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Sobouti F, Ghadirian H, Dadgar S, Aryana M, Kamali E. Radiographic assessment and management of two deeply and horizontally impacted maxillary central incisors: A clinical case report. Radiol Case Rep 2024; 19:3089-3095. [PMID: 38770383 PMCID: PMC11103363 DOI: 10.1016/j.radcr.2024.04.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 04/06/2024] [Accepted: 04/09/2024] [Indexed: 05/22/2024] Open
Abstract
This case report describes the treatment of a 9-year-old boy with impacted maxillary central incisors due to 2 supernumerary teeth. A sequential approach comprising of surgical removal of the supernumerary teeth and 2 stages of surgical exposure and orthodontic traction of the impacted teeth resulted in correct repositioning of incisors. Close monitoring and multidisciplinary cooperation during various stages of treatment led to a successful esthetic outcome, with optimal periodontal health and functional occlusion.
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Affiliation(s)
- Farhad Sobouti
- Department of Orthodontics, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Hannaneh Ghadirian
- Department of Orthodontics, Tehran University of Medical Sciences, Tehran, Iran
| | - Sepideh Dadgar
- Department of Orthodontics, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mehdi Aryana
- Student Research Committee, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Elaheh Kamali
- Department of Orthodontics, Tehran University of Medical Sciences, Tehran, Iran
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Mecenas P, Cardoso PC, Maia NG, Maia FA, Normando D. Effect of the quality of orthodontic finishing on the stability of anterior tooth alignment. Angle Orthod 2023; 93:652-658. [PMID: 37200475 PMCID: PMC10633801 DOI: 10.2319/101722-722.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 10/01/2022] [Indexed: 05/20/2023] Open
Abstract
OBJECTIVES To evaluate whether the quality of orthodontic finishing influences long-term stability of anterior tooth alignment. MATERIALS AND METHODS This retrospective study evaluated 38 patients. Data were obtained at the beginning of treatment (T0), at the end (T1), and at least 5 years after T1 (T2). At this point, the individuals were no longer wearing retainers. Anterior tooth alignment was measured using Little's index (LI). Effect on alignment stability was tested with multiple linear regression using LI-T0, LI-T1, intercanine width difference T1-T0, overbite (T1), overjet (T1), age, gender, time without retention, and presence of third molars as predictor variables. Well-aligned (LI < 1.5 mm) and misaligned (LI > 1.5 mm) cases were compared at T2. RESULTS At T2, the alignment stability in the upper arch was inversely associated with the alignment quality (R2 = 0.378, P < .001) and directly associated with overbite (R2 = 0.113, P = .008) at T1. Posttreatment changes caused cases finished with poor alignment to become similar to those finished with excellent alignment (P = .917). In the mandible, posttreatment changes were directly associated only with overjet (R2 = 0.152, P = .015) and well-finished cases displayed better alignment than poorly finished cases (P = .011). Other variables showed no significant association. CONCLUSIONS In arches without retention, better quality of orthodontic finishing does not guarantee the stability of anterior alignment. In the maxilla, long-term changes were more significant the greater the overbite and the better the quality of alignment at end of treatment. In the mandible, changes were not dependent on the quality of finishing but were associated with greater overbite at T2.
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Affiliation(s)
- Paulo Mecenas
- Corresponding author: Dr Paulo Mecenas, Department of Orthodontics, Federal University of Pará (UFPA), Rua Augusto Correa 01, Belém, Pará 66075-110, Brazil (e-mail: )
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Ben Gassem AA, Aldweesh AH, Alsagob EI, Alanazi AM, Hafiz AM, Aljohani RS, Kurdi YE, Abu Hammad O. Psychosocial Impact of Malocclusion and Self-Perceived Orthodontic Treatment Need among Young Adult Dental Patients. Eur J Dent 2023; 17:713-719. [PMID: 36075263 PMCID: PMC10569871 DOI: 10.1055/s-0042-1753452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Abstract
OBJECTIVES To investigate the psychosocial impact of malocclusion and self-rated and clinician-rated orthodontic treatment need on young adult patients in the Western Province of Saudi Arabia. MATERIALS AND METHODS Eighteen- to 30-year-old patients (n=355) attending a tertiary dental care facility were included. Three instruments were used for data collection: (1) Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ), (2) aesthetic component of the Index of Orthodontic Treatment Need (IOTN-AC), self-rated and clinician-rated, and (3) clinician-rated Dental Aesthetic Index (DAI). Data analysis included descriptive statistics, Kruskal-Wallis test, Mann-Whitney U-test, and multiple linear regression analysis. RESULTS Females were significantly more impacted than males on all domains with the exception of the dental self-consciousness domain. For both the self-rated and clinician-rated IOTN and the DAI, it was found that the more severe the malocclusion, the higher the impact on all domains except for the dental self-confidence domain, which showed that patients with mild malocclusions were more affected than those with moderate and severe malocclusions. Significant associations were observed between independent variables (age, sex, self-rated IOTN, and DAI) and total PIDAQ score. CONCLUSIONS Perceived psychosocial impact of dental aesthetics is directly related to severity of malocclusion (self-rated and clinician-rated) for all domains of the PIDAQ accept the DSC, and females showed higher psychosocial impact than males. Clinicians should consider the impact of malocclusion and certain demographic characteristics on the psychosocial well-being of an individual when determining the orthodontic treatment need.
