The Effect of Bonding Orthodontic Fixed Appliances on the Esthetic Self-Perception in Adults and Adolescents
Objective: The aim of this study was to investigate esthetic self-perception of individuals with orthodontic fixed appliances using the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Materials and methods: A cross-sectional study were carried out using a self-reported questionnaire (PIDAQ) which targeted adolescent and adult orthodontic patients divided into two groups; participants undergoing orthodontic treatment with orthodontic fixed appliances (group I) and those seeking orthodontic treatment (group II). The questionnaire was validated using translation-retranslation method and distributed both online and in Riyadh city orthodontics clinics. Scores of PIDAQ were compared between the two groups. Results: 756 responses (120 males and 636 females) were received. Participants aged 12 to 18 years old comprised 13.8% of participants and participants over 18 years old comprised 86.2%. Among responses, 402 (53.2%) in group I and 354 (46.8%) in group II. A statistically significant difference between the two groups was found where the total PIDAQ score in group I was (mean=36.85, SD=23.26), and in group II was (mean=31.21, SD=23.81) (p=0.000). No statistically significant differences were found between males and females in all components and the total PIDAQ scores in both groups (p>0.05). Conclusions: The total PIDAQ score was higher in group I compared to group II. This indicates that bonding orthodontic fixed appliance can negatively affect esthetics and psychosocial well-being of participants.