Perceived aesthetic impact of malocclusion in 16-24 year-old adults in the rural areas of India

Marya, CM; Rekhi, Amit; Nagpal, Ruchi; Oberoi, Sukhvinder Singh; Dhingra, Chandan

doi:10.4103/2347-9264.139701

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“…81 Extensive studies have been performed to assess the self-perceived oral health status and self-perceived esthetics as related to the prevalence of malocclusion but these studies rely on the clinical interpretation of the investigator with no simple way of eliciting a young adolescent's response, thus not truly eliciting informed consent from the adolescent with the main involvement of only the clinician and a parent or guardian. 50,[82][83][84][85][86][87][88][89][90][91][92] The World Health Organization indicates the need for any index to be simple, reliable, reproducible, and accurate enough to cater to the screening of large groups of individuals. 93 The verbally assigned SMILE index proposed by the authors allows the child to feel at ease and allows for spontaneous and truthful answers to be elicited without the coercion or pressure a young adolescent would feel if asked to fill up a printed questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Cross-Sectional Evaluation of Self-Perceived Orthodontic Treatment Needs Amongst Tribal Adolescent With Remote Access to Orthodontic Treatment Using a Simplified Malocclusion Index

Digumarthi

Prakash

2021

J Indian Orthod Soc

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Background: Self-perceived orthodontic treatment need is strongly influenced by what is perceived to be the esthetic norm amongst a community, and reluctance toward treatment amongst adolescents with clinically ascertained malocclusion may often be due to readily remediable factors. Of particular interest is the prevalence of malocclusion amongst such communities as a probable indicator of the role of diet and genetics in establishing a predominant clinical phenotype that may also play a role in the construct of what is perceived as the esthetic norm amongst the community, thereby influencing the self-perceived need for treatment. Studies aimed at evaluating the association between self-perceived esthetics, and self-perceived treatment need have not been performed amongst a population with no prior exposure to orthodontic treatment Objectives: The purpose of this study was to evaluate the self-perceived orthodontic treatment need amongst the tribal adolescents belonging to regions with remote access to orthodontic treatment by way of a verbally assigned index and to also identify the reasons of reluctance toward treatment to better understand how to make orthodontic treatment readily accessible to such populations. Participants, Materials, and Methods: The agency areas of Paderu located at 18.0833°N 82.667°E and Parvathipuram located at 18°46'N 83°25'E are 2 revenue districts of Visakhapatnam and Vizianagaram, respectively, in the state of Andhra Pradesh, India, that are home to various tribal populations with remote access to orthodontic treatment. A total of 2,016 school-going tribal adolescents of the Paderu revenue division and 819 tribal adolescents of the Parvathipuram revenue division were examined to ascertain the prevalence of malocclusion. Necessary consent and permissions were obtained from the tribal authorities, the school authorities, parents, and the institutional ethical clearance committee. The screening was done utilizing natural daylight in compliance with infection prevention and control protocol. Clinical examination aimed at categorizing the observed occlusion into either ideal occlusion or one of the three classes of Angle’s class I, II, and III malocclusions. The Simplified Malocclusion Index For Layperson Evaluation (SMILE) was verbally assigned in the vernacular language while interacting with each child and the findings made note of for calculation of relevant scores related to their orthodontic awareness, self-esteem as related to self-perceived esthetics, and their self-perceived need for treatment. Reasons for reluctance to undergo treatment were noted down if expressed. An initial group of 31 adolescents categorized as presenting with clinical malocclusion were randomly picked up and assigned the SMILE index a second time to assess the reliability of the index by way of Cohen’s kappa statistic. Results: The initial test group of 31 individuals assigned the SMILE twice showed a Cohen’s kappa of 0.93 validating almost perfect intraoperator agreement. The SMILE index revealed that 80.95% of the adolescents of Paderu revenue division had orthodontic awareness and 79.51% had self-perceived esthetics but only 15.97% felt a need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 1,371] = 19.71, P < .001). The Index assigned to the Parvathipuram division revealed that 77.04% had orthodontic awareness and 78.38 had self-perceived esthetics but only 6.95% felt the need for orthodontic treatment. Pearson’s Chi squared statistical analysis indicated a gender bias related to the self-perceived need for orthodontic treatment ( X 2 [1, N = 764] = 4.95, P = .02). Conclusion: The self-perceived need for orthodontic treatment is often based on the self-perceived esthetics of an individual or the self-esteem as influenced by the perceived esthetic norm of the community. Orthodontic treatment of adolescents with borderline malocclusion derangements requires careful ascertaining of the actual perceived need of the patient to enable the rendering of a justifiable orthodontic treatment with the complete trust of the young patient. This helps build community trust in regions where orthodontic treatment has not yet made in roads and may help ensure higher end of treatment satisfaction levels.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Evaluation of Self-Perceived Orthodontic Treatment Needs Amongst Tribal Adolescent With Remote Access to Orthodontic Treatment Using a Simplified Malocclusion Index

