Abstract:Smile esthetics influence social perception during childhood and adolescence. However, thresholds of smile esthetic acceptance in children and adolescents are still not available.
“…Tooth loss was the consequence that most negatively influenced the perception of the participants. This result is in agreement with other studies and can be justified because physical appearance is critical to teenagers and is valued more than any other lifestyle factor . Besides that, missing teeth have previously been identified as an important factor that influences adolescent's satisfaction with dental appearance and self‐esteem, as also seen in this study.…”
Background
One's smile clearly plays a significant role in the perception and judgment that others have of one's appearance and personality.
Aim
We sought to develop and validate a questionnaire related to the social judgment of children and adolescents and to evaluate, through its application, the perceptions and judgment of children and adolescents regarding their view of different traumatic dental injuries and their consequences (TDIs‐Cs) as well as the motivation to seek dental treatment.
Design
The aspects of acceptability, discriminative properties, internal consistency, test‐retest reliability, and construct validity were evaluated in the developed questionnaire. A cross‐sectional study was conducted involving 100 boys and girls aged 10‐15 years. Images of an adolescent male and female were either manipulated or not (control) to create different types of TDI‐C (eg, enamel fracture, enamel and dentin fracture, crown colour change, and tooth loss/avulsion). These images were analysed by the participants, using a previously validated questionnaire with a six‐positive‐point and six‐negative‐point scale, in relation to their social physical and psychosocial characteristics. The data were analysed with the Friedman, Wilcoxon, and Mann‐Whitney tests (P < 0.05).
Results
The developed questionnaire presented high acceptability, strong discriminative properties, satisfactory internal consistency, and satisfactory test‐retest reliability, but weak construct validity. The presence of TDI‐C had a negative effect on all characteristics evaluated (P < 0.001). Tooth loss had the highest level of rejection. Additionally, the presence of TDI‐C had a greater negative impact on the aspects of ‘starting fights’, ‘being given a nickname’, and ‘being ashamed to smile’ in males than in females (P < 0.05). Children and adolescents with TDI‐C were judged as needing to seek dental treatment (P < 0.001).
Conclusion
The questionnaire developed showed properties of validity and reliability in its administration in a child and adolescent population. TDIs‐Cs have a negative influence on the social judgment of children and adolescents.
“…Tooth loss was the consequence that most negatively influenced the perception of the participants. This result is in agreement with other studies and can be justified because physical appearance is critical to teenagers and is valued more than any other lifestyle factor . Besides that, missing teeth have previously been identified as an important factor that influences adolescent's satisfaction with dental appearance and self‐esteem, as also seen in this study.…”
Background
One's smile clearly plays a significant role in the perception and judgment that others have of one's appearance and personality.
Aim
We sought to develop and validate a questionnaire related to the social judgment of children and adolescents and to evaluate, through its application, the perceptions and judgment of children and adolescents regarding their view of different traumatic dental injuries and their consequences (TDIs‐Cs) as well as the motivation to seek dental treatment.
Design
The aspects of acceptability, discriminative properties, internal consistency, test‐retest reliability, and construct validity were evaluated in the developed questionnaire. A cross‐sectional study was conducted involving 100 boys and girls aged 10‐15 years. Images of an adolescent male and female were either manipulated or not (control) to create different types of TDI‐C (eg, enamel fracture, enamel and dentin fracture, crown colour change, and tooth loss/avulsion). These images were analysed by the participants, using a previously validated questionnaire with a six‐positive‐point and six‐negative‐point scale, in relation to their social physical and psychosocial characteristics. The data were analysed with the Friedman, Wilcoxon, and Mann‐Whitney tests (P < 0.05).
Results
The developed questionnaire presented high acceptability, strong discriminative properties, satisfactory internal consistency, and satisfactory test‐retest reliability, but weak construct validity. The presence of TDI‐C had a negative effect on all characteristics evaluated (P < 0.001). Tooth loss had the highest level of rejection. Additionally, the presence of TDI‐C had a greater negative impact on the aspects of ‘starting fights’, ‘being given a nickname’, and ‘being ashamed to smile’ in males than in females (P < 0.05). Children and adolescents with TDI‐C were judged as needing to seek dental treatment (P < 0.001).
Conclusion
The questionnaire developed showed properties of validity and reliability in its administration in a child and adolescent population. TDIs‐Cs have a negative influence on the social judgment of children and adolescents.
“…Previous studies have shown that the presence of gingivitis, characterized by clinical signs such as enlargement and gingival bleeding, affects the overall OHRQoL and the emotional and social well‐being domains 19,21 . In this sense, individuals who are ashamed of the aesthetic appearance of the smile tend to be less confident, withdrawn and have a low self‐esteem, 32 which may be related to a higher occurrence of bullying among classmates at school, and consequently reflecting in a worse OHRQoL 33 …”
Background
Dentofacial features are related to increased bullying episodes in young people. The aim of this study was to assess the association between gingival bleeding and reports of verbal bullying among adolescents.
Methods
This is a cross‐sectional study conducted with a representative sample of 608 12‐year‐old adolescents from southern Brazil. The occurrence of verbal bullying was verified through adolescents' self‐report. Oral health measurements included the presence of gingival bleeding, dental fracture, dental fluorosis, and dental caries experience. Gingival bleeding was assessed through adolescent self‐perception by the following question: “Did you notice any bleeding in your gums?” Demographic, socioeconomic, and psychosocial variables were also evaluated. Poisson regression models with robust variance were used to evaluate the influence of gingival bleeding on the occurrence of verbal bullying. Results are presented as prevalence ratio (PR) and 95% confidence interval (95% CI).
Results
Out of 608 adolescents evaluated, 577 answered bullying questions. The prevalence of self‐reported verbal bullying was 12.8%. Adolescents who presented gingival bleeding had an 80% higher prevalence of verbal bullying than their counterparts (PR 1.80; 95% CI 1.01 ‐3.19). Dental shame, speech difficulties and influence of dental condition on studies also impacted the higher prevalence of bullying.
Conclusion
Our results suggest that the presence of gingival bleeding negatively impacts the social life of adolescents, causing more episodes of verbal bullying. These findings encourage public health policies aimed at reducing oral health inequities, thus reflecting on the well‐being and quality of life of this target population.
“…Over the years, aesthetic demands have increased mainly in relation to aspects of the smile, 1 and especially to the presence of developmental defects of enamel (DDE). 2,3 These have been defined as qualitative or quantitative defects that occur during the phases of amelogenesis.…”
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