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Year : 2017  |  Volume : 51  |  Issue : 2  |  Page : 69-74

Orthodontic treatment need and self-perceived psychosocial impact of dental esthetics in a university adult population in Malaysia

1 Senior Lecturer, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
2 BDS Student, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
3 Associate Dean, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia

Correspondence Address:
Sneha Ravindranath
School of Dentistry, International Medical University, No. 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jios.jios_214_16

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Objectives: The aims of this study were to (1) determine the orthodontic treatment need in a university adult population, (2) estimate the self-perceived need for orthodontic treatment, and (3) to assess the self-reported psychosocial well-being and its association with treatment need. Subjects and Methods: Eighty-seven adults (20–70 years of age) comprising academic and corporate staff from a health science university participated in this study. The esthetic component of index of orthodontic treatment need (AC of IOTN) was used to determine the orthodontic treatment need, and a simple questionnaire was used for data on sociodemographics and self-perceived need. Psychosocial well-being was measured through the self-rated Psychosocial Impact of Dental Aesthetics Questionnaire. Data was analyzed using nonparametric Kruskal–Wallis tests with statistical significance set as P < 0.05. Results: Thirteen people (14.9%) had an orthodontic treatment need by AC of IOTN, whereas 40 (46%) perceived a need for orthodontic treatment. Age, gender, ethnicity, or marital status was not associated with treatment need. Those who had no need for treatment measured by the AC of IOTN scored significantly higher on the dental self-confidence (DSC) domain (P = 0.009) and significantly lower in the psychosocial impact domain (P = 0.048) when compared to those with treatment need. The self-perceived need was significantly associated with DSC (P = 0.000), social impact (P = 0.002), psychosocial impact (P = 0.003) as well as the esthetic concern domain (P = 0.012). Conclusion: The orthodontic treatment need perceived by the adults in this study was higher with significant impact on the psychosocial well-being. Orthodontic treatment for the patient based on the assessment of psychosocial impact would be beneficial in addressing patient's perspectives of treatment need.

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