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Beserra Neto AL, Vieira-Andrade RG, de Oliveira Junior JK, Pires LPB, Douglas-de-Oliveira DW, Ramos-Jorge ML, de Melo RLP, Drumond CL. Oral issues and childhood stress in eight-to-ten-year-old schoolchildren: a case-control study. Clin Oral Investig 2024; 28:509. [PMID: 39215814 DOI: 10.1007/s00784-024-05889-8] [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: 02/27/2023] [Accepted: 08/16/2024] [Indexed: 09/04/2024]
Abstract
OBJECTIVE The aim of the present study was to investigate whether oral problems, harmful oral habits, and sociodemographic factors are associated with the occurrence of stress in schoolchildren. MATERIALS AND METHODS A case-control study nested within a cross-sectional study was conducted with a sample of 375 schoolchildren eight to ten years of age in the city of Diamantina, Brazil. The case group (with childhood stress) and control group (without childhood stress) were matched for age and sex at a 1:4 ratio (75 cases to 300 controls). Data collection involved the self-administration of a questionnaire by parents/caregivers addressing sociodemographic characteristics and the child's history of harmful oral habits. The children answered the Child Stress Scale (CSS) and underwent a clinical oral examination to determine the presence/absence of dental caries, malocclusion, and traumatic dental injuries. Data analysis involved the calculation of frequencies, the chi-square test, and conditional logistic regression (95% CI; p ≤ 0.05). RESULTS The final adjusted conditional logistic regression model showed that dental caries (OR = 1.78, 95% CI: 1.01 - 3.14, p = 0.044) and biting objects (OR = 1.81, 95% CI: 1.02 - 3.22, p = 0.041) remained associated with stress in the schoolchildren analysed. CONCLUSION The present results showed that children with dental caries and the habit of biting objects were more likely to have childhood stress. CLINICAL RELEVANCE The study allows paediatric dentists to expand their knowledge with regards to the influence of oral problems and harmful habits on the occurrence of childhood stress and serves as a guide for decision-making related to oral problems in schoolchildren.
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Affiliation(s)
| | - Raquel Gonçalves Vieira-Andrade
- Department of Oral Health for Child and Adolescent, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
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Mohammed GF, Al-Dhubaibi MS, Bahaj SS. Chin reinforcement using the hyaluronic acid injectable filler VYC-20L and VYC-25L. J Cosmet Dermatol 2024; 23:2368-2372. [PMID: 38500251 DOI: 10.1111/jocd.16290] [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: 12/16/2023] [Revised: 03/04/2024] [Accepted: 03/08/2024] [Indexed: 03/20/2024]
Abstract
BACKGROUND The chin is an essential element of the facial unit and influences how people perceive facial aesthetic appeal. Hyaluronic acid (HA) gel injections are tried-and-true therapies for regenerative therapies with a record of success in efficacy and safety. AIMS To determine the best type of concentration of HA and way of injection for deep and superficial planes of chin. MATERIALS AND METHODS VYC-20L and VYC-25L (Juvederm Voluma XC® Juvéderm Volux®; Allergan plc) are 20- and 25-mg/mL HA gels with lidocaine, respectively, were injected with cannulas and needles on the bone, respectively. RESULTS Chin reinforced respecting the measures with good contouring. No serious complications. Patient was satisfied with results. DISCUSSION We advise using VYC 20L superficially above the muscle or with a cannula for injection, and we recommend using VYC 25L in the supraperiosteal plane.
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Affiliation(s)
- Ghada Farouk Mohammed
- Department of Dermatology, Venereology, and Sexology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | | | - Saleh Salem Bahaj
- Department of Microbiology and Immunology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen
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Yamini Priyanka JS, Bhavya P, Srinivas B, Singaraju GS, Vivek Reddy G, Mandava P. An Assessment of the Subjective Psychological and Social Effects of Malocclusion-Related Dental Aesthetics and Its Influence on Body Self-Image and Oral Health-Related Quality of Life in Young Adults. Cureus 2024; 16:e60120. [PMID: 38864051 PMCID: PMC11165245 DOI: 10.7759/cureus.60120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2024] [Indexed: 06/13/2024] Open
Abstract
INTRODUCTION Malocclusion has a psychological impact related to the patient's age. It also influences the quality of life. This research aims to test the null hypothesis that there is no association between the self-perceived psychosocial impacts of dental aesthetics with the severity of malocclusion, oral health-related quality of life (OHRQoL), and self-image of the body in young adults seeking orthodontic treatment. MATERIALS AND METHODS A convenience sample of young adults between 19 and 30 years old was selected for the study. The severity of malocclusion and orthodontic treatment needs were evaluated using the Dental Aesthetic Index (DAI). The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Oral Health Impact Profile-14 (OHIP-14), and Body Satisfaction Scale (BSS) were used to evaluate the self-perceived effects of malocclusion. STATISTICAL ANALYSIS The Kruskal-Wallis test is used to analyze the distribution of components with different grades of DAI. Spearman's correlation test evaluated the correlation between independent variables and their domains. The study utilized stepwise multiple linear regression analysis to assess the predictive value of independent factors on the PIDAQ and its domains. RESULTS A total of 181 subjects with a mean age of 24.4 ± 1.5 years, 42% males and 58% females, participated in this study. There was a significant correlation (p < 0.05) between all variables (OHIP-14, DAI, and BSS) and PIDAQ. There were significant correlations between the independent variables and the total score of PIDAQ (R2 = 0.16), psychological impact (R2 = 0.09), and social impact (R2 = 0.18), as well as dental self-confidence (R2 = 0.21) and aesthetic concern (R2 = 0.16). CONCLUSION In young adults, the self-perceived impact of dental aesthetics is moderated by the severity of malocclusion, oral health-related quality of life, and body satisfaction. The null hypothesis is rejected.
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Affiliation(s)
- J S Yamini Priyanka
- Orthodontics and Dentofacial Orthopedics, Vydehi Institute of Dental Sciences, Bangalore, IND
| | - Palavalli Bhavya
- Orthodontics and Dentofacial Orthopedics, Narayana Dental College, Nellore, IND
| | - Baratam Srinivas
- Orthodontics and Dentofacial Orthopedics, Anil Neerukonda Institute of Dental Sciences, Visakhapatnam, IND
| | | | | | - Prasad Mandava
- Orthodontics and Dentofacial Orthopedics, Narayana Dental College, Nellore, IND
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Szyszka-Sommerfeld L, Sycińska-Dziarnowska M, Cernera M, Esposito L, Woźniak K, Spagnuolo G. Electromyographic Assessment of Muscle Activity in Children Undergoing Orthodontic Treatment-A Systematic Review. J Clin Med 2024; 13:2051. [PMID: 38610819 PMCID: PMC11012508 DOI: 10.3390/jcm13072051] [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: 01/19/2024] [Revised: 03/24/2024] [Accepted: 03/29/2024] [Indexed: 04/14/2024] Open
Abstract
Background: Surface electromyography (sEMG) can provide an objective and quantitative image of the functional state of neuromuscular balance in the stomatognathic system. The objective of this systematic review is to examine current scientific evidence regarding the effects of orthodontic treatment on muscle electromyographic (EMG) activity in children. Methods: The search strategy included the PubMed, PubMed Central, Web of Science, Scopus, and Embase databases. The inclusion criteria were studies assessing EMG muscle activity in children undergoing orthodontic treatment compared with untreated children. The Cochrane risk-of-bias tool (RoB2) and the Newcastle-Ottawa Scale (NOS) were used to evaluate the quality of the studies. The quality of evidence assessment was performed using GRADE analysis. The PRISMA diagram visually represented the search strategy, as well as screening and inclusion process. Results: The search strategy identified 540 potential articles. Fourteen papers met the inclusion criteria. Six studies were judged at a low risk of bias. The certainty of evidence was rated as moderate to low, according to the GRADE criteria. Studies showed alterations in EMG muscle activity in children undergoing orthodontic treatment. Conclusions: Orthodontic treatment appears to affect muscle activity in children undergoing orthodontic treatment. However, the quality of evidence is low and, therefore, it is not possible to definitively state this effect. Further long-term studies are needed to confirm the findings of this review. Study protocol number in PROSPERO database: CRD42023491005.
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Affiliation(s)
- Liliana Szyszka-Sommerfeld
- Department of Maxillofacial Orthopaedics and Orthodontics, Pomeranian Medical University in Szczecin, Al. Powstańców Wielkopolskich 72, 70111 Szczecin, Poland; (M.S.-D.); (K.W.)
- Laboratory for Propaedeutics of Orthodontics and Facial Congenital Defects, Pomeranian Medical University in Szczecin, Al. Powstańców Wielkopolskich 72, 70111 Szczecin, Poland
| | - Magdalena Sycińska-Dziarnowska
- Department of Maxillofacial Orthopaedics and Orthodontics, Pomeranian Medical University in Szczecin, Al. Powstańców Wielkopolskich 72, 70111 Szczecin, Poland; (M.S.-D.); (K.W.)
| | - Mariangela Cernera
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Napoli, Italy; (M.C.); (L.E.); (G.S.)
| | - Luigi Esposito
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Napoli, Italy; (M.C.); (L.E.); (G.S.)
| | - Krzysztof Woźniak
- Department of Maxillofacial Orthopaedics and Orthodontics, Pomeranian Medical University in Szczecin, Al. Powstańców Wielkopolskich 72, 70111 Szczecin, Poland; (M.S.-D.); (K.W.)
| | - Gianrico Spagnuolo
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Napoli, Italy; (M.C.); (L.E.); (G.S.)
- School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
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Almarhoumi AA. Socio-economic and gender dynamics influence on the parental decision-making process for children's orthodontic care - A study in Madinah, Saudi Arabia. J Orthod Sci 2024; 13:5. [PMID: 38516110 PMCID: PMC10953714 DOI: 10.4103/jos.jos_184_23] [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: 10/23/2023] [Revised: 12/03/2023] [Accepted: 01/17/2024] [Indexed: 03/23/2024] Open
Abstract
OBJECTIVES To investigate the socio-economic and personal factors that impact parental decisions regarding orthodontic treatment for their children in Madinah, Saudi Arabia. MATERIALS AND METHODS A digital self-administered questionnaire was employed to collect data from 414 parents, focusing on their motivations and barriers that influence their decision-making process regarding orthodontic treatment. RESULTS Income level was the most significant factor in orthodontic decisions. Parents with higher incomes were twice as likely to choose orthodontic treatment for esthetic reasons compared to parents with middle incomes. The main incentive for seeking treatment was getting advice from dental professionals, with 60% of participants rating it as the most important factor. 34.5% of respondents identified cost as the main barrier, with middle-income parents being 151% more inclined to perceive it as a significant barrier compared to high-income parents. Gender dynamics revealed that mothers exhibited 48.9% greater concern regarding treatment costs compared to fathers, whereas fathers placed 2.105 times more importance on the orthodontist's reputation than mothers. CONCLUSION Income levels, along with other socio-economic factors and gender dynamics, have a significant influence on parental decisions regarding orthodontic care. Personalized consultations that address these variations are crucial for improving communication between patients and practitioners and increasing the accessibility of treatment.
