En el año 2010, el doctor Min-Ho Jung estableció en un artículo publicado en el American Journal of Orthodontics and Dentofacial Orthopedics (Volumen 138, Número 2, Páginas 160–166), titulado “Evaluation of the effects of malocclusion and orthodontic treatment on self-esteem in an adolescent population” la importancia de unos dientes alineados para la autoestima de los adolescentes, particularmente las niñas, que sufren más al tener unos dientes apiñados.
Esto, junto con la preferencia de los pacientes adolescentes por los alineadores transparentes frente a los tradicionales brackets, detectada por Daniel K. Walton et al ese mismo año en su artículo “Orthodontic appliance preferences of children and adolescents“, ha hecho que sean muchos los adolescentes y padres que se deciden por un tratamiento con Invisalign Teen.
En base a esto, en muchos casos los padres encuentran más sencillo plantear a sus hijos la necesidad de resolver una maloclusión mediante técnicas de ortodoncia transparente como Invisalign, mientras el ortodoncista consigue además que su higiene sea más adecuada que cuando llevan brackets, puesto que la limpieza de los dientes es más cómoda.
Evaluation of the effects of malocclusion and orthodontic treatment on self-esteem in an adolescent population.
The purpose of this study was to evaluate the effects of malocclusion and orthodontic treatment on adolescent self-esteem.
A total of 4509 middle school students were clinically evaluated for dental crowding. Lip protrusion was also measured with a specially designed ruler. Rosenberg’s self-esteem scale was used to determine each subject’s level of self-esteem.
The results showed that sex played a role in the relationship between self-esteem and malocclusion. For the girls, crowding of the anterior teeth had significant effects on their self-esteem; however, there was no significant difference in the boys’ self-esteem. After fixed orthodontic treatment, the girls had higher self-esteem than the untreated malocclusion group. Girls with an ideal profile and good tooth alignment also showed higher self-esteem than students with crowding or protrusion.
This clinical study proved that malocclusion and fixed orthodontic treatment can affect self-esteem in adolescent girls.
Orthodontic appliance preferences of children and adolescents.
Although attractiveness and acceptability of orthodontic appliances have been rated by adults for themselves and for adolescents, children and adolescents have not provided any substantial data. The objective of this study was to evaluate preferences and acceptability of orthodontic appliances in children and adolescents.
Images of orthodontic appliances previously captured and standardized were selected and incorporated into a computer-based survey. Additional images of shaped brackets and colored elastomeric ties, as well as discolored clear elastomeric ties, were captured and incorporated onto existing survey images with Photoshop (Adobe, San Jose, Calif). The survey displayed 12 orthodontic appliance variations to 139 children in 3 age groups: 9 to 11 years (n = 45), 12 to 14 years (n = 49), and 15 to 17 years (n = 45). The subjects rated each image for attractiveness and acceptability. All images were displayed and rated twice to assess rater reliability.
Overall reliability ratings were r = 0.74 for attractiveness and k = 0.66 for acceptability. There were significant differences in bracket attractiveness and acceptability in each age group. The highest-rated appliances were clear aligners, twin brackets with colored ties, and shaped brackets with and without colored ties. Colored elastomeric ties improved attractiveness significantly over brackets without colored ties for children in the 12-to-14 year group. There was a tendency for older subjects to rate clear orthodontic appliances higher than did younger subjects. Ceramic brackets with discolored ties tended to be rated lower than ceramic brackets with new ties and scored lowest in acceptability and attractiveness in all age groups. Girls rated shaped brackets significantly higher than did boys.
Children’s preferences for orthodontic appliances differ by age and sex. Child and adolescent preferences differ from adult preferences.