Document Type : Original Article

Authors

1 Dentist, Private Practice, Kerman, Iran

2 Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran

3 Department of Orthodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background: The influence of orthodontic treatment on self-confidence and quality of life is a major reason for patients to seek treatment. This study was designed to assess the relationship between orthodontic treatment need and psychosocial impact of dental aesthetics in patients seeking orthodontic treatment.
Methods: This descriptive analytical cross-sectional study was performed on 165 patients referred to orthodontic clinics in Kerman to start treatment. Patients were selected by census method to reach the specified sample size. The data collection tools included 3 forms: demographic information form, Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and a form for recording information obtained from clinical examination to determine orthodontic treatment need based on Index of Orthodontic Treatment Need (IOTN). Data analysis was performed through SPSS 22 and using t test, ANOVA, and linear regression at a significance level of 0.05.
Results: The educational level of subjects and their parents and economic status showed no significant relationship with total PIDAQ score and any of its domains (P>0.05). In psychological impact domain, women’s score was significantly higher (P=0.016) and there was a significant relationship between the treatment need based on aesthetic component (AC) and the domains of dental self-confidence (P=0.003), social impact (P=0.049) and psychological impact (p=0.066), as well as the total score of questionnaire (P=0.012). Treatment need based on dental health component had no statistically significant relationship with PIDAQ score (P>0.05).
Conclusion: AC of IOTN had significant relationship with dental self-confidence, social impact and psychological impact as well as the total score of PIDAQ. In orthodontic treatments, in addition to malocclusion, the psychological aspects should also be considered.

