Avaliação Objetiva E Subjetiva Da Necessidade De Tratamento Ortodôntico Do Adolescente E Seu Impacto Sobre a Autoestima

Abstract

Objective: To investigate the presence of association between objective and subjective evaluation of orthodontic treatment needs in adolescents and their impact on their self-esteem.Methods: Cross-sectional study with adolescents aged 10-17 years old in Sri Ganganagar city, Rajasthan, India. The objective index of orthodontic treatment need (IOTN) dental health component (DHC) and the subjective aesthetic component (AC) were used to determine the normative and the self-perception need for orthodontic treatment, respectively. The selected students were further examined for dental trauma, tooth loss, and dental caries. Rosenberg Self-Esteem Scale was applied for self-esteem level determination. Linear regression analysis was executed to test the individual association of different independent clinical variables with self-esteem scores. Results: Among 1,140 studied adolescents, the prevalence of dental normative orthodontic treatment need was in 56.9% of individuals, whereas 53.3% of individuals considered themselves as needy for the treatment. Multivariate analyses revealed that out of all dental disorders, DHC followed by AC of IOTN had maximum impact on the self-esteem of the adolescence. Conclusions: Dissatisfaction with dental appearance is a strong predictor for low self-esteem in adolescence.

Importância e influência da estética dental relacionada à saúde biológica e social do indivíduo

“…Alguns pacientes com grave má oclusão estão satisfeitos ou indiferentes com sua estética, enquanto outros, com irregularidades menores, preocupam-se muito com este quesito. Ou seja, a necessidade normativa e subjetiva do indivíduo pode variar quando se trata de tratamentos ortodônticos 34 .…”

Impactos da maloclusão na qualidade de vida de crianças e adolescentes: Uma revisão integrativa

“…O sexo feminino tende a ter um maior impacto na qualidade de vida associada à saúde oral, onde as ações que expõem os elementos dentais tornam-se limitadas pelo constrangimento. Assim, de acordo com estudos, os indivíduos do sexo feminino inclinam-se a terem maiores impactos psicossociais que estão relacionados à maloclusões em comparação ao sexo masculino (Sharma et al, 2017).…”

Orthodontic treatment need in higher primary schoolchildren of Central Bengaluru, India

“…The AC [ Figure 1 ][ 6 ] of the IOTN includes a 10-point scale illustrated by a series of photographs representing various range of esthetics, Grade 1 representing most aesthetic and Grade 10 least aesthetic arrangement of the dentition. [ 6 ] A rating is allocated for overall dental aesthetics rather than specific similarities to the photographs.…”

“…The evaluation of a plain plaster model or black and white photographs has the advantage that the estimate is not influenced by the oral hygiene, the condition or color of the gingiva. [ 6 ] When the AC was being recorded, the dental attractiveness of the anterior teeth was graded by an examiner after the individuals had closed their teeth in central occlusion and retracted their lips.…”