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1.
Braz Oral Res ; 34: e049, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32578759

RESUMO

This study aimed to evaluate adolescents' aesthetic perceptions and their social judgments regarding different enamel opacities. Sample size was calculated and resulted in the inclusion of 100 adolescents (aged 10 to 15 years) from a public school in Jequié, Bahia, Brazil. Images of enamel opacities were manipulated to create aesthetic enamel defects, such as enamel color changes (unilateral and bilateral white opacity, unilateral and bilateral yellowish opacity, and unilateral and bilateral yellowish opacity with loss of structure). The images of the opacities were based on Fédération Dentaire Internationale's Developmental Defects of Enamel (DDE) Index. Aesthetic perception and social judgments were evaluated using a validated questionnaire with 12 questions (six positive and six negative points) on social aspects, considering the six manipulated images and the control. The photographic analyses were projected one-by-one by computer to adolescents individually in a classroom. Participants had one minute to observe each image and answer the questionnaire. The data were analyzed by descriptions, and the Friedman Wilcoxon test (p < 0.05). The results indicate that all opacities negatively impacted social judgment (p < 0.001). The enamel aesthetic defects most affecting an individual's perception were bilateral yellow opacity with or without loss of structure (p < 0.001). Regarding social judgment, all participants showed a negative perception of all the tested opacity types (p < 0.001). In conclusion, even opacities presenting only a color change caused aesthetic dissatisfaction to the individuals and changes in their social judgment toward others. Color changes in dental enamel have several aesthetic consequences.


Assuntos
Esmalte Dentário , Estética Dentária/psicologia , Julgamento , Percepção Social , Descoloração de Dente/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Criança , Feminino , Humanos , Masculino , Valores de Referência , Fatores Sexuais , Inquéritos e Questionários
2.
Health Qual Life Outcomes ; 18(1): 86, 2020 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-32228603

RESUMO

BACKGROUND: Based on previous theoretical oral-health-related quality of life (OHRQoL) models and most recently framework, as well as sociocultural model of body image dissatisfaction, the current study aimed to investigate the effect of individual (dental aesthetics and dental appearance social comparison) and sociocultural factors (social reinforcement from parents, peers and mass media on dental aesthetics) as well as their interaction on psychosocial dimension of OHRQoL among adolescent orthodontic patients. METHODS: In this cross-sectional study comprising 427 adolescent orthodontic patients (151 boys and 276 girls) aged between 11 and 16 years old, the psychosocial dimension of OHRQoL was measured by Psychosocial Impact of Dental Aesthetics Questionnaire. Individual predictor of dental aesthetics was defined by the Aesthetic Component of the Index of Orthodontic Treatment Need, and dental appearance social comparison was assessed by four items adapted from Physical Appearance Comparison Scale. Sociocultural predictor of social reinforcement was measured by six items adapted from Perceived Sociocultural Pressure Scale. Spearman correlations, path analyses, and structural equation modeling were used to build up several predictive models. RESULTS: As hypothesized, two direct pathways were observed that patients' dental aesthetics and all three sources of social reinforcement directly predicted the psychosocial dimension of OHRQoL. Meanwhile, we observed one indirect pathway, that three sources of social reinforcement predicted the psychosocial dimension of OHRQoL, in part, through dental appearance social comparison. CONCLUSIONS: This study provides preliminary evidence indicating that dental aesthetics, social reinforcement and dental appearance comparison are reliable predictors of psychosocial dimension of OHRQoL among adolescent orthodontic patients.


Assuntos
Estética Dentária/psicologia , Má Oclusão/psicologia , Qualidade de Vida/psicologia , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Índice de Necessidade de Tratamento Ortodôntico , Masculino , Saúde Bucal , Autoimagem , Inquéritos e Questionários
4.
Am J Orthod Dentofacial Orthop ; 156(4): 464-474.e1, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31582118