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Affiliation(s)
- Afnan A. Ben Gassem
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia
| | - Aljazi H. Aldweesh
- Department of Pediatric Dentistry and Orthodontics, Dental College, King Saud University, Riyadh, Saudi Arabia
| | - Eman I. Alsagob
- Preventive Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | | | - Arwa M. Hafiz
- College of Dentistry, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia
| | - Rahaf S. Aljohani
- College of Dentistry, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia
| | - Yara E. Kurdi
- College of Dentistry, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia
| | - Osama Abu Hammad
- School of Dentistry, University of Jordan and Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia
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Mohammed H, Kumar R, Bennani H, Perry J, Halberstadt JB, Farella M. Malocclusion severity and smile features: Is there an association? Am J Orthod Dentofacial Orthop 2023:S0889-5406(23)00031-8. [PMID: 36842950 DOI: 10.1016/j.ajodo.2022.10.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Revised: 10/01/2022] [Accepted: 10/01/2022] [Indexed: 02/26/2023]
Abstract
INTRODUCTION This observational study investigated the relationship between malocclusion and smiling. METHODS Adolescents and young adults (n = 72; aged 16-25 years) were identified according to their Dental Aesthetic Index (DAI) and allocated to 3 groups: (1) malocclusion group (n = 24; DAI ≥31), (2) retention group (n = 24; pretreatment DAI ≥31) with a prior malocclusion that had been corrected by orthodontic treatment, (3) control group with no-to-minor malocclusion (n = 24; DAI ≤25). Participants were requested to watch an amusing video. Based on the Facial Action Coding System, automated pattern recognition was used to detect smile episodes and assess their frequency, duration, genuineness, intensity, and extent of tooth show. Demographics, Big Five personality dimensions, and self-perceived smile esthetics-related quality of life were collected from all participants via questionnaires. Data were analyzed by mixed-model analysis and adjusted for possible confounders. RESULTS Patients from the malocclusion and retention groups smiled significantly less than participants from the control group, with the duration of smiles and smiling time being around half those of control subjects. Smile genuineness, smile intensity, and teeth shown did not differ across groups. Personality traits did not differ significantly among the 3 groups, whereas the malocclusion group scored around 30% less for dental self-confidence than the other 2 groups. CONCLUSIONS Patients with severe malocclusion tend to smile less, but the features of their smiles are similar to those without malocclusion. A lower propensity to smile in patients with a corrected malocclusion may persist after orthodontic treatment.
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Affiliation(s)
- Hisham Mohammed
- Discipline of Orthodontics, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Reginald Kumar
- Discipline of Orthodontics, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Hamza Bennani
- School of Information Technology, Otago Polytechnic, Dunedin, New Zealand
| | - John Perry
- Hospital Dental Service, Christchurch Hospital, Christchurch, New Zealand
| | - Jamin B Halberstadt
- Department head, Faculty of Psychology, University of Otago, Dunedin, New Zealand
| | - Mauro Farella
- Discipline of Orthodontics, Faculty of Dentistry, University of Otago, Dunedin, New Zealand; Discipline of Orthodontics, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.
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Muacevic A, Adler JR, Jindal Goyal R, Sharma Rai K, Bagde H, Dhopte A. Analysis of Smile Aesthetic Changes With Fixed Orthodontic Treatment. Cureus 2022; 14:e32612. [PMID: 36660497 PMCID: PMC9845525 DOI: 10.7759/cureus.32612] [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: 09/24/2022] [Accepted: 12/16/2022] [Indexed: 12/23/2022] Open
Abstract
INTRODUCTION The mouth and teeth are vital in facial aesthetics and the face as a whole is the most critical individual component determining one's physical look. As dentists, we need to be aware that this might significantly alter the care given to a patient since the patient's and the dentist's ideas of beauty may be quite different. This study sought to ascertain how the general public, general dental specialists, and orthodontics all rated the attractiveness of patients who had received orthodontic treatment using a visual scale, as well as how the facial reference could be used to gauge the improvement in smiles. METHODOLOGY The attractiveness of 80 continuously treated patients was assessed by comparing their pre- and post-treatment posed grin images. The attractiveness of participants' smiles was evaluated using the Visual Simple Scale, which measures affect, and the Graph of Facial Stylish Reference, which measures objectively. "Making a Jazzy Face Chart" - The analysts were able to fairly evaluate changes in elements such as the symmetry of the smile twist, the position of the gingival peak of the front teeth relative to each other, the height of the incisal edges of the front teeth, the width of the connector band of the front six teeth, and the general tip of the front teeth by referring to photographs taken during treatment. We put the Visual Basic Scale to the test by having five male orthodontists, five male general dental specialists, and five male laypeople rate how much of an improvement they noticed between the before and after photos of a patient's smile. RESULTS According to the findings of the first section of the research, orthodontic treatment generally leads to an increase in all indicators. Some instances, however, demonstrated worsening in characteristics such as grin arc consonance, gingival zenith location relative to each other, and incisal edge height. The second half of this research revealed that the opinions of orthodontic specialists, general dentists, and the general public varied with regard to the beauty of a smile. CONCLUSION Based on this research, we can say the following: Orthodontic treatment led to improvements in many of the variables that contribute to smile attractiveness, factors include the interproximal width of contact area, the height of the incisal margins of the front teeth, and the location of the gingival zenith in relation to one another, to name a few. The results of this research support the idea that the aesthetics of the smile should be assessed at the last stages of orthodontic treatment when fine adjustments are being made.
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Sagana M, Jain RK, Prasad AS. Association of severity of malocclusion with socioeconomic status in the South Indian population. J Adv Pharm Technol Res 2022; 13:S40-S44. [PMID: 36643107 PMCID: PMC9836133 DOI: 10.4103/japtr.japtr_120_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/13/2022] [Accepted: 06/14/2022] [Indexed: 01/17/2023] Open
Abstract
Malocclusion has been linked to various factors out of which certain dietary patterns and unhealthy habits are the most overlooked. The dietary patterns and unhealthy habits vary according to socioeconomic status. The present research was aimed to perform an association of malocclusion severity with socioeconomic status. This study was done in a retrospective manner and was conducted at Saveetha Dental College. A total of 241 clinical case records of the participants with malocclusion reporting for orthodontic therapy were selected and enrolled for the study. Data on the socioeconomic status and the severity of malocclusion as assessed with the Index of Orthodontic Treatment Needs (IOTNs) index were noted. All these records were collected and entered into Excel and then analyzed through statistics. Descriptive statistics and nonparametric Chi-square tests were performed. From the analysis, the proportion of IOTN Grade 1 malocclusion (30%) was found to be the highest. The highest number of patients with Grade 1 malocclusion belonged to the lower socioeconomic class. Socioeconomic status and the severity of malocclusion were significantly associated with each other. Malocclusion prevalence and severity were more among participants belonging to lower socioeconomic groups.
