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Type: Journal article
Title: Does malocclusion influence the adolescent's satisfaction with appearance? A cross-sectional study nested in a Brazilian birth cohort
Author: Glazer De Anselmo Peres, K.
Barros, A.
Anselmi, L.
De Anselmo Peres, M.
Barros, F.
Citation: Community Dentistry and Oral Epidemiology, 2008; 36(2):137-143
Publisher: Blackwell Munksgaard
Issue Date: 2008
ISSN: 0301-5661
Statement of
Karen Glazer Peres, Aluísio J. D. Barros, Luciana Anselmi, Marco Aurélio Peres and Fernando C. Barros
Abstract: OBJECTIVES: To test whether malocclusion had an impact on adolescents’ appearance satisfaction regardless of other physical aspects. METHODS: A cross-sectional study nested in a birth cohort study was carried out in Pelotas, Brazil. A random sample of 900 15-year-old adolescents was selected. WHO criteria were used to define malocclusion and a questionnaire was administered including self-reported skin colour and appearance satisfaction. Dental caries were assessed. Height and weight were measured and body mass index calculated. Data concerning gender and socioeconomic characteristics were obtained from the cohort’s perinatal study. Adjusted analyses including all confounding variables investigated were performed using Poisson regression with robust variance in order to identify the potential risk factors for appearance dissatisfaction. All analyses were carried out separately by gender. RESULTS: The sample included 867 individuals, 54.1% men. The prevalence of moderate or severe malocclusion was 30.6% (95% CI: 26.5–34.7) among boys, and 32.8% (95% CI: 28.2–37.4) among girls (P ¼ 0.524). Dissatisfaction with appearance was reported by 29.8% of the boys and by 46.5% of the girls (P < 0.001). A positive association between malocclusion and appearance dissatisfaction, controlling for other physical, dental caries and socioeconomic characteristics was observed only in girls [prevalence ratio ¼ 1.4 (1.3–1.7)]. CONCLUSIONS: Malocclusion is a common condition and is positively associated with appearance dissatisfaction in adolescent girls. The effect of different types of malocclusion on appearance dissatisfaction should be the focus of further investigation.
Keywords: adolescents
Rights: ©2007 The Authors
DOI: 10.1111/j.1600-0528.2007.00382.x
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