Keywords

1. Torabi-Parizi M, Karimi-Afshar M, Mashayekhi F, Karimi-
Afshar M, Aminian A. Correlation between dental aesthetic
index and orthodontics-related quality of life among
students in south-east of Iran. J Oral Health Oral Epidemiol.
2020;9(1):16-23. doi: 10.22122/johoe.v9i1.1033.
2. Naito M, Yuasa H, Nomura Y, Nakayama T, Hamajima N,
Hanada N. Oral health status and health-related quality of
life: a systematic review. J Oral Sci. 2006;48(1):1-7. doi:
10.2334/josnusd.48.1.
3. Pabari S, Moles DR, Cunningham SJ. Assessment of motivation
and psychological characteristics of adult orthodontic
patients. Am J Orthod Dentofacial Orthop. 2011;140(6):e263-
72. doi: 10.1016/j.ajodo.2011.06.022.
4. Karimi-Afshar M, Torabi M, Safarian F, Dehghan MA, Karimi-
Afshar M. Effect of orthodontic treatments on quality of life
in adolescents. J Oral Health Oral Epidemiol. 2018;7(4):198-
204. doi: 10.22122/johoe.v7i4.445.
5. Eslamipour F, Afshari Z, Najimi A. Prevalence of malocclusion
in permanent dentition of Iranian population: a review article.
Iran J Public Health. 2018;47(2):178-87.
6. Chen M, Feng ZC, Liu X, Li ZM, Cai B, Wang DW. Impact
of malocclusion on oral health-related quality of life in
young adults. Angle Orthod. 2015;85(6):986-91. doi:
10.2319/101714-743.1.
7. Naseri N, Baherimoghadam T, Rasooli R, Hamzeh M,
Merikh F. Validity and reliability of the Persian version of
the psychosocial impact of dental aesthetics questionnaire.
Health Qual Life Outcomes. 2019;17(1):126. doi: 10.1186/
s12955-019-1188-8.
8. de Oliveira CM, Sheiham A, Tsakos G, O’Brien KD. Oral
health-related quality of life and the IOTN index as predictors
of children’s perceived needs and acceptance for orthodontic
treatment. Br Dent J. 2008;204(7):1-5. doi: 10.1038/
bdj.2008.239.
9. Gherunpong S, Tsakos G, Sheiham A. A socio-dental
approach to assessing children’s orthodontic needs. Eur J
Orthod. 2006;28(4):393-9. doi: 10.1093/ejo/cji114.
10. Rizzardi KF, Vieira LC, Parisotto TM, Pinto CF. Do aesthetics
dental needs interfere in the oral health-related quality of
life and in the self-steem of patients seeking for treatment
at University São Francisco Dental School? Braz J Oral Sci.
2017;16:e17006. doi: 10.20396/bjos.v16i0.8650445.
11. Brook PH, Shaw WC. The development of an index of
orthodontic treatment priority. Eur J Orthod. 1989;11(3):309-
20. doi: 10.1093/oxfordjournals.ejo.a035999.
12. Isiekwe GI, Sofola OO, Onigbogi OO, Utomi IL, Sanu OO,
daCosta OO. Dental esthetics and oral health-related quality
of life in young adults. Am J Orthod Dentofacial Orthop.
2016;150(4):627-36. doi: 10.1016/j.ajodo.2016.03.025.
13. Gavric A, Mirceta D, Jakobovic M, Pavlic A, Zrinski MT,
Spalj S. Craniodentofacial characteristics, dental estheticsrelated
quality of life, and self-esteem. Am J Orthod
Dentofacial Orthop. 2015;147(6):711-8. doi: 10.1016/j.
ajodo.2015.01.027.
14. Lin F, Ren M, Yao L, He Y, Guo J, Ye Q. Psychosocial impact
of dental esthetics regulates motivation to seek orthodontic
treatment. Am J Orthod Dentofacial Orthop. 2016;150(3):476-
82. doi: 10.1016/j.ajodo.2016.02.024.
15. Agbaje HO, Kolawole KA, Otuyemi OD. Impact of
malocclusion on oral health-related quality of life among
patients seeking orthodontic treatment. Trop Dent J.
2018;41(161):27-36.
16. Sari CN, Jazaldi F, Ismah N. Association between psychosocial
status and orthodontic treatment needs in Indonesian high
school students. Pesqui Bras Odontopediatria Clin Integr.
Journal of Kerman University of Medical Sciences. Volume 29, Number 6, 2022 541
Correlation between orthodontic treatment need and psychosocial impact of dental aesthetics
2020;20(4):e5649. doi: 10.1590/pboci.2020.115.
17. Iranzo-Cortés JE, Montiel-Company JM, Bellot-Arcis C,
Almerich-Torres T, Acevedo-Atala C, Ortolá-Siscar JC, et al.
Factors related to the psychological impact of malocclusion
in adolescents. Sci Rep. 2020;10(1):13471. doi: 10.1038/
s41598-020-70482-4.
18. Nugroho MJ, Ismah N, Purbiati M. Orthodontic treatment need
assessed by malocclusion severity using the Dental Health
Component of IOTN. J Int Dent Med Res. 2019;12(3):1042-6.
19. Feu D, de Oliveira BH, de Oliveira Almeida MA, Kiyak HA,
Miguel JA. Oral health-related quality of life and orthodontic
treatment seeking. Am J Orthod Dentofacial Orthop.
2010;138(2):152-9. doi: 10.1016/j.ajodo.2008.09.033.
20. Hassan AH, Hassan MH, Linjawi AI. Association of
orthodontic treatment needs and oral health-related quality of
life in Saudi children seeking orthodontic treatment. Patient
Prefer Adherence. 2014;8:1571-9. doi: 10.2147/ppa.s71956.
21. Yi S, Zhang C, Ni C, Qian Y, Zhang J. Psychosocial impact of
dental aesthetics and desire for orthodontic treatment among
Chinese undergraduate students. Patient Prefer Adherence.
2016;10:1037-42. doi: 10.2147/ppa.s105260.
22. Bellot-Arcís C, Montiel-Company JM, Pinho T, Almerich-Silla
JM. Relationship between perception of malocclusion and
the psychological impact of dental aesthetics in university
students. J Clin Exp Dent. 2015;7(1):e18-22. doi: 10.4317/
jced.52157.
23. Masood Y, Masood M, Zainul NN, Araby NB, Hussain SF,
Newton T. Impact of malocclusion on oral health related
quality of life in young people. Health Qual Life Outcomes.
2013;11:25. doi: 10.1186/1477-7525-11-25.