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Affiliation(s)
- M Sagana
- Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Ravindra Kumar Jain
- Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Arya S Prasad
- Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
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Age and Gender Are Associated with the Component of Psychosocial Impact of Dental Aesthetics Questionnaire in Young People: A Cross-Sectional Study. CHILDREN 2022; 9:children9040496. [PMID: 35455540 PMCID: PMC9029103 DOI: 10.3390/children9040496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2022] [Revised: 03/21/2022] [Accepted: 03/22/2022] [Indexed: 11/23/2022]
Abstract
(1) The aim of the study was to investigate the association between age, gender, and the component of psychosocial impact of dental aesthetics (PIDAQ) in Malaysian young people. (2) Cross-sectional data on the PIDAQ (comprised of dental self-confidence, social impact, psychological impact, and aesthetic concern variables) of Malaysian youth (n = 1425) recruited through multi-stage sampling were analyzed for mediation and moderated mediation analyses using the PROCESS macro on SPSS software. (3) Participants (mean age 16.0 ± 2.8) represented 54.8% of girls and 45.2% of boys. In the mediation model, psychological impact and aesthetic concern completely mediated the effects of social impact on dental self-confidence. In the moderated mediation model, social impact directly influenced dental self-confidence amongst participants at one standard deviation below the sample mean age and among boys. However, psychological impact completely mediated the influence of social impact on dental self-confidence amongst participants at the sample mean age and at one standard deviation above the sample mean ages, and among girls. Neither age nor gender moderated the effect of aesthetic concern on dental self-confidence. (4) Age and gender moderated the influence of social impact and psychological impact on dental self-confidence.
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Digumarthi UK, Prakash R. A Cross-Sectional Evaluation of Self-Perceived Orthodontic Treatment Needs Amongst Tribal Adolescent With Remote Access to Orthodontic Treatment Using a Simplified Malocclusion Index. JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2021. [DOI: 10.1177/03015742211056251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: Self-perceived orthodontic treatment need is strongly influenced by what is perceived to be the esthetic norm amongst a community, and reluctance toward treatment amongst adolescents with clinically ascertained malocclusion may often be due to readily remediable factors. Of particular interest is the prevalence of malocclusion amongst such communities as a probable indicator of the role of diet and genetics in establishing a predominant clinical phenotype that may also play a role in the construct of what is perceived as the esthetic norm amongst the community, thereby influencing the self-perceived need for treatment. Studies aimed at evaluating the association between self-perceived esthetics, and self-perceived treatment need have not been performed amongst a population with no prior exposure to orthodontic treatment Objectives: The purpose of this study was to evaluate the self-perceived orthodontic treatment need amongst the tribal adolescents belonging to regions with remote access to orthodontic treatment by way of a verbally assigned index and to also identify the reasons of reluctance toward treatment to better understand how to make orthodontic treatment readily accessible to such populations. Participants, Materials, and Methods: The agency areas of Paderu located at 18.0833°N 82.667°E and Parvathipuram located at 18°46'N 83°25'E are 2 revenue districts of Visakhapatnam and Vizianagaram, respectively, in the state of Andhra Pradesh, India, that are home to various tribal populations with remote access to orthodontic treatment. A total of 2,016 school-going tribal adolescents of the Paderu revenue division and 819 tribal adolescents of the Parvathipuram revenue division were examined to ascertain the prevalence of malocclusion. Necessary consent and permissions were obtained from the tribal authorities, the school authorities, parents, and the institutional ethical clearance committee. The screening was done utilizing natural daylight in compliance with infection prevention and control protocol. Clinical examination aimed at categorizing the observed occlusion into either ideal occlusion or one of the three classes of Angle’s class I, II, and III malocclusions. The Simplified Malocclusion Index For Layperson Evaluation (SMILE) was verbally assigned in the vernacular language while interacting with each child and the findings made note of for calculation of relevant scores related to their orthodontic awareness, self-esteem as related to self-perceived esthetics, and their self-perceived need for treatment. Reasons for reluctance to undergo treatment were noted down if expressed. An initial group of 31 adolescents categorized as presenting with clinical malocclusion were randomly picked up and assigned the SMILE index a second time to assess the reliability of the index by way of Cohen’s kappa statistic. Results: The initial test group of 31 individuals assigned the SMILE twice showed a Cohen’s kappa of 0.93 validating almost perfect intraoperator agreement. The SMILE index revealed that 80.95% of the adolescents of Paderu revenue division had orthodontic awareness and 79.51% had self-perceived esthetics but only 15.97% felt a need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 1,371] = 19.71, P < .001). The Index assigned to the Parvathipuram division revealed that 77.04% had orthodontic awareness and 78.38 had self-perceived esthetics but only 6.95% felt the need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 764] = 4.95, P = .02). Conclusion: The self-perceived need for orthodontic treatment is often based on the self-perceived esthetics of an individual or the self-esteem as influenced by the perceived esthetic norm of the community. Orthodontic treatment of adolescents with borderline malocclusion derangements requires careful ascertaining of the actual perceived need of the patient to enable the rendering of a justifiable orthodontic treatment with the complete trust of the young patient. This helps build community trust in regions where orthodontic treatment has not yet made in roads and may help ensure higher end of treatment satisfaction levels.
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Affiliation(s)
- Uday Kumar Digumarthi
- Department of Orthodontics, Anil Neerukonda Institute of Dental Sciences, Visakhapatnam, Andhra Pradesh, India
- Shri Lalitha’s Superspecialty Dental Hospital, Dabagardens, Visakhapatnam, Andhra Pradesh, India
| | - R. Prakash
- Department of Orthodontics, Anil Neerukonda Institute of Dental Sciences, Visakhapatnam, Andhra Pradesh, India
- Department, Prosthodontics, Anil Neerukonda Institute of Dental Sciences, Andhra Pradesh, India
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Need for Orthodontic Treatment in Pupils Aged between 12 and 15 in the Valencian Region (Spain). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910162. [PMID: 34639464 PMCID: PMC8508388 DOI: 10.3390/ijerph181910162] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 09/22/2021] [Accepted: 09/24/2021] [Indexed: 11/17/2022]
Abstract
The World Health Organization recommends carrying out periodic epidemiological studies in order to provide a basis for the evaluation of the state of health of the population at any given time; in doing so, action strategies can be established for the treatment of different pathologies. The objective of this study is to evaluate the need for orthodontic treatment in adolescents at school aged between 12 and 15 in the Spanish autonomous region known as Comunidad Valenciana (hereafter: Valencian Region). A cross-sectional study was carried out on a sample of 539 12-year-old schoolchildren and 460 15-year-olds, respectively, selected by cluster sampling and representative of the school-aged population of the Valencian Region, using the IOTN-DHC, IOTN-AC, and DAI indices. The need for specific orthodontic treatment according to the IOTN-DHC was 12.6% at 12 years and 7% at 15. For the IOTN-AC and DAI indices, the treatment needs were 4.3% and 0.9% at 12 years and 30.1% and 20.9% at the age of 15. These results were similar to those obtained in the previous study carried out on the same target population. There was no significant association between the need for treatment and gender or social class. We conclude that the need for orthodontic treatment presents values similar to those obtained in 2010.
