The aims of this study were to evaluate the effect of normative treatment need, perceived social impact of malocclusion and satisfaction with dental appearance on self-perceived treatment need, self-perceived aesthetics, and self-esteem; the influence of self-perceived need and aesthetics on self-esteem; and whether receipt of orthodontic treatment influences self-esteem. A questionnaire was administered to a random sample of 410 students (195 males and 215 females) aged 14-16 years. Self-esteem was measured using the Global Negative Self-Evaluation (GSE) scale. The Aesthetic and Dental Health Components (AC and DHC) of the Index of Orthodontic Treatment Need (IOTN) were used to assess orthodontic treatment need. Students' AC scores determined their self-perceived dental aesthetics. Spearman correlation coefficient was used to analyse the association between all variables, and multiple stepwise regression analysis to study the effect of independent variables on self-perceived need for treatment, self-perceived aesthetics, and self-esteem. A correlation existed between the students' and examiner's AC scores (P < 0.01); however, students were less critical in evaluating their aesthetic appearance. Students who perceived themselves in need of treatment had a great need for treatment, as assessed by the DHC and the AC of the IOTN (r = 0.421 and 0.489, respectively), were dissatisfied with their dental appearance (r = 0.542) and avoided smiling to hide their teeth (r = 0.457). Students who scored high on the GSE scale perceived a need for orthodontic treatment, evaluated their dental aesthetics poorly, perceived an impact of malocclusion on social acceptance, and had a great normative orthodontic treatment need; the correlation, however, was weak with r values ranging from 0.134 to 0.317. Students who had received orthodontic treatment showed greater self-esteem than those who had not, although the correlation was weak. Dissatisfaction with dental appearance had a strong predictive effect on self-esteem.

Photo-elastic models replicating a lower arch with a moderate degree of lower incisor crowding and a palatally displaced maxillary canine were used to evaluate the stresses transmitted to the roots of the teeth by initial alignment archwires. Six initial alignment archwires were compared, two multi-strand stainless steel wires, two non-super-elastic (stabilized martensitic form) nickel titanium wires, and two stress-induced super-elastic (austenitic active) nickel titanium wires. Three specimens of each archwire type were tested. Analysis of the photo-elastic fringe patterns, in the medium supporting the teeth, revealed that the non-super-elastic nickel titanium archwires produced the highest shear stresses (P = 0.001). However, the shear stresses generated by the super-elastic alignment archwires and the multi-strand stainless steel archwires were very similar (P = 1.00). These results show that even in situations where large deflections of initial alignment archwires are required, super-elastic archwires do not appear to have any marked advantage over multi-strand stainless steel alignment archwires in terms of the stresses transferred to the roots of the teeth.

The aims of this study were to evaluate the effectiveness of a lower lingual holding arch (LLHA) in maintaining arch length, and to compare the effectiveness of two LLHAs made of two different gauges (0.9 and 1.25 mm) of stainless steel (SS) wire. The sample comprised 44 subjects (24 males and 20 females) who for various reasons attended orthodontic clinics at Jordan University of Science and Technology Dental Teaching Center. The subjects were randomly divided into two treatment groups. The first group contained 20 subjects (12 males/8 females, average age 10.76 ± 0.75 years). The LLHA used in this group was made of 0.9 mm SS wire. The second group comprised 24 subjects (12 males/12 females, average age 10.57 ± 0.54 years). The LLHA used in this group was made of 1.25 mm SS wire. The third group consisted of 23 subjects (15 males/8 females, average age 10.63 ± 0.66 years) who served as the control. The records consisted of lateral cephalograms, dental pantomograms, and study casts. Paired t-test, analysis of variance, and chi-square tests were used to determine whether significant differences existed between the groups. In both treatment groups, the lower incisors proclined and moved forward, and space loss of the lower primary second molar occurred. The LLHA made of 0.9 mm SS was superior to that made of 1.25 mm SS in terms of arch length preservation.

