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Trinajstic Zrinski M, Pavlic A, Katic V, Spalj S. Effect of personality traits on the association between clinically assessed malocclusion and the psychosocial impact of dental aesthetics. Orthod Craniofac Res 2023; 26:62-71. [PMID: 35445536 DOI: 10.1111/ocr.12579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 04/05/2022] [Accepted: 04/11/2022] [Indexed: 01/07/2023]
Abstract
OBJECTIVE We aimed to assess whether personality traits affect the relationship between malocclusion and the psychosocial impact of dental aesthetics and whether they act as its mediators or moderators. SETTINGS AND SAMPLE POPULATION The cross-sectional study included 252 participants with permanent dentition (62% female) aged 12-39 years. MATERIALS AND METHODS The Big Five Inventory, the Psychosocial Impact of Dental Aesthetics Questionnaire and the Index of Complexity, Outcome and Need were used. Moderation and mediation were tested by hierarchical stepwise multiple linear regression. RESULTS Malocclusion was the most significant predictor of dental self-confidence (DSC), aesthetic concern (AC), social impact (SI) and psychological impact (PI), accounting for 12%-28% of respective variability (P < .05). Adult age, male sex and higher neuroticism and agreeableness were additional predictors of higher DSC (P < .05). Adolescent age was a predictor of higher AC, SI and PI, and female sex of higher AC and PI (P < .05). Mediation by personality traits was not proven, however, openness, agreeableness and neuroticism were moderators. A tendency of decrease in AC was associated with an increase in malocclusion complexity in adolescents lower in openness and decrease in SI in adolescents with lower agreeableness. There was also a tendency of higher increase of AC associated with an increase of malocclusion degree in adults higher in neuroticism. CONCLUSION In adolescents, openness and agreeableness moderate the relationship between malocclusion and AC and SI, respectively. Neuroticism is a moderator of the association between malocclusion and AC in adults.
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Affiliation(s)
| | - Andrej Pavlic
- Department of Orthodontics, University of Rijeka Faculty of Dental Medicine, Rijeka, Croatia
| | - Visnja Katic
- Department of Orthodontics, University of Rijeka Faculty of Dental Medicine, Rijeka, Croatia
| | - Stjepan Spalj
- Department of Orthodontics, University of Rijeka Faculty of Dental Medicine, Rijeka, Croatia
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Zheng H, Shi Q, Du W, Lin F. The Psychosocial Impact of Dental Esthetics in Undergraduates with Borderline Malocclusion. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:2399323. [PMID: 35309837 PMCID: PMC8924598 DOI: 10.1155/2022/2399323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 01/12/2022] [Accepted: 01/17/2022] [Indexed: 11/20/2022]
Abstract
Background The study investigates the existing correlation between self-perceived malocclusion, the psychosocial impact of dental esthetics, and whether this link involves personality traits. Methods The 179 questionnaires from 615 undergraduates in Wenzhou were used for analysis after applying the exclusion criteria. The Psychosocial Impact of the Dental Aesthetics Questionnaire (PIDAQ) was administered to evaluate participants' perceptions of the psychosocial impacts of malocclusion. The need for orthodontic treatment was assessed using the Index of Orthodontic Treatment Need (IOTN). The Chinese version of the Eysenck Personality Questionnaire-Short Scale (EPQ-RSC) evaluated participants' personality characteristics. The Kruskal-Wallis test was used to assess differences between the IOTN-Dental Health Component (DHC) and expectations of orthodontic treatment. Linear regression was applied with PADAQ and its subscale scores against possible variables. Results The total and subscale PIDAQ scores were positively correlated with neuroticism. Total PIDAQ scores, the DHC, and the Aesthetic Component (AC) were significantly positively correlated with the subjective AC. The DHC was significantly negatively correlated with extroversion. Conclusions We confirmed a modest link between the need for orthodontic treatment and the psychosocial impact of dental esthetics.
