chen, Y.-F. Liao, C.-S. Chang, T.-C. Lu, and K.-T. Chen, “Patient satisfaction and quality of life after orthodontic treatment for cleft lip and palate deformity,” Clin. Oral Investig., vol. 25, no. 9, pp. 5521–5529, 2021.
[3]      B. M. Wilde, “Quality of care: Models, instruments, and empirical results among the elderly.,” 1996.
[4]      E. Bradley et al., “Patient-reported experience and outcomes from orthodontic treatment,” J. Orthod., vol. 47, no. 2, pp. 107–115, 2020.
[5]      G. D. Slade and A. J. Spencer, “Social impact of oral conditions among older adults,” Aust. Dent. J., vol. 39, no. 6, pp. 358–364, 1994.
[6]      A. Aljughaiman, A. Alshammari, A. Althumairi, A. Alshammari, N. Almasoud, and M. A. Nazir, “Patient satisfaction with orthodontic treatment received in public and private hospitals in Dammam, Saudi Arabia,” Open access Maced. J. Med. Sci., vol. 6, no. 8, p. 1492, 2018.
[7]      W. C. Shaw, “The influence of children’s dentofacial appearance on their social attractiveness as judged by peers and lay adults,” Am. J. Orthod., vol. 79, no. 4, pp. 399–415, 1981.
[8]      C. Jenkinson, A. Coulter, S. Bruster, N. Richards, and T. Chandola, “Patients’ experiences and satisfaction with health care: results of a questionnaire study of specific aspects of care,” Qual. Saf. Heal. care, vol. 11, no. 4, pp. 335–339, 2002.
[9]      M. E. Bennett and C. L. Phillips, “Assessment of health-related quality of life for patients with severe skeletal disharmony: a review of the issues.,” Int. J. Adult Orthodon. Orthognath. Surg., vol. 14, no. 1, pp. 65–75, 1999.
[10]    T. Lazaridou-Terzoudi, H. A. Kiyak, R. Moore, A. E. Athanasiou, and B. Melsen, “Long-term assessment of psychologic outcomes of orthognathic surgery,” J. oral Maxillofac. Surg., vol. 61, no. 5, pp. 545–552, 2003.
[11]    H. A. Kiyak, “Patients’ and parents’ expectations from early treatment,” Am. J. Orthod. Dentofac. Orthop., vol. 129, no. 4, pp. S50–S54, 2006.
[12]    J. F. C. Tulloch, W. C. Shaw, C. Underhill, A. Smith, G. Jones, and M. Jones, “A comparison of attitudes toward orthodontic treatment in British and American communities,” Am. J. Orthod., vol. 85, no. 3, pp. 253–259, 1984.
[13]    S. Ostler and H. A. Kiyak, “Treatment expectations versus outcomes among orthognathic surgery patients.,” Int. J. Adult Orthodon. Orthognath. Surg., vol. 6, no. 4, pp. 247–255, 1991.
[14]    J. M. H. Dibbets and L. T. Van der Weele, “Long-term effects of orthodontic treatment, including extraction, on signs and symptoms attributed to CMD,” Eur. J. Orthod., vol. 14, no. 1, pp. 16–20, 1992.
[15]    T. Henrikson, M. Nilner, and J. Kurol, “Symptoms and signs of temporomandibular disorders before, during and after orthodontic treatment.,” Swed. Dent. J., vol. 23, no. 5–6, pp. 193–207, 1999.
[16]    L. Wong, F. S. Ryan, L. R. Christensen, and S. J. Cunningham, “Factors influencing satisfaction with the process of orthodontic treatment in adult patients,” Am. J. Orthod. Dentofac. Orthop., vol. 153, no. 3, pp. 362–370, 2018.
[17]    S. Alajmi, A. Shaban, and R. Al-Azemi, “Comparison of short-term oral impacts experienced by patients treated with Invisalign or conventional fixed orthodontic appliances,” Med. Princ. Pract., vol. 29, no. 4, pp. 382–388, 2020.
[18]    D. Wiechmann, J. Gerß, T. Stamm, and A. Hohoff, “Prediction of oral discomfort and dysfunction in lingual orthodontics: a preliminary report,” Am. J. Orthod. Dentofac. Orthop., vol. 133, no. 3, pp. 359–364, 2008.
[19]    A. Bos, N. Vosselman, J. Hoogstraten, and B. Prahl-Andersen, “Patient compliance: a determinant of patient satisfaction?,” Angle Orthod., vol. 75, no. 4, pp. 526–531, 2005.
[20]    F. Keles and A. Bos, “Satisfaction with orthodontic treatment,” Angle Orthod., vol. 83, no. 3, pp. 507–511, 2013.
[21]    P. K. Sinha, R. S. Nanda, and D. W. McNeil, “Perceived orthodontist behaviors that predict patient satisfaction, orthodontist-patient relationship, and patient adherence in orthodontic treatment,” Am. J. Orthod. Dentofac. Orthop., vol. 110, no. 4, pp. 370–377, 1996.
[22]    H. Kerosuo, E. Kerosuo, M. Niemi, and H. Simola, “The need for treatment and satisfaction with dental appearance among young Finnish adults with and without a history of orthodontic treatment,” J. Orofac. Orthop. der Kieferorthopädie, vol. 61, no. 5, pp. 330–340, 2000.
[23]    C. Pacheco-Pereira, J. Brandelli, and C. Flores-Mir, “Patient satisfaction and quality of life changes after Invisalign treatment,” Am. J. Orthod. Dentofac. Orthop., vol. 153, no. 6, pp. 834–841, 2018.
[24]    S. J. Cunningham, M. S. Gilthorpe, and N. P. Hunt, “Are orthognathic patients different?,” Eur. J. Orthod., vol. 22, no. 2, pp. 195–202, 2000.
[25]    A. Bos, J. Hoogstraten, and B. Prahl-Andersen, “Expectations of treatment and satisfaction with dentofacial appearance in orthodontic patients,” Am. J. Orthod. Dentofac. Orthop., vol. 123, no. 2, pp. 127–132, 2003.
[26]    B. W. Larsson and K. Bergström, “Adolescents’ perception of the quality of orthodontic treatment,” Scand. J. Caring Sci., vol. 19, no. 2, pp. 95–101, 2005.