Department of Orthodontics, Patna Dental College and Hospital, Bankipore, Patna, India.
Department of Public Health Dentistry, Patna Dental College and Hospital, Patna, Bihar, India.
J Med Life. 2021 Jan-Mar;14(1):21-31. doi: 10.25122/jml-2020-0022.
Patients whose with facial appearance involves dental anomalies and malocclusion face an increased prevalence of various psychosocial problems such as a high level of social anxiety, social avoidance, and low quality of life. This study investigates the patients with craniofacial anomalies and their psychological adjustment concerning the facial and dental appearance. It also evaluates the expectations of this patient group from the orthodontic treatment. Two steps were done in this study. In the first step, translation and validation of the Derriford Appearance Scale (DAS59), The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), and Patient Expectation from the Orthodontic Treatment (PEOTQ) questionnaires into Maithili were done, and then the main study was conducted using these valid questionnaires. This was a cross-sectional study conducted on the patients with congenital craniofacial anomalies visiting the orthodontics department of Patna Dental College and Hospital, Patna (Bihar). All the patients received the Maithili DAS, Maithili PIDAQ and Patients' Expectation from the orthodontic treatment questionnaires. The Maithili version of DAS59, PIDAQ and PEOTQ were developed with outstanding reliability and validity. A significant difference between PIDAQ (p<0.001) and DAS59 scores (p<0.001) was found. In females, the total PIDAQ score was significantly higher as compared to males, but there was no association of DAS scores with gender. Place of residence showed no association with PIDAQ and DAS59 scores in patients. Patients and controls had significant differences between various items, and a comparison was made in terms of expectation from the orthodontic treatment. Altered facial and dental appearance in patients with craniofacial anomalies showed a significant psychological impact.
患有面部外观涉及牙齿畸形和错颌的患者面临各种社会心理问题的高发率，例如高水平的社交焦虑、社交回避和生活质量低。本研究调查了颅面畸形患者及其对面部和牙齿外观的心理调整。它还评估了这个患者群体对正畸治疗的期望。本研究分两步进行。在第一步中，将 Derriford 外貌量表（DAS59）、牙齿美学的心理社会影响问卷（PIDAQ）和患者对正畸治疗的期望（PEOTQ）问卷翻译成 Maithili 并进行验证，然后使用这些有效的问卷进行主要研究。这是一项横断面研究，在 Patna Dental College and Hospital（比哈尔邦）的正畸科对患有先天性颅面畸形的患者进行。所有患者均接受了 Maithili DAS、Maithili PIDAQ 和患者对正畸治疗的期望问卷。Maithili 版本的 DAS59、PIDAQ 和 PEOTQ 具有出色的可靠性和有效性。发现 PIDAQ（p<0.001）和 DAS59 评分之间存在显著差异（p<0.001）。在女性中，总 PIDAQ 评分明显高于男性，但 DAS 评分与性别无关。患者的居住地与 PIDAQ 和 DAS59 评分无关。患者和对照组在各项指标之间存在显著差异，并在正畸治疗的期望方面进行了比较。颅面畸形患者的面部和牙齿外观改变显示出显著的心理影响。
