Department of Orthodontics, School of Dental Medicine, University of Zagreb, Croatia.
Peter Debye Institute for Soft Matter Physics, University of Leipzig, Faculty of Physics and Earth Science, Germany.
Community Dent Health. 2021 May 28;38(2):71-75. doi: 10.1922/CDH_00106Milosevic05.
To assess the psychosocial impact of malocclusion, establish its association with the severity of malocclusion and determine the effects of gender and age in such association.
Cross-sectional study.
400 adolescents aged between 12-15 years were randomly selected. Each participant was examined for malocclusion and categorized according to Index of Orthodontic Treatment Need (IOTN) and Dental Aesthetic Index (DAI). The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) was used to assess the psychosocial impact of malocclusion.
Significant differences were noted between PIDAQ subscales, and grades of malocclusion assessed by IOTN and DAI (p⟨0.05). Gender differences were noted in Dental Self Confidence (DSC), Social Impact (SI) and Psychological Impact (PI) for the same severity of malocclusion (p⟨0.05). IOTN-DHC predicted the total and subscales of PIDAQ scores. Gender and age were the independent predictive variables of the relationship between the PIDAQ scores and the IOTN-DHC grades for the DSC and AC subscales. Gender independently predicted psychological impact.
Severity of malocclusion, gender and age were related to impacts on the psychosocial wellbeing of participants. Overall, females and older participants experienced worse psychosocial impact.
评估错颌畸形的心理社会影响，确定其与错颌畸形严重程度的关系，并确定性别和年龄在这种关系中的作用。
横断面研究。
随机选择 400 名 12-15 岁的青少年。对每位参与者进行错颌畸形检查，并根据正畸治疗需求指数（IOTN）和牙审美指数（DAI）进行分类。使用牙审美心理影响问卷（PIDAQ）评估错颌畸形的心理社会影响。
在 IOTN 和 DAI 评估的错颌畸形严重程度的 PIDAQ 子量表之间存在显著差异（p ⟨ 0.05）。在同一错颌畸形严重程度下，性别差异表现在牙自信（DSC）、社会影响（SI）和心理影响（PI）方面（p ⟨ 0.05）。IOTN-DHC 预测了 PIDAQ 总分和子量表得分。性别和年龄是 PIDAQ 评分与 IOTN-DHC 等级之间关系的独立预测变量，对 DSC 和 AC 子量表具有预测作用。性别独立预测心理影响。
错颌畸形的严重程度、性别和年龄与参与者的心理社会健康影响有关。总体而言，女性和年龄较大的参与者经历了更严重的心理社会影响。
