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青少年正畸治疗需求的客观与主观评估及其对自尊的影响

OBJECTIVE AND SUBJECTIVE EVALUATION OF ADOLESCENT'S ORTHODONTIC TREATMENT NEEDS AND THEIR IMPACT ON SELF-ESTEEM.

作者信息

Sharma Anshika, Mathur Anmol, Batra Manu, Makkar Diljot Kaur, Aggarwal Vikram Pal, Goyal Nikita, Kaur Puneet

机构信息

Departamento de Ortodontia em Saúde Pública, Surendera Dental College and Research Institute, Sri Ganganagar, Rajastão, Índia.

出版信息

Rev Paul Pediatr. 2017 Jan-Mar;35(1):86-91. doi: 10.1590/1984-0462/;2017;35;1;00003.

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.

摘要

目的

探讨青少年正畸治疗需求的客观与主观评估之间的关联及其对自尊的影响。

方法

对印度拉贾斯坦邦斯利甘加纳格尔市10 - 17岁的青少年进行横断面研究。正畸治疗需求的客观指标(IOTN)中的口腔健康成分(DHC)和主观美学成分(AC)分别用于确定正畸治疗的规范需求和自我认知需求。对选定的学生进一步检查牙齿外伤、牙齿缺失和龋齿情况。应用罗森伯格自尊量表确定自尊水平。进行线性回归分析以检验不同独立临床变量与自尊分数之间的个体关联。

结果

在1140名被研究青少年中,正畸治疗规范需求的患病率为56.9%,而53.3%的个体认为自己需要治疗。多变量分析显示,在所有牙齿疾病中,IOTN的DHC其次是AC对青少年自尊的影响最大。结论:对牙齿外观的不满是青少年自尊低下的一个强有力预测因素。

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