A Multivariate Analysis of the Psychosocial Impact of Malocclusion and Self-Esteem in Adolescents

• Main Authors: Arnoldo Brasil Muniz Júnior (Author), Diego Patrik Alves Carneiro (Author), Carolina Carmo de Menezes (Author), Viviane Veroni Degan (Author), Silvia Amélia Scudeler Vedovello (Author), Mario Vedovello Filho (Author)
• Format: Book
• Published: Association of Support to Oral Health Research (APESB), 2023-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1519-0501; 1983-4632
• Keywords: Quality of Life; Esthetics, Dental; Adolescent; Dentistry; RK1-715
• Source: Pesquisa Brasileira em Odontopediatria e Clínica Integrada, Vol 22 (2023)

Objective: To evaluate the psychosocial impact of malocclusion and self-esteem in adolescents in the Amazon region. Material and Methods: A cross-sectional study was carried out with 212 adolescents with 12-year-old enrolled in all public schools in the Boca do Acre (Amazonas, Brazil). Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) assessed the psychosocial impact of malocclusion. The self-perception of the need for orthodontic treatment was evaluated by the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN) and Global Negative Self-evaluation (GSE), the adolescent's self-esteem. The malocclusion was clinically evaluated by the Dental Aesthetic Index (DAI). The variables with p<0.20 in the individual analyses were tested in multiple logistic regression models, and those with p<0.10 remained in the model. The adjusted odds ratio (OR) was estimated with a 95% confidence interval (CI). Results: Adolescents with low self-esteem were 2.20 (95% CI: 1.23-3.93) times more likely to have a more significant impact on dental aesthetics (p<0.05). When verified by domains, the adolescents with low self-esteem had 2.33 (95% CI: 1.31-4.17) and 1.93 (95% CI: 1.09-3.42) times more likely to impact the psychological and social domains of the PIDAQ, respectively. Conclusion: Self-esteem influenced adolescents' perception of dental aesthetics in the domains related to psychological and social impact.