Andrew DiBiase, Zaffie Cox, Michaela Rea, Lazaros Gonidis, Lindsey Cameron, Adam Rutland
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The esthetic impact of malocclusion and orthodontic treatment needs were assessed using the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC).</p><p><strong>Results: </strong>Complete data were collected for 698 participants. School children with a definite need for orthodontic treatment (IOTN-AC, 8-10) reported higher levels of loneliness (P = 0.036) and lower OHRQoL (P <0.001), but there was no difference in self-esteem compared to those with IOTN-AC score 1-7. The relationship between malocclusion and loneliness was fully mediated through OHRQoL (P <0.001) and moderated by self-esteem in girls so that mediation was evident in people with low and average self-esteem but not high self-esteem. In boys, as there was no direct relationship between malocclusion and loneliness, mediation did not occur.</p><p><strong>Conclusions: </strong>A significant relationship was found between malocclusion and peer relationships in girls, and this was moderated by self-esteem.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Malocclusion and peer relationships in school children aged 10-14 years in the United Kingdom: A cross-sectional study.\",\"authors\":\"Andrew DiBiase, Zaffie Cox, Michaela Rea, Lazaros Gonidis, Lindsey Cameron, Adam Rutland\",\"doi\":\"10.1016/j.ajodo.2025.04.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>This was a cross-sectional observational study carried out in 16 schools in the Southeast of the United Kingdom using a convenience sample based on geographic location and agreement to participate, aiming to investigate the relationship between malocclusion and peer relationships in school children aged 10-14 years.</p><p><strong>Methods: </strong>Peer relationships, self-esteem, and oral health-related quality of life (OHRQoL) were measured using 3 questionnaires: the Loneliness and School Dissatisfaction Questionnaire, the Rosenberg Self-Esteem Scale, and the Malocclusion Impact Questionnaire (MIQ). The esthetic impact of malocclusion and orthodontic treatment needs were assessed using the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC).</p><p><strong>Results: </strong>Complete data were collected for 698 participants. School children with a definite need for orthodontic treatment (IOTN-AC, 8-10) reported higher levels of loneliness (P = 0.036) and lower OHRQoL (P <0.001), but there was no difference in self-esteem compared to those with IOTN-AC score 1-7. The relationship between malocclusion and loneliness was fully mediated through OHRQoL (P <0.001) and moderated by self-esteem in girls so that mediation was evident in people with low and average self-esteem but not high self-esteem. In boys, as there was no direct relationship between malocclusion and loneliness, mediation did not occur.</p><p><strong>Conclusions: </strong>A significant relationship was found between malocclusion and peer relationships in girls, and this was moderated by self-esteem.</p>\",\"PeriodicalId\":50806,\"journal\":{\"name\":\"American Journal of Orthodontics and Dentofacial Orthopedics\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-05-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Orthodontics and Dentofacial Orthopedics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ajodo.2025.04.017\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Orthodontics and Dentofacial Orthopedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ajodo.2025.04.017","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Malocclusion and peer relationships in school children aged 10-14 years in the United Kingdom: A cross-sectional study.
Introduction: This was a cross-sectional observational study carried out in 16 schools in the Southeast of the United Kingdom using a convenience sample based on geographic location and agreement to participate, aiming to investigate the relationship between malocclusion and peer relationships in school children aged 10-14 years.
Methods: Peer relationships, self-esteem, and oral health-related quality of life (OHRQoL) were measured using 3 questionnaires: the Loneliness and School Dissatisfaction Questionnaire, the Rosenberg Self-Esteem Scale, and the Malocclusion Impact Questionnaire (MIQ). The esthetic impact of malocclusion and orthodontic treatment needs were assessed using the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC).
Results: Complete data were collected for 698 participants. School children with a definite need for orthodontic treatment (IOTN-AC, 8-10) reported higher levels of loneliness (P = 0.036) and lower OHRQoL (P <0.001), but there was no difference in self-esteem compared to those with IOTN-AC score 1-7. The relationship between malocclusion and loneliness was fully mediated through OHRQoL (P <0.001) and moderated by self-esteem in girls so that mediation was evident in people with low and average self-esteem but not high self-esteem. In boys, as there was no direct relationship between malocclusion and loneliness, mediation did not occur.
Conclusions: A significant relationship was found between malocclusion and peer relationships in girls, and this was moderated by self-esteem.
期刊介绍：
Published for more than 100 years, the American Journal of Orthodontics and Dentofacial Orthopedics remains the leading orthodontic resource. It is the official publication of the American Association of Orthodontists, its constituent societies, the American Board of Orthodontics, and the College of Diplomates of the American Board of Orthodontics. Each month its readers have access to original peer-reviewed articles that examine all phases of orthodontic treatment. Illustrated throughout, the publication includes tables, color photographs, and statistical data. Coverage includes successful diagnostic procedures, imaging techniques, bracket and archwire materials, extraction and impaction concerns, orthognathic surgery, TMJ disorders, removable appliances, and adult therapy.
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