{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T13:20:31Z","timestamp":1777296031263,"version":"3.51.4"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T00:00:00Z","timestamp":1561507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T00:00:00Z","timestamp":1561507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Health Qual Life Outcomes"],"published-print":{"date-parts":[[2019,12]]},"DOI":"10.1186\/s12955-019-1179-9","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T14:02:33Z","timestamp":1561557753000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Psychosocial dental impact in adult orthodontic patients: what about health competence?"],"prefix":"10.1186","volume":"17","author":[{"given":"Mar\u00eda Jos\u00e9","family":"Gonz\u00e1lez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart\u00edn","family":"Romero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Pe\u00f1acoba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,6,26]]},"reference":[{"issue":"5","key":"1179_CR1","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.ajodo.2014.12.025","volume":"147","author":"S Choi","year":"2015","unstructured":"Choi S, Kim B, Cha J, Hwang C. Impact of malocclusion and common oral diseases on oral health-related quality of life in young adults. Am J Orthod Dentofac Orthop. 2015;147(5):587\u201395. \n                    https:\/\/doi.org\/10.1016\/j.ajodo.2014.12.025\n                    \n                  .","journal-title":"Am J Orthod Dentofac Orthop"},{"issue":"4","key":"1179_CR2","doi-asserted-by":"publisher","first-page":"594","DOI":"10.2319\/060213-417.1","volume":"84","author":"A Silvola","year":"2014","unstructured":"Silvola A, 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\u20139. \n                    https:\/\/doi.org\/10.2319\/060213-417.1\n                    \n                  .","journal-title":"Angle Orthod"},{"issue":"4","key":"1179_CR3","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1016\/j.ajodo.2015.03.028","volume":"148","author":"J Antoun","year":"2015","unstructured":"Antoun J, Fowler P, Farella M. Oral health-related quality of life changes in standard, cleft, and surgery patients after orthodontic treatment. Am J Orthod Dentofac Orthop. 2015;148(4):568\u201375. \n                    https:\/\/doi.org\/10.1016\/j.ajodo.2015.03.028\n                    \n                  .","journal-title":"Am J Orthod Dentofac Orthop"},{"issue":"3","key":"1179_CR4","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1093\/ejo\/cju047","volume":"37","author":"A Johal","year":"2015","unstructured":"Johal A, Alyaqoobi I, Patel R, Cox S. The impact of orthodontic treatment on quality of life and self-esteem in adult patients. Eur J Orthod. 2015;37(3):233\u20137. \n                    https:\/\/doi.org\/10.1093\/ejo\/cju047\n                    \n                  .","journal-title":"Eur J Orthod"},{"issue":"4","key":"1179_CR5","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1093\/ejo\/cjp144","volume":"32","author":"T Gazit-Rappaport","year":"2010","unstructured":"Gazit-Rappaport T, Haisraeli-Shalish M, Gazit E. Psychosocial reward of orthodontic treatment in adult patients. Eur J Orthod. 2010;32(4):441\u20136. \n                    https:\/\/doi.org\/10.1093\/ejo\/cjp144\n                    \n                  .","journal-title":"Eur J Orthod"},{"issue":"4","key":"1179_CR6","doi-asserted-by":"publisher","first-page":"644","DOI":"10.2319\/063015-434.1","volume":"86","author":"R Prado","year":"2016","unstructured":"Prado R, Ramos-Jorge J, Marques L, de Paiva S, Melga\u00e7o C, Pazzini C. Prospective evaluation of the psychosocial impact of the first 6 months of orthodontic treatment with fixed appliance among young adults. Angle Orthod. 2016;86(4):644\u20138. \n                    https:\/\/doi.org\/10.2319\/063015-434.1\n                    \n                  .","journal-title":"Angle Orthod."