Abstract
Objective: To evaluate the self-perception of adolescents regarding the need to undergo orthodontic treatment. Material and Methods: It was performed a cross-sectional study. The sample (n = 200) was composed of adolescents aged 11 to 18 years, of both sexes, divided into 2 groups (G1 – in treatment group, G2 - beginner group). A structured questionnaire was divided into three categories for data collection: teeth, face, and symptomatology. Considering the age group, data were tabulated and the first measures of central tendency and dispersion (mean, median, standard deviation, minimum value and maximum value), frequencies, and percentages for other variables were calculated. Student’s t-test, Chi-square test, Fisher’s exact were used to compare the groups for the age group and other variables at a 5% significance level. Results: The mean age was 15.47 (SD = 1.56) years, 59% of the individuals were women. The main reason for deciding to wear orthodontic appliances was due to necessity and malpositioned teeth (94.5%) and for other reasons (5.5%), with no significant difference between G1 and G2 groups (p>0.05); 20.5% wanted their front teeth to be longer/shorter, and 18.5% wanted their upper teeth to be moved forward/backward. There was no significant difference between the groups in the categories what would you like to change in your appearance and and discomfort (p<0.05). Conclusion: Esthetics related to dental positioning of the upper incisors greatly influenced motivation of the adolescents to seek orthodontic treatment. Skeletal anomalies and pain symptomatology had little influence on the adolescent perception.
Highlights
The perception of facial appearance plays a fundamental role in the assessment of personal attractiveness and development of the individuals’ self-esteem, greatly affecting mental health and social behavior, with significant implications in the areas of education, professional and personal life
When asked about the main reason for deciding to wear orthodontic appliances, no participants answered because it was due to fashion or because friends wore them
On my right/left eye Discussion Collaboration of adolescents is difficult before orthodontic treatment and understanding how they perceive the use of the orthodontic appliance is a challenge for the orthodontist
Summary
The perception of facial appearance plays a fundamental role in the assessment of personal attractiveness and development of the individuals’ self-esteem, greatly affecting mental health and social behavior, with significant implications in the areas of education, professional and personal life. Studies have shown that the perception of one’s appearance involves several aspects that are not always related to the actual intensity of facial deformity or severity of malocclusion [1,2]. Other studies have observed that approximately 70% of patients acknowledge feeling discomfort regarding their own appearance, of which 30% of dissatisfaction causes great insecurity and evident disadvantages in social life [5,6,7]. Data from the National Epidemiological Survey (SB Brazil, 2010) pointed out that occlusion problems affect 38.8% of the adolescents aged 12. 19.0% have severe or very severe malocclusion, conditions that require immediate treatment and are a priority in public health programs [1]
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