Qualitative evaluation of pretreatment patient concerns in orthodontics

Twigge, Eugene; Roberts, Rachel; Jamieson, Lisa; Dreyer, Craig; Sampson, Wayne

doi:10.1016/j.ajodo.2015.12.017

Cited by 13 publications

(4 citation statements)

References 31 publications

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“…Adolescent patients seek to improve their dental appearance and aspects of their quality of life. Twigge et al 41 (2016) / Australia / American Journal of Orthodontics and Dentofacial Orthopedics Assess, through patient facial images and qualitative methodology, patients’ orthodontic concerns, which are incorporated into and are important in treatment planning and consent. Qualitative and quantitative / Interviews / 105 / Adolescents (12-17 years old) Adolescents were more concerned with the appearance of crowding and gaps in the front teeth, and with the difficulty of cleaning these teeth.…”

Section: Resultsmentioning

confidence: 99%

Evidence in Orthodontics related to qualitative research

Almeida

Leite

Silva

2018

Dental Press J. Orthod.

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Introduction: Research in Orthodontics has historically followed the positivist model based on the direct relationship of cause and effect between diseases and their specific etiological factors. Despite the objectivity and the great potential of statistical procedures, quantitative methods have progressively been sharing space with other models that can encompass the multiplicity of factors that affect the health-disease process, which until such time was reduced to its biological dimension. Objectives: This study aims, through an integrative review, to identify orthodontics articles published over a 10-year period that have used, exclusively or not, some method of qualitative research, and analyze the main aspects of their content. Methods: A survey was performed on Pubmed, Medline, Scopus, and Lilacs databases from 2007 to 2016 with a focus on the applicability of the qualitative methodology in orthodontic research. Results: The 27 articles selected showed a trend to increase in publications, with the most recent four years concentrating almost 60% of them. Most studies were from Europe, particularly the UK, and the more frequent study objectives were related to the perception of people about the reasons for orthodontic treatment, about the aesthetic and psychosocial impact of malocclusion or orthodontic treatment, and the implications of these factors for their quality of life. Conclusions: Because of its potential to explore behaviours and socio-cultural attitudes sustained in subjectivity, qualitative research offers new possibilities for orthodontic studies and can be used in an exclusive or complementary way in relation to quantitative methods.

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Section: Resultsmentioning

confidence: 99%

Evidence in Orthodontics related to qualitative research

Almeida

Leite

Silva

2018

Dental Press J. Orthod.

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“…Teenagers with malocclusion were particularly ashamed to expose their teeth when speaking to others, according to one prominent example [ 24 ]. Not all teenagers, though, have sensitive teeth when they smile [ 25 ]. Additionally, despite the fact that it may appear like an easy task, qualitative interviews gave insight into the anxiety experienced by orthodontic patients when asked to smile for a photograph [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of Smile Aesthetic Changes With Fixed Orthodontic Treatment

Saini¹,

Thakur²,

Goyal³

et al. 2022

Cureus

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Introduction: The mouth and teeth are vital in facial aesthetics and the face as a whole is the most critical individual component determining one's physical look. As dentists, we need to be aware that this might significantly alter the care given to a patient since the patient's and the dentist's ideas of beauty may be quite different. This study sought to ascertain how the general public, general dental specialists, and orthodontics all rated the attractiveness of patients who had received orthodontic treatment using a visual scale, as well as how the facial reference could be used to gauge the improvement in smiles.Methodology: The attractiveness of 80 continuously treated patients was assessed by comparing their preand post-treatment posed grin images. The attractiveness of participants' smiles was evaluated using the Visual Simple Scale, which measures affect, and the Graph of Facial Stylish Reference, which measures objectively. "Making a Jazzy Face Chart" -The analysts were able to fairly evaluate changes in elements such as the symmetry of the smile twist, the position of the gingival peak of the front teeth relative to each other, the height of the incisal edges of the front teeth, the width of the connector band of the front six teeth, and the general tip of the front teeth by referring to photographs taken during treatment. We put the Visual Basic Scale to the test by having five male orthodontists, five male general dental specialists, and five male laypeople rate how much of an improvement they noticed between the before and after photos of a patient's smile.Results: According to the findings of the first section of the research, orthodontic treatment generally leads to an increase in all indicators. Some instances, however, demonstrated worsening in characteristics such as grin arc consonance, gingival zenith location relative to each other, and incisal edge height. The second half of this research revealed that the opinions of orthodontic specialists, general dentists, and the general public varied with regard to the beauty of a smile. Conclusion:Based on this research, we can say the following: Orthodontic treatment led to improvements in many of the variables that contribute to smile attractiveness, factors include the interproximal width of contact area, the height of the incisal margins of the front teeth, and the location of the gingival zenith in relation to one another, to name a few. The results of this research support the idea that the aesthetics of the smile should be assessed at the last stages of orthodontic treatment when fine adjustments are being made.

