Factors associated with the desire for orthodontic treatment among Brazilian adolescents and their parents
Tóm tắt
In the period of adolescence physical appearance takes on significant importance in the construction of personal identity, including one's relationship with one's own body. A variety of social, cultural, psychological and personal factors influences the self-perception of dental appearance and the decision to undergo orthodontic treatment. Adolescents who seek orthodontic treatment are concerned with improving their appearance and social acceptance. The aim of the present study was to determine factors associated to the desire for orthodontic treatment among Brazilian adolescents and their parents.
The sample consisted of 403 subjects aged 14 to 18 years, selected randomly from a population of 182,291 schoolchildren in the same age group. The outcome variable "desire for orthodontic treatment" was assessed through a questionnaire. Self-perception of dental aesthetics was assessed using the Oral Aesthetic Subjective Impact Scale (OASIS) and the Dental Aesthetic Index (DAI) was used for clinical assessment. Statistical analysis involved the chi-square test as well as both simple and multiple logistic regression analyses.
The majority (78%) of the Brazilian adolescents desired orthodontic treatment and 69% of the parents reported that their children were not in orthodontic treatment due to the high costs involved. There was significant association (p ≤ 0.05) between the desire for orthodontic treatment and most types of malocclusion. However, there was no significant association between the desire for orthodontic treatment and the variables gender and age.
The following were considered factors associated to the desire for treatment: upper anterior crowding ≥ 2 mm and parents' perception of their child's need for treatment.
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Tài liệu tham khảo
Bos A, Hoogstraten J, Prahl-Andersen B: Expectations of treatment and satisfaction with dentofacial appearance in orthodontic patients. Am J Orthod Dentofacial Orthop. 2003, 123 (2): 127-132. 10.1067/mod.2003.84.
de Oliveira CM, Sheiham A: Orthodontic treatment and its impact on oral health-related quality of life in Brazilian adolescents. J Othod. 2004, 31 (1): 20-27. 10.1179/146531204225011364.
Marques LS, Ramos-Jorge ML, Paiva SM, Pordeus IA: Malocclusion: esthetic impact and quality of life among Brazilian schoolchildren. Am J Orthod Dentofacial Orthop. 2006, 129 (3): 424-427. 10.1016/j.ajodo.2005.11.003.
Kiyak HA: Comparison of esthetic values among Caucasians and Pacific-Asians. Community Dent Oral Epidemiol. 1981, 9 (5): 219-223. 10.1111/j.1600-0528.1981.tb00333.x.
Shaw WC, Meek SC, Jones DS: Nicknames, teasing harassment and the salience of dental features among school children. Br Dent J. 1980, 7 (2): 75-80.
Baldwin DC: Appearance and aesthetics in oral health. Community Dent Oral Epidemiol. 1980, 8 (5): 244-256. 10.1111/j.1600-0528.1980.tb01296.x.
Marques LS, Barbosa CC, Ramos-Jorge ML, Pordeus IA, Paiva SM: [Malocclusion prevalence and orthodontic treatment need in 10-14-year-old schoolchildren in Belo Horizonte, Minas Gerais State, Brazil: a psychosocial focus]. Cad Saude Publica. 2005, 21 (4): 1099-1106. 10.1590/S0102-311X2005000400012.
Bernabe E, Flores-Mir C, Sheiham A: Prevalence, intensity and extent of Oral Impacts on Daily Performances associated with self-perceived malocclusion in 11-12-year-old children. BMC Oral Health. 2007, 7: 6-10.1186/1472-6831-7-6.
Bernabe E, Tsakos G, Messias de Oliveira C, Sheiham A: Impacts on daily performances attributed to malocclusions using the condition-specific feature of the Oral Impacts on Daily Performances Index. Angle Orthod. 2008, 78 (2): 241-247. 10.2319/030307-111.1.
World Health Organization (WHO): Health through oral health: guidelines for planning and monitoring for oral health care. 1989, World Health Organization (WHO) and Fédération Dentarie Internationale. London: Quintessence
Zhang M, McGrath C, Hägg U: The impact of malocclusion and its treatment on quality of life: a literature review. Int J Paediatr Dent. 2006, 16 (6): 381-387. 10.1111/j.1365-263X.2006.00768.x.
Shaw WC, Richmond S, Kenealy PM, Kingdon A, Worthington H: A 20-year cohort study of health gain from orthodontic treatment: psychological outcome. Am J Orthod Dentofacial Orthop. 2007, 132 (2): 146-157. 10.1016/j.ajodo.2007.04.009.
Cons NC, Jenny J, Kohout FJ, Freer TJ, Eismann D: Perceptions of occlusal conditions in Australia, the German Democratic Republic and the United States of America. Int Dent J. 1983, 33 (2): 200-206.
Mandall NA, McCord JF, Blinkhorn AS, Worthington HV, O'Brien KD: Perceived aesthetic impact of malocclusion and oral self-perceptions in 14-15-year-old Asian and Caucasian children in greater Manchester. Eur J Orthod. 2000, 22 (2): 175-183. 10.1093/ejo/22.2.175.
The Brazilian Economic Classification Criterion. [http://www.abep.org]
Ingervall B, Hedegard B: Awareness of malocclusion and desire of orthodontic treatment in 18-year old Swedish men. Acta Odontol Scand. 1974, 32 (2): 93-101. 10.3109/00016357409002538.
Helm S, Petersen PE, Kreiborg S, Solow B: Effect of separate malocclusion traits on concern for dental appearance. Community Dent Oral Epidemiol. 1986, 14 (4): 217-220. 10.1111/j.1600-0528.1986.tb01538.x.
Gosney MB: An investigation into some of the factors influencing the desire for orthodontic treatment. Br J Orthod. 1986, 13 (2): 87-94.
Kilpelainen PV, Phillips C, Tulloch JF: Anterior tooth position and motivation for early treatment. Angle Orthod. 1993, 63 (3): 171-174.
Coyne R, Woods M, Abrams R: The community and orthodontic care. Part II: Community-perceived importance of correcting various dentofacial anomalies. Part III: Community perception of the importance of orthodontic treatment. Aust Orthod J. 1999, 15 (5): 289-301.
Espeland LV, Ivarsson K, Stenvik A: A new Norwegian index of orthodontic treatment need related to orthodontic concern among 11-year-olds and their parents. Community Dent Oral Epidemiol. 1992, 20 (5): 274-279. 10.1111/j.1600-0528.1992.tb01698.x.
Pietila T, Pietila I: Dental appearance and orthodontic services assessed by 15-16-year-old adolescents in eastern Finland. Community Dent Health. 1996, 13 (3): 139-144.
Tung AW, Kiyak HA: Psychological influences on the timing of orthodontic treatment. Am J Orthod Dentofacial Orthop. 1998, 113 (1): 29-39. 10.1016/S0889-5406(98)70274-4.
Aberastury A, Knobel M: Normal adolescence. 1981, Artes Médicas: Porto Alegre, 92-
Shaw WC: The influence of children's dentofacial appearance on their social attractiveness as judged by peers and lay adults. Am J Orthod. 1981, 79 (4): 399-415. 10.1016/0002-9416(81)90382-1.