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Affiliation(s)
- Asim A. Almarhoumi
- Department of Preventive Dental Sciences, Division of Orthodontics, College of Dentistry and Dental Hospital at Taibah University, Madinah, Saudi Arabia
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Galletti C, Lombardo C, LA Barbiera C, Boronat-Català M, Almiñana-Pastor PJ, Sala Fernàndez C, Ramírez-Sebastià A, Muscatello MR, Bruno A, Mento C. Dental anxiety, Quality of Life and body image: gender differences in Italian and Spanish population. Minerva Dent Oral Sci 2024; 73:14-19. [PMID: 37878239 DOI: 10.23736/s2724-6329.23.04820-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
BACKGROUND Dental anxiety is an excessive and irrational negative emotional state experienced by population; the dental anxiety is common throughout the lifespan and is an obstacle to improving oral health behaviors and outcomes. The aim of this study was to assess gender differences in dental anxiety and to investigate if oral health impacts patients' Quality of Life and the perception of their body image. METHODS The sample consisted of 366 subjects selected in Italy and Spain (January 2021-September 2021). For this study, data were gathered using Google Forms (Google LLC, Mountain View, CA, USA). Data were collected including the Dental Anxiety Scale (DAS), Oral Health Impact Profile (OHIP-14) questionnaires and Body Uneasiness Test. RESULTS Women showed higher scores than men for the dental anxiety. The regression analysis showed that gender, age, and Oral Health Impact are predictors of "dental anxiety." A borderline significance emerges for the independent variable body uneasiness. CONCLUSIONS The dental anxiety is widespread in the population, with a higher prevalence among women and increases with increasing age. It can negatively affect patients' Quality of Life, well-being, and self-esteem. These results underline the importance of addressing both individual and group strategies for preventing or treating dental anxiety.
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Affiliation(s)
- Cosimo Galletti
- School of Dentistry, Department of Integrated Dentistry, International University of Catalonia, San Cugat del Vallès, Barcelona, Spain
| | - Clara Lombardo
- Unit of Psychiatry, Polyclinic G. Martino University Hospital, Messina, Italy
| | | | - Montserrat Boronat-Català
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | - Pedro J Almiñana-Pastor
- Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
| | - Cristina Sala Fernàndez
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Anais Ramírez-Sebastià
- School of Dentistry, Department of Endodontic and Restorative Dentistry, International University of Catalonia, Sant Cugat del Vallès, Barcelona, Spain
| | - Maria Ra Muscatello
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Antonio Bruno
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Carmela Mento
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy -
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Sicari F, Merlo EM, Gentile G, Nucera R, Portelli M, Settineri S, Myles LAM, Militi A. Body Image and Psychological Impact of Dental Appearance in Adolescents with Malocclusion: A Preliminary Exploratory Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1691. [PMID: 37892353 PMCID: PMC10605373 DOI: 10.3390/children10101691] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Revised: 10/13/2023] [Accepted: 10/13/2023] [Indexed: 10/29/2023]
Abstract
BACKGROUND Body image and psychosocial functioning represent central challenges during adolescence and early adulthood. Malocclusion, defined as an irregularity in the alignment of the teeth, is known to negatively influence psychological outcomes. The current study aimed to elucidate the role of malocclusion, together with age, gender, and dental class, in body image and psychological functioning. METHODS A total of 126 participants aged from 12 to 19 years old (mean: 15.87, SD: 2.35, female participants: 52.4%, male participants: 47.6%) were recruited. Participants were visited at the University Hospital of Messina, Italy, and completed a sociodemographic questionnaire, the Body Image Concern Inventory (I-BICI), and the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). RESULTS Significant correlations were found between age, dental class, the BICI, and the PIDAQ. In particular, age showed a positive and significant correlation with PIDAQ-total score. The correlations between occlusal status and the BICI variables were all significant and positive. All correlations between occlusal status and the PIDAQ variables were all significant and positive, except for dental self-confidence. The correlations between the variables of the PIDAQ and BICI instruments were all significant and positive, except for dental self-confidence, where the directions were significant and negative. Moreover, age, gender, and occlusal status predicted BICI and PIDAQ scores. Age was a positive predictor for PIDAQ self-confidence, gender for BICI and PIDAQ total scores, along with dysmorphic symptoms, social impact, psychological impact, and aesthetic concerns. Several significant gender differences were highlighted by the analyses, with higher scores in the female group on all the BICI variables, except symptom interference, and all the PIDAQ variables, except dental self-confidence. CONCLUSIONS Malocclusion appeared to play a central role in the psychological, representational, and psychosocial life of the participants. This research suggests that malocclusion and dental issues influence the psychological, representational, and psychosocial life of adolescents. Further research is required to examine the psychological impact of dental problems.
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Affiliation(s)
- Federica Sicari
- Department of Cognitive Sciences, Psychology, Educational and Cultural Studies (COSPECS), University of Messina, 98100 Messina, Italy;
| | - Emanuele Maria Merlo
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | - Giulia Gentile
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | - Riccardo Nucera
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | - Marco Portelli
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | - Salvatore Settineri
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
| | | | - Angela Militi
- Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98100 Messina, Italy; (G.G.); (R.N.); (M.P.); (S.S.); (A.M.)
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Parhad SM, Mhaske AR, Mahamuni A, Manerikar R, Fafat KK, Tekale PD. The Perceptions of Dental Professionals and Laypeople to Facial Aesthetics and Mal-Occlusion in Central India Population. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2023; 15:S927-S930. [PMID: 37694049 PMCID: PMC10485541 DOI: 10.4103/jpbs.jpbs_286_23] [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: 03/26/2023] [Revised: 03/28/2023] [Accepted: 03/29/2023] [Indexed: 09/12/2023] Open
Abstract
Introduction Dental professionals play an important role in an individual's appearance which can affect the perception of others that can vary greatly depending on their educational and socioeconomic background. Aim and Objective The purpose of this study was to determine an insight of recognizing ability of dental professionals and laypersons toward facial aesthetics with different types of orthodontic malocclusion. Materials and Methods A questionnaire-based study was conducted on 90 dental professionals and 90 laypersons. The perceptions differences between groups were assessed using visual analogue scale on 11 photographs. Kolmolgorov-Smirnov was used for normality test. Results The perceptions of facial aesthetics showing various malocclusions were significantly different between dental professionals and laypersons. Conclusion The dental professionals and layperson perceptions regarding the facial particularly in central Indian population are significantly different for most of the malocclusion types.
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Affiliation(s)
- Sameer M. Parhad
- Department of Orthodontics, Dr. Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India
| | - Arun R. Mhaske
- Department of Orthodontics, D Y Patil Dental School, Pune, Maharashtra, India
| | - Avinash Mahamuni
- Department of Orthodontics, Yashwantrao Chavan Dental College and Hospital (Y.C.D.C and H), Ahmednagar, Maharashtra, India
| | - Ravindra Manerikar
- Department of Orthodontics, Pravara Institute of Medical Sciences (Deemed to be University), Loni BK, Ahmednagar, Maharashtra, India
| | - Kapil K. Fafat
- Department of Orthodontics, Dr. Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India
| | - Pawankumar D. Tekale
- Department of Orthodontics, Dr. Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India
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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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Närhi L, Mattila M, Tolvanen M, Pirttiniemi P, Silvola AS. The associations of dental aesthetics, oral health-related quality of life and satisfaction with aesthetics in an adult population. Eur J Orthod 2023; 45:287-294. [PMID: 36689299 DOI: 10.1093/ejo/cjac075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
AIM The aim of this study was to investigate the gender-specific associations between dental aesthetics, oral health-related quality of life (OHRQoL), and satisfaction with dental aesthetics in an adult population. MATERIALS AND METHODS The study population consisted of 1780 individuals (822 males and 958 females) from the Northern Finland Birth Cohort 1966 (NFBC1966). Dental aesthetics were evaluated from digital 3D dental models using the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN). Layperson and orthodontist panels evaluated the dental aesthetics of a smaller sample (n = 100). OHRQoL was measured using the Oral Health Impact Profile (OHIP-14) questionnaire. Satisfaction with dental aesthetics was asked with one separate question. Gender-specific analyses consisted of Mann-Whitney U-tests and Spearman's correlation coefficients. RESULTS More than half of the population had an aesthetically acceptable occlusion, and most of the individuals were satisfied with the aesthetics. The most severe aesthetic impairments were associated with the psychological dimensions of OHIP-14. There were significant but weak associations of AC and satisfaction with aesthetics, and satisfaction with aesthetics and OHRQoL. Significant gender differences were found, men having higher mean AC scores but women reporting lower OHRQoL. CONCLUSION At the population level, most of the individuals were satisfied with their aesthetics, despite different dental aesthetic conditions. The most severe aesthetic impairments were associated with decreased psychological well-being, women reporting more impacts compared to men.
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Affiliation(s)
- Linnea Närhi
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
| | - Minttu Mattila
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland
| | | | - Pertti Pirttiniemi
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
| | - Anna-Sofia Silvola
- Department of Oral Development and Orthodontics, Oral Health Sciences, Faculty of Medicine, University of Oulu, Finland.,Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Finland
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11
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Assessment of Perception and Barriers toward Orthodontic Treatment Needs in the Saudi Arabian Adult Population. Healthcare (Basel) 2022; 10:healthcare10122488. [PMID: 36554012 PMCID: PMC9778656 DOI: 10.3390/healthcare10122488] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 12/05/2022] [Accepted: 12/06/2022] [Indexed: 12/13/2022] Open
Abstract
Patients’ decisions regarding orthodontic treatment are influenced by a variety of factors, such as their subjective opinions of how their oral cavity looks, age, gender, educational level, and income. The present study aimed to measure the orthodontic treatments needs for the Saudi Arabian population, and also to report potential barriers towards it. It is an observational study with cross sectional design. Data was collected from nationals and residents living in Saudi Arabia and who are at least 18 years old. A total of 1184 adult patients (880 females and 304 males) were included in this study. The population for the study was reached and chosen using a non-probability snowball sampling method. A validated and reliable questionnaire was distributed to the participants electronically through google form. Inferential statistics was applied using Pearson Chi Square test. p value < 0.05 was considered significant. The majority of the sample (73.2%) exhibited a favorable attitude toward orthodontic treatment. Most participants including male and female gender wanted orthodontic treatment primarily to have their protruding teeth fixed. The proportion of persons who cited chewing difficulty as the reason they needed orthodontic treatment was strongly influenced by the monthly income variable (p = 0.005). Cost and time of orthodontic therapy were the biggest obstacles to undergoing treatment, accounting for 34.5% and 19.5%, respectively. There was highly significant difference between the underlying medical conditions and the age and monthly income variables (p = 0.000). Based on the findings of the present study, it can be concluded that protruding teeth are the most important treatment needs perceived by the Saudi population, followed by spacing in between teeth, crowding of teeth, and unaesthetic smile. Cost of the orthodontic treatment was identified as the most significant barrier to the treatment needs, followed by long duration of orthodontic treatment, and pain.
