title: Orthodontic treatment for disabled children: a survey of parents' attitudes and overall satisfaction.
abstract: BACKGROUND
  Many patients with disability require orthodontic treatment (OT) to achieve adequate oral function and aesthetic appearance. The cooperation of disabled patients and of their parents is central to the success of OT, as treatment can involve ethical dilemmas. The aim of this study was to analyze the motivation, expectations and overall satisfaction with OT among parents of patients with disabilities.
  
  
  METHODS
  The parents of 60 disabled Spanish children with physical, mental and/or sensory impairment undergoing OT were surveyed on attitudes to OT and level of satisfaction with the outcomes. The survey consisted of 23 questions in 4 sections: attitude and adaptation, benefits, adverse effects, and level of satisfaction after completion of OT. A control group formed of the parents of 60 healthy children undergoing OT at the same institution were also surveyed.
  
  
  RESULTS
  Parents of disabled children undergoing OT showed a high level of motivation and they are willing to collaborate in oral hygiene procedures. Adaptation to the removable appliances was poorer in disabled children but adaptation to fixed appliances was excellent. OT can provide a marked improvement in quality of life, social relationships and oral functionality in disabled children.
  
  
  CONCLUSIONS
  Among parents of disabled children undergoing OT, the perceived level of overall satisfaction was very high and expectations were often exceeded.
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Abeleira
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Pazos
authors.forename: Isabel
authors.initials: I
authors.lastname: Ramos
authors.forename: Mercedes
authors.initials: M
authors.lastname: Outumuro
authors.forename: Jacobo
authors.initials: J
authors.lastname: Limeres
authors.forename: Juan
authors.initials: J
authors.lastname: Seoane-Romero
authors.forename: Marcio
authors.initials: M
authors.lastname: Diniz
authors.affiliation: OMEQUI Research Group, Santiago de Compostela University, Santiago de Compostela, Spain. pedro.diz@usc.es.
authors.forename: Pedro
authors.initials: P
authors.lastname: Diz
mesh_terms: D000203:Activities of Daily Living; D000222:Adaptation, Physiological / Q000502:physiology; D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D003299:Cooperative Behavior; D019140:Dental Care for Children / Q000009:adverse effects / Q000523:psychology*; D003730:Dental Care for Persons with Disabilities / Q000009:adverse effects / Q000523:psychology*; D004955:Esthetics, Dental; D006801:Humans; D007398:Interpersonal Relations; D008310:Malocclusion / Q000523:psychology / Q000628:therapy; D009042:Motivation; D009059:Mouth Diseases / Q000209:etiology; D009325:Nausea / Q000209:etiology; D009910:Oral Hygiene; D009968:Orthodontic Appliances, Removable; D016910:Orthodontic Brackets; D009971:Orthodontics, Corrective / Q000009:adverse effects / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D010549:Personal Satisfaction; D011368:Professional-Family Relations; D011788:Quality of Life; D012798:Sialorrhea / Q000209:etiology; D016896:Treatment Outcome
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