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Affiliation(s)
- Hong Zheng
- Department of Orthodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China
| | - Qingjuan Shi
- Department of Orthodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China
| | - Wulong Du
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China
| | - Feiou Lin
- Department of Orthodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China
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Vidakovic R, Zigante M, Perkovic V, Spalj S. Influence of personality traits on a patient's decision to accept orthognathic surgery for correction of dentofacial deformity. Angle Orthod 2022; 92:521-528. [PMID: 35157029 DOI: 10.2319/100121-735.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 12/01/2021] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To investigate the influence of personality traits in addition to quality of life (QoL) on the decision to accept orthognathic surgery. MATERIALS AND METHODS A total of 108 patients (68% female) aged 14-53 years (median, 18 years; interquartile range, 17-25.75 years), with skeletal malocclusions of Index of Orthognathic Functional Treatment Need grades 3-5 (moderate to very great need for surgery) were included in this cross-sectional study. Personality traits of extraversion, neuroticism, agreeableness, openness, consciousness, perfectionism, and self-esteem and dimensions of Orthognathic Quality of Life Questionnaire were compared between patients who accepted orthodontic preparation for orthognathic surgery and those who refused (n = 55 vs 53). RESULTS Patients who accepted the suggested surgical procedure had higher age, perfectionism, facial esthetic (FE) concern, social aspect, and impairment of oral function (OF) as well as lower self-esteem with small to medium effect sizes (P ≤ .040; r = 0.198-0.399). Other personality traits and awareness of dentofacial deformity did not differ between the groups. In multiple logistic regression analysis, while controlling for sex, perfectionism, and self-esteem, the following predictors of acceptance of orthognathic surgery were higher: FE concern (odds ratio [OR], 3.4; 95% confidence interval [CI], 1.3-9.1), OF (OR, 3.0; 95% CI, 1.0-8.6), and age ≥18 years (OR, 2.7; 95% CI, 1.0-7.1; P < .001). CONCLUSIONS Extraversion, neuroticism, agreeableness, conscientiousness, and openness do not significantly affect a patient's decision to accept orthognathic surgery. The influence of self-esteem and perfectionism is primarily on perception of alteration of QoL induced by dentofacial deformity.
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Militi A, Sicari F, Portelli M, Merlo EM, Terranova A, Frisone F, Nucera R, Alibrandi A, Settineri S. Psychological and Social Effects of Oral Health and Dental Aesthetic in Adolescence and Early Adulthood: An Observational Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179022. [PMID: 34501612 PMCID: PMC8430992 DOI: 10.3390/ijerph18179022] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Revised: 08/06/2021] [Accepted: 08/21/2021] [Indexed: 01/12/2023]
Abstract
Background: Is well known that oral health and dental aesthetic have significant effects on the sociality of human beings. The aim of the present study was to assess some aspects of oral health with possible repercussions in adolescent and youth, with particular reference to gender differences. Methods: A total of 190 subjects with female prevalence (F = 62.6%, M = 37%) and ages between 14 and 29 years old (Mean = 23.8; SD = 3.27) participated. Evaluation was carried using standardized instruments to assess quality of oral life (PIDAQ), negative impact of oral conditions (OHIP-14), and self-esteem (Rosenberg Self Esteem Scale). Correlational and difference analyses and linear regressions were performed. Results: Significant gender differences were found in terms of gender, in reference to variables such as self-confidence and convictions. Positive correlations emerged between psychological impact and social impact, aesthetic concern and social impact, convictions and self-confidence, oral health with psycho-social impact, and aesthetic concern, self-esteem with oral health. Inverse correlations emerged between psycho-social impact and self-confidence, aesthetic concern and self-confidence, oral health, and self-confidence. Multivariate linear regression indicated relations between age and psychological impact, sex and self-confidence, crooked teeth and conviction. Conclusions: The impact of oral health on the psychological well-being of young people is relevant. These factors, if considered within clinical practice, can improve the quality of life of the subject.
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Affiliation(s)
- Angela Militi
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (A.M.); (A.T.); (R.N.); (S.S.)
| | - Federica Sicari
- Department of Cognitive Sciences, Psychology, Educational and Cultural Studies (COSPECS), University of Messina, 98100 Messina, Italy; (F.S.); (E.M.M.); (F.F.)
| | - Marco Portelli
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (A.M.); (A.T.); (R.N.); (S.S.)
- Correspondence: ; Tel.: +39-090-221-6905
| | - Emanuele Maria Merlo
- Department of Cognitive Sciences, Psychology, Educational and Cultural Studies (COSPECS), University of Messina, 98100 Messina, Italy; (F.S.); (E.M.M.); (F.F.)
- CRISCAT (International Research Center for Theoretical and Applied Cognitive Sciences), University of Messina and Universitary Consortium of Eastern Mediterranean, Noto (CUMO) University of Messina, 98100 Messina, Italy
| | - Antonella Terranova
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (A.M.); (A.T.); (R.N.); (S.S.)
| | - Fabio Frisone
- Department of Cognitive Sciences, Psychology, Educational and Cultural Studies (COSPECS), University of Messina, 98100 Messina, Italy; (F.S.); (E.M.M.); (F.F.)
