Differences in the visual perception of the upper dental midline deviation between orthodontically completely treated and untreated patients

Avi Laviana; Irnamanda Dwipura Yakin Hasbullah; Elih Sayuti; Endah Mardiati; Indah Yuri Noviaranny

doi:10.24198/pjd.vol35no1.45351

Differences in the visual perception of the upper dental midline deviation between orthodontically completely treated and untreated patients

Avi Laviana, Irnamanda Dwipura Yakin Hasbullah, Elih Sayuti, Endah Mardiati, Indah Yuri Noviaranny

Abstract

ABSTRACT

Introduction: A common reason for people to obtain orthodontic treatment is a misalignment between the upper dental midline and the midline of the face. The process of orthodontic treatment is considered to affect a patient's visual perception before and after the treatment, as well as their satisfaction with treatment, possibly due to the information received during treatment. This study aimed to analyze this visual perception of dental midline deviation differences between orthodontically completely treated and untreated patients. Methods: This was a cross-sectional survey of 90 orthodontic patients, 49 completely treated patients who had completed orthodontic treatment and 41 untreated patients who had not started treatment. Patients were asked to complete a Google Form questionnaire for evaluating 12 intraoral smiling photos with midline deviation and a Likert scale. Bivariate statistical analysis with the Mann Whitney test was carried out to see differences in visual perceptions between two groups. Results: Completely treated patients perceive a 0-1 mm (LCN/L photos) midline deviation of the upper teeth as attractive, while untreated patients perceive a 0-2 mm (LCN photos) and 0-3 mm (L photos) deviation as attractive. The statistical analysis revealed a significant difference in patient perception between completely treated and untreated groups, with a p-value of 0.001 (p<0.05) and a mean score of 36.5 and 53.0, respectively. Conclusion: There are differences in visual perception between orthodontically completely treated and untreated patients. The group of completely treated patients is more sensitive to detecting a midline deviation of the upper teeth.

Keywords : Upper dental midline deviation, visual perception, completely treated orthodontic patients, untreated orthodontic patients

Keywords

Upper dental midline deviation, visual perception, completely treated orthodontic patients, untreated orthodontic patients

Full Text:

PDF

References

REFERENCES

Ko EW, Huang CS, Lin C, Chen Y. Orthodontic perspective for face asymmetry correction. Symmetry. 2022;14(1822): 1-13. DOII: 10.3390/sym14091822

Alotaibi A, Alotaibi S, al Barashi M, Khojah M, Rajeh M. Self-perceived dental esthetics and orthodontic treatment need. J Res Med Dent Sci. 2021;9(12):144-9.

Mohammad AH. Dental midline shift in Libyan orthodontic patients. Egyptian Dent J. 2023;69(1):41-4. DOI: 10.21608/edj.2022.175043.2351

Zhaoc Z, Zhanga YF, Xiaoa L, Li J, Penga YR. Young people’s esthetic perception of dental midline deviation. Angle Orthodontist. 2010;80(3):515–20. DOI: 10.2319/052209-286.1

Williams RP, Rinchuse DJ, Zullo TG. Perceptions of midline deviations among different facial types. Am J of Orthod and Dentofacial Orthop. 2014;145(2):249–55: DOI: 10.1016/j.ajodo.2013.02.034

Anistiroael D, Zegan G, Saveanu JC, Sodor A, Golovcencu L. The prevalence of dental midline deviation in a group of orthodontic patient. Rev Chim Bucharest. 2018;69(12):3626-9. DOI: 10.37358/RC.18.12.6806

Bolas-Colvee B, Tarazona B, Paredes-Gallardo V, Luxan SA de. Relationship between perception of smile esthetics and orthodontic treatment in Spanish patients. PLoS One. 2018;13(8):1-12. DOI:10.1371/journal.pone.0201102

Chotimah C, Utomo SH, Purbiati M. Differences between male and female adolescents in the smile aesthetics perceptions regarding smile arc, gingival display,and buccal corridor. J Inter Dent Medic Res. 2017;10(Special issue):481-5.

An SM, Choi Y, Chung YW, Jang TH, Kang KH. Comparing esthetic smile perceptions among laypersons with and without orthodontic treatment experience and dentists. Korean J Orthod. 2014; 44(6):294–303.DOI: 10.4041/kjod.2014.44.6.294

Liu BC, Lee I, Lo L, Ko EW. Investigate the oral health impact and quality of life on patients with malocclusion of different treatment needs. Biomedical Journal. 2019;42(6):422-9. DOI: 10.1016/j.bj.2019.05.009

Zamanian N, Alireza Jafari-Naeimi A. The perception of the severity of facial asymmetry among laypersons, general practitioners, orthodontists, and maxillofacial surgeons. J Dent (Shiraz). 2021;22(2):102–8. DOI: 10.30476%2FDENTJODS.2020.84790.1103

Ferreira JB, Silva LE, Oliveira Caetano MT, Motta AFJ, Adriana de Alcantara Cury-Saramago A, Mucha JN. Perception of midline deviations in smile esthetics by laypersons. Dental Press J Orthod. 2016;21(6):51–7. DOI: 10.1590/2177-6709.21.6.051-057.oar

Geevarghese A, Baskaradoss JK, Alsalem M, Aldahash A, Alfayez W, Alduhaimi T, Alehaideb A, Alsammahi O. Perception of general dentists and laypersons towards altered smile aesthetics. J Orthod Sci. 2019;8(14):1-6. DOI: 10.4103%2Fjos.JOS_103_18

Ribeiro JB, Figueiredo BA, Machado AW. Does the presence of unilateral maxillary incisor edge asymmetries influence the perception of smile esthetics? Journal of Esthetic and Restorative Dent. 2017;29(4):291-7. DOI: 10.1111/jerd.12305

Aşik S, Kök H. Perception of dental midline deviation and smile attractiveness by eye-tracking and aesthetic ratings. Australasian Orthodontic Journal. 2021;37(2):187–96. DOI: 10.21307/aoj-2021.020

Silva BP, Jiménez-Castellanos E, Martinez-de-Fuentes R, Greenberg JR, Chu S. Laypersons’ perception of facial and dental asymmetries. Int J Periodontics Restorative Dent. 2013;33:162–71. DOI: 10.11607/prd.1618

Silvola AS, Varimo M, Tolvanen M, Rusanen J, Lahti S, Pirttiniemi P. Dental esthetics and quality of life in adults with severe malocclusion before and after treatment. Angle Orthod. 2014;84(4):594-9. DOI: 10.2319/060213-417.1

Feu D, Miguel JAM, Celeste RK, Oliveira BH. Effect of orthodontic treatment on oral health-related quality of life. Angle Orthod. 2013;83(5):892-8. DOI: 10.2319/100412-781.1

Susanty FS, Shah NA, Triman W. The relationship between service quality and patient satisfaction at the neurology polyclinic of mohammad natsir hospital. J Soc Res. 2023; 2(3): 949-96.

Ljiljana Strajnić L, Bulatović D, Stančić I, Živković R. Self-perception and satisfaction with dental appearance and aesthetics with respect to patients’ age, gender, and level of education. Srp Arh Celok Lek. 2016;144(11-12):580-9. DOI: 10.2298/SARH1612580S

Galindo TM, Silva LE, Motta AFJ, Cury-Saramago AdA. Maxillary dental midline deviation in the patient perspective. Rio de Janeiro Dent J (Revista Científica do CRO-RJ). 2019;4(2):27–34. DOI: 10.29327/24816.4.2-5

DOI: https://doi.org/10.24198/pjd.vol35no1.45351