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Type: Journal article
Title: The psycho-social impact of malocclusions and treatment expectations of adolescent orthodontic patients
Author: Twigge, E.
Roberts, R.
Jamieson, L.
Dreyer, C.
Sampson, W.
Citation: European Journal of Orthodontics, 2016; 38(6):593-601
Publisher: Oxford University Press
Issue Date: 2016
ISSN: 0141-5387
Statement of
Eugene Twigge, Rachel M. Roberts, Lisa Jamieson, Craig W. Dreyer and Wayne J. Sampson
Abstract: Objectives: To evaluate the short- and long-term orthodontic treatment (OT) expectations, malocclusion severity, and oral health-related quality of life (OHRQoL) status of adolescent patients using qualitative and quantitative methodology. Materials and Methods: Adolescents (n = 105; 42 males and 63 females) aged between 12 and 17 years participated in this interview and questionnaire-based study. The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and the Oral Impacts on Daily Performances (OIDP) scale evaluated OHRQoL status. Study casts were analysed using the Dental Aesthetics Index (DAI) and the Index of Complexity, Outcome and Need (ICON). Mann-Whitney test and Spearman's correlations tested various univariate variables. Results: With similar index-determined OT need (DAI, P = 0.371 and ICON, P = 0.932) females tended to have worse OHRQoL status (PIDAQ scores, P-values ranged from 0.006 to 0.0001 and scores for the OIDP question related to smiling, laughing, and showing teeth without embarrassment, P-value = 0.015). Occlusal index scores did not have statistically significant associations with the OHRQoL scales. Better dental appearance was expected by 85 per cent of the adolescents in the short-term and by 51 per cent in the long-term after OT. The associated psycho-social expectations were: 1. improved dental self-confidence, 2. positive psychological impact/improved self-worth, and 3. positive social impact. Conclusions: Female adolescent patients tended to experience worse psycho-social impacts related to their malocclusions compared with males with similar index-determined OT need. Index-determined OT need scores did not correlate with the OHRQoL scales. Adolescent patients expected OT to improve their dental appearance and QoL aspects.
Keywords: Humans
Cross-Sectional Studies
Esthetics, Dental
Attitude to Health
Self Concept
Quality of Life
Social Change
Oral Health
South Australia
Surveys and Questionnaires
Rights: © The Author 2015. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved.
DOI: 10.1093/ejo/cjv093
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Dentistry publications

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