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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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Al-Bitar ZB, Sonbol HN, Al-Omari IK, Badran SA, Naini FB, AL-Omiri MK, Hamdan AM. Self-harm, dentofacial features, and bullying. Am J Orthod Dentofacial Orthop 2022; 162:80-92. [DOI: 10.1016/j.ajodo.2021.02.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 02/01/2021] [Accepted: 02/01/2021] [Indexed: 11/01/2022]
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Al-Bitar ZB, Hamdan AM, Al-Omari IK, Naini FB, Gill DS, Al-Omiri MK. Is self-harm among orthodontic patients related to dislike of dentofacial features and oral health-related quality of life? Angle Orthod 2022; 92:240-246. [PMID: 34878532 PMCID: PMC8887399 DOI: 10.2319/060421-448.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 10/01/2021] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To investigate the relationship between self-reported self-harm and dislike of dentofacial features and oral health-related quality of life (OHRQoL). MATERIALS AND METHODS Anonymous, self-reporting questionnaires were completed by 699 school children (aged 13-14 years), representing over 1% of the age group in Amman, Jordan. Participants were invited from 23 randomly selected schools in 10 educational directorates. OHRQoL was assessed using the Child Perception Questionnaire (CPQ 11-14). Self-harm was assessed using a constructed self-reporting questionnaire. The relationship between OHRQoL and self-harm was assessed and significant findings were identified at probability of α = 0.05. RESULTS Over one-quarter of schoolchildren (26.9%, n = 88) admitted self-harming behavior. Self-harm was reported to be due to dislike of dentofacial appearance among 12.9% of participants (n = 90). Higher CPQ 11-14 total scores and individual dimension scores were associated with the presence of self-harm (P < .001). High self-harm incidence was reported among participants who had dentofacial features that affected appearance (P < .001). Among subjects admitting self-harm, the frequency of self-harming behavior ranged from once to over 10 times per year. CONCLUSIONS Significant relationships were found between self-harm and dislike of dentofacial features and OHRQoL.
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The impact of malocclusion on the oral health related quality of life of 11-14-year-old children. BMC Pediatr 2022; 22:91. [PMID: 35164722 PMCID: PMC8842896 DOI: 10.1186/s12887-022-03127-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 01/15/2022] [Indexed: 12/02/2022] Open
Abstract
Background The relationship between malocclusion and the oral health related quality of life (OHRQoL) of children needs to be explored further as existing literature presents conflicting evidence. This study aims to determine the association between malocclusion and OHRQoL of 11–14-year-old children. Methods This cross-sectional study was conducted among 250 caregiver/child dyads seeking orthodontic consultation at a tertiary care hospital. The OHRQoL was assessed using child perception questionnaire for 11–14-year-old children (CPQ11–14) and the severity of malocclusion was assessed using the Dental Aesthetic Index (DAI). CPQ11–14 scores ranged from 0 to 64, with lower scores representing better quality of life. Analysis of variance (ANOVA) was used to assess differences between domain and total CPQ11–14 scores. Results The mean CPQ11–14 score was 19.89 ± 9.8. Mean scores for the oral symptoms, functional limitations, emotional well-being, and social well-being domains were 5.26 ± 3.22, 3.67 ± 3.58, 3.98 ± 3.89 and 2.08 ± 2.98, respectively. Normal or slight malocclusion was seen in 37.6%, definite malocclusion was seen in 22.4%, severe malocclusion in 15.2% and handicapping malocclusion in 24.8% of the subjects. In comparisons by pairs, it was found that children with handicapping malocclusion had significantly (p < 0.05) higher scores for the social well-being domain as compared with children having normal/minor malocclusion, indicating a poorer quality of life. Conclusion Handicapping malocclusion had a significant negative impact on the social well-being domain of OHRQoL among 11–14-year-old children in this population.
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Effect of malocclusion on jaw motor function and chewing in children: a systematic review. Clin Oral Investig 2022; 26:2335-2351. [PMID: 34985577 PMCID: PMC8898242 DOI: 10.1007/s00784-021-04356-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 12/29/2021] [Indexed: 12/04/2022]
Abstract
Objective To investigate the effects of dental/skeletal malocclusion and orthodontic treatment on four main objective parameters of chewing and jaw function (maximum occlusal bite force [MOBF], masticatory muscle electromyography [EMG], jaw kinematics, and chewing efficiency/performance) in healthy children. Materials and methods Systematic searches were conducted in MEDLINE (OVID), Embase, and the Web of Science Core Collection. Studies that examined the four parameters in healthy children with malocclusions were included. The quality of studies and overall evidence were assessed using the Joanna Briggs Institute and GRADE tools, respectively. Results The searches identified 8192 studies; 57 were finally included. The quality of included studies was high in nine studies, moderate in twenty-three studies, and low in twenty-five studies. During the primary dentition, children with malocclusions showed similar MOBF and lower chewing efficiency compared to control subjects. During mixed/permanent dentition, children with malocclusion showed lower MOBF and EMG activity and chewing efficiency compared to control subjects. The jaw kinematics of children with unilateral posterior crossbite showed a larger jaw opening angle and a higher frequency of reverse chewing cycles compared to crossbite-free children. There was a low to moderate level of evidence on the effects of orthodontic treatment in restoring normal jaw function. Conclusions Based on the limitations of the studies included, it is not entirely possible to either support or deny the influence of dental/skeletal malocclusion traits on MOBF, EMG, jaw kinematics, and masticatory performance in healthy children. Furthermore, well-designed longitudinal studies may be needed to determine whether orthodontic treatments can improve chewing function in general. Clinical relevance Comprehensive orthodontic treatment, which includes evaluation and restoration of function, may or may not mitigate the effects of malocclusion and restore normal chewing function. Supplementary Information The online version contains supplementary material available at 10.1007/s00784-021-04356-y.
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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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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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Anacleto MA, Melo CFR, Oliveira RP, da Silva LCP, Taitson PF. Alagille syndrome: Oral manifestations-A case report. SPECIAL CARE IN DENTISTRY 2021; 41:741-749. [PMID: 34213023 DOI: 10.1111/scd.12623] [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: 06/13/2021] [Accepted: 06/18/2021] [Indexed: 11/29/2022]
Abstract
The Alagille syndrome (AGLS) is a rare condition, with few studies reported in the literature, especially in the field of dentistry. It consists of a disease involving many systemic problems and specific facial features. The liver and heart are the most intensely affected organs, and depending on the severity, it may be necessary to perform transplants. It is an autosomal dominant disease with a variable expressivity, and its prevalence is 1/100,000 live births. Dental findings are conflicting. Some authors claim that dental anomalies occur only in deciduous dentitions; however, there is evidence that permanent teeth can also be affected, as will be described in this paper, through a case report of a patient diagnosed with AGLS, who sought out the Dentistry service at Pontifical Catholic University of Minas Gerais, complaining of a strong stain in her teeth, severe dental crowding, and a facial appearance of prognathism.
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Affiliation(s)
- Murilo Augusto Anacleto
- Department of Orthodontics (Postgraduate Program in Dentistry), School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | | | - Rafaela Peixoto Oliveira
- Department of Pediatric Dentistry, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | - Luís Candido Pinto da Silva
- Department of Pediatric Dentistry, School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | - Paulo Franco Taitson
- Department of Orthodontics (Postgraduate Program in Dentistry), School of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
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Factors affecting dental self-confidence and satisfaction with dental appearance among adolescents in Saudi Arabia: a cross sectional study. BMC Oral Health 2021; 21:149. [PMID: 33757507 PMCID: PMC7989082 DOI: 10.1186/s12903-021-01509-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 03/10/2021] [Indexed: 12/14/2022] Open
Abstract
Background Dental appearance affects facial beauty, social interaction and psychological well-being particularly among adolescents. The aim of the current study was to determine factors affecting adolescent dental self-confidence and satisfaction with dental appearance in Saudi Arabia. Methods A cross-sectional study was conducted in the Eastern Province of Saudi Arabia among 3500 students attending intermediate and high schools. Data was collected from 2637 students using the translated Arabic version of the psychosocial impact of dental esthetics questionnaire (PIDAQ) in addition to questions about smile esthetics satisfaction and demographic variables including; gender, age, school grade, and parental level of education. Statistical analysis was performed by using logistic regression to assess the effect of demographical variables on PIDAQ and its domains at 5% significance level. Results About 80% of the participants were satisfied or somewhat satisfied with their smiles. Tooth alignment and tooth color were the most cited reasons for adolescents’ dissatisfaction about their smile, 34% and 33% respectively. Females and participants’ fathers’ university education figured in a statistically significant way regarding higher PIDAQ and aesthetic concerns. Females were 70%, and those with fathers’ university education were 22% more likely to have a negative psychological impact. Females expressed aesthetic concerns nearly two times more than males. Participants whose fathers possessed university education had an aesthetic concern 1.25 times more compared to those whose fathers had no school or limited school education. Females and those with mothers who had university education were less likely to have positive dental self-confidence. Conclusions Most adolescents exhibited satisfaction with their own smiles. Smile dissatisfaction in the remaining participants was related to teeth alignment, color and shape. Females were more concerned with dental esthetics and smile satisfaction than males. Females and participants whose fathers had a university education exhibited higher psychosocial impact than males and those with or without school education. However, males showed greater self-confidence in their dental aesthetics.