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Ilijazi-Shahiqi D, Mehmeti B, Kelmendi J, Krasniqi D, Kamberi B, Anic-Milosevic S. Validity and reliability of the Psychosocial Impact of Dental Aesthetics Questionnaire in Kosovar adolescents. Int J Adolesc Med Health 2020; 33:/j/ijamh.ahead-of-print/ijamh-2019-0038/ijamh-2019-0038.xml. [PMID: 31953994 DOI: 10.1515/ijamh-2019-0038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 04/11/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To test the validity and reliability of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ)-Albanian version in Kosovar adolescents and assess gender-based differences of malocclusion on PIDAQ subscales. METHODS A sample of 200 adolescents aged 12-15 years were evaluated for orthodontic treatment need by a previous calibrated dental examiner, using the aesthetic component (AC) of the Index of Orthodontic Treatment Need-Aesthetic Concern (IOTN-AC) and the dental aesthetic index (DAI). Internal consistency, test-retest reliability, discriminant validity and gender-based impact of malocclusion on psychosocial impact was assessed. RESULTS The Albanian version of the PIDAQ shows satisfactory internal consistency (α ranging from 0.73 to 0.90) with high test-retest reliability (r > 0.83). The discriminant validity revealed that subjects with minor and severe malocclusion according to dichotomous DAI categorization had different PIDAQ scores. No significant gender-based differences were noted on the impact of malocclusion on psychological and social aspect or Dental Self-confidence (DSC); however, significant gender-based difference was noted on the impact of malocclusion on AC. CONCLUSION The Albanian version of the PIDAQ demonstrated good psychometric properties and applicability to this age group in Kosova.
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Affiliation(s)
- Donika Ilijazi-Shahiqi
- School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia
- Department of Orthodontics, Medical Faculty School of Dentistry, University of Prishtina, p.n 10000, Pristina, Kosovo
| | - Blerim Mehmeti
- Department of Orthodontics, Medical Faculty School of Dentistry, University of Prishtina, p.n 10000, Pristina, Kosovo
| | - Jeta Kelmendi
- School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia
- Department of Orthodontics, Medical Faculty School of Dentistry, University of Prishtina, p.n 10000, Pristina, Kosovo
| | | | - Blerim Kamberi
- Department of Endodontics and Restorative Dentistry, Medical Faculty School of Dentistry, University of Pristina, p.n 10000, Pristina, Kosovo
| | - Sandra Anic-Milosevic
- Department of Orthodontics, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia, Phone: +38514802173, Fax: +38514830816
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González MJ, Romero M, Peñacoba C. Psychosocial dental impact in adult orthodontic patients: what about health competence? Health Qual Life Outcomes 2019; 17:110. [PMID: 31242920 PMCID: PMC6595686 DOI: 10.1186/s12955-019-1179-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2018] [Accepted: 06/11/2019] [Indexed: 11/13/2022] Open
Abstract
Background Several studies have assessed the psychological benefits of orthodontic treatment; however, the impact of competence on psychological benefits remains unknown. Aims: To analyze the change of the perception of psychosocial dental impact in a sample of adults undergoing orthodontic treatment (mild/moderate dental malocclusions) and to assess the possible moderating effect of health competence level. Methods A longitudinal prospective design was used. Three time points were included: baseline (T0), 6 months after starting orthodontic treatment (T1) and once treatment had finished (T2). The pretreatment sample consisted of 78 patients recruited from the Rey Juan Carlos University Dental Clinic, all of whom had moderate malocclusions and were going to undergo orthodontic treatment for approximately 18 months with fixed metal multibrackets. All participants were instructed to complete the Spanish version of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and the aesthetic component of the Index of Orthodontic Treatment Need (IOTN-AC) on the three points of the research. Statistical analysis involved the General Linear Model (GLM) repeated-measures ANOVA to test if the outcome measures of psychosocial dental impact significantly changed over time during orthodontic treatment (baseline, at 6-month evaluation and posttreatment). To assess the effect of the previous health competence levels (high/low) in the change from baseline to the 6-month assessment, for each PIDAQ dimension, a 2*2 (time*group) repeated measures ANOVA was performed. Results A significant increase was observed in dental self-confidence values (T0-T1 and T0-T2). Similar results were observed for the psychological impact variables and for the IOTN-AC scores, which showed significant decreases between T0 and T1 and between T0 and T2. Finally, significantly decreases were observed between T0 and T2 in aesthetic concern. Interaction effects were found regarding the health competence variable from T0-T1 for the psychological impact, social impact and aesthetic concern and the IOTN-AC index, with significant development results regarding the high competence group. Conclusions The first 6 months of orthodontic treatment seemed to be key to the development of psychosocial dental impact perception, during which the role of health competence was of great importance to developing a positive change. It is necessary to follow a biopsychosocial approach towards orthodontic treatment.
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Affiliation(s)
- María José González
- Department of Orthodontics, Universidad Rey Juan Carlos, Avda de Atenas s/n 28922 Alcorcón, Madrid, Spain.