RESUMO

INTRODUCTION: The purposes of this study were to assess the role of dental attractiveness in background facial attractiveness and to evaluate how facial and dental attractiveness influenced raters' opinions of the integrity, social attractiveness, and intellectual attractiveness of the models. METHODS: Photographs of male and female individuals rated by peers as unattractive, average, and attractive were combined with oral images of 4 different levels of dental attractiveness (Index of Orthodontic Treatment Need [IOTN] 1, 5, 7, and 10). Sixty-seven participants meeting the inclusion criteria were recruited as raters. Raters viewed closed-lip smile and open-lip, posed smile of 24 models and rated them for facial attractiveness and integrity and multiple social/intellectual attractiveness dimensions using a Visual Analog Scale. RESULTS: Intrarater reliability was fair to excellent. Analysis of variance showed significant 3-way interactions (P < 0.0001=aim 1; P < 0.005=aim 2) for model sex, facial attractiveness, and dental attractiveness. The contribution of dental attractiveness to facial attractiveness was not fixed or linear, but dependent on dental attractiveness level, background facial attractiveness, and model sex. For both sexes, dental impact on facial attractiveness was neutral or negative when teeth were less than ideal, beginning at IOTN 5 for all background facial attractiveness levels. The impact of dental attractiveness on integrity and social and intellectual attractiveness was also dependent on dental attractiveness level, background facial attractiveness, and model sex. Dental attractiveness can make dramatic differences in Average and Attractive male individuals. CONCLUSIONS: The impact of dental attractiveness on facial attractiveness and integrity and social and intellectual attractiveness was dependent on dental attractiveness level, background facial attractiveness, and model sex. The effect of dental esthetics on facial attractiveness was neutral or negative for both male and female individuals when there was a need for treatment (IOTN 5 or higher) for all levels of facial attractiveness. For both male and female models, lower dental esthetics had a greater effect on more attractive faces. Judgments about integrity and social and intellectual attractiveness were strongly affected by dental esthetics, and these effects were more dramatic and consistent for male faces.


Assuntos
Beleza , Estética Dentária/psicologia , Índice de Necessidade de Tratamento Ortodôntico , Má Oclusão/classificação , Má Oclusão/psicologia , Sorriso/psicologia , Desejabilidade Social , Adolescente , Adulto , Feminino , Humanos , Masculino , Fotografação , Reprodutibilidade dos Testes , Escala Visual Analógica
5.
Am J Orthod Dentofacial Orthop ; 156(4): 485-492, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31582120

RESUMO

INTRODUCTION: The aim of this study was to investigate whether there is any influence on the perception of smile esthetics among orthodontists and laypersons, with regard to different vertical positions of the maxillary central incisors. METHODS: Frontal smile photographs digitally altered at full-face view and close-up view of 2 adult men aged between 20 and 30 years were used. Six vertical positions of the central incisors were created, with changes of 0.5 mm. The images were randomly assembled in an album that was presented to 53 orthodontists and 53 laypersons, who evaluated the attractiveness of the images by using visual analog scales. Comparison among the images was performed using 1-way analysis of variance, with Tukey post-hoc test. To compare the distribution of the mean scores between the full-face and close-up smile views, and between orthodontists and laypersons, the Student t test was used. The level of significance was established at 5%. RESULTS: The best evaluations presented the following: (a) the gingival margins of the central incisors corresponded to, or were up to, 1 mm below the line of the canine gingival margins, and (b) the incisal step between the central and lateral incisors was from 1.0 to 2.0 mm. The smiles considered least attractive showed (a) the central incisor gingival margins were 1.0 mm above or 1.5 mm below the canine gingival margins, and (b) no step, or a step of 2.5 mm, between the central and lateral incisors. CONCLUSIONS: The results of this study suggested that, in men, slightly extruded central incisors were esthetically more attractive than intruded incisors.


Assuntos
Estética Dentária/psicologia , Gengiva/anatomia & histologia , Incisivo/anatomia & histologia , Maxila/anatomia & histologia , Ortodontistas/psicologia , Sorriso/psicologia , Adulto , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Humanos , Masculino , Percepção , Fotografação , Escala Visual Analógica
6.
Health Qual Life Outcomes ; 17(1): 126, 2019 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-31319871

RESUMO

BACKGROUND: The psychosocial impact of dental aesthetics questionnaire (PIDAQ) is an efficient tool for assessment of oral health-related quality of life (OHRQoL). It evaluates the effect of dental esthetics on the psychosocial status of young adults. This questionnaire has been translated to many languages so far. However, it has not yet been translated to Persian. This study aimed to assess the validity and reliability of the Persian version of PIDAQ for use among the young adults. MATERIAL AND METHOD: The questionnaire was translated to Persian, back-translated to English and underwent cultural adaptation and pretesting. It was then filled out by 398 young adults (215 females and 183 males) between 18 to 30 years in Shiraz, Iran. The Persian version of PIDAQ along with the index of orthodontic treatment need-aesthetic component (IOTN-AC) and the perception of occlusion (POS) index were administered among participants to assess its discriminant validity. RESULTS: Factor analysis extracted four domains and the factor loading of domains ranged from 0.479 to 0.837. The Cronbach's alpha for the Persian version of PIDAQ ranged from 0.809 to 0.886. The mean score for each of the domains and the total score for PIDAQ, classified according to IOTN-AC and POS, showed a significant difference. The mean score acquired by subjects requiring orthodontic treatment was significantly higher than the score acquired by those not requiring orthodontic treatment (P = 0.00). CONCLUSION: The Persian version of PIDAQ has optimal validity, reliability and responsiveness for assessment of the psychosocial impact of malocclusion on the Iranian young adults.