- CRISCAT (International Research Center for Theoretical and Applied Cognitive Sciences), University of Messina and Universitary Consortium of Eastern Mediterranean, Noto (CUMO) University of Messina, 98100 Messina, Italy
| | - Riccardo Nucera
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (A.M.); (A.T.); (R.N.); (S.S.)
| | - Angela Alibrandi
- Unit of Statistical and Mathematical Sciences, Department of Economics, University of Messina, 98100 Messina, Italy;
| | - Salvatore Settineri
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (A.M.); (A.T.); (R.N.); (S.S.)
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Relationship between oral health impacts and personality profiles among orthodontic patients treated with Invisalign clear aligners. Sci Rep 2020; 10:20459. [PMID: 33235288 PMCID: PMC7686374 DOI: 10.1038/s41598-020-77470-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 11/11/2020] [Indexed: 11/26/2022] Open
Abstract
This within subject clinical experiment assessed oral health impacts before and after Invisalign orthodontic treatment and their relationships with personality characteristics. 50 patients (26 females and 24 males; mean age = 27.62 ± 8.25 years, SE = 1.17, 95% CI = 24.71–29.89 years) were assessed before and after treatment with Invisalign orthodontic treatment. Treatment clinical success was evaluated according defined clinical guidelines. Oral health impacts before and after Invisalign orthodontic treatment were measured via the Oral Health Impact Profile (OHIP). Personality features were measured via the NEO Five-Factor Inventory (NEO-FFI). Probability of α = .05 was utilized to identify significant findings. Females scored less OHIP scores after treatment (had less negative impacts) in comparison to baseline OHIP scores (t = 3.782, df = 25, P = .001, 95% CI of mean difference = 2.750–9.327). Among males, openness scores (R2 = .911, B = 5.235, 95% CI for B = 0.062–10.407, t = 2.601, P = .048) were able to predict OHIP scores before treatment; meanwhile, extraversion (R2 = .959, B = − 8.224, 95% CI for B = − 14.605–1.843, t = − 3.313, P = .021), openness (R2 = .959, B = 21.795, 95% CI for B = 10.737–32.853, t = 5.067, P = .004), and conscientiousness (R2 = .959, B = 10.293, 95% CI for B = 4.796–15.790, t = 4.813, P = .005) scores were useful to predict OHIP scores after treatment (R2 = .959, P < .05). NEO-FFI scores were not useful to predict OHIP scores before or after treatment among females (P > .05). These findings demonstrate that oral health impacts of Invisalign orthodontic treatment and personality profiles contribution to oral health impacts were different between genders.
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Larsson P, Bondemark L, Häggman-Henrikson B. The impact of oro-facial appearance on oral health-related quality of life: A systematic review. J Oral Rehabil 2020; 48:271-281. [PMID: 32196720 DOI: 10.1111/joor.12965] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 01/21/2020] [Accepted: 02/25/2020] [Indexed: 12/12/2022]
Abstract
Esthetics in the oro-facial region are important for perceived oral health and a common reason for treatment of discoloured, missing or crowded teeth. As one of the fundamental bricks of a patient's oral health, changes in the domain of oro-facial esthetics resides within the oral health-related quality of life (OHRQoL) of an individual. Four main dimensions, oral function, oro-facial pain, oro-facial appearance and psychosocial impact, are suggested to cover the concept of OHRQoL. The aim of this systematic review was to map the impact from oral conditions with principal impact on the oro-facial appearance dimension of OHRQoL (PROSPERO: CRD42017064033). Publications were included if they reported Oral Health Impact Profile (OHIP) mean or median domain scores for patients with esthetic treatment need relating to tooth wear, orthodontics, orthognathic surgery, frontal tooth loss or tooth whitening. A search in PubMed (Medline), EMBASE, Cochrane, CINAHL and PsycINFO 8 June 2017 and updated 14 January 2019, identified 2,104 abstracts. After screening of abstracts, 1607 articles were reviewed in full text and 33 articles included. These 33 articles reported OHIP-data for 9409 patients grouped in 63 patient populations. Median oro-facial appearance impact scores on a standardised 0-8 scale, for populations with treatment need relating to tooth wear, orthodontics, orthognathic surgery, frontal tooth loss and tooth whitening, ranged from 0.13 for tooth wear to 3.04 for tooth whitening populations. In conclusion, a moderate impact for the oro-facial appearance dimension of OHRQoL was found in patients with different conditions with esthetically related treatment need.
