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The Psychological Impact of Dental Aesthetics in Patients with Juvenile Idiopathic Arthritis Compared with Healthy Peers: A Cross-Sectional Study

Department of Neurosciences, Reproductive Science and Oral Sciences, Division of Orthodontics, University of Naples Federico II, Naples, 80131, Italy
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Author to whom correspondence should be addressed.
The authors equally contributed to the manuscript.
Dent. J. 2019, 7(4), 98; https://doi.org/10.3390/dj7040098
Received: 6 August 2019 / Revised: 18 September 2019 / Accepted: 19 September 2019 / Published: 1 October 2019
(This article belongs to the Special Issue Psychosocial Impacts of Dental Conditions in Childhood, Volume Ⅱ)
This study aimed to assess whether dental aesthetics had a different impact on the psychosocial domains of adolescents with juvenile idiopathic arthritis (JIA) as compared with healthy peers. Fifty JIA patients and eighty controls aged between 13 and 17 years were enrolled. The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) was administered along with tools for the self-assessment of malocclusion and self-esteem. An objective evaluation of malocclusion severity was performed through a clinical evaluation with the Dental Aesthetic Index (DAI). The sample was divided according to the DAI stages of malocclusion severity; a two-way analysis of variance (ANOVA) was performed to assess whether there was a difference in the studied variables according to the malocclusion and the presence of JIA. The results showed no interaction between the malocclusion severity and the presence of JIA in all analyzed variables (all p > 0.05). According to the DAI stages, the Dental Self-Confidence domain of the PIDAQ and the Perception of Occlusion Scale showed statistically significant differences only within the controls (p = 0.027 and p = 0.014, respectively). Therefore, JIA adolescents seem to be less concerned about their dental aesthetics compared with healthy peers, and clinicians should take particular care when proposing orthodontic treatments aiming only to improve dental aesthetics.
Keywords: quality of life; oral-health related quality of life; adolescent; juvenile idiopathic arthritis; dental aesthetics quality of life; oral-health related quality of life; adolescent; juvenile idiopathic arthritis; dental aesthetics
MDPI and ACS Style

Bucci, R.; Rongo, R.; Amato, A.; Martina, S.; D’Antò, V.; Valletta, R. The Psychological Impact of Dental Aesthetics in Patients with Juvenile Idiopathic Arthritis Compared with Healthy Peers: A Cross-Sectional Study. Dent. J. 2019, 7, 98.

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