Influence of quality of life, self-perception, and self-esteem on orthodontic treatment need

•We studied normative and perceived treatment need with quality of life, self-esteem, and self-perception.•We examined a population-based sample of 248 subjects aged 12 years.•The normative aspect of orthodontic treatment was assessed by the DHC and the AC of the IOTN.•OHRQoL was assessed using the CPQ11-14, GSE, and OASIS.•We used multilevel multiple logistic regression models.•Sex and quality of life did not influence children's perceptions.

IntroductionIn this study, we aimed to assess the relationship between normative and perceived orthodontic treatment need associated with quality of life, self-esteem, and self-perception.MethodsThe sample included 248 schoolchildren aged 12 years. The normative aspect of orthodontic treatment was assessed by the Dental Health Component and the Aesthetic Component of the Index of Orthodontic Treatment Need. The subjects were further evaluated for their oral health-related quality of life, self-esteem, and self-perception of oral esthetics. The Aesthetic Component of the Index of Orthodontic Treatment Need was considered as the response variable, and generalized linear models estimated by the GENMOD procedure (release 9.3, 2010; SAS Institute, Cary, NC). Model 1 was estimated with only the intercept, providing the basis for evaluating the reduction in variance in the other models studied; then the variables were tested sequentially, considering P ≤0.05 as the criterion for remaining in the model.ResultsIn the model, self-perception and self-esteem were statistically significant in relation to the perceived need for treatment. The normative need was significantly associated with the outcome variable and was not influenced by independent variables.ConclusionsThe normative need for orthodontics treatment was not overestimated by the perceived need, and the perceived need was not influenced by sex and the impact on quality of life.