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Oral Health Impact Profile in Orthodontic Patients with Ectopic Canine: A Prospective Clinical Intervention of Four Treatment Modalities. Healthcare (Basel) 2021; 9:healthcare9030337. [PMID: 33809808 PMCID: PMC8002425 DOI: 10.3390/healthcare9030337] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 03/11/2021] [Accepted: 03/12/2021] [Indexed: 11/17/2022] Open
Abstract
This study evaluated the oral health-related quality of life (OHRQoL) in Saudi subjects with ectopic canine, severe crowding, and class I normal occlusion. Moreover, we assessed the differences among orthodontic treatment modalities (OTM) in the ectopic canine group. Study design: Retrospective and prospective evaluation. A total of 96 subjects were assessed for OHRQoL using the Oral Health Impact Profile, English version (OHIP-16). Initial comparison of the baseline data of ectopic canine subjects was made with severe crowding (>8 mm) and class I normal occlusion with the matched number and age of the subjects in later groups. Moreover, a comparison of OHIP-16 scores among four OTM in the ectopic canine group, baseline, 1 day, and 28 days after treatment were performed. OHIP-16 scores of ectopic canine, severe crowding, and class I normal occlusion group were 33.06, 33.09, and 26.43, respectively. Subjects with ectopic canine and severe crowding reported a significantly greater negative impact in terms of embarrassment, avoiding smiling, and lack of self-confidence. OHRQoL had no significant changes among the four OTM groups (p > 0.05). Untreated malocclusion had a significant negative impact on OHRQoL. The negative impact was seen in several domains 1 day after treatment, and gradual improvement was noted 28 days after treatment.
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Self-Perception of Dental Esthetics among Dental Students at King Saud University and Their Desired Treatment. Int J Dent 2021; 2021:6671112. [PMID: 33679980 PMCID: PMC7925033 DOI: 10.1155/2021/6671112] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 02/05/2021] [Accepted: 02/13/2021] [Indexed: 11/26/2022] Open
Abstract
Objective Dental esthetic procedures are popular worldwide, and dentists are responsible for recommending several treatment options to their patients. To do this competently, dentists must have an educated opinion of their features. Therefore, we aimed to evaluate the self-perception of dental esthetics among male and female dental students and assess its effect on their desired treatment. Methodology. We conducted a questionnaire-based cross-sectional study involving 450 male and female dental students from five academic years with different grade point averages (GPAs) and monthly household incomes. The questionnaire comprised four sections. The subjects selected their teeth-color preferences using a commercial shade guide. The outcomes were presented using descriptive statistics and were compared with Pearson's chi-square test. The level of statistical significance was set at a p-value of 0.05. Results Female students (52%) showed a significantly higher preference for changing their tooth color (shade B1 was desired most often), whereas male students reported a higher need for orthodontic treatment and ceramic veneers (p < 0.0001 and p=0.002). Fifth-year students were more satisfied with their teeth color as compared with 1st-year students (p=0.047). High-GPA students showed significantly lower confidence regarding their smiles (p=0.030). A high percentage of students (39.1%) with household incomes of less than 10,000 SR preferred tooth-colored restorations. Conclusion We concluded that the majority of dental students were confident about their smiles. Senior students were more satisfied with their teeth color, while younger students desired whiter teeth. Bleaching and orthodontics were the most desired treatment options.
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Tajudin ZM, Wan Hassan WN, Yusof ZYM, Makhbul MZM. Impacts of Self Perceived Malocclusion on the Oral Health Related Quality of Life of Young Adults. Healthcare (Basel) 2021; 9:healthcare9030248. [PMID: 33804314 PMCID: PMC8001025 DOI: 10.3390/healthcare9030248] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 02/18/2021] [Accepted: 02/19/2021] [Indexed: 11/19/2022] Open
Abstract
Self-awareness of poorly arranged teeth can influence the quality of life. This study aimed to report the impacts of self-perceived malocclusion in young adults and the association between demographic characteristics and oral health related quality of life (OHRQoL). In this cross-sectional study, six-hundred-forty-three subjects from Selangor, Malaysia selected using a multistage sampling technique answered the Psychosocial Impact of Dental Aesthetics (PIDA) questionnaire and self-rated their dental appearance using the Aesthetic Component of the Index of Orthodontic Treatment Need. Data were analyzed using multifactorial ANOVA to identify the association between demographic characteristics and total PIDA score. Five-hundred-twenty-four subjects (81.5%) completed the questionnaires. Overall, 87.8% had impacts on their OHRQoL. Psychological impact was the most impacted domain (75.8%), followed by dental self-confidence (59.4%), social impact (48.9%) and aesthetic concern (22.1%). 16.8% reported significant impacts on all domains. Their mean PIDA score was 36.3 (SD 17.1). Prevalence, extent and severity of impacts were higher amongst those with self-perceived malocclusion. Gender, ethnicity, and self-perceived malocclusion status were associated with PIDA score (p < 0.05). Sub-urban and rural females had significantly higher PIDA scores than sub-urban and rural males. In conclusion, majority of Malaysian young adults especially those with self-perceived malocclusion were impacted by their dental aesthetics.
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Affiliation(s)
- Zawani Mohd Tajudin
- Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur 50603, Malaysia;
| | - Wan Nurazreena Wan Hassan
- Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur 50603, Malaysia;
- Correspondence: ; Tel.: +60-379674802
| | - Zamros Yuzadi Mohd Yusof
- Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur 50603, Malaysia;
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Aldeeri AA, Alhababi KA, Algahtani FA, Tounsi AA, Albadr KI. Perception of Altered Smile Esthetics by Orthodontists, Dentists, and Laypeople in Riyadh, Saudi Arabia. Clin Cosmet Investig Dent 2020; 12:563-570. [PMID: 33239919 PMCID: PMC7682443 DOI: 10.2147/ccide.s272226] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 09/17/2020] [Indexed: 11/23/2022] Open
Abstract
Background Mini-esthetics is an important concept in orthodontics concerned with relatedness of dentition to the face. Purpose We compared the perception of altered smile esthetics between orthodontists, dentists, and laypeople in Riyadh, Saudi Arabia. Patients and Methods A total of 216 participants (orthodontists, dentists, and laypeople) were conveniently surveyed. An image representing the ideal smile was altered in terms of buccal corridor, gingival display, and midline diastema. Using Likert scale, participants were asked to rate the attractiveness of the altered images. Results The three surveyed groups preferred wide rather than narrow buccal corridors. Also, as the amount of gingival display and midline diastema increased, the smile was rated less attractive. Age of participants was significantly associated with more precise recognition of gingival display and midline diastema, P<0.05 and P<0.001, respectively. Conclusion The concept of an ideal smile holds true across the heterogenous groups we studied despite gender and professional background.
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Affiliation(s)
- Arwa Ahmed Aldeeri
- Orthodontics and Dentofacial Orthopedics, King Saud University, Riyadh, Saudi Arabia
| | | | | | - Abrar Abdullah Tounsi
- Department of Periodontics and Community Dentistry, King Saud University, Riyadh, Saudi Arabia
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Laus I, Kovačević Pavičić D, Brumini M, Perković V, Pavlić A, Špalj S. Effects of Visual Stimuli from Media on the Perception of Dentofacial Esthetics. Acta Stomatol Croat 2020; 54:283-293. [PMID: 33132391 PMCID: PMC7586892 DOI: 10.15644/asc54/3/6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
Objectives The study explored whether television commercials change the perception of one's own dentofacial attractiveness and to identify if it is influenced by personality traits. Materials and methods The sample included 83 participants, aged 19-27 years. The experimental group (N=42) watched commercials portraying famous young individuals with high smile esthetics, bright teeth and no visible malocclusions, while the control group (N=41) watched neutral commercials (without people or visible teeth). The perception of subjects` own orofacial esthetics and its psychosocial effects were assessed a month before the exposure and immediately after it. The subjects` malocclusion severity and personality characteristics (extraversion, conscientiousness, agreeableness, neuroticism, intellect, self-esteem and perfectionism) were assessed. Results In their second report, respondents were inclined to report less psychosocial impacts with small differences (ranging from 0-3 scalar points on average) and less significant in the active group compared to neutral group (2 out of 7 vs. 5 out of 7 aspects). Types of visual stimuli were a significant predictor only of changes pertaining to psychological impact of dental esthetics (p=0.045; r=0.221). The intellect moderated perception of smile esthetics, after having been exposed to commercials, accentuated beautiful smiles as a suppressor (ΔR2=0.076; p=0.005; total model R2=0.347; p=0.033). In subjects with higher cognitive abilities, an increase in the self-perceived malocclusion level induced a smaller decrease in psychological impact of dental esthetics as compared to those with lower intellect. Conclusion Psychosocial influences of malocclusion are not stable and tend to decrease during time. However, the exposure to a high smile esthetic of other individuals can inhibit that process in persons with more severe malocclusion and higher cognitive abilities.
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Affiliation(s)
| | - Daniela Kovačević Pavičić
- University of Rijeka, Faculty of Dental Medicine, Department of Prosthodontics, Rijeka, Croatia and J. J. Strossmayer University of Osijek, Faculty of Dental Medicine and Health, Department of Dental Medicine 2, Osijek, Croatia
| | | | - Vjera Perković
- University of Rijeka, Faculty of Dental Medicine, Department of Orthodontics, Rijeka, Croatia
| | - Andrej Pavlić
- University of Rijeka, Faculty of Dental Medicine, Department of Orthodontics, Rijeka, Croatia
| | - Stjepan Špalj
- University of Rijeka, Faculty of Dental Medicine, Department of Orthodontics, Rijeka, Croatia and J. J. Strossmayer University of Osijek, Faculty of Dental Medicine and Health, Department of Dental Medicine 1, Osijek, Croatia
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Perception of Smile Aesthetics of Patients with Anterior Malocclusions and Lips Influence: A Comparison of Dental Professionals’, Dental Students,’ and Laypersons’ Opinions. Int J Dent 2020; 2020:8870270. [PMID: 33133189 PMCID: PMC7593760 DOI: 10.1155/2020/8870270] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 09/27/2020] [Accepted: 10/03/2020] [Indexed: 11/18/2022] Open
Abstract
Objectives. The aim of the study was to evaluate the perception of smile aesthetics in patients with varying degrees of anterior crowding and spacing among dental specialists, dentists, dental students, and laypersons and to assess the effect of the lips position. Materials and Methods. Clinical photos of cases of anterior crowding (mild, moderate, and severe) and spacing (mild, moderate, and severe) with and without the associated lips were used. The images were evaluated by 250 persons including dental specialists, dentists, dental students, and laypersons using the rating scale method, (extremely unaesthetic to extremely aesthetic, 1 to 5, respectively). Nonparametric tests were used to analyse the data on SPSS version 24. Results. According to the 250 responses, the aesthetic perception of all severities of anterior crowding and mild and moderate spacing was found to be more aesthetic when displayed with the lips (
). Additionally, the higher the level of dental education, the lower the aesthetic perception with and without the lips (
). Conclusions. The lips play a significant role in improving the aesthetics of crowded anterior teeth and spaced anterior teeth. Dental educational level influences the aesthetic perception of anterior crowding and spacing. This may have an impact on treatment planning and need for orthodontic intervention.
