Malocclusion and dental appearance in underprivileged Brazilian adolescents

Kaieda, Armando Koichiro; Bulgareli, Jaqueline Vilela; Cunha, Inara Pereira da; Vedovello, Sílvia Amélia Scudeler; Guerra, Luciane Miranda; Ambrosano, Gláucia María Bovi; Pereira, Antônio Carlos; Paranhos, Luiz Renato; Cortellazzi, Karine Laura

doi:10.1590/1807-3107bor-2019.vol33.0014

Cited by 14 publications

(19 citation statements)

References 31 publications

(44 reference statements)

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“…They observed that an increase in specific types of malocclusion was related to greater dissatisfaction with dental aesthetics. 43 Although the visual analogue scale (VAS) has limitations concerning content validity, the present study found high but similar VAS scores for expectations before and satisfaction after treatment for all aspects evaluated (chewing, aesthetics, phonetics and comfort). 46 A systematic review identified factors associated with treatment satisfaction of patients and caregivers, when applicable.…”

Section: Aesthetics and Satisfaction With Treatment And Servicessupporting

confidence: 55%

“…In addition, aesthetic changes resulting from treatment are considered an important indicator when judging the final treatment results. 42,43 Studies assessing satisfaction with aesthetics have confirmed that aesthetics is a key element for patients seeking dental treatment. Furthermore, studies have shown that patients with severe dental anxiety have less satisfaction with dental and facial appearance, and that the self-rating of orofacial aesthetics is related to both oral and psychological health.…”

Section: Aesthetics and Satisfaction With Treatment And Servicesmentioning

confidence: 99%

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Patient-centered assessments: how can they be used in dental clinical trials?

et al. 2020

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Recently, there has been greater interest in adopting a more holistic approach to healthcare. However, this trend should not limit itself merely to the notion that a human being lies behind the mouth being treated. Rather, it should embrace the understanding that this human can actively participate in and contribute to the treatment process. Patient Report Outcome Measures (PROMs) and Patient Report Experience Measures (PREMs) provide means for measuring data from the patient's perspective, and enable health-related feelings and functions to be evaluated. Accordingly, this critical review aims to provide definitions, rationales and applications of patient-centered approaches in dental clinical research. Some patient-centered constructs are especially relevant to dental clinical trials, such as oral healthrelated quality of life, pain/discomfort, aesthetics and satisfaction concerning treatment and services. The selection and application of patient-reported measures can vary according to condition (generic, disease-specific or treatment-specific) and to the specific population evaluated (age and cognitive impairment). These measures can help weigh risks and benefits, as well as assess the cost effectiveness of treatments, thus influencing treatment recommendations and health policies. The incorporation of these measures into a professional's daily life not only represents an improvement in professional performance, but also addresses a humanitarian concern.

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Section: Aesthetics and Satisfaction With Treatment And Servicessupporting

confidence: 55%

Section: Aesthetics and Satisfaction With Treatment And Servicesmentioning

confidence: 99%

Patient-centered assessments: how can they be used in dental clinical trials?

et al. 2020

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“…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%

“…5,16 However, the impact of dental esthetics during adolescence need further understanding, especially regarding the adolescents' expectations toward orthodontic treatment. 3,13,[17][18][19] Selfperceived dissatisfaction with dental esthetics has been reported to significantly influence the demand for orthodontic treatment. 7,10,14,20 Orthodontic treatment has an immediate, positive impact on the appearance and behavior of adolescents.…”

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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