Malocclusion, dental aesthetic self-perception and quality of life in a 18 to 21 year-old population: a cross section study.

Malocclusion, dental aesthetic self-perception and quality of life in a 18 to 21 year-old population: a cross section study.
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DOI:
10.1186/1472-6831-13-3
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发表时间:
2013-01-07
期刊:
影响因子:
2.9
通讯作者:
Traebert J
Traebert J
中科院分区:
医学3区
文献类型:
--
作者:
Claudino D;Traebert J

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面部的美学变化可以自我感知,并可能影响生活质量。对年轻人来说,外表吸引力是影响社交关系的重要因素。本研究的目的是估计错牙合畸形的患病率,确定最常见的类型,并测试其与18至21岁的男性青年人口的口腔美学自我感知的关联。对138名巴西陆军士兵进行了一项横断面研究。数据收集包括社会人口学特征,通过牙科美学指数(DAI)和口腔美学主观影响量表(OASIS)所示的口腔美学自我感知的咬合不正状态。采用卡方检验和Fisher精确检验检验比例的同质性。采用多因素Logistic逐步回归分析方法,分析口腔美学自我感觉差与父母及军人文化程度、人均收入、前牙患龋及全牙患龋史、牙外伤史、正畸治疗史及错牙合畸形的关系。错牙合畸形的患病率为45.6%。前牙拥挤和下切牙错位是最常见的错牙合类型。在多变量分析中,错牙合畸形和口腔美学自我感知较差之间存在统计学显著和独立的相关性。与轻度错牙合患者相比,重度错牙合患者的美学自我感知较差的患病率高出88%[患病率比=1.88(95% CI,1.30 - 2.72); p = 0.001]。错牙合畸形的患病率很高。严重错牙合的年轻人口腔美学自我知觉较差的独立患病率较高。
Aesthetic alterations in the face can be self-perceived and can affect quality of life. For young people, physical attractiveness is an important factor affecting social relationships. The aim of this study was to estimate the prevalence of malocclusion, identify the most common types and test its association with oral aesthetic self-perception in 18 to 21 year-old population of male young adults. A cross-sectional study was carried out involving 138 Brazilian Army soldiers. Data collection included socio demographic profile, malocclusion status through the Dental Aesthetic Index (DAI) and oral aesthetic self-perception as indicated by the Oral Aesthetic Subjective Impact Scale (OASIS). The chi-square and Fisher’s exact test were used to test for homogeneity of proportions. The stepwise multivariate logistic regression analysis was used to test for the relationship between the poorer oral aesthetic self-perception and parental and soldier’s education, per capita income, history of caries in all teeth and only on anterior teeth, dental trauma, previous orthodontic treatment and malocclusion. The prevalence of malocclusion was 45.6%. Incisor teeth crowding and misalignment of lower incisors were the most common types of malocclusions. A statistically significant and independent association between malocclusion and poorer oral aesthetic self-perception in the multivariate analysis was observed. Subjects with severe malocclusion conditions showed 88% higher prevalence [prevalence ratio =1.88 (95% CI, 1.30 – 2.72); p = 0.001] of poorer aesthetic self-perception comparing to those with minor malocclusion. A high prevalence of malocclusion was observed. The young adults presenting severe malocclusion had a higher and independent prevalence of poorer oral aesthetic self-perception.
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