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Review
. 2020 Aug 31;34(5):357-365.
doi: 10.1515/ijamh-2020-0117. eCollection 2022 Oct 1.

Comparison of the psychosocial impact on patients affected by cranio facial anomalies between traditional orthodontic brackets and aligners

Maria Costanza Meazzini  1 , Chiara Tortora  1 , Noah Cohen  1 , Fabio Mazzoleni  2 , Nicoletta Balbo  3 , Vera Donati  1 , Luca Autelitano  1
Affiliations
Review

Comparison of the psychosocial impact on patients affected by cranio facial anomalies between traditional orthodontic brackets and aligners

Maria Costanza Meazzini et al. Int J Adolesc Med Health. .

Abstract

Objectives: Malocclusion affects the psychological wellness and social interaction, impacting negatively on adolescents' quality of life and self-esteem. Facial attractiveness is mostly based on the esthetics of the smile and patients seek orthodontic treatment mainly to improve aesthetics. The aim of this prospective clinical study is to compare the psychosocial impact of aligners (AL) and fixed appliances (FA) as orthodontic treatments in patients affected by craniofacial anomalies (CFA).

Methods: 100 syndromic Caucasian patients with CFA followed in two different hospitals were divided in two groups: 50 patients treated with AL and 50 patients treated with FA. The two groups were matched for gender, age and CFA and filled out a modified psychosocial impact of dental aesthetics questionnaire (mPIDAQ).

Results: Patients affected by CFA treated with AL reported a better psychosocial impact than patients treated with FA, showing higher esthetic self-perception and self-esteem, lower social interaction impairments, and lower physical/practical disturbances.

Conclusions: The results of this study suggest that AL could be a valid alternative, especially in complex patients with CFA. Since AL application requires more cooperative patients the orthodontist should dedicate more time to motivate the patient to adhere to the treatment schedule.

Keywords: aligners; cleft lip and palate; craniofacial anomalies; phychosocial impact.

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References

    1. Badran, SA. The effect of malocclusion and self-perceived aesthetics on the self-esteem of a sample of Jordanian adolescents. Eur J Orthod 2010;32:638–44. https://doi.org/10.1093/ejo/cjq014.
    1. Dimberg, L, Arnrup, K, Bondemark, L. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod 2015;37:238–47. https://doi.org/10.1093/ejo/cju046.
    1. Sardenberg, F, Martins, MT, Bendo, CB, Pordeus, IA, Paiva, SM, Auad, SM, et al. Malocclusion and oral health-related quality of life in Brazilian school children. Angle Orthod 2013;83:83–9. https://doi.org/10.2319/010912-20.1.
    1. Jung, MH. Evaluation of the effects of malocclusion and orthodontic treatment on self-esteem in an adolescent population. Am J Orthod Dentofacial Orthop 2010;138:160–6. https://doi.org/10.1016/j.ajodo.2008.08.040.
    1. Chakradhar, K, Doshi, D, Kulkarni, S, Reddy, BS, Reddy, S, Srilatha, A. Self perceived psychosocial impact of dental aesthetics among young adults: a cross sectional questionnaire study. Int J Adolesc Med Health 2017 Nov 23. https://doi.org/10.1515/ijamh-2017-0129 [Epub ahead of print].

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