The Cardiff dental study: A 20‐year critical evaluation of the psychological health gain from orthodontic treatment

Kenealy, Pamela; Kingdon, Anne; Richmond, Stephen; Shaw, William C.

doi:10.1348/135910706x96896

Cited by 69 publications

(56 citation statements)

References 50 publications

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“…One randomised controlled trial did find a short term improvement in self-concept when children with a class II division 1 malocclusion were treated early (aged 8 to 10) compared with an untreated control; 30 however other studies have found that orthodontic treatment has no effect on the psychological well-being of individuals, and self-esteem in particular, over the long term. [31][32][33] This has not been a surprising finding to others either. 34 Pitner cites the work of Diener and colleagues, who have studied the ability of people to adapt over time to new situations and extreme life events.…”

Section: Psychological Well-beingmentioning

confidence: 54%

What is the value of orthodontic treatment?

2015

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SummaryOrthodontic treatment is as popular as ever. Orthodontists frequently have long lists of people wanting treatment and the cost to the NHS in England was £261m in 2013-14 (approximately 11% of the NHS annual spend on dentistry). It is important that clinicians and healthcare commissioners constantly question the contribution of interventions towards improving the health of the population. In this article the authors outline some of the evidence for and against the claims that people with a malocclusion are at a disadvantage compared with those without a malocclusion and that orthodontic treatment has significant health benefits. The authors would like to point out that this is not a comprehensive and systematic review of the entire scientific literature. Rather the evidence is presented in order to stimulate discussion and debate.

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Section: Psychological Well-beingmentioning

confidence: 54%

What is the value of orthodontic treatment?

2015

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“…[36][37][38] The impact of oral health conditions on quality of life, especially in items of satisfaction with appearance, may result in feelings of shame in social contacts and those who are psychosocially disadvantaged. 10,15,17,24,30,38,39 Therefore, the expected benefits of orthodontic treatment would include an enhancement of self-esteem and a reduction in social anxiety.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Impact of Dental Esthetics on Quality of Life in Adolescents

Junior

Santos

Silva

et al. 2009

The Angle Orthodontist

150

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Objective: To test the hypothesis that several dimensions of the self-perceived psychosocial impacts of dental esthetics are not associated with grades of malocclusion, oral health–related quality-of-life measures, and body self-image in adolescents. Materials and Methods: This cross-sectional study included a convenience sample of 301 adolescents (mean age 16.1 ± 1.8 years, 58.1% female subjects). Demographic data were collected and dental conditions were assessed. The Dental Aesthetic Index (DAI) was used for assessment of malocclusion and determination of orthodontic treatment needs. The short form of the Oral Health Impact Profile (OHIP-14), the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), and the Body Satisfaction Scale (BSS) were used to measure adolescents' self-perceived variables. Results: All variables (DAI, OHIP-14, and BSS) were correlated with PIDAQ (P < .001). Stepwise multiple regression analysis revealed significant associations (P < .001) of independent variables with the total score of PIDAQ (R2 = 0.29) and dental self-confidence (R2 = 0.30), social impact (R2 = 0.14), psychological impact (R2 = 0.23), and esthetic concern (R2 = 0.13). Conclusion: The hypothesis is rejected. A broad range of adolescents' self-perceived impact of dental esthetics is influenced by severity of malocclusion, oral health–related quality of life, and body satisfaction.

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“…However, a recent 20-year longitudinal study concluded that there was little objective evidence to support the assumption that orthodontics improves long-term psychological health. Thus, orthodontics cannot be justified on psychological grounds alone [33]. Therefore, further studies are needed to provide a greater understanding of the consequences of malocclusion, the effects of malocclusion if left untreated, and also the possible benefits of orthodontic care on day-to-day activities.…”

Section: Discussionmentioning

confidence: 99%