How is orthodontic treatment need associated with perceived esthetic impact of malocclusion in adolescents?

Meira, Ana Claudia Lima de Oliveira; Custódio, William; Borges, Técia Mendes Daltro; Meneghim, Marcelo de Castro; Santamaria, Milton; Vedovello, Sílvia Amélia Scudeler

doi:10.1016/j.ajodo.2019.09.009

Cited by 22 publications

(22 citation statements)

References 49 publications

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“…This study further showed that gender did not influence the subjective esthetic impact of malocclusion in adolescents. Although most studies previously showed that women were more concerned about the attractiveness of their smiles than were men, 2,8,13,37 a recent study pointed out that concerns about dental appearance have been more prevalent among men. 3 Biological diversity may influence self-perceived esthetics in men and women, suggesting that further studies should consider each population group's cultural background and diversity.…”

Section: Discussionmentioning

confidence: 94%

“…Hence, there is an increasing interest in studying the relationship between selfperceived malocclusion and orthodontic treatment need at this stage of life. [1][2][3]16,18,21,33,34 The study hypothesis was that occlusal changes in the smile and malocclusion severity levels would impact adolescents' esthetic concerns.…”

Section: Discussionmentioning

confidence: 99%

“…Dissatisfaction with dental esthetics is a subjective indicator related to behavioral problems in adoles-cence. [1][2][3] At that stage of life, malocclusion can be a trigger for psychological stress 4,5 due to shame, intimidation, and depression. [6][7][8] Individuals with low self-esteem are more likely to experience malocclusion-related adverse esthetic effects, [9][10][11] influencing social life, [12][13][14] and oral health-related quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Is the adolescent's esthetic concern associated with anterior occlusal conditions or the malocclusion severity level?

Melo¹,

Vedovello-Filho²,

Furletti-Góis³

et al. 2021

The Angle Orthodontist

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Objectives To assess the esthetic impact of anterior occlusal conditions and malocclusion severity levels. Materials and Methods A population-based cross-sectional study of 700 adolescents aged 15 to 19 years was conducted. The Oral Aesthetic Subjective Impact Scale (OASIS) was used to evaluate the subjective esthetic impact of malocclusion. The Dental Aesthetic Index (DAI) criteria were used to diagnose the anterior occlusal characteristics in isolation and the severity levels of malocclusion. The variables with P < .20 in the individual analyses were tested in multiple logistic regression models, and those with P < .10 remained in the model. The adjusted odds ratio (OR) was estimated with a 95% confidence interval (CI). Results Of the adolescents, 42% showed negative self-perception of malocclusion. In addition, 15.4% of adolescents had severe malocclusion (DAI 3) and 18.9% very severe malocclusion (DAI 4). Crowding and spacing were shown to be 2.90 (CI: 2.06–4.09) and 2.53 (CI: 1.65–3.86) times, respectively, more likely to cause a negative esthetic impact in adolescents (P < .05). In addition, adolescents with orthodontic treatment need (DAI 2, 3, and 4) were more likely to report a negative esthetic impact (P < .05). Conclusions Anterior crowding and spacing are the conditions that most influence the esthetic concern of adolescents. Adolescents with very severe malocclusion and higher orthodontic treatment need are more likely to report a negative esthetic impact.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is the adolescent's esthetic concern associated with anterior occlusal conditions or the malocclusion severity level?

Melo¹,

Vedovello-Filho²,

Furletti-Góis³

et al. 2021

The Angle Orthodontist

View full text Add to dashboard Cite

show abstract

“…Orthodontics aims to study and guide the growth and development of maxillofacial elements and proportions that contribute to normal appearance and functional demands [ 5 ]. These are essential for basic functions, namely mastication, swallowing and breathing [ 61 , 62 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

“…To achieve these goals, researchers get motivated to understand the development and function of the bony tissue and the temporomandibular joint (TMJ) alike. It is noteworthy that facial appearance may affect self-esteem [ 2 , 3 ] and quality of life [ 4 ], hence the orthodontist seeks either to prevent or diagnose early, and then to tackle the most prominent malformations [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Posterior Mandibular Displacement—A Systematic Review Based on Animal Studies

Lyros

Makrygiannakis

Lykogeorgos³

et al. 2021

Animals

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Treating extreme mandibular growth is challenging. The mandible is pushed backwards to address itsprotrusion. Nevertheless, conclusions after such displacement in animals have been contradictory. The aim of the present review is to present measurable alterations of the mandible and the condyle following retractionin healthy rats or rabbits. PubMed, Scopus and Web of Science were accessed for relevant studies up to October 2020. Eligibility was determined by the PICOS process, while the risk of bias was estimated with SYRCLE’s risk of bias tool. Retraction resulted in a more distal molar occlusion and the condyle rested more posteriorly. Mandibular anteroposterior bilateral growth restriction was achieved, the condylar process measured smaller and its angulation increased. The condylar neck thickened, its posterior surface flattened, the coronoid process was measured longer, and enlarged retromolar density was registered. Differences in the ramus height and the intercondylar distance were insignificant. Changes persisted for the period of study and subsequently the mandible resumed its inherited growth pattern. The timing of mandibular shaping and TMJ outcomes might depend on the properties of the applied force. Stability is of concern and well-structured, long-term studies are expected to resolve the issue and further clarify the results of posterior mandibular displacement.

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Impact of Dental Aesthetic Index characteristics on the severity levels of malocclusion in a non-White population

Silva

Carneiro²,

Nabarrette³

et al. 2022

American Journal of Orthodontics and Dentofacial Orthopedics

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How is orthodontic treatment need associated with perceived esthetic impact of malocclusion in adolescents?

Cited by 22 publications

References 49 publications

Is the adolescent's esthetic concern associated with anterior occlusal conditions or the malocclusion severity level?

Is the adolescent's esthetic concern associated with anterior occlusal conditions or the malocclusion severity level?

Posterior Mandibular Displacement—A Systematic Review Based on Animal Studies

Impact of Dental Aesthetic Index characteristics on the severity levels of malocclusion in a non-White population

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