Do Specific Craniomaxillofacial Features Correlate with Psychological Distress in Adult Pretreatment Orthodontic Patients? A Cephalometric Study.

Dis Markers

National Clinical Research Center for Oral Diseases, State Key Laboratory of Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.

Published: May 2022

AI Article Synopsis

  • The study investigates how craniomaxillofacial features relate to psychological distress in adult orthodontic patients, focusing on a sample of 190 individuals divided by their Kessler psychological distress scores.
  • Males with higher psychological distress displayed specific facial characteristics such as increased anterior facial height, altered lip length, and smaller overbite, while no significant differences were found in females.
  • The findings suggest that orthodontists should consider the possibility of psychological distress in patients who exhibit certain craniomaxillofacial traits, such as a hyperdivergent facial pattern or open bite.

Article Abstract

Purpose: To explore the relationship between craniomaxillofacial features and psychological distress among adult pretreatment orthodontic patients.

Methods: A group of 190 patients (95 males and 95 females) was included. Questionnaires including the Kessler psychological distress scale (K10) were sent to patients, and cephalograms were collected. Patients were divided into two groups according to K10 score: psychological distress group (score ≥ 20) and no psychological distress group (score < 20). Nineteen hard tissue and thirteen soft tissue parameters were traced on cephalograms to characterize the craniomaxillofacial features.

Results: There was no significant difference in gender or age distribution between the two groups. Male patients with psychological distress showed statistically significantly larger anterior facial height (AFH) (126.62 mm vs. 120.97 mm), upper lip length (25.11 mm vs. 23.26 mm), and smaller overbite (1.21 mm vs. 2.75 mm) than patients without psychological distress. Male patients with hyperdivergent pattern and open bite were more likely to have psychological distress. None of the parameters showed statistical differences across groups in females. Frankfort-mandibular plane angle ( = 0.235), Bjork's sum ( = 0.311), AFH ( = 0.322), overbite ( = -0.238), AFH/posterior facial height ( = 0.251), and upper anterior facial height (UAFH)/lower anterior facial height (LAFH) ( = -0.230) were correlated with K10 score in males. After adjusting gender and age, the AFH ( = 0.147) and UAFH/LAFH ( = -14.923) were significantly related with the K10 score.

Conclusion: Psychological distress was mainly correlated with hyperdivergent pattern, open bite, and larger lower anterior facial height proportion in pretreatment orthodontic patients. Orthodontists should be aware of the possible underlying psychological distress in patients with specific craniomaxillofacial features. Clinical assessment of psychological distress may need to take into account gender differences in patients.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9098301PMC
http://dx.doi.org/10.1155/2022/9694413DOI Listing

Publication Analysis

Top Keywords

psychological distress
44
facial height
20
anterior facial
16
craniomaxillofacial features
12
pretreatment orthodontic
12
psychological
11
distress
11
patients
9
specific craniomaxillofacial
8
distress adult
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!