Assuntos
Estética Dentária/psicologia , Má Oclusão/psicologia , Qualidade de Vida , Inquéritos e Questionários/normas , Adulto , Análise Fatorial , Feminino , Humanos , Irã (Geográfico) , Masculino , Reprodutibilidade dos Testes , Traduções , Adulto Jovem
7.
Health Qual Life Outcomes ; 17(1): 110, 2019 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-31242920

RESUMO

BACKGROUND: Several studies have assessed the psychological benefits of orthodontic treatment; however, the impact of competence on psychological benefits remains unknown. AIMS: To analyze the change of the perception of psychosocial dental impact in a sample of adults undergoing orthodontic treatment (mild/moderate dental malocclusions) and to assess the possible moderating effect of health competence level. METHODS: A longitudinal prospective design was used. Three time points were included: baseline (T0), 6 months after starting orthodontic treatment (T1) and once treatment had finished (T2). The pretreatment sample consisted of 78 patients recruited from the Rey Juan Carlos University Dental Clinic, all of whom had moderate malocclusions and were going to undergo orthodontic treatment for approximately 18 months with fixed metal multibrackets. All participants were instructed to complete the Spanish version of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and the aesthetic component of the Index of Orthodontic Treatment Need (IOTN-AC) on the three points of the research. Statistical analysis involved the General Linear Model (GLM) repeated-measures ANOVA to test if the outcome measures of psychosocial dental impact significantly changed over time during orthodontic treatment (baseline, at 6-month evaluation and posttreatment). To assess the effect of the previous health competence levels (high/low) in the change from baseline to the 6-month assessment, for each PIDAQ dimension, a 2*2 (time*group) repeated measures ANOVA was performed. RESULTS: A significant increase was observed in dental self-confidence values (T0-T1 and T0-T2). Similar results were observed for the psychological impact variables and for the IOTN-AC scores, which showed significant decreases between T0 and T1 and between T0 and T2. Finally, significantly decreases were observed between T0 and T2 in aesthetic concern. Interaction effects were found regarding the health competence variable from T0-T1 for the psychological impact, social impact and aesthetic concern and the IOTN-AC index, with significant development results regarding the high competence group. CONCLUSIONS: The first 6 months of orthodontic treatment seemed to be key to the development of psychosocial dental impact perception, during which the role of health competence was of great importance to developing a positive change. It is necessary to follow a biopsychosocial approach towards orthodontic treatment.


Assuntos
Má Oclusão/psicologia , Ortodontia Corretiva/psicologia , Qualidade de Vida , Adulto , Estética Dentária/psicologia , Feminino , Humanos , Índice de Necessidade de Tratamento Ortodôntico , Estudos Longitudinais , Masculino , Má Oclusão/terapia , Estudos Prospectivos , Inquéritos e Questionários , Adulto Jovem
8.
J Clin Pediatr Dent ; 43(3): 155-160, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30964719

RESUMO

Background: The staining associated with its caries arrest may be a deterrent for the use of Silver Diamine Fluoride (SDF). This study aims to elucidate the concerns that inform parents' perceptions and acceptance of SDF as a treatment option for their child. Study Design: We analyzed qualitative data obtained through an investigation in which parents attending a pediatric dental appointment participated in a survey, which included an open-ended question to evaluate their opinions about SDF staining. Thematic analysis of the comments, offered by the subsample of participants who replied to this question (n=43), yielded insights about perception of SDF therapy. Results: Most parents who provided comments were mothers (83.7%), college graduates (72.1%), primarily white (48.8%) or Hispanic (27.9%). Six themes emerged from the thematic analysis of the parents' responses: Esthetic Concerns, Psychosocial Concerns, SDF Treatment Process, Risks and Side Effects, Situational Benefits, and Dental Treatment Process. While many of the parents' comments are related to appearance, other topics that merit consideration when discussing SDF treatment were mentioned. Conclusions: Although parents are concerned about the esthetic impact of SDF, they understand the risks of alternative treatments and welcome information that will allow them to make an informed decision. Location of the cavities and visibility of the staining appear to heavily influence the decision to accept or reject this therapy.


Assuntos
Cariostáticos , Assistência Odontológica para Crianças , Estética Dentária , Aceitação pelo Paciente de Cuidados de Saúde , Criança , Assistência Odontológica para Crianças/psicologia , Estética Dentária/psicologia , Feminino , Fluoretos Tópicos , Humanos , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Compostos de Amônio Quaternário , Compostos de Prata
9.
Braz Oral Res ; 33: e014, 2019 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-30892410