| | - Martín Romero
- Department of Orthodontics, Universidad Rey Juan Carlos, Avda de Atenas s/n 28922 Alcorcón, Madrid, Spain
| | - Cecilia Peñacoba
- Psychology Department, Rey Juan Carlos University, Alcorcón, Madrid, Spain
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KAIEDA AK, BULGARELI JV, CUNHA IPD, VEDOVELLO SAS, GUERRA LM, AMBROSANO GMB, PEREIRA AC, PARANHOS LR, CORTELLAZZI KL. Malocclusion and dental appearance in underprivileged Brazilian adolescents. Braz Oral Res 2019; 33:e014. [DOI: 10.1590/1807-3107bor-2019.vol33.0014] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Accepted: 01/15/2019] [Indexed: 11/22/2022] Open
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Manilla AE, Katagiri MK. Orthodontic-surgical treatment of an impacted central incisor. Case report. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.rmo.2017.12.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Pavlic A, Trinajstic Zrinski M, Katic V, Spalj S. Neoclassical canons of facial beauty: Do we see the deviations? J Craniomaxillofac Surg 2017; 45:741-747. [DOI: 10.1016/j.jcms.2017.01.029] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2016] [Revised: 11/10/2016] [Accepted: 01/26/2017] [Indexed: 11/25/2022] Open
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Eduarda Assad Duarte M, Martins Machado R, Fonseca Jardim da Motta A, Nelson Mucha J, Trindade Motta A. Morphological Simulation of Different Incisal Embrasures: Perception of Laypersons, Orthodontic Patients, General Dentists and Orthodontists. J ESTHET RESTOR DENT 2016; 29:68-78. [DOI: 10.1111/jerd.12272] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Maria Eduarda Assad Duarte
- Cert Ortho Student, Department of Orthodontics, School of Dentistry; Fluminense Federal University; Niterói Rio de Janeiro Brazil, DDS
| | - Ricardo Martins Machado
- Cert Ortho, MSc Student, Department of Orthodontics, School of Dentistry; Fluminense Federal University; Niterói Rio de Janeiro Brazil, DDS
| | - Andrea Fonseca Jardim da Motta
- Associate professor of Department of Orthodontics, School of Dentistry; Fluminense Federal University; Niterói Rio de Janeiro Brazil, DDS, MS, PhD
| | - José Nelson Mucha
- Professor and chair of Department of Orthodontics, School of Dentistry; Fluminense Federal University; Niterói Rio de Janeiro Brazil, DDS, MS, PhD
| | - Alexandre Trindade Motta
- Associate professor of Department of Orthodontics, School of Dentistry; Fluminense Federal University; Niterói Rio de Janeiro Brazil, DDS, MS, PhD
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Twigge E, Roberts RM, Jamieson L, Dreyer CW, Sampson WJ. The psycho-social impact of malocclusions and treatment expectations of adolescent orthodontic patients. Eur J Orthod 2015; 38:593-601. [DOI: 10.1093/ejo/cjv093] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Kragt L, Dhamo B, Wolvius EB, Ongkosuwito EM. The impact of malocclusions on oral health-related quality of life in children-a systematic review and meta-analysis. Clin Oral Investig 2015; 20:1881-1894. [PMID: 26635095 PMCID: PMC5069349 DOI: 10.1007/s00784-015-1681-3] [Citation(s) in RCA: 113] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Accepted: 11/23/2015] [Indexed: 01/30/2023]
Abstract
Introduction A limited amount of systematic literature reviews on the association between malocclusions and oral health-related quality of life (OHRQOL) summarize inconclusive results. Therefore, we conduct a systematic review and meta-analysis on the association of malocclusions with OHRQOL in children. Methods Relevant studies were identified in Pubmed, Embase, Cochrane, Google Scholar and other databases. All studies with data on malocclusions or orthodontic treatment need and OHRQOL in children were included. Methodological quality of the studies was assessed with the Newcastle-Ottawa Scale (NOS). Random effects models were used to estimate summary effect measures for the association between malocclusion and OHRQOL in a continuous and a categorical data analysis. Tests for heterogeneity, publication bias and sensitivity of results were performed. Results In total, 40 cross-sectional studies were included in the meta-analyses. Summary measures of the continuous data show that OHRQOL was significantly lowered in children with malocclusions (standardized mean difference (95 % CI] = 0.29 (0.19–0.38)). The summary odds ratio for having an impact on OHRQOL was 1.74 times higher in children with malocclusion than in children without malocclusions. Heterogeneity among studies was partly explained by malocclusion assessment, age of the children and country of study conduction. Conclusion Our results provide evidence for a clear inverse association of malocclusion with OHRQOL. We also showed that the strength of the association differed depending on the age of the children and their cultural environment. Clinical relevance Dentists benefit from understanding the patient differences regarding the impact of malocclusions. Electronic supplementary material The online version of this article (doi:10.1007/s00784-015-1681-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Lea Kragt
- Department of Oral & Maxillofacial Surgery, Special Dental Care and Orthodontics|, Erasmus Medical Center, Rotterdam, The Netherlands
- Department of The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands
- P.O Box 2040, 3000CA Rotterdam, The Netherlands
| | - Brunilda Dhamo
- Department of Oral & Maxillofacial Surgery, Special Dental Care and Orthodontics|, Erasmus Medical Center, Rotterdam, The Netherlands
- Department of The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Eppo B. Wolvius
- Department of Oral & Maxillofacial Surgery, Special Dental Care and Orthodontics|, Erasmus Medical Center, Rotterdam, The Netherlands
- Department of The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Edwin M. Ongkosuwito
- Department of Oral & Maxillofacial Surgery, Special Dental Care and Orthodontics|, Erasmus Medical Center, Rotterdam, The Netherlands
- Department of The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands
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Prado RF, Ramos-Jorge J, Marques LS, de Paiva SM, Melgaço CA, Pazzini CA. Prospective evaluation of the psychosocial impact of the first 6 months of orthodontic treatment with fixed appliance among young adults. Angle Orthod 2015; 86:644-8. [PMID: 26574928 DOI: 10.2319/063015-434.1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To evaluate the psychosocial impact of the first 6 months of orthodontic treatment with a fixed appliance among young adults and compare the results with those of a control group of patients awaiting treatment for malocclusion. MATERIALS AND METHODS A study was conducted with a sample of 120 patients on a waiting list for orthodontic treatment at a university. The participants were allocated to an experimental group submitted to treatment and a control group awaiting treatment. The groups were matched for sex and age. All participants were instructed to answer the Brazilian version of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) at baseline and after 6 months. Statistical analysis involved the Wilcoxon test for the total PIDAQ score and the score of each subscale. All patients participated until the end of the study. RESULTS Significant differences between baseline and the 6-month evaluation were found for the total PIDAQ score as well as the dental self-confidence and social impact subscales in both groups. No differences between baseline and the 6-month evaluation were found regarding the psychological impact or esthetic concern subscales in the control group. The patients in the experimental group reported greater esthetic impact 6 months after beginning treatment (P < .001). The first 6 months of orthodontic treatment seem to improve psychosocial impact. CONCLUSION The first 6 months of orthodontic treatment seem to improve the psychosocial impact of malocclusion. The patients analyzed in the present study reported a greater esthetic impact and less psychological impact after 6 months of using an orthodontic appliance.
