ArticleThe Angle orthodontist2021
Is the adolescent's esthetic concern associated with anterior occlusal conditions or the malocclusion severity level?
Article in The Angle orthodontist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 16 citations in OpenAlex.
- Barriers to orthodontic treatment among rural children in Guangxi, China: a mixed-methods study.BMC oral health · 2026Article
- Determinants of Severe Orthodontic Treatment Need Using Clinically Categorized Occlusal Features.Dentistry journal · 2026Article
- Diagnostic accuracy of the Oral Aesthetic Subjective Impact Score (OASIS) questionnaire for orthodontic treatment need in Nepal: a hospital-based study.BMC oral health · 2025Article
- Psychosocial impact of dental aesthetics in adolescent : an evaluation of a latent profile and its associated risk factors.BMC oral health · 2024Article
- Tooth Colour and Facial Attractiveness: Study Protocol for Self-Perception with a Gender-Based Approach.Journal of personalized medicine · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the esthetic impact of anterior occlusal conditions and malocclusion severity levels. MATERIALS AND
methodsA population-based cross-sectional study of 700 adolescents aged 15 to 19 years was conducted. The Oral Aesthetic Subjective Impact Scale (OASIS) was used to evaluate the subjective esthetic impact of malocclusion. The Dental Aesthetic Index (DAI) criteria were used to diagnose the anterior occlusal characteristics in isolation and the severity levels of malocclusion. The variables with P < .20 in the individual analyses were tested in multiple logistic regression models, and those with P < .10 remained in the model. The adjusted odds ratio (OR) was estimated with a 95% confidence interval (CI).
resultsOf the adolescents, 42% showed negative self-perception of malocclusion. In addition, 15.4% of adolescents had severe malocclusion (DAI 3) and 18.9% very severe malocclusion (DAI 4). Crowding and spacing were shown to be 2.90 (CI: 2.06-4.09) and 2.53 (CI: 1.65-3.86) times, respectively, more likely to cause a negative esthetic impact in adolescents (P < .05). In addition, adolescents with orthodontic treatment need (DAI 2, 3, and 4) were more likely to report a negative esthetic impact (P < .05).
conclusionsAnterior crowding and spacing are the conditions that most influence the esthetic concern of adolescents. Adolescents with very severe malocclusion and higher orthodontic treatment need are more likely to report a negative esthetic impact.
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Registered trials
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