RESUMO

Satisfaction with dental aesthetics is a subjective indicator used in epidemiological studies and is related to health behaviours. Little is known about the factors that influence this indicator, particularly among adolescents who live in a situation of social vulnerability. The aim of this study was to investigate the relationship between malocclusion and dental appearance in underprivileged Brazilian adolescents. This analytical cross-sectional study was conducted in Piracicaba, Brazil, and evaluated 884 adolescents from 13 to 19 years of age. The dependent variable was satisfaction with dental appearance, and the independent variables were classified as individual (components of the Dental Aesthetic Index - DAI, sex and age) and contextual (social exclusion index). For statistical analysis, multilevel regression models were estimated. The individual variables were considered Level 1, and the contextual variable was considered Level 2, with a level of significance of 5%. The mean age of the adolescents was 15.3 years. Female adolescents more frequently affirmed that they were satisfied with their dental appearance than did male individuals. There was an increase in dissatisfaction with oral health with the increase in anterior maxillary overjet, midline diastema, larger anterior irregularity in the maxilla, larger anterior irregularity in the mandible, anterior open bite and antero-posterior molar relation. Satisfaction with dental appearance was associated with individual factors such as sex and DAI components.


Assuntos
Estética Dentária/psicologia , Má Oclusão/psicologia , Autoimagem , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Satisfação do Paciente , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
10.
J. oral res. (Impresa) ; 8(1): 42-49, feb. 28, 2019. tab, ilus
Artigo em Inglês | LILACS | ID: biblio-1145266

RESUMO

Aim: To evaluate the association between malocclusion severity and psychosocial issues among Brazilian adolescents. Methods: The study sample consisted of 120 adolescents between 11 and 12 years, patients at the Dental School of the Federal University of Minas Gerais. Psychosocial issues were assessed by means of two questions, through which the adolescents were asked about whether a classmate had teased or called them names due to the condition of their teeth, or whether the adolescents had felt upset due to their teeth. The higher the response scores the greater the psychosocial impact. Malocclusion was evaluated with the Dental Aest-hetic. Index, with assignment of individuals to the following sub-groups: mild malocclusion (DAI≤25), moderate malocclusion (DAI=26­30), definite malocclusion (DAI=31­35) and severe malocclusion (DAI≥36). Results: Adolescents' mean age was 11.50 years. The more severe the malocclusion the greater the frequency of episodes of teasing or name-calling because of the condition of the teeth (p=0.010), and the greater the frequency of episodes when the adolescents had felt upset due to their teeth (p=0.001). Individuals with severe malocclusion had a higher frequency of episodes during which they were teased or called names due to the condition of their teeth when compared to individuals with mild malocclusion (p=0.013). Individuals with severe malocclusion had a higher frequency of episodes in which they felt upset due to their teeth when compared to individuals with mild malocclusion (p<0.001), individuals with moderate malocclusion (p=0.002), and those with defined malocclusion (p=0.001). Conclusion: Severe malocclusion was associated with psychosocial issues among adolescents.


Objetivo: Evaluar la asociación entre la gravedad de la maloclusión y los problemas psicosociales en adolescentes brasileños. Métodos: La muestra de estudio consistió en 120 adolescentes entre 11 y 12 años, pacientes de la Escuela de Odontología de la Universidad Federal de Minas Gerais. Los problemas psicosociales se evaluaron mediante dos preguntas, a través de las cuales se preguntó a los adolescentes si un compañero de clase se había burlado de ellos o les habían insultado debido a la condición de sus dientes, o si los adolescentes se habían sentido molestos debido a sus dientes. Cuanto mayor la puntuación de la respuesta, mayor el impacto psicosocial. La maloclusión se evaluó con el Índice de Estética Dental y se asignó los siguientes subgrupos: maloclusión leve (DAI≤25), maloclusión moderada (DAI=26-30), maloclusión definida (DAI=31-35) y maloclusión grave (DAI≥36). Resultados: la edad media de los adolescentes fue de 11,50 años. Cuanto más grave la maloclusión, mayor la frecuencia de episodios de burlas o insultos debido a la condición de los dientes (p=0.010) y mayor la frecuencia de episodios cuando el adolescente se ha sentido molesto debido a sus dientes (p=0.001). Las personas con maloclusión severa tuvieron una mayor frecuencia de episodios durante los cuales fueron objeto de burlas o se les insultó y les dio nombres debido a la condición de sus dientes en comparación con las personas con maloclusión leve (p=0.013). Los individuos con maloclusión severa tuvieron una mayor frecuencia de episodios en los que se sintieron molestos debido a sus dientes en comparación con individuos con maloclusión leve (p<0,001), individuos con maloclusión moderada (p=0,002) y aquellos con maloclusión definida (p=0.001). Conclusión: la maloclusión grave se asoció con problemas psicosociales en adolescentes.