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Affiliation(s)
- Renata França Prado
- a Postgraduate Student, Department of Orthodontics, Faculty of Dentistry, Vale do Rio Verde University (UNINCOR), Três Corações, Minas Gerais, Brazil
| | - Joana Ramos-Jorge
- b Professor, Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil
| | - Leandro Silva Marques
- b Professor, Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil
| | - Saul Martins de Paiva
- c Professor, Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Camilo Aquino Melgaço
- d Professor, Department of Orthodontics, Faculty of Dentistry, UNINCOR, Três Corações, Minas Gerais, Brazil
| | - Camila Alessandra Pazzini
- d Professor, Department of Orthodontics, Faculty of Dentistry, UNINCOR, Três Corações, Minas Gerais, Brazil
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Spalj S, Novsak A, Bilobrk P, Katic V, Zrinski MT, Pavlic A. Mediation and moderation effect of the big five personality traits on the relationship between self-perceived malocclusion and psychosocial impact of dental esthetics. Angle Orthod 2015; 86:413-20. [PMID: 26252806 DOI: 10.2319/032315-187.1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To explore the mediation and moderation effects of personality traits on the relationship between self-perceived malocclusion and the psychosocial impact of dental esthetics. MATERIALS AND METHODS The sample included 252 subjects (62% female) aged 12-39 years. Self-perceived malocclusion was estimated using the 10-point scale Aesthetic Component of the Index of Orthodontic Treatment Need. The Psychosocial Impact of Dental Aesthetics Questionnaire was used to assess the psychological impact and the Big Five Inventory for personality traits. Moderation and mediation effects were evaluated with Pearson correlations and stepwise regression analysis, respectively. RESULTS Self-perceived malocclusion ranged from 1 to 8 and was the most significant predictor of psychosocial impact of dental esthetics, whose unique contribution accounted for 11%-36.4% of variability, while age and sex accounted for 1.2%-2.5%. Personality traits had no mediating effect on this relationship. The moderating effect of agreeableness was present in the relationship between self-perceived degree of malocclusion and Social Impact (SI), Psychological Impact (PI), and Aesthetic Concern (AC) (ΔR2 = 0.035, 0.020, and 0.013, respectively; P < .001), while conscientiousness affected the relationship between perception of malocclusion and SI and PI (ΔR2 = 0.018 and 0.016, respectively; P < .05). In people with lower agreeableness and conscientiousness, increasing the severity of self-perceived malocclusion leads to less increase in SI and PI. In people with lower agreeableness, the increase influences AC in a similar manner. Extraversion, neuroticism, and openness do not have a moderating effect. CONCLUSIONS The relationship between self-perceived malocclusion and the psychosocial impact of dental esthetics appears to be moderated and not mediated by personality traits. Adolescents and young adults with lower agreeableness and conscientiousness seem to be less affected by the increased severity of self-perceived malocclusion, as demonstrated in reporting some psychosocial impacts.
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Affiliation(s)
- Stjepan Spalj
- a Associate Professor and Department Chair, Department of Orthodontics, School of Medicine, University of Rijeka, Rijeka, Croatia
| | - Alenka Novsak
- b Dental Student, School of Medicine, University of Rijeka, Rijeka, Croatia
| | - Philipp Bilobrk
- b Dental Student, School of Medicine, University of Rijeka, Rijeka, Croatia
| | - Visnja Katic
- c PhD Student, Department of Orthodontics, School of Medicine, University of Rijeka, Rijeka, Croatia
| | - Magda Trinajstic Zrinski
- c PhD Student, Department of Orthodontics, School of Medicine, University of Rijeka, Rijeka, Croatia
| | - Andrej Pavlic
- c PhD Student, Department of Orthodontics, School of Medicine, University of Rijeka, Rijeka, Croatia
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Romero-Maroto M, Santos-Puerta N, González Olmo MJ, Peñacoba-Puente C. The impact of dental appearance and anxiety on self-esteem in adult orthodontic patients. Orthod Craniofac Res 2015; 18:143-55. [DOI: 10.1111/ocr.12091] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2015] [Indexed: 11/26/2022]
Affiliation(s)
- M. Romero-Maroto
- Department of Orthodontics; Rey Juan Carlos University; Alcorcón Madrid Spain
| | - N. Santos-Puerta
- Department of Orthodontics; Rey Juan Carlos University; Alcorcón Madrid Spain
| | - M. J. González Olmo
- Department of Orthodontics; Rey Juan Carlos University; Alcorcón Madrid Spain
| | - C. Peñacoba-Puente
- Department of Psychology; Rey Juan Carlos University; Alcorcón Madrid Spain
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Feldens CA, Nakamura EK, Tessarollo FR, Closs LQ. Desire for orthodontic treatment and associated factors among adolescents in southern Brazil. Angle Orthod 2015; 85:224-32. [DOI: 10.2319/021014-105.1] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Carlos Alberto Feldens
- Professor, Department of Pediatric Dentistry, School of Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
| | - Eduardo Kenji Nakamura
- Professor, Department of Orthodontics, School of Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
| | - Fábio Rafael Tessarollo
- Lecturer, Department of Orthodontics, Instituto de Odontologia das Américas, Balneário Camboriú, Brazil
| | - Luciane Quadrado Closs
- Professor, Department of Orthodontics, School of Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
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Abreu LG, Lages EMB, Abreu MHNG, Pereira LJ, Paiva SM. Preadolescent’s oral health-related quality of life during the first month of fixed orthodontic appliance therapy. J Orthod 2014; 40:218-24. [PMID: 24009321 DOI: 10.1179/1465313313y.0000000053] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Affiliation(s)
- Lucas G Abreu
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG 31270-901, Brazil.
