Prevalence, extent and severity of the psychosocial impact of dental aesthetics among Malaysian adolescents

This study aimed to assess the prevalence, extent and severity of the psychosocial impact of dental aesthetics (PIDA) among Malaysian adolescents especially those with self-perceived malocclusion, and to determine if age and gender affected their PIDA. A cross-sectional study using a self-administered questionnaire was conducted on 12-17 year old schoolchildren from schools across Malaysia selected via a multi-stage sampling method. The questionnaire included the Malaysian Psychosocial Impact of Dental Aesthetics (Malaysian PIDA) questionnaire and the Aesthetic Component of the Index of Orthodontic Treatment Need (IOTN-AC). The Malaysian PIDA measured four domains: (Dental Self Confidence, 6 items; Social Impact, 8 items; Psychological Impact, 6 items; and Aesthetic Concern, 2 items) to assess impacts on the oral health-related quality of life specific to malocclusion. While the IOTN-AC comprised a 10-point photographic scale to assess self-perceived malocclusion. Data analysis using SPSS version 20 was involved using complete data on 901 participants. The prevalence of PIDA was 90.0% while prevalence associated with self-perceived malocclusion was 96.0%. Impact of dental aesthetics was highest on the psychological wellbeing of the adolescents, followed by their self-confidence. In terms of the extent of impact, 14.0% reported significant impact on all four domains and 19.2% were associated with self-perceived malocclusion. The prevalence of impacts was higher in younger adolescents and females. In terms of the extent and severity of impacts, younger adolescents reported higher impacts but with small effect sizes, while differences between boys and girls were not significant

Impacts of self-perceived malocclusion on the oral health-related quality of life of young adults in Malaysia / Zawani Mohd Tajudin

Objectives: To assess the prevalence, severity and extent of impacts of self-perceived malocclusion on the oral health-related quality of life (OHRQoL) related to dental aesthetics among young Malaysian adults, to compare between those with and without self-perceived malocclusion and to investigate the influence of demographics on the outcome. Methods: Multi-stage random sampling method was used to recruit 589 subjects from tertiary institutions in Malaysia. Study instruments comprised the Aesthetic Component of the Index of Orthodontic Treatment Need (AC-IOTN) and Malaysian version of the Psychosocial Impact of Dental Aesthetics (PIDA) to measure selfperceived malocclusion and its impacts. Analyses included multifactorial ANOVA and Pearson correlation. Results: The response rate was 83.5%. Data analysis included complete data on 524 subjects. 92.6% of subjects with self-perceived malocclusion reported impacts on their OHRQoL. Psychological Impact was the most prevalent domain affected (75.8%), followed by Dental Self Confidence (59.4%), Social Impact (48.9%) and Aesthetic Concern (22.1%) domains. 28.6% subjects with self-perceived malocclusion reported significant impact on all domains while their mean severity PIDA scores were 43.9 (±16.1). Females had higher PIDA scores than males while Malays had higher PIDA scores than Indians (p>0.05) but the effect sizes were small. There was small yet significant interaction effect between gender and place of residence. Females in suburban and rural areas had significantly higher PIDA scores than their male counterparts. Conclusion: The study provided baseline data to demonstrate that Malaysian young adults were highly impacted by their perception of their malocclusion. Gender, race and residence influenced this effect

Impacts of Self Perceived Malocclusion on the Oral Health Related Quality of Life of Young Adults

Self-awareness of poorly arranged teeth can influence the quality of life. This study aimed to report the impacts of self-perceived malocclusion in young adults and the association between demographic characteristics and oral health related quality of life (OHRQoL). In this cross-sectional study, six-hundred-forty-three subjects from Selangor, Malaysia selected using a multistage sampling technique answered the Psychosocial Impact of Dental Aesthetics (PIDA) questionnaire and self-rated their dental appearance using the Aesthetic Component of the Index of Orthodontic Treatment Need. Data were analyzed using multifactorial ANOVA to identify the association between demographic characteristics and total PIDA score. Five-hundred-twenty-four subjects (81.5%) completed the questionnaires. Overall, 87.8% had impacts on their OHRQoL. Psychological impact was the most impacted domain (75.8%), followed by dental self-confidence (59.4%), social impact (48.9%) and aesthetic concern (22.1%). 16.8% reported significant impacts on all domains. Their mean PIDA score was 36.3 (SD 17.1). Prevalence, extent and severity of impacts were higher amongst those with self-perceived malocclusion. Gender, ethnicity, and self-perceived malocclusion status were associated with PIDA score (p < 0.05). Sub-urban and rural females had significantly higher PIDA scores than sub-urban and rural males. In conclusion, majority of Malaysian young adults especially those with self-perceived malocclusion were impacted by their dental aesthetics

Prevalence, Extent and Severity of the Psychosocial Impact of Dental Aesthetics among Malaysian Adolescents

This study aimed to assess the prevalence, extent and severity of the psychosocial impact of dental aesthetics (PIDA) among Malaysian adolescents especially those with self-perceived malocclusion, and to determine if age and gender affected their PIDA. A cross-sectional study using a self-administered questionnaire was conducted on 12-17 year old schoolchildren from schools across Malaysia selected via a multi-stage sampling method. The questionnaire included the Malaysian Psychosocial Impact of Dental Aesthetics (Malaysian PIDA) questionnaire and the Aesthetic Component of the Index of Orthodontic Treatment Need (IOTN-AC). The Malaysian PIDA measured four domains: (Dental Self Confidence, 6 items; Social Impact, 8 items; Psychological Impact, 6 items; and Aesthetic Concern, 2 items) to assess impacts on the oral health-related quality of life specific to malocclusion. While the IOTN-AC comprised a 10-point photographic scale to assess self-perceived malocclusion. Data analysis using SPSS version 20 was involved using complete data on 901 participants. The prevalence of Pion was 90.0% while prevalence associated with self-perceived malocclusion was 96.0%. Impact of dental aesthetics was highest on the psychological wellbeing of the adolescents, followed by their self-confidence. In terms of the extent of impact, 14.0% reported significant impact on all four domains and 192% were associated with self-perceived malocclusion. The prevalence of impacts was higher in younger adolescents and females. In terms of the extent and severity of impacts, younger adolescents reported higher impacts but with small effect sizes, while differences between boys and girls were not significant