The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Part II. What drives Korean adults to seek orthodontic treatment: Factors contributing to orthodontic treatment decisions

  • Oh, Min-Hee (Department of Orthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Ae-Hyun (Department of Orthodontics, School of Dentistry, Chonnam National University) ;
  • Kim, MinSoo (Department of Statistics, College of Natural Sciences, Chonnam National University) ;
  • Kim, Eun-A (Department of Nursing, Honam University) ;
  • Cho, Jin-Hyoung (Department of Orthodontics, School of Dentistry, Chonnam National University)
  • Received : 2020.04.16
  • Accepted : 2020.10.01
  • Published : 2021.01.25
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Abstract

Objective: This study aimed to identify the perceptions of orthodontic treatment among Korean adults and determine the factors that drive them to seek orthodontic treatment. Methods: A total of 2,321 adults aged 19-64 years were surveyed using an internet research system from a specialized research company. The participants were divided into the following groups based on their experience of and willingness to undergo orthodontic treatment: experience, acceptance, and non-acceptance groups. The characteristics of the participants were compared using analysis of variance with post-hoc analysis. Multinomial logistic regression analysis was performed in all three models with the non-acceptance group as a reference. Results: In terms of demographic characteristics, age, gender, marital status, and education had significant influences on orthodontic treatment decisions in adults in the experience and acceptance groups (p < 0.001). When all the factors were analyzed, age, marital status, past dental treatment experience, regular oral examinations, demand for orthodontic treatment, optimal treatment period, health insurance coverage, information on orthodontic treatments, perceptions regarding orthodontic treatment, and psychosocial impact of dental esthetics significantly influenced orthodontic treatment decisions in adults in the experience and acceptance groups (p < 0.001). Conclusions: These findings suggest that various factors influence orthodontic treatment decisions in adults. Individuals who seek orthodontic treatment were found to undergo more regular dental treatment and oral examination than those who did not. They also had a better perception of orthodontic treatment and more negative values for the psychosocial impact of dental esthetics.

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References

  1. Baik HS, Kim KH, Park Y. The distributions and trends in maloclusion patients - a 10 year study of 2155 patients from YDSH. Korean J Orthod 1995;25:87-100.
  2. Im DH, Kim TW, Nahm DS, Chang YI. Current trends in orthodontic patients in Seoul National University Dental Hospital. Korean J Orthod 2003;33:63-72.
  3. Lee SJ. Relationship between locus of control and treatment compliance in adult orthodontic patients. Korean J Orthod 2002;32:71-8.
  4. Wedrychowska-Szulc B, Syrynska M. Patient and parent motivation for orthodontic treatment--a questionnaire study. Eur J Orthod 2010;32:447-52. https://doi.org/10.1093/ejo/cjp131
  5. Hassan AH, Amin Hel-S. Association of orthodontic treatment needs and oral health-related quality of life in young adults. Am J Orthod Dentofacial Orthop 2010;137:42-7. https://doi.org/10.1016/j.ajodo.2008.02.024
  6. Pabari S, Moles DR, Cunningham SJ. Assessment of motivation and psychological characteristics of adult orthodontic patients. Am J Orthod Dentofacial Orthop 2011;140:e263-72. https://doi.org/10.1016/j.ajodo.2011.06.022
  7. Korean Statistical Information Service. Population projections and summary indicators by scenarios [Internet]. Daejeon: Korean Statistical Information Service; [cited 2018 Jun 20]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA401.
  8. Oh MH, Kim EA, Park AH, Kim MS, Cho JH. Part I. What drives Korean adults to seek orthodontic treatment: Reliability and validity of a measurement instrument for the perception of orthodontic treatment. Korean J Orthod 2020;50:363-72. https://doi.org/10.4041/kjod.2020.50.6.363
  9. Klages U, Claus N, Wehrbein H, Zentner A. Development of a questionnaire for assessment of the psychosocial impact of dental aesthetics in young adults. Eur J Orthod 2006;28:103-11. https://doi.org/10.1093/ejo/cji083
  10. Kang JM, Kang KH. Effect of malocclusion or orthodontic treatment on oral health-related quality of life in adults. Korean J Orthod 2014;44:304-11. https://doi.org/10.4041/kjod.2014.44.6.304
  11. Feu D, Oliveira BH, Celeste RK, Miguel JA. Influence of orthodontic treatment on adolescents' selfperceptions of esthetics. Am J Orthod Dentofacial Orthop 2012;141:743-50. https://doi.org/10.1016/j.ajodo.2011.12.025
  12. Oh H. Effects of malocclusion severity levels in adults on quality of life [MD thesis]. Yongin: Dankook University; 2014.
  13. Lee KY, Chun JH. The characteristics of malocclusion patients and the factors affecting short-interval treatment after diagnostic assessment. J Korean Acad Oral Health 2009;33:411-21.
  14. Lee SY. A study on orthodontic treatment knowledge and attitude among people in general. J Korean Soc Dent Hyg 2012;12:251-60. https://doi.org/10.13065/jksdh.2012.12.2.251
  15. Dogan AA, Sari E, Uskun E, Saglam AM. Comparison of orthodontic treatment need by professionals and parents with different socio-demographic characteristics. Eur J Orthod 2010;32:672-6. https://doi.org/10.1093/ejo/cjp161
  16. Kim SS, Kim DK, Hwang CJ, Park CY. The effects of related factors and perception of malocclusion on orthodontic treatment timing. J Korean Dent Assoc 2000;38:452-65.
  17. Bellot-Arcis C, Montiel-Company JM, ManzaneraPastor D, Almerich-Silla JM. Orthodontic treatment need in a Spanish young adult population. Med Oral Patol Oral Cir Bucal 2012;17:e638-43.
  18. Lee SJ, Suhr CH. Recognition of malocclusion and orthodontic treatment need of 7-18 year-old Korean adolescent. Korean J Orthod 1994;24:367-94.
  19. Lee SY. State of orthodontic treatment and facial plastic surgery among adult patients. J Korea AcadInd Cooper Soc 2014;15:2150-9.
  20. Hamdan AM. The relationship between patient, parent and clinician perceived need and normative orthodontic treatment need. Eur J Orthod 2004;26:265-71. https://doi.org/10.1093/ejo/26.3.265
  21. Deli R, Macri LA, Radico P, Pantanali F, Grieco DL, Gualano MR, et al. Orthodontic treatment attitude versus orthodontic treatment need: differences by gender, age, socioeconomical status and geographical context. Community Dent Oral Epidemiol 2012;40 Suppl 1:71-6.