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Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction
Craniofacial asymmetry can have significant psychosocial implications, affecting the quality of life in adolescents and young adults. This study aimed to assess the impact of age and complexity of craniofacial asymmetry on quality of life and psychosocial outcomes in patients undergoing orthodontic...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340480/ https://www.ncbi.nlm.nih.gov/pubmed/37444689 http://dx.doi.org/10.3390/healthcare11131855 |
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author | Talpos, Serban Pricop, Marius Szuhanek, Camelia Avramut, Robert Nikolajevic-Stoican, Nicoleta Maracineanu, Raluca Talpos, Roxana Hajaj, Tareq Popa, Malina |
author_facet | Talpos, Serban Pricop, Marius Szuhanek, Camelia Avramut, Robert Nikolajevic-Stoican, Nicoleta Maracineanu, Raluca Talpos, Roxana Hajaj, Tareq Popa, Malina |
author_sort | Talpos, Serban |
collection | PubMed |
description | Craniofacial asymmetry can have significant psychosocial implications, affecting the quality of life in adolescents and young adults. This study aimed to assess the impact of age and complexity of craniofacial asymmetry on quality of life and psychosocial outcomes in patients undergoing orthodontic and orthognathic correction. A cross-sectional study was conducted on 149 patients aged 13–26 years with moderate or severe craniofacial asymmetry that had a gnathion deviation higher than 2 mm, according to the American Association of Orthodontists. Participants were divided into three groups: teenagers (n = 53), adults (n = 46), and a control group (n = 50) with relative craniofacial asymmetry. Quality of life and psychosocial impacts were evaluated using validated questionnaires that measure health-related quality of life (SF-36), body image satisfaction and self-acceptance (BIQLI), anxiety and depression levels (HADS), and perceived stress (PSS-10). These tools provided an encompassing appraisal of the psychological and social implications associated with craniofacial asymmetry before and six months after orthodontic and orthognathic correction. Before the intervention, adults had higher mental health scores compared to teenagers (p = 0.037). At the 6-month follow-up, no significant differences in mental health scores were observed between the two groups (p = 0.121). BIQLI results showed significant differences in satisfaction with appearance and self-acceptance between teenagers and adults, both before intervention (p = 0.045 and p = 0.051, respectively) and at six months (p = 0.062 and p = 0.031, respectively). HADS results showed significant differences in anxiety levels before intervention (p = 0.039) but not at six months (p = 0.133). PSS-10 results showed no significant differences in perceived stress between the groups. In conclusion, this study demonstrates that craniofacial asymmetry significantly impacts the quality of life and psychosocial well-being of adolescents and young adults. Specifically, teenagers, as compared to young adults, reported lower satisfaction with their appearance and lower self-acceptance before intervention, underscoring the profound psychosocial challenges that adolescents with craniofacial asymmetry may experience. These age-related differences underscore the importance of tailored interventions to address unique psychosocial needs at different developmental stages. |
format | Online Article Text |
id | pubmed-10340480 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103404802023-07-14 Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction Talpos, Serban Pricop, Marius Szuhanek, Camelia Avramut, Robert Nikolajevic-Stoican, Nicoleta Maracineanu, Raluca Talpos, Roxana Hajaj, Tareq Popa, Malina Healthcare (Basel) Article Craniofacial asymmetry can have significant psychosocial implications, affecting the quality of life in adolescents and young adults. This study aimed to assess the impact of age and complexity of craniofacial asymmetry on quality of life and psychosocial outcomes in patients undergoing orthodontic and orthognathic correction. A cross-sectional study was conducted on 149 patients aged 13–26 years with moderate or severe craniofacial asymmetry that had a gnathion deviation higher than 2 mm, according to the American Association of Orthodontists. Participants were divided into three groups: teenagers (n = 53), adults (n = 46), and a control group (n = 50) with relative craniofacial asymmetry. Quality of life and psychosocial impacts were evaluated using validated questionnaires that measure health-related quality of life (SF-36), body image satisfaction and self-acceptance (BIQLI), anxiety and depression levels (HADS), and perceived stress (PSS-10). These tools provided an encompassing appraisal of the psychological and social implications associated with craniofacial asymmetry before and six months after orthodontic and orthognathic correction. Before the intervention, adults had higher mental health scores compared to teenagers (p = 0.037). At the 6-month follow-up, no significant differences in mental health scores were observed between the two groups (p = 0.121). BIQLI results showed significant differences in satisfaction with appearance and self-acceptance between teenagers and adults, both before intervention (p = 0.045 and p = 0.051, respectively) and at six months (p = 0.062 and p = 0.031, respectively). HADS results showed significant differences in anxiety levels before intervention (p = 0.039) but not at six months (p = 0.133). PSS-10 results showed no significant differences in perceived stress between the groups. In conclusion, this study demonstrates that craniofacial asymmetry significantly impacts the quality of life and psychosocial well-being of adolescents and young adults. Specifically, teenagers, as compared to young adults, reported lower satisfaction with their appearance and lower self-acceptance before intervention, underscoring the profound psychosocial challenges that adolescents with craniofacial asymmetry may experience. These age-related differences underscore the importance of tailored interventions to address unique psychosocial needs at different developmental stages. MDPI 2023-06-26 /pmc/articles/PMC10340480/ /pubmed/37444689 http://dx.doi.org/10.3390/healthcare11131855 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Talpos, Serban Pricop, Marius Szuhanek, Camelia Avramut, Robert Nikolajevic-Stoican, Nicoleta Maracineanu, Raluca Talpos, Roxana Hajaj, Tareq Popa, Malina Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction |
title | Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction |
title_full | Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction |
title_fullStr | Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction |
title_full_unstemmed | Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction |
title_short | Age-Related Quality of Life and Psychosocial Impact of Chin Asymmetry in Adolescents and Young Adults Undergoing Orthodontic and Orthognathic Correction |
title_sort | age-related quality of life and psychosocial impact of chin asymmetry in adolescents and young adults undergoing orthodontic and orthognathic correction |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340480/ https://www.ncbi.nlm.nih.gov/pubmed/37444689 http://dx.doi.org/10.3390/healthcare11131855 |
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