Impact of malocclusion on the quality of life of children aged 8 to 10 years

Abstract

Objective: The aim of the present cross-sectional study was to assess the impact of malocclusion on the quality of life of children aged 8 to 10 years attending public elementary schools in Belo Horizonte, State of Minas Gerais, Brazil. Methods: The Brazilian version of the Child Perceptions Questionnaire 8-10 (CPQ8-10) was used to evaluate oral health-related quality of life. The children were examined for the diagnosis of malocclusion using the Dental Aesthetic Index (DAI). The data were analyzed by bivariate and multivariate descriptive statistics using Poisson regression at a 5% significance level. A total of 270 children participated in the study. Results: Children with normal occlusion or mild malocclusion (DAI ≤ 25) were 56% less likely (95%CI: 0.258-0.758; p= 0.003) to have their quality of life affected compared with children diagnosed with extremely severe malocclusion (DAI ≥ 36). Children with a maxillary anterior overjet ≥ 3 mm had higher CPQ8-10 mean scores (19.4; SD = 17.1) than those with an overjet < 3 mm (13.6; SD = 11.7; p= 0.038). Conclusions: Extremely severe malocclusion and pronounced maxillary anterior overjet were associated with a negative impact on quality of life.

Effect of Anterior Crossbite Correction on The Quality of life for a Group of Egyptian Children During Mixed Dentition Stage

“…Results regarding the change in the overall CPQ [8][9][10] scores of all children of both sexes were statistically significant. This was in agreement with Dutra et al (1) , Piassi et al (5) , Miamoto et al (11) and Abreu et al (20) who concluded that children in the same age group (8 to 10 years) with malocclusions were more likely to have a negative impact on quality of life and that malocclusion treatment reduces that impact and improved quality of life .…”

“…(22,23) This study was conducted to evaluate the effect of anterior dental crossbite correction on the quality of life in the mixed dentition stage for a group of Egyptian children depending on the hypothesis that anterior crossbite may have a negative effect on patients' quality of life, hindering their social interaction, and affecting their psychological wellbeing. (1,20) Subjects in the current study were chosen to be in the early mixed dentition stage from 8 to 10 years old (with the mean age of (8.63±1.08) because the majority of studies conducted to evaluate the impact of malocclusion on the quality of life for adolescents and young adults (24,25,26,27) and a limited number were carried out in the mixed dentition stage. (28) Since interceptive orthodontic treatment is influenced by ethnic and cultural factors with many several cross-cultural differences in the attitudes and perceptions of patients, (29) this study was carried out on a group of Egyptian children in Fayoum governorate where different cultural factors exist and as such it contributes to the assessment of the burden of malocclusion on the quality of life.…”

“…There is a growing interest in the influence of oral health and facial esthetics on the quality of life of children and adolescents. (1) Oral health is crucial for good quality of life; it has an impact on children's feeding, smiling, speaking, and socializing. (2) Facial appearance influences self-esteem and emotional well-being, playing an important role in social interaction and affecting the child's quality of life.…”

Relationship between the psychosocial impact of malocclusion and objective orthodontic treatment need

“…Taibah et al presented that malocclusion has negative effects on self-esteem; multiple malocclusions with spacing, crowding, and overjet had the greatest effects 15 . Studies have presented that adolescents with moderate and severe malocclusion, where the need for treatment was mandatory, experienced a greater negative impact on quality of life [16][17] . However, the patients' perceptions to improve their teeth do not always coincide with the clinicians' view.…”

Impact of anterior occlusal conditions in the mixed dentition on oral health–related quality-of-life item levels:

“…1 Mixed dentition is a transitional stage, characterized by a wide range of occlusal variations 2 and a high prevalence of malocclusion. 1,[3][4][5][6][7] In addition, occlusal conditions, such as increased overjet, deep overbite, dental crowding, and spacing, are malocclusions usually associated with dissatisfaction with dental appearance. 4 However, studies addressing the impact of occlusal conditions in the mixed dentition only quantified malocclusion 3,7-9 and did not consider the physiological changes inherent in this stage.…”