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Campos LA, Costa MA, Bonafé FSS, Marôco J, Campos JADB. Psychosocial impact of dental aesthetics on dental patients. Int Dent J 2020; 70:321-327. [DOI: 10.1111/idj.12574] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 01/24/2020] [Accepted: 03/09/2020] [Indexed: 12/12/2022] Open
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de Oliveira Meira ACL, Custodio W, Vedovello Filho M, Borges TM, C Meneghim MD, Santamaria M, Vedovello SAS. How is orthodontic treatment need associated with perceived esthetic impact of malocclusion in adolescents? Am J Orthod Dentofacial Orthop 2020; 158:668-673. [PMID: 32978016 DOI: 10.1016/j.ajodo.2019.09.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 09/01/2019] [Accepted: 09/01/2019] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The purpose of this research was to evaluate the esthetic impact of orthodontic treatment need in adolescents. METHODS This cross-sectional study was performed with 1172 adolescents aged 12 (n = 638) years and 15 (n = 534) years from Salvador, Bahia, Brazil. The esthetic impact was the following outcome variables: Aesthetic Component of the Index of Orthodontic Treatment Need and the Oral Aesthetic Subjective Impact Scale. The normative orthodontic treatment need was assessed by the Dental Health Component of the Index of Orthodontic Treatment Need (IOTN-DHC) and by the Dental Aesthetic Index (DAI). Logistic regression models were adjusted, estimating crude odds ratio with the respective 95% confidence intervals. The variables with P ≤0.20 in the individual analyses were tested in multiple logistic regression models, remaining the variables with P ≤0.05. RESULTS The results showed a statistically significant association for the esthetic impact (Aesthetic Component of the Index of Orthodontic Treatment Need and the Oral Aesthetic Subjective Impact Scale) when assessing the normative orthodontic treatment need by the DAI (P <0.05). However, there was no significant association between subjective esthetic impact and normative needs when using the IOTN-DHC (P >0.05). CONCLUSIONS DAI was more associated with the adolescents' esthetic concern than IOTN-DHC and should be the Index of Orthodontic Treatment Need to be selected to complement the patient's self-perception.
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Affiliation(s)
| | - William Custodio
- Araras Dental School, University Center of Hermínio Ometto Foundation-FHO, Araras, São Paulo, Brazil
| | - Mario Vedovello Filho
- Araras Dental School, University Center of Hermínio Ometto Foundation-FHO, Araras, São Paulo, Brazil
| | - Técia M Borges
- Department of Community Dentistry, University of Feira de Santana, Feira de Santana, Bahia, Brazil
| | - Marcelo de C Meneghim
- Department of Community Dentistry, Piracicaba Dental School, The University of Campinas, Piracicaba, São Paulo, Brazil
| | - Milton Santamaria
- Araras Dental School, University Center of Hermínio Ometto Foundation-FHO, Araras, São Paulo, Brazil
| | - Silvia A S Vedovello
- Araras Dental School, University Center of Hermínio Ometto Foundation-FHO, Araras, São Paulo, Brazil.
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Nasar M, Ferguson DJ, Liaw JJL, Makki L, Vaid NR. What is the best soft-tissue reference plane to quantify lip change in bimaxillary protrusion cases? A retrospective cohort study. APOS TRENDS IN ORTHODONTICS 2020. [DOI: 10.25259/apos_136_2020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives:
The objective of the study was to evaluate the validity of five soft-tissue profile planes to actual horizontal lower lip changes following treatment of severe bimaxillary protrusion patients with vertical maxillary excess using extra-alveolar miniscrews. The null hypothesis was no differences in the incremental changes of horizontal lower lip changes from pre-treatment to post-treatment of the five methods compared to actual changes.
Materials and Methods:
Seventy adults were treated orthodontically with extractions for bimaxillary protrusion and “gummy” smile using extra-alveolar miniscrews. Lower lip horizontal position was assessed with pre- and post-treatment lateral cephalograms and five commonly used soft-tissue reference lines were used to measure horizontal lower lip treatment change.
Results:
Compared to actual therapeutic lower lip horizontal retraction (4.38 mm), soft-tissue references Ricketts’ E-line (3.89 mm) and Steiner’s S-line (3.88 mm) demonstrated no statistical difference (P > 0.05) from actual change. The five profile plane measures showed moderately high to high intercorrelations among themselves, but none of them were related to the actual amount of anteroposterior lip change that occurred. None of the five soft-tissue measurements showed a statistically significant difference (P > 0.05) between subgroups with least and greatest lower lip retraction.
Conclusion:
Under conditions of maximum lower lip retraction, Rickett’s E-line and Steiner’s S-line were fair measures of horizontal lower lip change. Although actual lower lip change and soft-tissue reference plane changes were correlated poorly, intercorrelations among the five soft-tissue references planes were moderately high. None of the five soft-tissue measurements was able to discriminate (P > 0.05) between treatments with least and greatest lower lip retraction. It may be concluded that Rickett’s E-line and Steiner’s S-line soft-tissue profile references are valid when there is considerable therapeutic retraction (4+ mm) of the lower lip.
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Affiliation(s)
- Mustafa Nasar
- Department of Orthodontics, European University College, Dubai Healthcare City, Dubai, United Arab Emirates,
| | - Donald J. Ferguson
- Department of Orthodontics, European University College, Dubai Healthcare City, Dubai, United Arab Emirates,
| | | | - Laith Makki
- Department of Orthodontics, European University College, Dubai Healthcare City, Dubai, United Arab Emirates,
| | - Nikhilesh R. Vaid
- Department of Orthodontics, European University College, Dubai Healthcare City, Dubai, United Arab Emirates,
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Do malocclusion and orthodontic treatment impact oral health? A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2020; 157:738-744.e10. [PMID: 32487303 DOI: 10.1016/j.ajodo.2020.01.015] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Revised: 01/01/2020] [Accepted: 01/01/2020] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Currently, there is limited evidence on the effects of malocclusion on oral health and whether the correction of malocclusion results in an improvement in oral health. In this review, we examined the evidence from randomized controlled trials and prospective cohort studies to provide information on any association between malocclusion and oral health and the effects of orthodontic treatment. METHODS We conducted this review in 2 parts: (1) we looked at the impact of malocclusion on oral health, and (2) we reviewed the evidence on the effect of orthodontic treatment on oral health. We searched for randomized controlled trials and prospective cohort studies. The searches were completed for articles published between January 1, 1990 and October 8, 2018 and covered Medline via Ovid, Embase, and the Cochrane Database of Systematic Reviews. References of included articles and previous systematic reviews were hand-searched. No language restrictions were applied. Two members of the study team assessed the quality of the studies using the Appraisal Tool for Cross-Sectional Studies to appraise the quality of studies in part 1. The assessment was performed at the study level. Two authors assessed each study independently, with a third author consulted when a disagreement occurred. For studies in part 2, we used the Newcastle-Ottawa scale to assess the risk of bias. When studies were included in a Cochrane review, we incorporated the risk of bias assessment. We developed data extraction forms for each area of oral health under investigation (trauma, quality of life, caries, and periodontal disease). Each author piloted the form, and we held discussions to inform any necessary refinements. We extracted data from studies into 2 × 2 tables, which provided a binary analysis of malocclusion vs the outcome of interest. If these data were not available from the published paper, then studies were not included in the meta-analysis. The authors were contacted when possible to request data in this format. RESULTS For part 1 of the study, we identified 87 studies. The overall quality was low. We could not include any of the data into an analysis because of a large variation in the nature of the studies, data collected, and outcome measures that were selected. For part 2 of the study, we found 7 studies; however, there were similar deficiencies in the data as in part 1, and thus, we could not reach any strong conclusions. CONCLUSIONS Overall, there is an absence of published evidence regarding the effects of malocclusion on oral health and the impact of orthodontic treatment on oral health.
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Omara M, Stamm T, Bekes K. Four-dimensional oral health-related quality of life impact in children: A systematic review. J Oral Rehabil 2020; 48:293-304. [PMID: 32757443 PMCID: PMC7984176 DOI: 10.1111/joor.13066] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 06/08/2020] [Accepted: 07/27/2020] [Indexed: 11/29/2022]
Abstract
Oral health‐related quality of life (OHRQoL) is an important dental patient‐reported outcome which is commonly based on 4 dimensions, namely Oral Function, Orofacial Pain, Orofacial Appearance and Psychosocial Impact. The Oral Health Impact Profile (OHIP) is the most used OHRQoL instrument designed for adults; nevertheless, it is used off‐label for children as well. Our aim was to describe the OHRQoL impact on children measured by OHIP and map the information to the 4‐dimensions framework of OHRQoL. A systematic literature review following the PRISMA statement was conducted to include studies assessing OHRQoL of children ≤ 18 years using OHIP. The OHIP seven‐domain information was converted to the OHRQoL 4‐dimension scores accompanied by their means and 95% confidence interval. Risk of bias was assessed using a six‐item modified version of quality assessment tool for prevalence studies. We identified 647 articles, after abstracts screening, 111 articles were reviewed in full text. Twelve articles were included, and their information was mapped to the 4‐dimensional OHRQoL. Most included studies had low risk of bias. OHRQoL highest impact was observed for Oral Function, Orofacial Pain, and Orofacial Appearance for children with: Decayed‐Missing‐Filled‐Surface (DMFS) of ≥10, anterior tooth extraction without replacement and untreated fractured anterior teeth, respectively. Across all oral health conditions, Psychosocial Impact was less affected than the other three dimensions. OHIP has been applied to a considerable number of children and adolescents within the literature. One instrument and a standardised set of 4‐OHRQoL dimensions across the entire lifespan seem to be a promising measurement approach in dental and oral medicine.
