Patient perceptions and oral impacts following labial and lingual biocreative therapy: A randomized clinical trial

Abstract

Purpose: The aim of this study was to compare patient satisfaction and oral impacts experienced by patients treated with labial or lingual biocreative therapy. Material and methods: Twenty-eight patients (17–25 years) were randomly divided into two groups: group 1, labial biocreative therapy type II, and group 2, lingual biocreative therapy. At the end of the retraction phase, patients were asked to complete a questionnaire to assess oral impacts caused by the appliance and patient satisfaction from treatment. Frequency and percent values were calculated for every question for both groups. Independent-sample t-test was conducted to assess differences between the two groups. Fischer exact test was used to compare the answers of the two groups with each question separately. Results: Difficulty in chewing, pain, and discomfort caused by the appliance were the most commonly reported adverse effects of the appliance used by patients in both groups. Statistically highly significant differences were found between the two groups regarding appliance esthetics and social disability scale, whereas no significant differences were found for the other domains. Conclusions: Oral impacts are commonly experienced during both labial and lingual biocreative therapies. No statistically significant differences were found between the two groups regarding functional limitation, physical pain, and adverse effects on quality of life. Patients treated with labial biocreative therapy were more annoyed by the appearance of the appliance and were more likely to be embarrassed compared with those treated by the lingual biocreative technique. Both groups had similar levels of treatment satisfaction.