Objective: To assess the morphology and dimensions of mandibular symphysis (MS) in different anteroposterior jaw relationships and to investigate whether craniofacial parameters have any correlation with its shape and/or dimensions. Materials and Methods: Lateral cephalograms of subjects with Class I, Class II, and Class III skeletal relationships were traced. Several craniofacial and MS parameters were measured. MS parameters were compared between the three groups using analysis of variance and were correlated with the craniofacial parameters using the Pearson correlation coefficient. Results: Larger angle of concavity of the chin, more inclination of the alveolar bone toward the mandibular plane, and larger MS dimensions and area (P , .001) were found with a Class III skeletal relationship compared to Class I and Class II relationships. The Pearson correlation coefficient between Id-Me and AFH was r 5 0.83 and between Id-Me and LAFH it was r 5 0.81. Conclusions: The dimensions and configuration of MS in the Class III relationship were different than those in Class I and Class II relationships; the alveolar part of MS compensated for the skeletal relationship in the Class III pattern. MS dimensions were strongly correlated to anterior facial dimensions. (Angle Orthod. 2014;84:304-309.)

Low SEC had a strong predictive effect on treatment uptake; socioeconomically deprived individuals were less likely to undergo orthodontic treatment.

Objective: To determine the influence of socioeconomic status (SES) on normative and perceived orthodontic treatment need, satisfaction with dental appearance, and regularity of dental attendance. Materials and Methods: The sample consisted of 550 adolescents (232 boys, 318 girls) aged 13 to 17 years who were categorized according to SES into three groups: low, middle, and high SES. Normative treatment need was assessed by using the Index of Orthodontic Treatment Need. Data were collected by clinical examination and face-to-face interview. The x 2 test and logistic regression analysis were used for statistical analyses.Results: Approximately 34.0% of the untreated subjects had a definite dental need for treatment and 24.5% had a moderate need; among those, 53.5% were of low SES (P 5 .017). One-third of the sample had a moderate to definite esthetic need, most of whom had a low SES (P 5 .009). Of the subjects who were dissatisfied with their dental appearance and reported a self-perceived need for treatment, around one-third had a low SES. Most subjects with low SES were irregular dental attenders (P , .001). Subjects of low SES, those who had a self-perceived need for treatment, and those who were dissatisfied with their dental appearance were more likely to have a definite normative esthetic need. Conclusions: Subjects of low SES exhibited greater normative and perceived treatment needs than subjects of higher SES. They were less satisfied with their dental appearance and visited a dentist less frequently. (Angle

This within subject clinical experiment assessed oral health impacts before and after Invisalign orthodontic treatment and their relationships with personality characteristics. 50 patients (26 females and 24 males; mean age = 27.62 ± 8.25 years, SE = 1.17, 95% CI = 24.71–29.89 years) were assessed before and after treatment with Invisalign orthodontic treatment. Treatment clinical success was evaluated according defined clinical guidelines. Oral health impacts before and after Invisalign orthodontic treatment were measured via the Oral Health Impact Profile (OHIP). Personality features were measured via the NEO Five-Factor Inventory (NEO-FFI). Probability of α = .05 was utilized to identify significant findings. Females scored less OHIP scores after treatment (had less negative impacts) in comparison to baseline OHIP scores (t = 3.782, df = 25, P = .001, 95% CI of mean difference = 2.750–9.327). Among males, openness scores (R2 = .911, B = 5.235, 95% CI for B = 0.062–10.407, t = 2.601, P = .048) were able to predict OHIP scores before treatment; meanwhile, extraversion (R2 = .959, B = − 8.224, 95% CI for B = − 14.605–1.843, t = − 3.313, P = .021), openness (R2 = .959, B = 21.795, 95% CI for B = 10.737–32.853, t = 5.067, P = .004), and conscientiousness (R2 = .959, B = 10.293, 95% CI for B = 4.796–15.790, t = 4.813, P = .005) scores were useful to predict OHIP scores after treatment (R2 = .959, P < .05). NEO-FFI scores were not useful to predict OHIP scores before or after treatment among females (P > .05). These findings demonstrate that oral health impacts of Invisalign orthodontic treatment and personality profiles contribution to oral health impacts were different between genders.

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