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Affiliation(s)
- Maisa Omara
- Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria.,Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria
| | - Tanja Stamm
- Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria
| | - Katrin Bekes
- Department of Pediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Austria
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Iranzo-Cortés JE, Montiel-Company JM, Bellot-Arcis C, Almerich-Torres T, Acevedo-Atala C, Ortolá-Siscar JC, Almerich-Silla JM. Factors related to the psychological impact of malocclusion in adolescents. Sci Rep 2020; 10:13471. [PMID: 32778676 PMCID: PMC7417545 DOI: 10.1038/s41598-020-70482-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 07/27/2020] [Indexed: 11/09/2022] Open
Abstract
To study the association between orthodontic treatment need and the psychosocial impact of dental aesthetics in a sample of adolescents, as well as other associated factors. A transversal study was conducted on 1,158 adolescents (12–16 years old) examined at the schools selected for the 2018 epidemiological study on oral health in the Comunidad Valenciana (Spain). The need for orthodontic treatment was determined by DAI and IOTN. The psychosocial impact was established by the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Other variables considered were sex, social class, DMFT index and Body-Mass Index, and having previously worn or presently wearing an orthodontic device. A lineal regression statistical technique was applied to study the significant associations with the scoring obtained in PIDAQ. The PIDAQ scores revealed a significant and positive lineal relationship with regard to need for orthodontic treatment: DAI (ẞ = 0.20) and IOTN-DHC (ẞ = 4.87), in women (ẞ = 2.66) and a negative one for having previously worn an orthodontic device (ẞ = − 5.74). The rest of the variables had no statistical significance (p > 0.05). The psychosocial impact of dental aesthetics in adolescents is associated with the presence of malocclusion and the female sex, while the condition of having previously worn an orthodontic device reduces the psychosocial impact.
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Awareness of Parents About the Emergency Management of Avulsed Tooth in Eastern Province and Riyadh. Eur Endod J 2020; 5:145-149. [PMID: 32766526 PMCID: PMC7398990 DOI: 10.14744/eej.2020.65265] [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: 11/12/2019] [Accepted: 02/25/2020] [Indexed: 11/20/2022] Open
Abstract
Objective To assess the level of parents knowledge about the emergency management of tooth avulsion in Eastern Province and Riyadh. Methods A cross-sectional study was carried out by means of a questionnaire-based internet survey in which 1201 parents from Eastern Province and Riyadh participated. The questionnaire contained 10 closed-ended questions and was used to assess the knowledge of parents about the emergency management of avulsed teeth in Eastern Province and Riyadh. Chi-square test was used for data analysis. Results In response to closed-ended questions, the statistically significant result was obtained for the history of child dental trauma in which 35% (P=0.04) of parents reported history of dental trauma in their children. These parents were belong to Eastern province (51%) and Riyadh (49%). Furthermore, only 31.3% of the parents were aware of possible storage media for transportation of avulsed tooth while 68.7% (49.5% in Eastern Province and 50.5% in Riyadh) were unaware (P=0.02) of it. Conclusion That the majority of the parents were unaware of emergency management for tooth avulsion in two densely populated regions of Saudi Arabia. Education of parents should be initiated at a national level.
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Romsics L, Segatto A, Boa K, Becsei R, Rózsa N, Szántó I, Nemes J, Segatto E. Dentofacial mini- and microesthetics as perceived by dental students: A cross-sectional multi-site study. PLoS One 2020; 15:e0230182. [PMID: 32163487 PMCID: PMC7067484 DOI: 10.1371/journal.pone.0230182] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Accepted: 02/23/2020] [Indexed: 11/18/2022] Open
Abstract
Background How dental education influences students’ dental and dentofacial esthetic perception has been studied for some time, given the importance of esthetics in dentistry. However, no study before has studied this question in a large sample of students from all grades of dental school. This study sought to fill that gap. The aim was to assess if students’ dentofacial esthetic autoperception and heteroperception are associated with their actual stage of studies (grade) and if autoperception has any effect on heteroperception. Methods Between October 2018 and August 2019, a questionnaire was distributed to 919 dental students of all 5 grades of dental school at all four dental schools in Hungary. The questionnaire consisted of the following parts (see also the supplementary material): 1. Demographic data (3 items), Self-Esthetics I (11 multiple- choice items regarding the respondents’ perception of their own dentofacial esthetics), Self-Esthetics II (6 Likert-type items regarding the respondents’ perception of their own dentofacial esthetics), and Image rating (10 items, 5 images each, of which the respondents have to choose the one they find the most attractive). Both the self-esthetics and the photo rating items were aimed at the assessment of mini- and microesthetic features. Results The response rate was 93.7% (861 students). The self-perception of the respondents was highly favorable, regardless of grade or gender. Grade and heteroperception were significantly associated regarding maxillary midline shift (p < 0.01) and the relative visibility of the arches behind the lips (p < 0.01). Detailed analysis showed a characteristic pattern of preference changes across grades for both esthetic aspects. The third year of studies appeared to be a dividing line in both cases, after which a real preference order was established. Association between autoperception and heteroperception could not be verified for statistical reasons. Conclusion Our findings corroborate the results of most previous studies regarding the effect of dental education on the dentofacial esthetic perception of students. We have shown that the effect can be demonstrated on the grade level, which we attribute to the specific curricular contents. We found no gender effect, which, in the light of the literature, suggests that the gender effect in dentofacial esthetic perception is highly culture dependent. The results allow no conclusion regarding the relation between autoperception and heteroperception.
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Affiliation(s)
- Lívia Romsics
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Szeged, Szeged, Hungary
| | | | - Kristóf Boa
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Szeged, Szeged, Hungary
| | - Roland Becsei
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Szeged, Szeged, Hungary
| | - Noémi Rózsa
- Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Ildikó Szántó
- Department of Paediatric and Adolescent Dentistry, Dentistry Program, Medical School, University of Pécs, Pécs, Hungary
| | - Judit Nemes
- Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, University of Debrecen, Debrecen, Hungary
| | - Emil Segatto
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Szeged, Szeged, Hungary
- * E-mail:
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Ahmed Y, Al Saffan A, Al Malky A, Al Nughaimshi H, Al Herbisch R, Al Yahya R, Al Zain S. Dental esthetics and its effect on psychological well-being in a university hospital in Riyadh, KSA. SAUDI JOURNAL OF ORAL SCIENCES 2020. [DOI: 10.4103/sjos.sjoralsci_33_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Feldens CA, Senna RA, Vargas-Ferreira F, Braga VS, Feldens EG, Kramer PF. The effect of enamel fractures on oral health-related quality of life in adolescents. Dent Traumatol 2019; 36:247-252. [PMID: 31715061 DOI: 10.1111/edt.12526] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 11/08/2019] [Accepted: 11/09/2019] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIM Enamel fractures are the most common type of traumatic dental injury (TDI) in children and adolescents. Recognizing the impact of these fractures on oral health-related quality of life (OHRQoL) could contribute to the establishment of treatment protocols. The aim of this study was to assess and quantify the impact of enamel fractures on overall OHRQoL and domain scores in adolescents. MATERIALS AND METHODS A cross-sectional study was conducted with 775 adolescents aged 11 to 14 years in the city of Santo Ângelo in southern Brazil. Sociodemographic variables were collected from parents/caregivers using a structured questionnaire. The adolescents answered the Child Perceptions Questionnaire (CPQ11-14 ). Physical examinations were performed by an examiner who had undergone training and calibration exercises for the investigation of TDI (Andreasen criteria), dental caries (WHO criteria), and malocclusion (Dental Aesthetic Index). Data analysis involved Poisson regression with robust variance. RESULTS The prevalence of TDI was 11.9% and enamel fractures accounted for 79.3% of all injuries. In the multivariate analysis, adolescents with enamel fractures had 29% higher CPQ11-14 scores (worse OHRQoL) than those without TDI, even after adjustment for sociodemographic and clinical variables (mean ratio = 1.29; 95% CI: 1.09-1.53; P = .003). Enamel fractures exerted a negative impact on the functional limitation, emotional well-being, and social well-being domains. CONCLUSIONS Enamel fractures exert a negative impact on the OHRQoL of adolescents, suggesting that subjective measures should be incorporated in the evaluation of patients with this traumatic injury.
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Affiliation(s)
| | - Rita Azevedo Senna
- Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
| | - Fabiana Vargas-Ferreira
- Department of Social and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Vanessa Simas Braga
- Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
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Hoogeveen RC, Hol MLF, Pieters BR, Balgobind BV, Berkhout EWER, Schoot RA, Smeele LE, Merks HJHM, Becking EAG. An overview of radiological manifestations of acquired dental developmental disturbances in paediatric head and neck cancer survivors. Dentomaxillofac Radiol 2019; 49:20190275. [PMID: 31714151 DOI: 10.1259/dmfr.20190275] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVES In paediatric cancer survivors treated with chemotherapy and radiotherapy therapy, late effects on dental development are quite common. Oral radiologists are not familiar with the radiographic images of these specific dental consequences of chemotherapy and radiotherapy. With the goal of educating colleagues, to raise awareness of the needs of survivors, and to identify directions for future research, we present dental radiographs of survivors treated for head and neck rhabdomyosarcoma with chemotherapy and radiotherapy. Also, based on the survivors reviewed, a radiographic inventory of commonly found late dental developmental effects seen in conjunction with treatment is presented. METHODS Panoramic radiographic findings of five illustrative cases are presented, from a group of 42 survivors of head and neck rhabdomyosarcoma treated at the Academic Medical Center Amsterdam, The Netherlands over the past 25 years. RESULTS Five cases showing dental developmental disorders are presented. These cases show an association of the location of the radiation field and the developmental stage of the teeth with the severity of the effect on dental development. We also report an inventory of severe and moderate effects of chemotherapy and radiotherapy on the development of molars and anterior teeth. CONCLUSIONS This paper presents five cases and a radiographic inventory to illustrate disturbances of dental development associated with chemotherapy and radiotherapy in children. Medical and dental professionals involved in the treatment of cancer survivors are relatively unaware of the dental consequences of radiation therapy and the age dependency of specific regional effects. These effects can be severe, with great impact on quality of life. Further research in this area could help improve planning of radiation therapy for children, potentially preventing or limiting dental or maxillofacial sequelae.
