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Title: Psycho-social impacts of malocclusion and orthodontic treatment in adolescent patients
Author: Abutayyem, Huda
ISNI:       0000 0004 7231 1537
Awarding Body: UCL (University College London)
Current Institution: University College London (University of London)
Date of Award: 2016
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Introduction: Malocclusion may have an impact on psycho-social aspects but the evidence is less clear cut regarding the potential benefits associated with orthodontic treatment. This PhD therefore aimed to study these aspects in 3 chapters: • Systematic review: Aims: To evaluate social, psychological and quality of life changes due to orthodontic treatment. Methods, Results and Conclusions: Six electronic databases were searched and 21 articles included, reporting results of RCTs and observational studies. There was inadequate evidence to support or refute that orthodontic treatment in adolescent patients has positive psychosocial effects. The lack of a universal outcome measure in reporting impacts of orthodontic treatment is an important issue, so efforts must be made to develop this measure. • Prospective controlled longitudinal study: Aims: To study social impacts following functional appliance in adolescent with Class II Division 1 malocclusions and to compare it with a control group of patients of the same age range who had not yet commenced treatment. Methods: Participants completed a questionnaire regarding social impacts before and after functional appliance treatment. Results: 114 patients were recruited, 65 patients in the treatment group and 49 patients in the control group. There was no statistically significant difference between the groups at T2. Conclusions: Based on the questionnaires used, there were no significant social benefits associated with functional appliance treatment. • Qualitative study: Aims: To explore the social impacts of malocclusion in adolescent patients using qualitative methods. Methods: In-depth interviews were conducted and data were analysed using a framework analysis. Results: 12 participants were interviewed and three main themes were identified: Interpersonal relations, feelings regarding facial images and teasing. Conclusions: Although common themes were identified, variation existed with regards to the social effects of malocclusion on an adolescent’s lifestyle. Interviewees reported being repeatedly reminded of their malocclusion; reinforced through teasing and images in different media.
Supervisor: Cunningham, S. ; Hunt, N. Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available