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Affiliation(s)
- Pernilla Larsson
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.,Centre for Oral Rehabilitation, Folktandvården Östergötland, Linköping, Sweden.,Scandinavian Center for Orofacial Neurosciences, Malmö, Sweden.,Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Lars Bondemark
- Department of Orthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Birgitta Häggman-Henrikson
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.,Scandinavian Center for Orofacial Neurosciences, Malmö, Sweden
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Grecu AG, Balazsi R, Dudea D, Mesaroş AŞ, Strîmbu M, Dumitraşcu DL. Oral health related quality of life and self-esteem in a general population. Med Pharm Rep 2020; 92:S65-S72. [PMID: 31989112 PMCID: PMC6978921 DOI: 10.15386/mpr-1520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Accepted: 09/02/2019] [Indexed: 11/23/2022] Open
Abstract
Background and aims The interest in the research of both Oral Health Related Quality Of Life and dental aesthetics has increased in the recent years. The aim of the current study consists in the evaluation of the perception of oral-health, dental aesthetics and self-esteem in a general population. Methods A group of students of the Faculty of Dental Medicine, Cluj-Napoca, were trained in the field of questionnaire interviewing. The students were asked to apply the following questionnaires to a number of maximum five close persons: the OHIP-14Aesthetic questionnaire, the Rosenberg self-esteem scale and a questionnaire evaluating demographic data. Each interviewed subject provided informed consent. The sample included 97 subjects with an age range of 18–75 years. For each of the three applied questionnaires overall scores were computed and used for the calculation of Pearson correlations and inferential statistical procedures: the t-test. Results Related to the complete sample (N=97), the highest OHIP-14Aesthetic scores were obtained for the functional limitation (mean score of 2.22), physical pain (mean score of 2.72) and psychological discomfort (mean score of 1.37) subscales. The highest Rosenberg self-esteem scale scores were obtained for the following questions: “I think I am no good at all” (mean score of 3.50), “feel useless at times” (mean score of 3.53), “inclined to feel that I am a failure” (mean score 3.77), “positive attitude toward myself” (mean score of 3.50). Statistically significant correlations were registered between the overall Rosenberg self-esteem scale score and the scores of the following OHIP-14Aesthetic subscales: psychological discomfort (r = −0.201, p = 0.49), physical disability (r = −0.219, p = 0.031), psychological disability (r = −0.218, p = 0.032), social disability (r = −0.203, p = 0.046). The t-test revealed statistically significant gender differences, in regard to the OHIP-14Aesthetic overall score t(95) = −2.820, p = 0.006. Conclusions The current study indicates the existence of statistically significant gender differences in the perception of oral health and a series of dental aesthetics elements in a general population. Moreover, statistically significant correlations were obtained between the perception of oral health and the perception of self-esteem.
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Affiliation(s)
- Alexandru Graţian Grecu
- Department of Prosthetic Dentistry and Dental Materials, Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Robert Balazsi
- Department of Psychology, Faculty of Psychology and Educational Sciences, Babes-Bolyai University, Cluj-Napoca, Romania
| | - Diana Dudea
- Department of Prosthetic Dentistry and Dental Materials, Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Anca Ştefania Mesaroş
- Department of Prosthetic Dentistry and Dental Materials, Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Maria Strîmbu
- Department of Prosthetic Dentistry and Dental Materials, Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Dan Lucian Dumitraşcu
- 2 Medical Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
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Allen MS, Robson DA, Laborde S. Normal variations in personality predict eating behavior, oral health, and partial syndrome bulimia nervosa in adolescent girls. Food Sci Nutr 2020; 8:1423-1432. [PMID: 32180952 PMCID: PMC7063343 DOI: 10.1002/fsn3.1425] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Revised: 12/21/2019] [Accepted: 12/31/2019] [Indexed: 01/22/2023] Open
Abstract
Eating disorders are among the most prevalent disorders in adolescence and can have negative consequences including poor quality of life, medical complications, and even death. This study addresses whether normal variations in personality relate to eating behavior and eating disorder symptomatology in adolescent girls. Participants were a near-representative sample of Australian adolescent girls (n = 1,676). Three personality traits (neuroticism, extraversion, and conscientiousness) were assessed at age 12 and again at age 14, and self-reported eating and weight management behaviors were assessed at age 14. After controlling for sociodemographic factors, higher levels of conscientiousness at age 12, and increases in conscientiousness between ages 12 and 14, were associated with greater fruit and vegetable consumption, a lower intake of high fat foods and high sugar drinks, less frequent meal skipping, better oral health, and decreased risk of partial syndrome bulimia nervosa at age 14. Higher neuroticism at age 12 was associated with more frequent meal skipping, and increases in neuroticism between ages 12 and 14 were associated with more frequent meal skipping and increased risk of partial syndrome bulimia nervosa at age 14. Extraversion was generally unrelated to eating and weight management behaviors. These findings provide evidence that normal variations in personality are related to eating behavior, oral health, and eating disorder symptoms during midadolescence.
