Esthetic impact of maxillary midline diastema and mandibular crowding in children in the mixed dentition

Carneiro, Diego Patrik Alves; Venezian, Giovana C.; Valdrighi, Heloísa Cristina; Meneghim, Marcelo de Castro; Vedovello, Sílvia Amélia Scudeler

doi:10.1016/j.ajodo.2020.09.031

Cited by 3 publications

(4 citation statements)

References 25 publications

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Section: Discussionmentioning

confidence: 99%

“…The aesthetic perception of diastemas is still controversial 20 mainly because it is closely related to the smile's aesthetics and presents different perceptions between professionals and laypeople. According to the literature, orthodontists do not perceive diastema medians between 1 and 1.5 mm, while diastemas of up to 2 mm may not be detected by laypersons 19,21 .…”

Section: Discussionmentioning

confidence: 99%

“…17 During the eruption of anterior teeth, diastema manifests transiently in the maxilla 18 and may self-correct after the eruption of upper permanent canines. However, midline diastema is often associated with dissatisfaction with dental appearance, 19,20 resulting in the search for orthodontic treatment. In adults, midline diastema demonstrably causes aesthetic concern.…”

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confidence: 99%

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Should midline diastema in mixed dentition be an aesthetic concern?

Araújo

Menezes

Santamaria‐Jr

et al. 2022

Orthod Craniofacial Res

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Background Mixed dentition determines an important period of occlusion development in childhood. Objective This study aimed to evaluate the aesthetic impact of the midline diastema cut‐off point in mixed dentition. Design A cross‐sectional study was performed with 257 children aged 8‐10 years in late mixed dentition, with midline diastema of 1‐5 mm and normal maxillary overjet. Orthodontic Aesthetic Subjective Impact Score determined the aesthetic impact of the midline diastema. Four quartiles of diastema measurements and impact scores were considered as cut‐off points. Receiver Operating Characteristic curves were constructed, and the distances representing the distances to the ideal point were calculated. The Yuden index determined the efficiency of measuring the diastema to assess the aesthetic impact. The Kruskal‐Wallis test compared the groups of participants classified according to the diastema cut‐off by the sample quartile regarding the impact score. The analyses were performed with a significance level of 5%. Results There was no significant difference between the four groups of measurement quartiles of the diastema regarding the aesthetic impact (P > .05). Conclusions The perception of dental aesthetics in mixed dentition children was not affected by the midline diastema, regardless of the cut‐off point.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Should midline diastema in mixed dentition be an aesthetic concern?

Araújo

Menezes

Santamaria‐Jr

et al. 2022

Orthod Craniofacial Res

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“…Around the age of eight, children can identify physical characteristics related to their appearance based on criteria similar to those used by adults. [7][8][9] Although some characteristics of occlusion during mixed dentition do not constantly configure the presence of malocclusion, it is during this phase that the most remarkable and most significant changes in children's occlusion occur. 4,9 Moreover, mixed dentition is the phase that allows most interceptive orthodontic procedures, 10 which justifies understanding of the multidimensional aspects that are involved in this period.…”

Section: Introductionmentioning

confidence: 99%

Correlation between general quality of life and oral health related quality in the mixed dentition

CARNEIRO,

SANTOS,

MORAES

et al. 2024

Braz. oral res.

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The aim of this study was to evaluate the convergence between the domains of the Autoquestionnaire Qualité de Vie Enfant image (AUQUEI) and the Child Perceptions Questionnaire (CPQ8-10) in the mixed dentition. A sample of 676 children aged 8 to 10 years responded to the health-related quality of life (HRQoL) and oral healthrelated quality of life (OHRQoL) questionnaires using the AUQUEI and the CPQ 8-10 , respectively. Clinical (dental caries and malocclusion) and socioeconomic variables were assessed. The validity of convergence between scores (total and per domain) of the two instruments was assessed by Spearman correlation analysis, considering that non-zero coefficient values represented a correlation between scores. The median was calculated to compare the scores of each questionnaire relative to the variables, and the nonparametric Mann-Whitney test was applied to determine statistically significant differences between the categories. A weak significant correlation (between 0.30 and 0.50) was observed between the domains and the total scores of instruments (p < 0.05), except for the leisure domain (p > 0.05). Participants with a lower family income had worse HRQoL (p < 0.05), and those with caries and malocclusion experience had worse OHRQoL (p < 0.05). In conclusion, the AUQUEI and CPQ 8-10 instruments showed a weak correlation. Income and clinical variables had a negative impact on the AUQUEI and CPQ 8-10 , respectively.

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Expert consensus on pediatric orthodontic therapies of malocclusions in children

Zhou,

Duan,

et al. 2024

Int J Oral Sci

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Malocclusion, identified by the World Health Organization (WHO) as one of three major oral diseases, profoundly impacts the dental-maxillofacial functions, facial esthetics, and long-term development of ~260 million children in China. Beyond its physical manifestations, malocclusion also significantly influences the psycho-social well-being of these children. Timely intervention in malocclusion can foster an environment conducive to dental-maxillofacial development and substantially decrease the incidence of malocclusion or reduce the severity and complexity of malocclusion in the permanent dentition, by mitigating the negative impact of abnormal environmental influences on the growth. Early orthodontic treatment encompasses accurate identification and treatment of dental and maxillofacial morphological and functional abnormalities during various stages of dental-maxillofacial development, ranging from fetal stages to the early permanent dentition phase. From an economic and societal standpoint, the urgency for effective early orthodontic treatments for malocclusions in childhood cannot be overstated, underlining its profound practical and social importance. This consensus paper discusses the characteristics and the detrimental effects of malocclusion in children, emphasizing critical need for early treatment. It elaborates on corresponding core principles and fundamental approaches in early orthodontics, proposing comprehensive guidance for preventive and interceptive orthodontic treatment, serving as a reference for clinicians engaged in early orthodontic treatment.

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Esthetic impact of maxillary midline diastema and mandibular crowding in children in the mixed dentition

Cited by 3 publications

References 25 publications

Should midline diastema in mixed dentition be an aesthetic concern?

Should midline diastema in mixed dentition be an aesthetic concern?

Correlation between general quality of life and oral health related quality in the mixed dentition

Expert consensus on pediatric orthodontic therapies of malocclusions in children

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