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Pinho T, Bellot-Arcís C, Montiel-Company JM, Neves M. Esthetic Assessment of the Effect of Gingival Exposure in the Smile of Patients with Unilateral and Bilateral Maxillary Incisor Agenesis. J Prosthodont 2014; 24:366-72. [PMID: 25220205 DOI: 10.1111/jopr.12216] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2014] [Indexed: 11/26/2022] Open
Abstract
PURPOSE The aim of this study was to determine the dental esthetic perception of the smile of patients with maxillary lateral incisor agenesis (MLIA); the perceptions were examined pre- and post-treatment. Esthetic determinations were made with regard to the gingival exposure in the patients' smile by orthodontists, general dentists, and laypersons. MATERIALS AND METHODS Three hundred eighty one people (80 orthodontists, 181 general dentists, 120 laypersons) rated the attractiveness of the smile in four cases before and after treatment, comprising two cases with unilateral MLIA and contralateral microdontia and two with bilateral MLIA. For each case, the buccal photograph was adjusted using a computer to apply standard lips to create high, medium, and low smiles. A numeric scale was used to measure the esthetic rating perceived by the judges. The resulting arithmetic means were compared using an ANOVA test, a linear trend, and a Student's t-test, applying a significance level of p < 0.05. The predictive capability of the variables, unilateral, or bilateral MLIA, symmetry of the treatment, gingival exposure of the smile, group, and gender were assessed using a multivariable linear regression model. RESULTS In the pre- and post-treatment cases, medium smile photographs received higher scores than the same cases with high or low smiles, with significant differences between them. In all cases, orthodontists were the least-tolerant evaluation group (assigning lowest scores), followed by general dentists. In a predictive linear regression model, bilateral MLIA was the more predictive variable in pretreatment cases. The gingival exposure of the smile was a predictive variable in post-treatment cases only. CONCLUSION The medium-height smile was considered to be more attractive. In all cases, orthodontists gave the lowest scores, followed by general dentists. Laypersons and male evaluators gave the highest scores. Symmetrical treatments scored higher than asymmetrical treatments. The gingival exposure had a significant influence on the esthetic perception of smiles in post-treatment cases.
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Affiliation(s)
- Teresa Pinho
- Instituto Superior de Ciências da Saúde-Norte, CESPU, Instituto de Investigacão e Formação Avançada em Ciências e Tecnologias da Saúde (IINFACTS), Gandra PRD, Portugal
| | - Carlos Bellot-Arcís
- Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
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Psychosocial impact of dental aesthetics in adolescence: validity and reliability of a questionnaire across age-groups. Qual Life Res 2014; 24:379-90. [DOI: 10.1007/s11136-014-0767-8] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/22/2014] [Indexed: 11/26/2022]
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Yu YH, Kim YJ, Lee DY, Lim YK. The predictability of dentoskeletal factors for soft-tissue chin strain during lip closure. Korean J Orthod 2013; 43:279-87. [PMID: 24396737 PMCID: PMC3879284 DOI: 10.4041/kjod.2013.43.6.279] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2012] [Revised: 05/22/2013] [Accepted: 05/27/2013] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE To investigate the dentoskeletal factors which may predict soft-tissue chin strain during lip closure. METHODS The pretreatment frontal and lateral facial photographs and lateral cephalograms of 209 women (aged 18-30 years) with Angle's Class I or II malocclusion were examined. The subjects were categorized by three examiners into the no-strain and strain groups according to the soft-tissue chin tension or deformation during lip closure. Relationships of the cephalometric measurements with the group classification were analyzed by logistic regression analysis, and a classification and regression tree (CART) model was used to define the predictive variables for the group classification. RESULTS The lower the value of the overbite depth indicator (ODI) and the higher the values of upper incisor to Nasion-Pogonion (U1-NPog, mm), overjet, and upper incisor to upper lip (U1-upper lip, mm), the more likely was the subject to be classified into the strain group. The CART showed that U1-NPog was the most prominent predictor of soft-tissue chin strain (cut-off value of 14.2 mm), followed by overjet. CONCLUSIONS To minimize strain of the soft-tissue chin, orthodontic treatment should be oriented toward increasing the ODI value while decreasing the U1-NPog, overjet, and U1 upper lip values.
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Affiliation(s)
- Yun-Hee Yu
- Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea
| | - Yae-Jin Kim
- Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea
| | - Dong-Yul Lee
- Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea
| | - Yong-Kyu Lim
- Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea
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Assessment of the perception of smile esthetics by laypersons, dental students and dental practitioners. Int Orthod 2013; 11:432-44. [DOI: 10.1016/j.ortho.2013.09.007] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Évaluation de la perception de l’esthétique du sourire par des profanes, des étudiants en dentisterie et des praticiens dentaires. Int Orthod 2013. [DOI: 10.1016/j.ortho.2013.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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The psychosocial impact of dental aesthetics questionnaire—translation and cross-cultural validation in Croatia. Qual Life Res 2013; 23:1267-71. [DOI: 10.1007/s11136-013-0547-x] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2013] [Indexed: 11/26/2022]
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Peñacoba C, González MJ, Santos N, Romero M. Psychosocial predictors of affect in adult patients undergoing orthodontic treatment. Eur J Orthod 2013; 36:93-8. [PMID: 23449912 DOI: 10.1093/ejo/cjt007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
In this paper we propose to study the role of psychosocial variables in affect in adult patients undergoing orthodontic treatment, considering that affect is a key variable in treatment adherence. Seventy-four patients (average age 33,24 ± 10,56) with metal multibracket-fixed orthodontic treatment were included. Patients were assessed twice. The first stage, at the beginning of treatment, included assessment of dental impact (Psychosocial Impact of Dental Aesthetics Questionnaire), trait anxiety (State-Trait Anxiety Inventory), self-esteem (Rosenberg's self-esteem scale), and self-efficacy (General Self-efficacy Scale). In the second stage, 6 months later, positive and negative affect towards treatment was assessed using the Positive and Negative Affect Scale. Dental social impact differentiates between patients with high and low negative affect, while self-efficacy differentiates between patients with high and low positive affect. Trait anxiety and self-esteem differentiate between both types of affect (positive and negative). Trait anxiety and self-esteem (when trait anxiety weight is controlled) are significant predictor variables of affective balance. These results have important practical implications, because it seems essential to adopt a bio-psychosocial model incorporating assessment methods focusing on day-to-day changes in mood and well-being.
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Silva CO, Ribeiro-Júnior NV, Campos TVS, Rodrigues JG, Tatakis DN. Excessive gingival display: treatment by a modified lip repositioning technique. J Clin Periodontol 2012; 40:260-5. [PMID: 23278672 DOI: 10.1111/jcpe.12046] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2012] [Accepted: 11/13/2012] [Indexed: 11/28/2022]
Abstract
AIM The objective of this prospective study was to investigate outcomes of a lip repositioning technique for the treatment of excessive gingival display. MATERIALS AND METHODS Thirteen consecutively treated patients with excessive gingival display were treated with a modified lip repositioning technique. Treatment consisted of the removal of two strips of mucosa, bilaterally to the maxillary labial frenum and coronal repositioning of the new mucosal margin. The clinical dimensions of gingival display, upper lip and vermillion length were measured at baseline, 3 and 6 months post-operatively. Subjects completed surveys to evaluate satisfaction with outcomes. RESULTS The baseline gingival display of 5.8 ± 2.1 mm significantly decreased to 1.4 ± 1.0 mm at 3 months (p < 0.0001) and was maintained until 6 months (1.3 ± 1.6 mm). The reduction in gingival display strongly correlated to the combined change in upper lip and vermillion length (r(2) = 0.60, p = 0.0018). Subjects were satisfied with their smile after surgery and would likely choose to undergo the procedure again (92%). The worst part of undergoing the procedure was the discomfort or the inability to move the lip during the early healing (69%). CONCLUSION Treatment of excessive gingival display by means of a modified lip repositioning technique results in high level of patient satisfaction and predictable outcomes that are stable in the short term.