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Affiliation(s)
- Mark S Allen
- School of Psychology University of Wollongong Wollongong NSW Australia
| | - Davina A Robson
- School of Psychology University of Wollongong Wollongong NSW Australia
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Altouki NH, Albrahim MA, Hassan AH, Natto ZS, Alhajrasi MK. Oral Health-Related Quality of Life of Saudi Young Adults with Vertical Discrepancies in Occlusion. Patient Prefer Adherence 2020; 14:1021-1026. [PMID: 32606618 PMCID: PMC7311095 DOI: 10.2147/ppa.s235141] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Accepted: 05/12/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Malocclusion is one of the most common oral health problems that affects quality of life. It is important to understand how different types of malocclusion can affect the oral health-related quality of life (OHRQoL). Vertical discrepancy in occlusion is highly prevalent, yet there are no studies evaluating its impact on OHRQoL in the Saudi population. Therefore, in this study, we aim to investigate the impact of vertical discrepancy in occlusion on patients' OHRQoL. PATIENT AND METHODS A cross-sectional evaluation of 109 patients with open and deep bites who attended the orthodontics screening clinic at King Abdulaziz University Dental Hospital was carried out. The OHRQoL of each participant was assessed using the shortened, Arabic-version of the oral health impact profile-14 questionnaire. Chi-squared and Fisher's exact tests were used for analysis. RESULTS The findings indicated a statistically significant association between anterior vertical discrepancy in occlusion and embarrassment (p = 0.001), followed by being self-conscious about their appearance, discomfort while eating (p = 0.009), generalized mouth aching (p = 0.012), and speech problems (p = 0.049). This Impact was significantly higher in participants with open bites. Regarding gender variables, female patients were found to be significantly more embarrassed (p = 0.005), while male patients were more self-conscious (p = 0.018). CONCLUSION Vertical discrepancy in occlusion has a negative impact on OHRQoL and its domains in both genders. The negative impact is highlighted in the psychological disability, psychological discomfort, physical pain, and functional limitation domains.
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Affiliation(s)
- Nour H Altouki
- Saudi Board of Orthodontics, Jeddah Specialty Dental Center, MOH, Jeddah, Saudi Arabia
| | - Maryam A Albrahim
- Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ali H Hassan
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- Correspondence: Ali H Hassan Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, PO Box 80209, Jeddah21589, Kingdom of Saudi ArabiaTel +966 50 364 7336 Email
| | - Zuhair S Natto
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Manar K Alhajrasi
- Jeddah Specialty Dental Center, Ministry of Health, Jeddah, Saudi Arabia
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Olkun HK, Sayar G. Impact of Orthodontic Treatment Complexity on Oral Health-Related Quality of Life in Turkish Patients: A Prospective Clinical Study. Turk J Orthod 2019; 32:125-131. [PMID: 31565686 DOI: 10.5152/turkjorthod.2019.18042] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Accepted: 11/08/2018] [Indexed: 11/22/2022]
Abstract
Objective The study aimed to evaluate the relationship between orthodontic treatment complexity and oral health-related quality of life (OHRQoL) and to assess the impact of malocclusion and orthodontic treatment on OHRQoL in orthodontic patients with regard to gender and age. Methods This prospective clinical study included 102 patients aged 13-35 years who were referred to the orthodontic department. The impact of orthodontic treatment complexity was assessed using the Index of Complexity, Outcome and Need (ICON). The Turkish version of the Oral Health Impact Profile (OHIP-14) was used to examine the subjects for OHRQoL before and after treatment. The before and after treatment data (T1 and T2, respectively) were tested using a paired t-test, and one-way analysis of variance (ANOVA) with the Bonferroni test was used to assess the differences in OHIP-14 across groups, as defined by the ICON. The cross-sectional comparisons between genders and age groups before and after treatment were tested using the Student's t-test. The level of significance was set to a p value of 0.05. Results Patients with moderate treatment complexity reported a significantly negative impact on the psychological disability domain compared to the difficult treatment complexity. OHRQoL improved after treatment. Females showed statistically significant and highest scores on the physical pain domain compared to males. Adults showed a statistically significant negative impact on the psychological domains before treatment as well as a statistically significant positive impact on the psychological disability domain after treatment compared to adolescents (p<0.05). Conclusion Orthodontic treatment improves OHRQoL, and orthodontic treatment complexity does not seem to have an impact on OHRQoL.