Assuntos
Humanos , Masculino , Feminino , Criança , Psicologia do Adolescente , Má Oclusão/psicologia , Brasil , Inquéritos e Questionários , Impacto Psicossocial , Desenvolvimento do Adolescente , Estética Dentária/psicologia
11.
Gen Dent ; 67(1): 66-70, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30644835

RESUMO

This study aimed to compare the perceptions of smile esthetics among general practitioners, periodontists, and laypeople. Photographs of smiles were taken and digitally modified to create different gingival conditions: gingival asymmetry, unilateral gingival recession, and bilateral gingival recession. These photographs were evaluated by 150 volunteers (19-70 years old) using a 100.0-mm visual analog scale. The volunteers consisted of 50 laypeople with no knowledge of dentistry, 50 general dentists, and 50 periodontists. Analysis of variance and Student t test were performed when data presented a normal distribution. If the hypothesis of normality was rejected, the Newman-Keuls test was applied to the data. Results showed that laypeople noticed gingival asymmetry only when it reached 2.0 mm, while periodontists and general dentists noticed it at 1.0 mm. Periodontists and general dentists considered smiles with unilateral recession of ≥1.0 mm to be less attractive, while the smallest modification that was deemed unesthetic by the laypeople was 2.0 mm. In the evaluation of bilateral gingival recession, general dentists and periodontists found smiles with a 1.0-mm modification less attractive, while the changes were not noticed by laypeople until the modification reached 1.5 mm. It can be concluded that laypeople perceived changes in smile esthetics differently than did dental professionals, which suggests that laypeople may be less concerned about the esthetic effects of minor gingival alterations than are dental professionals. Therefore, it is important for the dentist to understand the individual patient's perception of what constitutes an esthetic smile before recommending a dental treatment plan.


Assuntos
Estética Dentária , Retração Gengival , Sorriso , Adulto , Idoso , Atitude do Pessoal de Saúde , Odontólogos , Estética Dentária/psicologia , Feminino , Gengiva/anatomia & histologia , Humanos , Masculino , Pessoa de Meia-Idade , Sorriso/psicologia , Adulto Jovem
12.
Clin Exp Dent Res ; 5(6): 601-610, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31943916

RESUMO

OBJECTIVES: Periodontal healing is often accompanied by side effects, which may cause an aesthetic deficit. The present investigation was focussed to compare patient's subjective perception of their posttherapy aesthetics with the objective measures of the results. MATERIALS AND METHODS: Survey results from patients (subjective parameters) on oral status and aesthetics were compared against routine clinical parameters and corresponding survey results from treating dentists (objective parameters), both before and after periodontal treatment. Subjective outcome parameters were then suitably transformed and compared with the objective ones to investigate the agreement between patients' perception and actual outcomes. RESULTS: Objective recordings of periodontal status by the dentist and subjective awareness of the patient are quite contradictory to each other for almost all participants. Further, it was found that their aesthetics in the front were better after treatment, but dentist professionals targeted for future treatment needs. CONCLUSIONS: In this study, it was found that patients improved aesthetically on the upper jaw front after the therapy, which was not shared by the dentists. This discrepancy was due to the clinicians' view on more aesthetic corrective procedures than on patients' need.


Assuntos
Odontólogos/psicologia , Estética Dentária/psicologia , Satisfação do Paciente/estatística & dados numéricos , Desbridamento Periodontal/efeitos adversos , Periodontite/prevenção & controle , Estudos de Coortes , Odontólogos/estatística & dados numéricos , Estética Dentária/estatística & dados numéricos , Feminino , Humanos , Masculino , Maxila , Desbridamento Periodontal/métodos , Inquéritos e Questionários/estatística & dados numéricos
13.
BMC Oral Health ; 18(1): 208, 2018 12 11.
Artigo em Inglês | MEDLINE | ID: mdl-30537968

RESUMO

BACKGROUND: The aesthetic self-perception and psychosocial impact of whitening is poorly explored in the literature; it is even less clear whether the effect of whitening may influence the psychology or social relations of patients. Therefore, the aim of this trial is to evaluate the impact of an at-home whitening procedure on patients' quality of life. Also, this study's secondary objective is the adaptation and validation of the Spanish version of the OES questionnaire (OES-SP). METHODS: Fifty eight patients underwent whitening with 10% carbamide peroxide (CP) gel for 1 h daily for 3 weeks. For these participants, the OHIP-Esthetics, PIDAQ, and OES surveys were applied before, one week after, and one month after the whitening procedure. Oral health-related quality of life was measured using the OHIP-Esthetics survey and the psychosocial impact using the PIDAQ survey. The orofacial aesthetics was measured by OES and validated for the Spanish Chilean context. The treatment efficacy (ΔE and ΔSGU) and data from the OHIP-Esthetics PIDAQ and OES surveys were compared using the Wilcoxon Signed-Rank test. RESULTS: The whitening procedure was effective (ΔE = 5.9 ± 1.8). The OHIP-Esthetics results were significant when comparing the initial baseline survey prior to the treatment and one week after whitening (p < 0.001) and when comparing the baseline and one-month results (p < 0.001). The overall score on the PIDAQ, after one week post-whitening, was separated into factors and all factors were statistically significant (p < 0.03); the factors for the one-month results were also all statistically significant (p < 0.001), except the social impact factor. The OES questionnaire had statistically significantly increased scores both one week and one month post-treatment (p < 0.0001). The reliability, validity, and responsiveness of the OES-SP were satisfactory. CONCLUSION: The at-home whitening procedure with carbamide peroxide 10% had a positive effect on patients' oral health-related quality of life, psychology, and aesthetic perception after one month post-whitening. The Chilean Spanish version of the OES showed satisfactory psychometric characteristics to evaluate dental whitening. TRIAL REGISTRATION: NCT02605239 . Date that the study was retrospectively registered: 11-11-2015.


