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Bucci R, Rongo R, Amato A, Martina S, D'Antò V, Valletta R. The Psychological Impact of Dental Aesthetics in Patients with Juvenile Idiopathic Arthritis Compared with Healthy Peers: A Cross-Sectional Study. Dent J (Basel) 2019; 7:dj7040098. [PMID: 31581530 PMCID: PMC6960518 DOI: 10.3390/dj7040098] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 09/18/2019] [Accepted: 09/19/2019] [Indexed: 02/02/2023] Open
Abstract
This study aimed to assess whether dental aesthetics had a different impact on the psychosocial domains of adolescents with juvenile idiopathic arthritis (JIA) as compared with healthy peers. Fifty JIA patients and eighty controls aged between 13 and 17 years were enrolled. The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) was administered along with tools for the self-assessment of malocclusion and self-esteem. An objective evaluation of malocclusion severity was performed through a clinical evaluation with the Dental Aesthetic Index (DAI). The sample was divided according to the DAI stages of malocclusion severity; a two-way analysis of variance (ANOVA) was performed to assess whether there was a difference in the studied variables according to the malocclusion and the presence of JIA. The results showed no interaction between the malocclusion severity and the presence of JIA in all analyzed variables (all p > 0.05). According to the DAI stages, the Dental Self-Confidence domain of the PIDAQ and the Perception of Occlusion Scale showed statistically significant differences only within the controls (p = 0.027 and p = 0.014, respectively). Therefore, JIA adolescents seem to be less concerned about their dental aesthetics compared with healthy peers, and clinicians should take particular care when proposing orthodontic treatments aiming only to improve dental aesthetics.
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Affiliation(s)
- Rosaria Bucci
- Department of Neurosciences, Reproductive Science and Oral Sciences, Division of Orthodontics, University of Naples Federico II, Naples, 80131, Italy.
| | - Roberto Rongo
- Department of Neurosciences, Reproductive Science and Oral Sciences, Division of Orthodontics, University of Naples Federico II, Naples, 80131, Italy.
| | - Alessandra Amato
- Department of Neurosciences, Reproductive Science and Oral Sciences, Division of Orthodontics, University of Naples Federico II, Naples, 80131, Italy.
| | - Stefano Martina
- Department of Neurosciences, Reproductive Science and Oral Sciences, Division of Orthodontics, University of Naples Federico II, Naples, 80131, Italy.
| | - Vincenzo D'Antò
- Department of Neurosciences, Reproductive Science and Oral Sciences, Division of Orthodontics, University of Naples Federico II, Naples, 80131, Italy.
| | - Rosa Valletta
- Department of Neurosciences, Reproductive Science and Oral Sciences, Division of Orthodontics, University of Naples Federico II, Naples, 80131, Italy.
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