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Affiliation(s)
- Hatice Kübra Olkun
- Department of Orthodontics, Okan University School of Dentistry, İstanbul, Turkey
| | - Gülşilay Sayar
- Department of Orthodontics, İstanbul Medipol University School of Dentistry, İstanbul, Turkey
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Changes in quality of life induced by tooth whitening are not influenced by global self-esteem: a randomized double-blind placebo-controlled trial. Odontology 2019; 108:143-151. [PMID: 31289971 DOI: 10.1007/s10266-019-00442-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Accepted: 06/16/2019] [Indexed: 10/26/2022]
Abstract
The purpose of this paper is to investigate which elements of tooth colour are most influenced by whitening and to identify the short-term changes in satisfaction with smile aesthetics and quality of life induced by tooth whitening and the role of global self-esteem. Sixty participants were randomly assigned to a treated or a placebo group (each group N = 30). Their anterior teeth were bleached with a photo-activated whitening gel, or subjected to a placebo. Lightness, chroma and the translucency of teeth were assessed before and 1 week after the procedure using a spectrophotometer. The Self-Esteem Scale, Psychosocial Impact of Dental Aesthetics Questionnaire, the Orofacial Aesthetic Scale and the Oral Health Impact Profile were administered to subjects. Changes in colour and chroma were greater in the treated than the placebo group (3.8 ± 1.5 vs. 1.7 ± 1.5 and - 3.2 ± 1.5 vs. 0.0 ± 1.1; p < 0.001). The treated group reported increased satisfaction with appearance and a decrease in psychological and social impacts (p < 0.05). In the placebo group there was no objective change in colour but the subjects reported an increase in satisfaction and dental self-confidence, as well as a decrease in psychological impact (p < 0.05). Self-esteem did not have a moderation nor a mediation effect. In conclusion, patients are not able to accurately detect the colour change induced by tooth whitening after 1 week, but they are also largely suggestible when evaluating the changes in quality of life. Changes in quality of life induced by tooth whitening are not influenced by global self-esteem.ClinicalTrials.gov Identifier NCT03380702.
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Yassir YA, McIntyre GT, Bearn DR. The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction: an overview of systematic reviews. Eur J Orthod 2019; 42:223-230. [DOI: 10.1093/ejo/cjz043] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
SummaryBackgroundPatient perception with fixed appliance orthodontic treatment is important to improve oral health-related quality of life.ObjectiveThe main objective of this study was to evaluate the impact of labial fixed appliance orthodontic care on patient perception before, during, and after the treatment.Search methodsRelevant systematic reviews investigating patient perception with fixed appliance orthodontic treatment were identified by searching electronic databases: MEDLINE via OVID (1946 to 31 December 2018), EMBASE (1974 to 31 December 2018), AMED (Allied and Complementary Medicine Database; 1985 to November 2018), PubMed (inception to 31 December 2018), Web of Science (1900 to 2018), and PsychINFO (1806 to 31 December 2018). Ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied.Selection criteriaOnly studies investigating patient perception of fixed appliance orthodontic treatment were included.Data collection and analysisScreening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)], and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings.ResultsA total of 163 articles investigating patient expectation, experience, and satisfaction with conventional ligation labial fixed orthodontic appliances were obtained. Of these, 152 observational or interventional studies were excluded, resulting in 11 eligible systematic reviews. Two were excluded as earlier reports of a Cochrane review. The quality of the reviews was variable (critically low, low, and moderate). The findings were as follows: aesthetics represents a primary motive for orthodontic treatment; a temporary deterioration in the quality of life occurs during the initial phases of treatment; gender and ethnicity factors do not have an impact on patient perception of treatment; and a positive relationship between orthodontist–patient–parent is important to achieve patient compliance and satisfaction.ConclusionsThere is a lack of high-quality studies in terms of systematic reviews and meta-analyses for assessing patient perception with fixed appliance orthodontic treatment. The aesthetic impact of malocclusion is the main motive for seeking orthodontic treatment. Quality of life reduces during the initial stages of orthodontic treatment but improves in the later stages of treatment. Assessment before, during, and after orthodontic treatment is necessary to comprehensively assess patient perception at all stages of care.Trial registrationCRD42019122653.Conflict of InterestNone to declare.