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Affiliation(s)
- Cléverson O Silva
- School of Dentistry, State University of Maringá /Ingá University, Maringá, Paraná, Brazil.
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Dahong X, Xiangrong C, Ying L, Yusong L, Ying G, Yan S. Effect of incisor position on the self-perceived psychosocial impacts of malocclusion among Chinese young adults. Angle Orthod 2012; 83:617-22. [PMID: 23163832 DOI: 10.2319/062012-508.1] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To evaluate the impact of the incisor position on the self-perceived psychosocial impacts of malocclusion among Chinese young adults. MATERIALS AND METHODS This cross-sectional study included a convenience sample of 17.1- to 22.3-year-old young adults (n = 1005). The five groups represented were normal occlusion as well as incisor Class I, Class II/1, Class II/2, and Class III malocclusion. For clinical assessment, the incisor relationship was evaluated according to the British Standards Institute Incisor Classification, and the self-perception of dental esthetics was assessed using the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Statistical analysis involved the analysis of variance and Tukey multiple-comparison post hoc tests. RESULTS Psychosocial impacts were different among the five groups for the four PIDAQ domains (P < .001 for all four domains). Statistically significant differences were found between the four malocclusion groups and the normal occlusion group in all four domains (P < .001 for all four domains). Furthermore, statistically significant differences were found between four malocclusion groups. CONCLUSIONS All four malocclusion groups had more severe psychosocial impacts than the normal occlusion group in the four PIDAQ domains. Statistically significant differences were also found between the four malocclusion groups; these malocclusion groups ranked by score, highest to lowest, were Class III, Class II/1, Class II/2, and Class I.
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Affiliation(s)
- Xia Dahong
- Key Laboratory for Oral Biomedical Engineering of the Ministry of Education, Department of Orthodontics, Hospital and School of Stomatology, Wuhan University, Wuhan, Hubei, China
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Tessarollo FR, Feldens CA, Closs LQ. The impact of malocclusion on adolescents' dissatisfaction with dental appearance and oral functions. Angle Orthod 2012; 82:403-409. [PMID: 21942720 PMCID: PMC8865825 DOI: 10.2319/031911-195.1] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2011] [Accepted: 06/01/2011] [Indexed: 11/12/2023] Open
Abstract
OBJECTIVE To investigate the impact of malocclusion on adolescents' dissatisfaction with dental appearance and oral functions and to identify components of malocclusion that may contribute to these outcomes. MATERIALS AND METHODS The sample comprised 704 secondary school adolescents aged 12 to 13 years from Balneário Camboriú, Brazil. A trained and calibrated orthodontist examined the severity of malocclusion using the Dental Aesthetic Index (DAI). A pretested questionnaire was used to assess reported dental appearance, self-perception of speech, and self-perception of masticatory function using a 5-point scale of oral health status. The outcomes of the present study were dissatisfaction with dental appearance and dissatisfaction with oral functions. Simple and multivariate logistic regression analysis was performed to explore the association between DAI and outcomes and to quantify the effect of DAI components on dissatisfaction with dental appearance. RESULTS Each DAI unit increase led to a significant increase of 5% in the likelihood of dissatisfaction with dental appearance (OR: 1.05; 95% CI 1.01-1.08). DAI components that exerted influence on dissatisfaction with dental appearance were: missing teeth (P = .010), largest maxillary anterior irregularity ≥3 mm (P = .013), and largest mandibular anterior irregularity ≥2 mm (P = .008). There was no association between severity of malocclusion and dissatisfaction with oral functions. CONCLUSIONS Severity of malocclusion interfered with satisfaction of dental appearance in this population. Missing teeth and anterior irregularity were identified as factors influencing this outcome.
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Affiliation(s)
- Fábio Rafael Tessarollo
- Department of Orthodontics, School of Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
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Moura C, Cavalcanti AL, Gusmão ES, Soares RDSC, Moura FTC, Santillo PMH. Negative self-perception of smile associated with malocclusions among Brazilian adolescents. Eur J Orthod 2012; 35:483-90. [PMID: 22531664 DOI: 10.1093/ejo/cjs022] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
This study estimated the prevalence of negative self-perception of smile because of occlusion abnormalities and investigated their association according to standard clinical criteria. The sample consisted of 1290 randomly selected Brazilian adolescent boys and girls aged 12-16 years. The outcome of interest was dissatisfaction with smile, and data were collected using a standardized questionnaire. Occlusion characteristics were assessed using the dental aesthetic index (DAI). The other study variables were gender, age, and use of dental services. A chi-square test and Poisson multiple regression were used for statistical analysis. Of the 1290 students interviewed and examined, 539 (41.8 per cent) were dissatisfied with their smile; of these, 373 (69.2 per cent) assigned their dissatisfaction to the presence of an occlusal abnormality, and 166 (30.8 per cent) reported reasons other than occlusal abnormalities for their negative self-perception of their smile. In multivariate analysis, the following variables were associated with the outcome of interest: maxillary anterior irregularity [prevalence ratio (PR) = 1.40; 95 per cent confidence interval (CI) = 1.29-1.80], incisal spacing (PR = 1.37; 95 per cent CI = 1.19-1.57), vertical open bite (PR = 1.34; 95 per cent CI = 1.15-1.55), mandibular anterior irregularity (PR = 1.29; 95 per cent CI = 1.14-1.46), permanent anterior teeth missing (PR = 1.21; 95 per cent CI = 1.05-1.39), and incisal diastema (PR = 1.14; 95 per cent CI = 1.01-1.31). The negative self-perception of smile was statistically associated with severity of occlusal disorders according to the DAI scores, which suggests that self-perception should be used together with standard clinical criteria when decisions about orthodontic treatments are made in public health care systems.
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Affiliation(s)
- Cristiano Moura
- Department of Dentistry, Universidade Federal de Campina Grande, Patos – PB, Brazil.
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