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“…Poucas informações qualitativas estão disponíveis sobre percepções dos pacientes em relação a preocupações ortodônticas. Twigge et al (2016) realizaram um estudo diante das imagens faciais do paciente para avaliar Houve uma concordância de 53% entre as percepções dos ortodontistas e dos indivíduos sobre seus próprios perfis. Concluíram que estudantes de odontologia foram mais precisos na percepção, seguido de pacientes de ortodontia e leigos.…”

Section: Fatores Que Podem Influenciar a Percepção Facialunclassified

Percepção da Estética Facial em Relação ao Tratamento Ortodôntico: Revisão de Literatura

et al. 2021

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A preocupação com a percepção dos pacientes em relação à estética facial evidencia uma mudança de paradigma uma vez que durante o planejamento ortodôntico cada vez mais a opinião dos pacientes tem sido considerada, decisão que no passado era quase que exclusivamente profissional. Com essa mudança, se torna imprescindível quantificar a percepção do próprio paciente em relação à má oclusão e ao comprometimento facial associado a ela, visando estabelecer estratégias de tratamento exequíveis e que contemplam as queixas dos pacientes. Esta revisão de literatura teve como objetivo revisar estudos sobre a percepção da estética facial no tratamento ortodôntico. O desenvolvimento desta revisão foi realizado por meio de plataformas de buscas de pesquisas científicas como: PubMed, Medline e SciElo, utilizando os termos: agradabilidade facial, percepção, e análise facial para seleção dos artigos. Foram encontrados 143 artigos com buscas pelas palavras-chave, porém, 61 artigos envolviam pesquisas na área da cirurgia plástica, psicologia e otorrinolaringologia, sendo excluídos da coleta de dados, 19 artigos não indexados, 22 estudos eram teses e dissertações, no qual também foram excluídos. Por fim, foram incluídos 41 artigos na área da Ortodontia sobre tópicos que contemplavam a avaliação da percepção facial por diferentes avaliadores, assim como fatores que pudessem influenciar nessa percepção. Com base na literatura acerca do tema, pôde-se concluir que vários fatores podem influenciar a percepção da estética facial e que mais estudos devem ser realizados, visando entender as diferentes percepções da estética facial com o objetivo de alinhar as expectativas entre pacientes e profissionais. Palavras-chave: Agradabilidade Facial. Percepção. Análise Facial. Abstract The concern with the patient’s facial perception shows a paradigm shift, in which the decision of the treatment plan previously made only by orthodontists today includes more and more the participation of patients. With this change, it is essential to quantify the patient’s perception of malocclusion and the facial impairment associated, in order to establish feasible treatment strategies that address patients’ complaints. This literature review aimed to evaluate studies regarding the perception of facial aesthetics in orthodontic treatment. The development of this review was carried out by scientific search platforms such as: PubMed, Medline and SciElo, using the terms: facial pleasantness, perception, and facial analysis for the selection of articles. A total of 143 articles were found, however, 61 articles involved research in the field of plastic surgery, psychology and otorhinolaryngology, 19 were non-indexed articles, 22 studies were theses and dissertations and were excluded. Finally, 41 articles in the area of orthodontics were included, which dealt with topics on the assessment of perception by different evaluators, factors that could influence the perception of facial aesthetics. Based on the literature revised on this topic, it was concluded that several factors can influence the perception of facial aesthetics and that more studies should be carried out, aiming to understand the different perceptions of facial aesthetics with the objective to align expectations between patients and professionals. Keywords: Facial Pleasantness. Perception. Facial Analysis.

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Qualitative evaluation of pretreatment patient concerns in orthodontics

Cited by 13 publications

References 31 publications

Evidence in Orthodontics related to qualitative research

Evidence in Orthodontics related to qualitative research

Analysis of Smile Aesthetic Changes With Fixed Orthodontic Treatment

Percepção da Estética Facial em Relação ao Tratamento Ortodôntico: Revisão de Literatura

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