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Affiliation(s)
- Yassir A Yassir
- Orthodontic Department, College of Dentistry, University of Baghdad, Iraq
- Orthodontic Department, School of Dentistry, University of Dundee, UK
| | - Grant T McIntyre
- Orthodontic Department, School of Dentistry, University of Dundee, UK
| | - David R Bearn
- Orthodontic Department, School of Dentistry, University of Dundee, UK
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Herkrath APCQ, Vettore MV, de Queiroz AC, Alves PLN, Leite SDC, Pereira JV, Rebelo MAB, Herkrath FJ. Orthodontic treatment need, self-esteem, and oral health-related quality of life among 12-yr-old schoolchildren. Eur J Oral Sci 2019; 127:254-260. [PMID: 30891853 DOI: 10.1111/eos.12611] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The aim of this study was to investigate the association between orthodontic treatment need and oral health-related quality of life (OHRQoL) among 12-yr-old children. The study also assessed whether self-esteem modifies and/or moderates this relationship. Cross-sectional data on 406 schoolchildren aged 12 yr were analyzed. Data on socio-economic and demographic characteristics, dental pain, self-esteem, and OHRQoL were collected using validated questionnaires. Orthodontic treatment need was assessed, through dental examinations, using the dental aesthetic index (DAI). Multiple negative binomial regression and path analysis were used to estimate the association of orthodontic treatment need and self-esteem with OHRQoL. A modifying effect of self-esteem on the relationship between DAI and OHRQoL was observed. Self-esteem did not mediate the abovementioned relationship. Children with lower scores of self-esteem had worse OHRQoL among those with lower orthodontic treatment need (a DAI score of < 31). However, self-esteem did not influence the association between DAI and OHRQoL in children with greater orthodontic treatment need (a DAI score of ≥ 31). Self-esteem attenuated the impact of malocclusion on OHRQoL in children with minor or definite malocclusion, but not among those with severe or very severe malocclusion. Self-esteem appears to buffer the impact of malocclusion on OHRQoL in children with minor orthodontic treatment need.
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Affiliation(s)
| | - Mario V Vettore
- Academic Unit of Dentistry, Oral Health and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | | | - Paula L N Alves
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
| | - Sarah D C Leite
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
| | | | - Maria A B Rebelo
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
| | - Fernando J Herkrath
- Superior School of Health Sciences, Amazonas State University, Manaus, Brazil.,Instituto Leônidas e Maria Deane, Fundação Oswaldo Cruz, Manaus, Brazil
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14
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Kunz F, Platte P, Keß S, Geim L, Zeman F, Proff P, Hirschfelder U, Stellzig-Eisenhauer A. Correlation between oral health-related quality of life and orthodontic treatment need in children and adolescents-a prospective interdisciplinary multicentre cohort study. J Orofac Orthop 2018; 79:297-308. [PMID: 29947814 DOI: 10.1007/s00056-018-0142-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Accepted: 04/27/2018] [Indexed: 10/14/2022]
Abstract
PURPOSE Oral health-related quality of life (OHRQoL) is a construct for assessing the self-perceived oral health of patients. The aim of this study was to investigate the correlation between OHRQoL and orthodontic treatment need in consideration of demographic and psychological factors. PATIENTS AND METHODS This multicentre study included 250 patients with an indication for orthodontic diagnostics. In cooperation with the Institute of Clinical Psychology at the University of Würzburg, validated and internationally acknowledged questionnaires were selected to assess OHRQoL (COHIP-G19) and health-related quality of life (HRQOL). Self-esteem and behavioural problems were taken into consideration as possible psychological factors. Orthodontic treatment need was assessed using the Index of Orthodontic Treatment Need-Dental Health Component (IOTN-DHC), the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC) and the Dental Aesthetic Index (DAI). Possible significant correlations between the collected parameters and OHRQoL were evaluated by means of linear regression analysis. RESULTS Objective orthodontic treatment need (IOTN-DHC and DAI) was significantly correlated with OHRQoL. Further factors significantly influencing OHRQoL in children and adolescents were age, HRQOL, self-esteem and behavioural problems. CONCLUSIONS Objective orthodontic treatment need significantly influences OHRQoL in children and adolescents. Further studies are required to investigate if OHRQoL may be improved by correcting misaligned teeth and jaws.
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Affiliation(s)
- Felix Kunz
- Department of Orthodontics, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany.
