Comparison of the psychosocial impact on patients affected by cranio facial anomalies between traditional orthodontic brackets and aligners

Maria Costanza Meazzini; Chiara Tortora; Noah Cohen; Fabio Mazzoleni; Nicoletta Balbo; Vera Donati; Luca Autelitano

doi:10.1515/ijamh-2020-0117

Article

Comparison of the psychosocial impact on patients affected by cranio facial anomalies between traditional orthodontic brackets and aligners

Maria Costanza Meazzini , Chiara Tortora , Noah Cohen , Fabio Mazzoleni , Nicoletta Balbo , Vera Donati and Luca Autelitano

Published/Copyright: August 31, 2020

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From the journal International Journal of Adolescent Medicine and Health Volume 34 Issue 5

Abstract

Objectives

Malocclusion affects the psychological wellness and social interaction, impacting negatively on adolescents’ quality of life and self-esteem. Facial attractiveness is mostly based on the esthetics of the smile and patients seek orthodontic treatment mainly to improve aesthetics. The aim of this prospective clinical study is to compare the psychosocial impact of aligners (AL) and fixed appliances (FA) as orthodontic treatments in patients affected by craniofacial anomalies (CFA).

Methods

100 syndromic Caucasian patients with CFA followed in two different hospitals were divided in two groups: 50 patients treated with AL and 50 patients treated with FA. The two groups were matched for gender, age and CFA and filled out a modified psychosocial impact of dental aesthetics questionnaire (mPIDAQ).

Results

Patients affected by CFA treated with AL reported a better psychosocial impact than patients treated with FA, showing higher esthetic self-perception and self-esteem, lower social interaction impairments, and lower physical/practical disturbances.

Conclusions

The results of this study suggest that AL could be a valid alternative, especially in complex patients with CFA. Since AL application requires more cooperative patients the orthodontist should dedicate more time to motivate the patient to adhere to the treatment schedule.

Keywords: aligners; cleft lip and palate; craniofacial anomalies; phychosocial impact

Corresponding author: Noah Cohen, Smile-House, Santi Paolo and Carlo Hospital, Via di Rudinì 8, 20142 Milan, Italy, E-mail: cohen.orthodontic@gmail.com

Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Conflict of interest statement: The authors hereby certify that they do not have relevant conflicts of interests, no financial interests in the material of the manuscript which is a mere description.
Ethical approval: Research involving human subjects complied with all relevant national regulations, institutional policies and is in accordance with the tenets of the Helsinki Declaration (as revised in 2013), and has been approved by the Hospital Internal Ethical Committee (n. 393/2017)

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Received: 2020-05-16

Accepted: 2020-07-21

Published Online: 2020-08-31

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Articles in the same Issue

https://doi.org/10.1515/ijamh-2020-0117

Keywords for this article

aligners; cleft lip and palate; craniofacial anomalies; phychosocial impact