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Association between malocclusion severity and adolescents' psychosocial status
Berfin Karbeyazgün Çınar1, Rosaria Bucci1, Simona Cascella1
1Department of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics, University of Naples Federico II, Italy.
Dental and Medical Problems
|July 15, 2026
Summary
Adolescents often underestimate their need for orthodontic treatment, impacting self-esteem. Specific malocclusions like overjet and overbite significantly affect psychosocial well-being and aesthetic perceptions.
Area of Science:
- Orthodontics and Dental Health
- Psychosocial Impact of Health Conditions
- Adolescent Health
Background:
- Dentoskeletal malocclusion's effect on psychosocial status and quality of life is debated.
- Adolescents' perception of malocclusion severity can differ from clinical assessments.
Purpose of the Study:
- To investigate the link between malocclusion severity and adolescent self-esteem.
- To explore adolescents' perception of dentofacial aesthetics and its psychosocial impact.
Main Methods:
- Adolescents (10-18 years) completed questionnaires on self-esteem, aesthetics, and psychosocial impact.
- Malocclusion severity assessed using IOTN-AC, IOTN-DHC, overbite, and overjet.
- Skeletal malocclusions evaluated via cephalometric radiographs.
Main Results:
- Adolescents often perceived low need for treatment despite clinical indications.
- Overjet correlated with self-esteem; overbite with dental confidence and aesthetics.
- Skeletal variables showed no association with psychosocial domains.
Conclusions:
- Patient perception of malocclusion differs from clinician assessment, influencing orthodontic goals.
- Overjet and overbite are key clinical factors impacting adolescent psychosocial well-being.
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