Assuntos
Estética Dentária/psicologia , Saúde Bucal/estatística & dados numéricos , Autocuidado/psicologia , Clareamento Dental/psicologia , Adulto , Peróxido de Carbamida/uso terapêutico , Estética Dentária/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Autocuidado/estatística & dados numéricos , Inquéritos e Questionários , Clareamento Dental/estatística & dados numéricos , Clareadores Dentários/uso terapêutico , Adulto Jovem
14.
BMC Oral Health ; 18(1): 225, 2018 12 22.
Artigo em Inglês | MEDLINE | ID: mdl-30577772

RESUMO

BACKGROUND: An aesthetic smile has a number of components, and people generally equate a good dental appearance with success in many areas of life. The features that determine smile aesthetics could provide significant insights into post-treatment satisfaction and may predict a patient's objectives when undergoing treatment. The purpose of this study was to evaluate how smile characteristics are perceived by dental students. METHODS: The study was performed in 431 local and international dental students at the Lithuanian University of Health Sciences. The study data were collected using a three-part questionnaire. The first part of the questionnaire included sociodemographic items, i.e., student gender, age, nationality, and years of study; the second consisted of questions about facial aesthetic features; and the third elicited responses to photographs of 17 different smiles retrieved from the Lithuanian University of Health Sciences Clinic of Orthodontics database. The smile aesthetics were evaluated according to their dentolabial, dentogingival, dental, and dental arch characteristics using a 5-point numeric rating scale (1, best; 5, worst). The data were analysed using the Pearson's chi-square and Mann-Whitney U tests. RESULTS: The study included 336 local and 95 international dental students (132 men [30.6%], 299 women [69.4%]). Significantly more women than men focused on a person's teeth when communicating (41.5% vs.32.6%, p < 0.005). Women were more critical than men when evaluating gingival smile, the 'golden proportion', occlusal cant, and dental crowding. The most unfavourable smile characteristics were identified in the dental analysis category, with hypodontia ranked as the worst smile feature (mean numeric rating scale score 4.71). CONCLUSION: Among dental students, the most distracting characteristics of a smile when determining its attractiveness were hypodontia, gingival smile, a reversed curvature of the occlusal plane, and dental crowding.


Assuntos
Estética Dentária/psicologia , Sorriso/psicologia , Estudantes de Odontologia/psicologia , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Estética Dentária/estatística & dados numéricos , Feminino , Humanos , Masculino , Boca/anatomia & histologia , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
15.
J. Health NPEPS ; 3(2): 392-401, Julho-Dezembro. 2018. graf, tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-980859

RESUMO

Objetivo: este trabalho teve como objetivo avaliar o impacto do clareamento dental profissional na qualidade de vida de pacientes. Método: foram selecionados 40 pacientes em tratamento de clareamento dental de consultório com peróxido de hidrogênio a 35%, e que atenderam a critérios específicos de inclusão e exclusão. Para determinar o impacto do clareamento dental na qualidade de vida dos pacientes, foi aplicado o questionário OHIP-14, contendo 14 perguntas divididas em 7 domínios avaliando os aspectos: limitação funcional, dor física, desconforto psicológico, incapacidade física, incapacidade psicológica, incapacidade social e desvantagem social, antes do inicio e 30 dias após finalizado o clareamento dental. Resultados: os escore total do Ohip-14 e dos domínios foram comparados nos dois momentos (antes e após o clareamento), por meio do teste de Wilcoxon, que não mostrou diferencia significante (p<0.05%), para todos os domínios, com exceção do domínio desconforto psicológico no qual foi observado uma diminuição de impacto após o procedimento clareador. Conclusão: o OHIP 14 mostrou que o procedimento clareador favorece a estética dos indivíduos, melhorando sua qualidade de vida e, diminuindo assim, o estresse frente aos impactos psicológicos em sociedade.(AU)