Digumarthi

Prakash

2021

J Indian Orthod Soc

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“…It is well documented that esthetic perception changes with age. [1,24,30,31] A third factor could be related to different cultures and social norms between countries that may influence esthetic perception. Finally, high frequency of certain malocclusions within some ethnic groups makes this type of malocclusion perceived as normal.…”

Section: Discussionmentioning

confidence: 99%

Does Malocclusion Affect Adolescents' Social Acceptance?

Al-Hummayani

Taibah

2019

J Indian Orthod Soc

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The aim of this study was to evaluate the social impact and self-perception of malocclusion among adolescents and to investigate whether types and severity of malocclusion have any effect on adolescents' social acceptance. Methodology: The sample size was 886 males and females living in Jeddah city, Saudi Arabia, chosen from middle and high schools' students, with ages ranging from 12 to 19 years. After completion of the questionnaire to assess social impact, all participants were examined using Index of Orthodontic Treatment Need (IOTN), Dental Health Component, and Aesthetic Component. Results: The results showed that there was a highly significant difference between the means of both social impact and self-perceived need scores according to gender and according to the severity of treatment need as assessed by the examiner using IOTN. Malocclusion has a negative effect on social acceptance. Anterior spacing, anterior open bite, increased overjet, and crowding-in this order-have the most negative impacts on adolescents' social acceptance. Conclusions: Social acceptance is negatively affected by the severity of malocclusion. Spacing, open bite, increased overjet, and crowding have the most negative impacts on adolescents' social acceptance.

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Self perceived oro-facial behaviour and malocclusion among young adults in Hyderabad city

Tejaswini

Kulkarni

Doshi

et al. 2020

International Journal of Adolescent Medicine and Health

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AbstractBackgroundAesthetic alterations in the face can be self-perceived and can affect quality of life in young adults.ObjectiveTo assess the impact of malocclusion on self- perceived oro-facial behaviour among young adults.MethodsA Cross sectional study was conducted among 638 young adults (aged 18–21 years) of Hyderabad city. One college from each of the five zones of the Hyderabad city (five colleges) were selected by simple random sampling procedure. A 21-item Oro-facial investment scale (OFIS) questionnaire assessing self-perceived oral health knowledge, attitude, practice and Dental Aesthetic Index (DAI) assessing the severity of malocclusion was used. Data were analysed with standard statistical software (SPSS, Statistical package for the social sciences, version 20.0). p < 0.05 was considered statistically significant.ResultsMales had higher mean scores for knowledge (2.90 ± 0.49) than females (2.73 ± 0.82) and was statistically significant (p = 0.002*). No statistically significant gender differences were found in relation to attitude and practice. Analysis of variance (ANOVA) showed that there was a significant difference in all the three scores (knowledge, attitude, practice) with respect to age, with significantly high score for knowledge and practice among 18 year old subjects (p = 0.0001*; p = 0.0003* respectively) and attitude among 21 year old subjects (p = 0.0049*). No statistically significant age, gender differences were found in relation to DAI scores. Upon correlation, DAI significantly and positively correlated with knowledge (p = 0.03*) and attitude (p = 0.0001*).ConclusionThis study has shown significant impact of malocclusion on the self-perceived oro-facial behaviour.

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Perceived aesthetic impact of malocclusion in 16-24 year-old adults in the rural areas of India

Cited by 3 publications

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A Cross-Sectional Evaluation of Self-Perceived Orthodontic Treatment Needs Amongst Tribal Adolescent With Remote Access to Orthodontic Treatment Using a Simplified Malocclusion Index

A Cross-Sectional Evaluation of Self-Perceived Orthodontic Treatment Needs Amongst Tribal Adolescent With Remote Access to Orthodontic Treatment Using a Simplified Malocclusion Index

Does Malocclusion Affect Adolescents' Social Acceptance?

Self perceived oro-facial behaviour and malocclusion among young adults in Hyderabad city

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