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Affiliation(s)
- Reinier C Hoogeveen
- Department of Oral and Maxillofacial Radiology, Academic Center for Dentistry Amsterdam ACTA, Amsterdam, The Netherlands
| | - Marinka L F Hol
- Department of Oral and Maxillofacial Surgery, Amsterdam UMC University of Amsterdam, Amsterdam, The Netherlands
| | - Bradley R Pieters
- Department of Radiation Oncology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands
| | - Brian V Balgobind
- Department of Radiation Oncology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands
| | - Erwin W E R Berkhout
- Department of Oral and Maxillofacial Radiology, Academic Center for Dentistry Amsterdam ACTA, Amsterdam, The Netherlands
| | - Reineke A Schoot
- Princess Máxima Center for paediatric oncology, Utrecht, The Netherlands
| | - Ludi E Smeele
- Department of Oral and Maxillofacial Surgery, Amsterdam UMC University of Amsterdam, Amsterdam, The Netherlands
| | - Hans J H M Merks
- Princess Máxima Center for paediatric oncology, Utrecht, The Netherlands
| | - Eddy A G Becking
- Department of Oral and Maxillofacial Surgery, Amsterdam University Medical Centers University of Amsterdam, Amsterdam, The Netherlands
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Nakagawa Kang J, Unnai Yasuda Y, Ogawa T, Sato M, Yamagata Z, Fujiwara T, Moriyama K. Association between Maternal Smoking during Pregnancy and Missing Teeth in Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16224536. [PMID: 31744054 PMCID: PMC6888027 DOI: 10.3390/ijerph16224536] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 11/12/2019] [Accepted: 11/13/2019] [Indexed: 11/16/2022]
Abstract
Tooth agenesis and disturbance of tooth eruption is the most prevalent oral defect, and is possibly caused by the interaction of genetic and environmental factors. We hypothesized that prenatal factors may affect tooth development. The objective of this study was to examine whether smoking during pregnancy was associated with missing teeth in the offspring during adolescence. The study population comprised pregnant women and their children registered (N = 1052) at Koshu city, Japan. When the expectant mothers visited the city office for pregnancy registration, a survey was conducted to ascertain their lifestyle habits. Data on missing teeth in the children were obtained from the compulsory dental health checkup during junior high school years. Multivariate logistic regression models were fitted to assess the association between missing teeth and lifestyle habits. A total of 772 children were studied. The prevalence of missing teeth in these children was 4.9%. Children whose mothers smoked six cigarettes or more per day were 4.59 (95% CI: 1.07-19.67) times more likely to present with missing teeth than those children whose mothers did not smoke, after adjustment for possible confounders. Our findings indicate that smoking during pregnancy can be a risk factor for missing teeth in the offspring.
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Affiliation(s)
- Junka Nakagawa Kang
- Department of Maxillofacial Orthognathics, Tokyo Medical and University, Tokyo 113-8510, Japan; (J.N.K.); (Y.U.Y.); (T.O.)
| | - Yuko Unnai Yasuda
- Department of Maxillofacial Orthognathics, Tokyo Medical and University, Tokyo 113-8510, Japan; (J.N.K.); (Y.U.Y.); (T.O.)
| | - Takuya Ogawa
- Department of Maxillofacial Orthognathics, Tokyo Medical and University, Tokyo 113-8510, Japan; (J.N.K.); (Y.U.Y.); (T.O.)
| | - Miri Sato
- Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi 409-3898, Japan; (M.S.); (Z.Y.)
| | - Zentaro Yamagata
- Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi 409-3898, Japan; (M.S.); (Z.Y.)
| | - Takeo Fujiwara
- Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
- Correspondence: (T.F.); (K.M.); Tel.: +81-3-5803-5187 (T.F.); +81-3-5803-5533 (K.M.)
| | - Keiji Moriyama
- Department of Maxillofacial Orthognathics, Tokyo Medical and University, Tokyo 113-8510, Japan; (J.N.K.); (Y.U.Y.); (T.O.)
- Correspondence: (T.F.); (K.M.); Tel.: +81-3-5803-5187 (T.F.); +81-3-5803-5533 (K.M.)
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Gupta T, Sadana G, Rai HK. Effect of Esthetic Defects in Anterior Teeth on the Emotional and Social Well-being of Children: A Survey. Int J Clin Pediatr Dent 2019; 12:229-232. [PMID: 31708620 PMCID: PMC6811947 DOI: 10.5005/jp-journals-10005-1628] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objectives This study aimed to determine whether imperfections in the anterior dentition affect the emotional and/or social well being of school going children in Amritsar district of Punjab, India. Methods A total of 2582 children between the ages 10 and 15 years of both genders were examined. Of these, 528 children with esthetic imperfections were asked a series of questions to assess their emotional and social disposition, with respect to children with no esthetic defects. Results Females were more shy if they did not have a perfect anterior dentition (p = 0.000). Low socioeconomic status corresponded with gender (females) in determining emotional insecurity. Malocclusion was the most common cause of aesthetic defects (291/528 children), followed by causes such as, hypoplasisa/hypocalcification, stains, peg shaped, microdontia, congenitally missing (46.4%), trauma (30.5%) and caries (1.2%). Irrespective of cause of defect, 53.8% of children were emotionally affected, in that, were fearful of being teased by other children (77.1%). How to cite this article Gupta T, Sadana G, et al. Effect of Esthetic Defects in Anterior Teeth on the Emotional and Social Well-being of Children: A Survey. Int J Clin Pediatr Dent 2019;12(3):229-232.
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Affiliation(s)
- Teena Gupta
- Department of Pedodontics and Preventive Dentistry, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India
| | - Gunmeen Sadana
- Department of Pedodontics and Preventive Dentistry, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India
| | - Hashmit K Rai
- Department of Pedodontics and Preventive Dentistry, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India
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Peter E, Baiju RM, Shivaraman R, Varghese NO, Varughese JM. Malocclusion-Related Quality of Life Questionnaire (MRQoLQ): Development and validation of a new psychometric tool for older adolescents with malocclusion. Dental Press J Orthod 2019; 24:28-35. [PMID: 31994644 PMCID: PMC6986185 DOI: 10.1590/2177-6709.24.6.028-035.oar] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Accepted: 05/27/2019] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To develop and validate a new psychometric tool for assessing malocclusion-related quality of life among older Indian adolescents. METHODS Item generation involved analysis of existing validated tools, followed by development of new items using various qualitative steps. A draft item pool of 41 questions was initially generated and subjected to item reduction through sequential steps involving two clinical studies to ensure reliability and validity. 431 subjects aged between 15 to 18 years took part in the validation study. Principal component analysis with varimax rotation was performed to get a psychometric tool with good factorial structure and maximum variance. RESULTS Rotated component matrix resulted in a 20 item psychometric tool containing 4 domains with a total variance of 61.57%. Inter item, item total correlation and Cronbach α (α = 0.88) ensured good reliability. A positive correlation of the scale with global question ensured convergent validity. Independent t test showed statistically significant difference (p< 0.05) between mean score of IOTN-DHC and DAI with MRQoLQ, ensuring good construct validity. CONCLUSIONS The newly developed psychometric tool is named as Malocclusion-Related Quality of Life Questionnaire (MRQoLQ) having 20 questions, including 2 socioeconomic items. The scale showed good reliability and initial validity, hence can be used among older adolescents with malocclusion to assess their malocclusion-related quality of life.
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Affiliation(s)
- Elbe Peter
- Government Dental College Kottayam, Department of Orthodontics (Kottayam, India)
| | | | - Remadevi Shivaraman
- Kerala University of Health Sciences, School of Health Policy and Planning Studies (Trivandrum, India)
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Exploring the Mediating Role of Oral Health between Personality Traits and the Psychosocial Impact of Dental Aesthetics among Healthy Older People. AGEING INTERNATIONAL 2019. [DOI: 10.1007/s12126-019-09358-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Ozzeybek Can FS, Turkkahraman H. Effects of Rapid Maxillary Expansion and Facemask Therapy on the Soft Tissue Profiles of Class III Patients at Different Growth Stages. Eur J Dent 2019; 13:143-149. [PMID: 31494919 PMCID: PMC6777172 DOI: 10.1055/s-0039-1694799] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objectives
The aim of this study was to evaluate the effects of rapid maxillary expansion (RME) and facemask therapy on the soft tissue profiles of class III patients at different growth stages.
Materials and Methods
Forty-five subjects (23 females and 22 males) were divided into prepubertal, pubertal, and postpubertal groups. Bonded type RME appliances and Petit-type facemasks were fitted to each patient, and intraoral elastics were applied from the hooks of the RME appliance to the facemask.
Statistical Analysis
All measurements were statistically analyzed with SPSS version 18.0 (SPSS Inc., Chicago, IL, United States) for Windows. Repeated-measures of ANOVA and posthoc Tukey tests were used to compare the groups.
Results
The soft tissue nasion, pronasale, subnasale, soft tissue A point, and labrale superior landmarks were all displaced forward and downward, and the most dramatic changes were recorded in the pubertal group. The labrale inferior, soft tissue B point, soft tissue pogonion, and soft tissue menton landmarks moved backward and downward in all groups, and the greatest displacements were observed in the pubertal group.
Conclusions
The soft tissue profiles improved significantly and became more convex in all treatment groups. Although, the most favorable facial changes were observed in the pubertal growth stage, the treatments applied in the postpubertal stage also elicited significant changes and should thus be considered viable treatment options.
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Affiliation(s)
- Fatma Selen Ozzeybek Can
- Department of Orthodontics, School of Dentistry, University of Suleyman Demirel, Isparta, Turkey
| | - Hakan Turkkahraman
- Department of Orthodontics, School of Dentistry, University of Suleyman Demirel, Isparta, Turkey.,Department of Orthodontics and Oral Facial Genetics, School of Dentistry, Indiana University, Indianapolis
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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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Gatto RCJ, Garbin AJÍ, Corrente JE, Garbin CAS. The relationship between oral health-related quality of life, the need for orthodontic treatment and bullying, among Brazilian teenagers. Dental Press J Orthod 2019; 24:73-80. [PMID: 31116290 PMCID: PMC6526768 DOI: 10.1590/2177-6709.24.2.073-080.oar] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 05/23/2018] [Indexed: 12/20/2022] Open
Abstract
INTRODUCTION Orthodontic treatment aims at oral health and restoration of function as main objectives, however, psychological and social effects end up being the main reason for the demand for treatment. OBJECTIVE To determine the association between the oral health-related quality of life (OHRQoL), the need for orthodontic treatment and bullying among Brazilian teenagers. METHODS This was a cross-sectional epidemiological study. To assess the malocclusion, the Dental Aesthetic Index was used. And the Oral Health Impact Profile-14 was used to analyze the OHRQoL. The Kidscape questionnaire was used to investigate cases of bullying. The following variables were also included: previous orthodontic treatment and a desire to fix the teeth to improve one's appearance. Multivariate analysis was performed using logistic regression considering the poor OHRQoL as a response variable. RESULTS 815 teenagers participated in the study. There was a statistically significant association between oral health-related quality of life and the variables: previous orthodontic treatment (p= 0.0270), desire to fix the teeth (p< 0.0001), sex (p= 0.0309), history of being a victim of bullying (p< 0.0001), frequency of bullying episodes (p= 0.0170), and consequences of bullying (p< 0.0001). The following were considered as risk factors for poor OHRQoL: lack of previous orthodontic treatment (OR = 2.191) and negative consequences of bullying (OR = 3.042). CONCLUSION The need for orthodontic treatment was not associated with the OHRQoL; however, bullying and previous orthodontic treatment had a statistically significant association with this variable.
