Psychosoziale Aspekte bei kieferorthopädisch behandelten und unbehandelten Erwachsenen mit ähnlichen, gut sichtbaren Zahnstellungsfehlern

Abstract

A study was undertaken to compare the psychosocial aspects of orthodontic treatment or non-treatment of female adults, 25 of whom underwent treatment and 25 of whom did not, with similar, visible malocclusion. Interviews, for which 52 standardized questions were prepared in collaboration with a graduate psychologist, served as the methodological basis of the study. The results of the study indicate that in relation to the aesthetic aspects of orthodontic treatment, the treated group showed a high degree of sensitivity and self perception. Following orthodontic treatment members of this group exhibited a highly significant improvement in their subjective perception of the aesthetic aspects of their dental and facial appearance. In spite of the differences observed in the 2 groups, it nevertheless remains difficult to draw general conclusions or to recommend guidelines which would cover all cases. When the question is to orthodontically treat or not treat female adults, the answer rests with the individual patient.

Adult patients' view of orthodontic treatment outcome compared to professional assessments

“…Only few studies have focused on treatment outcome from the adult patients' point of view [1,6,29,32], addressing either the psychology of adult treatment [29], psychological effects [6], motivation [1], or retrospective evaluation [29,32]. We have yet to find a comprehensive assessment which takes both the professional and the subjective evaluation of orthodontic treatment outcome into account.…”

A 57-year Follow-up Study of Occlusion

“…One might ask to what extent attractive teeth themselves have a positive effect on the individual oral hygiene standard and frequency of visits to the dentist? Studies have demonVon besonderem Interesse sind Angaben von Personen, die jahrzehntelang mit einer unbehandelten Malokklusion gelebt haben [3,7]. Helm & Petersen [6] haben über unbehandelte Gebissfehlstellungen zwischen dem 15. und dem 35.…”

“…Der Aufbau des Interviews stützte sich auf Erfahrungen aus früheren Untersuchungen [3,4,7,9]. Die epidemiologischen/statistischen Aspekte wurden mit dem Statistiker der zahnmedizinischen Fakultät, Professor Sandvik, abgestimmt.…”

“…The interview covered 34 items whose essential results are reflected in Table 1. The interview was structured according to experience from earlier studies [3,4,7,9], including consultation with the epidemiological expert in the Faculty of Dentistry (Professor Sandvik).…”

“…Information from persons who have lived with a malocclusion for many years is of particular interest [3,7]. Helm & "Normale, schöne" Zahnstellung (NTP): Die Frage lautete: "Wie wichtig erachten Sie die Bedeutung einer regelmäßigen schönen Zahnstellung für das Aussehen"?…”