| | - Petra Platte
- Institute of Clinical Psychology, University of Würzburg, Würzburg, Germany
| | - Stefan Keß
- Department of Orthodontics, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany
| | - Laura Geim
- Department of Orthodontics, University Hospital of Würzburg, Pleicherwall 2, 97070, Würzburg, Germany
| | - Florian Zeman
- Centre for Clinical Studies, University Hospital of Regensburg, Regensburg, Germany
| | - Peter Proff
- Department of Orthodontics, University Hospital of Regensburg, Regensburg, Germany
| | - Ursula Hirschfelder
- Department of Orthodontics, University Hospital of Erlangen, Erlangen, Germany
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Aydoğan C. Extraversion and openness to experience moderate the relationship between orthodontic treatment need and oral health-related quality of life in adolescents: A cross-sectional study. Angle Orthod 2018; 88:617-623. [PMID: 29782202 DOI: 10.2319/103117-737.1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To investigate the effects of personality traits to moderate the relationships between orthodontic treatment need and oral health-related quality of life (OHRQoL) in adolescents. MATERIALS AND METHODS A cross-sectional study was performed that included 230 subjects (125 girls and 105 boys) aged 11-14 years. Orthodontic treatment need was measured using the Index of Complexity, Outcome and Need (ICON). The Child Perceptions Questionnaire, the Basic Personality Traits Inventory (BPTI), and the Revised Life Orientation Test were used to assess the OHRQoL, basic personality dimensions, and dispositional optimism respectively. Potential moderation effects were evaluated with Spearman's correlations and multiple regression analyses. RESULTS There were weak correlations between orthodontic treatment need and quality of life with social and emotional well-being dimensions ( r = 0.238, r = 0.296 and r = 0.209). A moderating effect of extraversion was observed in the relationship between orthodontic treatment need and OHRQoL, emotional well-being, and social well-being (SWB) (Δ R2 = 0.03, Δ R2 = 0.02, and Δ R2 = 0.04, respectively). Openness to experience affected relationships between orthodontic treatment need and OHRQoL, and emotional well-being (EWB) (Δ R2 = 0.03 and Δ R2 = 0.04, respectively). In children with higher extraversion, the increase in ICON scores resulted in less increase in CPQ total, EWB, and SWB scores. In children with higher openness to experience, the increase influenced CPQ total and EWB scores similarly. CONCLUSIONS The relationship between orthodontic treatment need and quality of life is moderated by personality traits. Early adolescents with higher extraversion and openness to experience are less affected by increased orthodontic treatment need.
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Choi SH, Cha JY, Lee KJ, Yu HS, Hwang CJ. Changes in psychological health, subjective food intake ability and oral health-related quality of life during orthodontic treatment. J Oral Rehabil 2017; 44:860-869. [DOI: 10.1111/joor.12556] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2017] [Indexed: 11/30/2022]
Affiliation(s)
- S.-H. Choi
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - J.-Y. Cha
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - K.-J. Lee
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - H.-S. Yu
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
| | - C.-J. Hwang
- Department of Orthodontics; The Institute of Craniofacial Deformity; College of Dentistry; Yonsei University; Seoul Korea
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17
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Choi SH, Kim JS, Cha JY, Hwang CJ. Effect of malocclusion severity on oral health-related quality of life and food intake ability in a Korean population. Am J Orthod Dentofacial Orthop 2016; 149:384-90. [PMID: 26926026 DOI: 10.1016/j.ajodo.2015.08.019] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2015] [Revised: 08/01/2015] [Accepted: 08/01/2015] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the effect of malocclusion severity on oral health-related quality of life and food intake ability in adult patients, controlling for sex, age, and the type of dental clinic visited. METHODS The sample consisted of 472 Korean patients (156 male, 316 female) with a mean age of 21.1 (SD, 8.6) years in a dental hospital and a private clinic. The correlations between the Korean version of the Oral Health Impact Profile-14 (OHIP-14K), subjective food intake ability (FIA) for 5 key foods, and Index of Orthodontic Treatment Need-Dental Health Component (IOTN-DHC) were investigated. RESULTS The mean IOTN-DHC and OHIP-14K scores were significantly higher for the dental hospital patients than for the private clinic patients (IOTN-DHC, P <0.001; OHIP-14K, P <0.05). Malocclusion severity was significantly higher in male than in female subjects (P <0.001). Older patients perceived their oral health-related quality of life more negatively than did the teens (P <0.001). As the severity of the malocclusion increased, oral health-related quality of life and masticatory function worsened (OHIP-14K, P <0.001; FIA, P <0.05). CONCLUSIONS As the severity of the malocclusion and the age of the patients increased, oral health-related quality of life and masticatory function relatively deteriorated. This finding provides evidence that severe malocclusions are associated with lower quality of life and less masticatory efficiency in older patients.
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Affiliation(s)
- Sung-Hwan Choi
- Fellow, Department of Orthodontics, The Institute of Cranial-Facial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | | | - Jung-Yul Cha
- Associate professor, Department of Orthodontics, The Institute of Cranial-Facial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Chung-Ju Hwang
- Professor, Department of Orthodontics, The Institute of Cranial-Facial Deformity, College of Dentistry, Yonsei University, Seoul, Korea.
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