Objective: this study aimed to evaluate the impact of professional tooth bleaching on patients' quality of life. Methods: a total of 40 patients were selected in the treatment of office tooth bleaching with 35% hydrogen peroxide, which met specific inclusion and exclusion criteria. To determine the impact of dental bleaching on patients' quality of life, the OHIP-14 questionnaire was used, containing 14 questions divided into 7 domains assessing aspects: functional limitation, physical pain, psychological discomfort, physical incapacity, psychological incapacity, social incapacity and social disadvantage, before the beginning and 30 days after dental bleaching was completed. Results: the total Ohip-14 score and domains were compared at both time points (before and after bleaching) using the Wilcoxon test, which showed no significant difference (p <0.05%) for all domains, except for the psychological discomfort domain in which a reduction in impact was observed after the bleaching procedure. Conclusion: OHIP-14 showed that the bleaching procedure favors the aesthetics of individuals, improving their quality of life, thus reducing the stress on the psychological impacts on society.(AU)


Objetivo: este trabajo tuvo como objetivo evaluar el impacto del blanqueamiento dental profesional en la calidad de vida de pacientes. Métodos: se seleccionaron 40 pacientes en tratamiento de blanqueamiento dental de consultorio con peróxido de hidrógeno al 35%, y que atendieron a criterios específicos de inclusión y exclusión. Para determinar el impacto del blanqueamiento dental en la calidad de vida de los pacientes, se aplicó el cuestionario OHIP-14, conteniendo 14 preguntas divididas en 7 áreas evaluando los aspectos: limitación funcional, dolor físico, incomodidad psicológica, incapacidad física, incapacidad psicológica, incapacidad social y desventaja social, antes del inicio y 30 días después de finalizado el blanqueamiento dental. Resultados: los puntajes totales del Ohip-14 y de los dominios fueron comparados en los dos momentos (antes y después del blanqueamiento), por medio de la prueba de Wilcoxon, que no mostró diferencia significante (p <0.05%), para todos los dominios, excepción del dominio de incomodidad psicológica donde se observó una disminución de impacto después del procedimiento blanqueador. Conclusión: el OHIP-14 mostró que el procedimiento blanqueador, favorece la estética de los individuos mejorando, su calidad de vida disminuyendo así el estrés frente a los impactos psicológicos en sociedad.(AU)


Assuntos
Humanos , Clareamento Dental/psicologia , Saúde do Adulto , Qualidade de Vida , Inquéritos e Questionários , Estética Dentária/psicologia
16.
Dental Press J Orthod ; 23(5): 47-57, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30427493

RESUMO

OBJECTIVE: To evaluate the smile attractiveness of different gingival zeniths by general dentists, orthodontists and laypersons and the esthetic perception in the symmetric and asymmetric changes in gingival zeniths. METHODS: Posed photographs of five patients were taken and digitally manipulated in Keynote software, in the gingival zenith region, in increments of 0.5 to 1mm in maxillary central and lateral incisors, symmetrically and asymmetrically, in nine different ways for each patient. The photos were then uploaded to a website, where evaluators (general dentists, orthodontists and laypersons) could observe and vote according to their esthetic perception, scoring from 1 to 10, 1 being the least attractive and 10 the more attractive. Kruskal-Wallis and Mann-Whitney tests were used for comparison. RESULTS: Asymmetric gingival zeniths were less attractive than symmetrical gingival zeniths; gingival zenith differences greater than 1mm were perceptible in the smile attractiveness, both by laypersons, general dentists and orthodontists. When comparing maxillary central incisors with maxillary lateral incisors, the aesthetic change performed in the central incisors are more perceptible than those performed in lateral incisors, both symmetrical and asymmetrical. In a general way, orthodontists and general dentists are more critical in the evaluation and perception of gingival zenith changes, with the laypersons perceiving this change only from 1mm of maxillary right central incisor asymmetrical change. CONCLUSIONS: Asymmetric gingival zeniths are less attractive than symmetrical ones. Gingival zenith differences greater than 1mm are perceptible in the smile attractiveness. Orthodontists and general dentists are more critical in evaluating smile esthetics.


Assuntos
Estética Dentária , Gengiva/anatomia & histologia , Sorriso , Adolescente , Adulto , Idoso , Beleza , Estética Dentária/psicologia , Feminino , Humanos , Incisivo/anatomia & histologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
17.
Dental Press J Orthod ; 23(5): 65-74, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30427495

RESUMO

OBJECTIVE: The aim of this study was to evaluate the degree of perception of attractiveness of the smile among dentists, dental students, and lay persons in cases of agenesis of the maxillary lateral incisors replaced by canines for space closure. METHODS: A smiling front view extraoral photograph of a 20-year-old woman was digitally altered simulating agenesis and its treatment, by means of: repositioning, reshaping or bleaching the canine, and gingival contour. A questionnaire was distributed to individuals of the three groups (n= 150), with a view to evaluating their degree of esthetic perception. An attractiveness scale was also used, with '0' representing unattractive and '10', very attractive. RESULTS: In the comparative evaluation among all the photographs, the original image obtained the highest level of acceptance. Photograph 'i' (agenesis of both lateral incisors treated with reposition and reshaping of the canines) was ranked as the least attractive by the dentists, whereas the student and lay persons ranked photograph 'f' (agenesis of both lateral incisors treated with reposition of the canines, gingival contour, bleaching and reshaping) as the worst. CONCLUSION: The methods of treatment most accepted among the dentists and students were those that involved changes in the gingival contour, whereas among lay persons, they were those that involved only reshaping.