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Affiliation(s)
| | - Artênio José Ísper Garbin
- Universidade Estadual Paulista, Programa de Pós-graduação em Odontologia Preventiva e Social (Araçatuba/SP, Brazil)
| | - José Eduardo Corrente
- Universidade Estadual Paulista, Instituto de Biociências, Departamento de Bioestatística (Botucatu/SP, Brazil)
| | - Cléa Adas Saliba Garbin
- Universidade Estadual Paulista, Programa de Pós-graduação em Odontologia Preventiva e Social (Araçatuba/SP, Brazil)
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Kothari S, Gray AR, Lyons K, Tan XW, Brunton PA. Vital bleaching and oral-health-related quality of life in adults: A systematic review and meta-analysis. J Dent 2019; 84:22-29. [DOI: 10.1016/j.jdent.2019.03.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 03/11/2019] [Accepted: 03/19/2019] [Indexed: 11/25/2022] Open
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Raghavan S, Philip K, Batra P, Marcusson A. Aesthetic perceptions and psychosocial impact of malocclusion: comparison between cleft and non-cleft patients and their parents. Eur J Orthod 2019; 41:38-45. [PMID: 29912312 DOI: 10.1093/ejo/cjy022] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Objective To evaluate the influence of dentofacial attractiveness using the 'Psychosocial Impact of Dental Aesthetics Questionnaire' (PIDAQ), Satisfaction with Life Scale (SWLS) and Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN) in patients with cleft lip/palate (CLP), and non-cleft orthodontic patients (Non-CLP) and their parents. Materials and methods Eighty patients (aged 11-19 years) comprising 40 CLP and 40 non-CLP were administered the PIDAQ and SWLS questionnaires to be rated individually by the patients, along with IOTN-AC rated by the patients and their parents, respectively. The subjects were also sub-divided according to their age, i.e. pre-adolescent and adolescent. Results The PIDAQ subpart scores for aesthetic concern differed between the two groups, with a significantly (P < 0.02) lower scoring for the CLP group. The adolescent CLP group scored more negatively than the pre-adolescent group in the dental self-confidence and social impact sub-parts of PIDAQ. No significant differences were observed for satisfaction with life. The parents' IOTN-AC score for both groups was significant (P < 0.05) greater than the patient's score, especially for adolescent subjects. Limitations Non-condition specific questionnaires with restrictive sampling sizing and non-inclusion of parameters like stress coping mechanism etc. Conclusion The parents rated the malocclusion of their child more critically than the child itself. A majority of the CLP group had a problem in identifying themselves using the IOTN-AC as no photo existed depicting a Class III or edge-to-edge malocclusion. Attitudes, especially perceptions of the aesthetics of front teeth, are crucial factors influencing patient's psychological self-concept, social confidence, and treatment need in CLP patients and non-CLP patients, having more relevance as the patient matures towards adolescence and adulthood.
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Affiliation(s)
| | - Koshi Philip
- Department of Orthodontics, Government Dental College, Thiruvanthapuram, Kerala, India
| | - Puneet Batra
- Department of Orthodontics at IDST, Modinagar, Uttar Pradesh, India
| | - Agneta Marcusson
- Dentofacial Orthopedics, Maxillofacial Unit, University Hospital, Linköping, Sweden
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Brazilian adolescents' perception of the orthodontic appliance: A qualitative study. Am J Orthod Dentofacial Orthop 2019; 155:490-497. [DOI: 10.1016/j.ajodo.2018.05.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 05/01/2018] [Accepted: 05/01/2018] [Indexed: 11/20/2022]
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Bittencourt JM, Martins LP, Bendo CB, Vale MP, Paiva SM. Negative effect of malocclusion on the emotional and social well-being of Brazilian adolescents: a population-based study. Eur J Orthod 2019; 39:628-633. [PMID: 28371848 DOI: 10.1093/ejo/cjx020] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Background/objectives The aesthetic impact of malocclusion can have negative repercussions on quality of life, social interaction, interpersonal relationships, and psychological well-being. The aim of this study was to evaluate the impact of malocclusion on the quality of life of Brazilian adolescents. Methods A representative cross-sectional study of 1612 adolescents from Belo Horizonte, Minas Gerais was conducted. The adolescents responded to the Brazilian version of the Child Perception Questionnaire (CPQ11-14-ISF:16) to assess the impact of the condition on quality of life. Cases of malocclusion were diagnosed using the Dental Aesthetic Index while clinical examination was performed by three calibrated examiners. Data regarding traumatic dental injuries, dental caries, gender, type of school, age and social vulnerability was collected. Data analysis was performed using bivariate and multivariate Poisson regression with robust variance (P < 0.05). Results The prevalence of malocclusion was 31.3%. The presence of definite malocclusion (PR = 1.28; CI = 1.13-1.45), severe malocclusion (PR = 1.24; CI = 1.04-1.47) and handicapping malocclusion (PR = 1.55; CI = 1.31-1.84) was associated with a greater negative impact on Emotional Well-Being. The presence of definite malocclusion (PR = 1.18; CI = 1.02-1.36), severe malocclusion (PR = 1.46; CI = 1.21-1.76) and handicapping malocclusion (PR = 1.61; CI = 1.35-1.94) was also associated with a greater negative impact on Social Well-Being. Conclusions Adolescents with handicapping malocclusion, where the need for treatment was mandatory, suffered from a greater negative impact on quality of life, with emotional and social aspects most affected.
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Affiliation(s)
- Jéssica Madeira Bittencourt
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Letícia Pereira Martins
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Cristiane Baccin Bendo
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Miriam Pimenta Vale
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Saul Martins Paiva
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
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Mihailescu A, Labunet A, Muntean A, Kui A, Campian RS. Psycho-social impact of orthodontic treatment in Romanian teenagers and young adults. ACTA ACUST UNITED AC 2018; 91:336-341. [PMID: 30093814 PMCID: PMC6082617 DOI: 10.15386/cjmed-915] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Revised: 03/13/2018] [Accepted: 05/27/2018] [Indexed: 11/29/2022]
Abstract
Background and aims This survey evaluated the psycho-social impact of oral health on the quality of life in Romanian teenage and young adult orthodontic patients. Methods Of the 300 standard questionnaires distributed in four dental offices, 125 questionnaires were returned. Each questionnaire contained 110 items, focusing on aspects like patients’ satisfaction, self-confidence, school/work performances and aesthetic concern, in relation to oral health. The patients were 16–25 years of age and all were undergoing or had undergone orthodontic treatment in the previous two years. Data analysis was performed using the Statistical Package for the Social Science software (SPSS), version 19.0. Results 57.90% of the orthodontic patients participating in this study were happy about their dental status, 56.52% declared themselves not shy because of their oral health issues, 52.33% considered themselves as attractive to other people, and 57.29% replied (awarding a score between 8 and 10) that they were confident when smiling. Regarding self-confidence and school/work performances, 58% of the participants declared they avoided speaking in public because of the aspect of their teeth and 47.42% considered that their school/work performances during the fix appliance therapy stayed the same as before appliance. Nevertheless, the self-perceived facial aspect improved during orthodontic treatment (64.74% of replies had scores between 8 and 10 during the treatment versus 24.67% before the treatment). Several correlations were found between aspects such as psycho-social and functional variables, physical self-evaluation, and oral health issues. Conclusion Patients’ satisfaction was improved during and after appliance therapy, for more than half of the participants. Self-confidence was low in relation to school/work performances; almost half of the patients reported stagnation in their school/work performances during the fix appliance therapy. However, more than 64% of the patients participating in this study were quite satisfied about their facial aspect during and after the orthodontic treatment. Thus, the common concerns of the patients anxious about their aspect during appliance therapy are not supported by the findings of this study.
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Affiliation(s)
- Ana Mihailescu
- Paedodontics Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Anca Labunet
- Dental Materials Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Alexandrina Muntean
- Paedodontics Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Andreea Kui
- Prosthodontics Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Radu Septimiu Campian
- Oral Rehabilitation, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
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Lajnert V, Kovacevic Pavicic D, Pavlic A, Pokrajac-Bulian A, Spalj S. Smile Aesthetics Satisfaction Scale: development and validation of a new brief five-item measure of satisfaction with smile aesthetics in adults and the elderly. Int Dent J 2018; 68:162-170. [PMID: 29417573 PMCID: PMC9378892 DOI: 10.1111/idj.12362] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/23/2023] Open
Abstract
OBJECTIVE To create and validate a brief questionnaire designed for the assessment of satisfaction with smile aesthetics and to test its efficiency as a patient-centred outcome measure of aesthetic interventions in dentistry. MATERIALS AND METHODS A team of three specialists - two from prosthodontics and one psychologist - used a self-evaluation scale consisting of five elements in order to rate self-perceived smile aesthetics. A total of 671 subjects (63% female), 18-86 years of age, were included in the investigation. The internal consistency, validity and stability of the questionnaire, along with the responsiveness induced by the tooth-whitening procedure, were evaluated. The relationship between self-perceived satisfaction with the smile aesthetics and the clinical status of the dentition was assessed. RESULTS The questionnaire had one dimension accounting for 64.3% of variance and showed a high level of reliability (Cronbach α = 0.859). It measured a construct similar to concern with tooth appearance and the desire to improve this appearance (r = -0.403 and r = -0.353, respectively; P < 0.001). High test-retest reliability was demonstrated (intraclass correlation coefficient = 0.985). The questionnaire was able to detect an increase in satisfaction with smile aesthetics as a result of the tooth-whitening procedure (P = 0.016). Clinical predictors of greater satisfaction with smile aesthetics were greater tooth display when smiling, decreased chroma and the absence of gingivitis, as well as absence of crowded, fractured and restored teeth in the anterior segment. CONCLUSIONS A new questionnaire, titled the Smile Aesthetics Satisfaction Scale (SASS), showed good psychometric properties and its use can be recommended.
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Affiliation(s)
- Vlatka Lajnert
- Department of Prosthodontics, Dental School, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
| | - Daniela Kovacevic Pavicic
- Department of Prosthodontics, Dental School, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
| | - Andrej Pavlic
- Department of Orthodontics, Dental School, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
| | - Alessandra Pokrajac-Bulian
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
| | - Stjepan Spalj
- Department of Orthodontics, Dental School, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
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