Dissatisfaction with dentofacial appearance and the normative need for orthodontic treatment: determinant factors

Abstract

ObjectiveThis study aims at assessing the normative need for orthodontic treatment and the factors that determine the subjective impact of malocclusion on 12-year-old Brazilian school children.MethodsA total of 451 subjects (215 males and 236 females) were randomly selected from private and public schools of Juiz de Fora, Brazil. The collected data included sociodemographic information and occlusal conditions. The esthetic subjective impact of malocclusion was assessed by means of the Orthodontic Aesthetic Subjective Impact Score - OASIS, whereas the malocclusion and the need for orthodontic treatment were assessed by means of the Dental Aesthetic Index (DAI) and the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC).ResultsPrevalence of normative need for orthodontic treatment was 65.6% (n = 155), and prevalence of orthodontic esthetic subjective impact was 14.9%. The following variables showed significant association with esthetic subjective impact of malocclusion: female (p = 0.042; OR = 0.5; CI = 0.2-0.9), public school student (p = 0.002; OR = 6.8; CI = 1.9-23.8), maxillary overjet ≥ 4 mm (p = 0.037; OR = 1.7; CI = 1-3) and gingival smile ≥ 4 mm (p = 0.008; OR = 3.4; CI = 1.3-8.8).ConclusionThe normative need for orthodontic treatment overestimated the perceived need. Occlusal and sociocultural factors influenced the dissatisfaction of schoolchildren with their dentofacial appearance.

Estudo Com Adolescentes Sobre Percepção E Conhecimento Em Saúde Bucal

“…Os diferentes tipos de maloclusão dos dentes podem produzir mudanças na aceitabilidade da aparência, na funcionalidade e na qualidade de vida e, de acordo com pesquisadores, os jovens costumam relacionar as condições de saúde bucal à aparência (ALMEIDA et al, 2014;SOUZA et al, 2013).…”

“…O conceito de beleza e a percepção dos indivíduos quanto à estética são fortemente influenciados pelos padrões culturais vigentes em cada contexto. Portanto, a satisfação quanto aos seus dentes desempenha importante papel na autoestima e nas interações com seus pares (ALMEIDA et al, 2014;PERES et al, 2008;ZAMBONI et al, 2015).…”

“…E, de acordo com estes estudos, a insatisfação é mais significativa entre sujeitos do sexo feminino o que se confirmou no grupo de adolescentes que integraram esta pesquisa (ALMEIDA et al, 2014;COSTA;MACHADO, 2014;PERES et al, 2008;VIERO et al, 2015;ZAMBONI et al, 2015).…”

Malocclusion and Orthodontic Treatment Need in Children

“…41,45 Overjetteki artış; uzun dönemde, perio= donsiyum ve dişlerin sağlığına zarar vererek üst ön dişlerde travma risklerinin artmasına neden olduğu görülmüştür. 46 Bu nedenlerden dolayı, malpozisyonun herhangi bir türü teşhis edildiği zaman, erken müdahale ile dişlerin ekseni boyunca etki eden oklüzal kuvvetleri yeniden yön-lendirmek için dişler hizalandırılmalı ve periodontal sağlığı da etkileyebilecek oklüzal travmaların oluşması engellenmelidir.…”

The role of active ingredients nanopowder Stichopus hermanii gel to bone resorption in tension area of orthodontic tooth movement

“…1 Orthodontic treatment is generally associated with malocclusion that causes esthetic problems. 2 Orthodontic tooth movement involving the use of orthodontic appliances is characterized by remodeling changes of the alveolar bone and a reaction of the periodontal ligament (PDL) to mechanical stimuli. Tooth movement occurs in the direction of force when there is a multifaceted bone remodelling response, with bone resorption on the compression side and bone apposition on the tension side of the periodontal ligament.…”