Assuntos
Dente Canino/anatomia & histologia , Estética Dentária , Fechamento de Espaço Ortodôntico , Adulto , Anodontia/terapia , Beleza , Estética Dentária/psicologia , Feminino , Humanos , Incisivo/anormalidades , Masculino , Fechamento de Espaço Ortodôntico/psicologia , Fotografia Dentária , Sorriso , Inquéritos e Questionários , Coroa do Dente/anatomia & histologia , Adulto Jovem
18.
Cien Saude Colet ; 23(11): 3957-3964, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30427465

RESUMO

It aims to evaluate the association between dental appearance and Oral Health Related Quality of Life. Fifteen primary care services with dental services were selected in Porto Alegre, Brazil. Individuals were interviewed from a random sampling of households in the catchment area of the health centres. The outcome was having an OHIP14 score > 0 (any impact). The main exposures included self-reported tooth colour and position, perception of oral health and concern with dental aesthetics. Data were analysed with stepwise logistic regression. Of 1943 individuals contacted, 433 used public dental services in the last year. Seventy-three percent had some impact on quality of life, 35.2% and 47.5% reported stained and crowded teeth, respectively. Also, 22.2% had already tried bleaching their teeth. Individuals concerned with colour were 2.56 times (95% CI: 1.34-4.89) more likely to report any impact after adjusting for number of teeth, smoking and education. Concerns about tooth position, reporting stained or crowded teeth, age, sex and income were not significant (p > 0.30). There is a direct and independent association between concerns with tooth colour and quality of life. The effect of tooth colour on quality of life may be mediated by individuals' perceptions of aesthetics.


Assuntos
Má Oclusão/psicologia , Saúde Bucal , Qualidade de Vida , Descoloração de Dente/psicologia , Adolescente , Adulto , Brasil , Serviços de Saúde Bucal/organização & administração , Estética Dentária/psicologia , Feminino , Humanos , Entrevistas como Assunto , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Atenção Primária à Saúde/organização & administração , Adulto Jovem
19.
Ned Tijdschr Tandheelkd ; 125(11): 579-584, 2018 11.
Artigo em Holandês | MEDLINE | ID: mdl-30457578

RESUMO

Wish fulfilling medicine refers to medical procedures applied without a direct medical need. In wish fulfilling medicine, the wish of the patient is dominant, but wish fulfilling medicine is also promoted indirectly by healthcare providers, (pharmaceutical) companies and healthcare insurers. Wish fulfilling medicine often concerns the enhancement of appearance or performance; therefore, wish fulfilling medicine is also referred to as (human) enhancement (therapy). The line between traditional and wish fulfilling medicine is vague: the border between illness and health, normal and abnormal functioning is not sharply defined and is relative to time and place. In the Netherlands, wish fulfilling medicine is not covered in the basic package provided by healthcare insurers and is paid for by the patients themselves. However, 'pay yourself' is not a decisive criterion for wish fulfilling medicine. With new biotechnological developments the domain of wish fulfilling medicine is expanding. Some dental treatments can be considered as wish fulfilling dentistry, for example in the context of cosmetic dentistry, orthodontics, or dental implantology. Although wish fulfilling medical treatments do not cure disease, they can promote health.


Assuntos
Melhoramento Biomédico/ética , Estética Dentária/psicologia , Ética Odontológica , Ética Médica , Pacientes/psicologia , Técnicas Cosméticas , Tomada de Decisões , Odontologia/tendências , Humanos , Medicina/tendências , Países Baixos , Autonomia Pessoal
20.
Can Bull Med Hist ; 35(2): 309-336, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30274526

RESUMO

From World War II to the end of 20th century, the types of patients undergoing orthodontic treatment and their reasons for doing so changed significantly. In the 1950s and 1960s, Canadian parents were told that orthodontics would "cure" inferiority complexes and protect children with crooked teeth, especially girls, from a life of delinquency and missed opportunities. By the last two decades of the 20th century, the consumer health movement and rising incomes empowered patients to decide which treatments were right for them, and an increasing number of adult patients sought orthodontic treatment to improve their appearance. Orthodontists never abandoned their claim that orthodontic treatment could improve psychological health, as while health psychologists and other researchers increasingly called this into question. But orthodontists did begin to place greater emphasis on aesthetics as a reason for treatment, and orthodontics became part of a much larger explosion in "cosmetic dentistry" procedures that came to include tooth whitening and veneers.


Assuntos
Estética Dentária/história , Ortodontia/história , Canadá , Estética Dentária/psicologia , História do Século XX , Humanos
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