Evidence map›Paper›PMID 37920628›Full record

ReviewCureus2023

Evaluation of the Impact of Orthodontic Treatment on Patients' Self-Esteem: A Systematic Review.

Rashad I Shaadouh, Mohammad Y Hajeer, Ahmad S Burhan, Mowaffak A Ajaj, Samer T Jaber, Ahmad Salim Zakaria, Khaldoun M A Darwich, Ossama Aljabban, Youssef Latifeh

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rashad I ShaadouhDepartment of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, SYR.
Mohammad Y HajeerDepartment of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, SYR.
Ahmad S BurhanDepartment of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, SYR.
Mowaffak A AjajDepartment of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, SYR.
Samer T JaberDepartment of Orthodontics, Faculty of Dentistry, Al-Watanyia Private University, Hama, SYR.
Ahmad Salim ZakariaDepartment of Orthodontics, School of Dental Sciences, Universiti Sains Malaysia, Kelantan, MYS.
Khaldoun M A DarwichDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Damascus, Damascus, SYR.
Ossama AljabbanDepartment of Endodontics and Restorative Dentistry, Faculty of Dentistry, University of Damascus, Damascus, SYR.
Youssef LatifehDepartment of Internal Medicine, Faculty of Medicine, University of Damascus, Damascus, SYR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malocclusion may affect interpersonal relationships, self-esteem (SE), and psychological well-being, weakening patients' psychological and social activities. Several studies investigated the effect of orthodontic treatment on these social and psychological aspects, such as SE. However, the direct relationship between SE and orthodontic treatment has not yet been confirmed. This systematic review aimed to evaluate the existing evidence in the literature concerning the influences of orthodontic treatment on patients' SE systematically and critically. An electronic search in the following databases was done in September 2022: PubMed®, Web of Science™, Scopus®, Embase®, GoogleTM Scholar, Cochrane Library databases, Trip, and OpenGrey. Then, the reference list of each candidate study was checked for any potentially linked papers that the electronic search might not have turned up. Inclusion criteria were set according to the population/intervention/comparison/outcome/study design (PICOS) framework. For the data collection and analysis, two reviewers extracted data separately. The risk of bias 2 (RoB-2) and the risk of bias in non-randomized studies (ROBINS-I) tools were used to assess the risk of bias for randomized controlled trials (RCTs) and non-RCTs, respectively. The grading of recommendations assessment, development and evaluation (GRADE) approach was employed to evaluate the quality of the evidence for each finding. Sixteen studies (five RCTs, seven cohorts, and four cross-sectional) were included in this review. Unfortunately, the results could not be pooled into a meta-analysis. Only six studies have reported an increase in SE after orthodontic treatment (P<0.05 in these studies). No agreement between the included studies was observed regarding the influence of fixed orthodontic treatment, gender, or age on SE. The quality of evidence supporting these findings ranged from very low to low. There is low evidence indicating that fixed orthodontic treatment can improve patients' SE. In addition, unclear data are available about the influence of patients' gender and age on SE after orthodontic treatment. Therefore, high-quality RCTs are required to develop stronger evidence about this issue.

Indexed as

adolescentadultsfixed orthodontic treatmentfixed treatmentorthodonticorthodontic treatmentpsychologicalself-conceptself-esteem

Identifiers

PMID37920628
PMCPMC10618848

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.