},{"issue":"1","key":"1179_CR7","doi-asserted-by":"publisher","first-page":"49","DOI":"10.2319\/010509-9.1","volume":"80","author":"M Chen","year":"2010","unstructured":"Chen M, Wang D, Wu L. Fixed orthodontic appliance therapy and its impact on oral health-related quality of life in Chinese patients. Angle Orthod. 2010;80(1):49\u201353. \n                    https:\/\/doi.org\/10.2319\/010509-9.1\n                    \n                  .","journal-title":"Angle Orthod."},{"key":"1179_CR8","doi-asserted-by":"publisher","unstructured":"Garg K, Tripathi T, Rai P, Sharma N, Kanase A. Prospective evaluation of psychosocial impact after one year of orthodontic treatment using PIDAQ adapted for indian population. J Clin Diagn Res. 2017;11(8). \n                    https:\/\/doi.org\/10.7860\/JCDR\/2017\/28720.10376\n                    \n                  .","DOI":"10.7860\/JCDR\/2017\/28720.10376"},{"key":"1179_CR9","volume-title":"Oral health-related quality of life","author":"MR Inglehart","year":"2002","unstructured":"Inglehart MR, Bagramian R. Oral health-related quality of life. Chicago: Quintessence Pub; 2002."},{"key":"1179_CR10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2014\/352031","volume":"2014","author":"Yu Zhou","year":"2014","unstructured":"Zhou Y, Zheng M, Lin J, Wang Y, Ni Z. Self-ligating brackets and their impact on Oral health-related quality of life in chinese adolescence patients: a longitudinal prospective study. ScientificWorldJournal. 2014. \n                    https:\/\/doi.org\/10.1155\/2014\/352031\n                    \n                  .","journal-title":"The Scientific World Journal"},{"issue":"15","key":"1179_CR11","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1186\/s12903-015-0130-7","volume":"20","author":"DH Zheng","year":"2015","unstructured":"Zheng DH, Wang XX, Su YR, Zhao SY, Xu C, Kong C, et al. Assessing changes in quality of life using the Oral health impact profile (OHIP) in patients with different classifications of malocclusion during comprehensive orthodontic treatment. BMC Oral Health. 2015;20(15):148. \n                    https:\/\/doi.org\/10.1186\/s12903-015-0130-7\n                    \n                  .","journal-title":"BMC Oral Health"},{"issue":"1","key":"1179_CR12","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1093\/her\/10.1.51","volume":"10","author":"MS Smith","year":"1995","unstructured":"Smith MS, Wallston KA, Smith CA. The development and validation of the perceived health competence scale. Health Educ Res. 1995;10(1):51\u201364.","journal-title":"Health Educ Res"},{"issue":"145","key":"1179_CR13","first-page":"5","volume":"37","author":"EA Aikins","year":"2014","unstructured":"Aikins EA, Onyeaso CO. Prevalence of malocclusion and occlusal traits among adolescents and young adults in Rivers state. Nigeria Odontostomatol Trop. 2014;37(145):5\u201312.","journal-title":"Nigeria Odontostomatol Trop"},{"issue":"5","key":"1179_CR14","first-page":"502","volume":"73","author":"PH Buschang","year":"2003","unstructured":"Buschang PH, Shulman JD. Incisor crowding in untreated persons 15-50 years of age: United States, 1988-1994. Angle Orthod. 2003;73(5):502\u20138.","journal-title":"Angle Orthod."},{"issue":"1","key":"1179_CR15","doi-asserted-by":"publisher","first-page":"168","DOI":"10.4317\/medoral.18324","volume":"18","author":"JM Montiel-Company","year":"2013","unstructured":"Montiel-Company JM, Bellot-Arc\u00eds C, Almerich-Silla JM. Validation of the psychosocial impact of dental aesthetics questionnaire (PIDAQ) in Spanish adolescents. Med Oral Patol Oral Cir Bucal. 2013;18(1):168\u201373.","journal-title":"Med Oral Patol Oral Cir Bucal"},{"issue":"2","key":"1179_CR16","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1093\/ejo\/cji083","volume":"28","author":"U Klages","year":"2006","unstructured":"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(2):103\u201311.","journal-title":"Eur J Orthod"},{"issue":"6","key":"1179_CR17","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.2319\/082608-452R.1","volume":"79","author":"DF De Paula Junior","year":"2009","unstructured":"De Paula Junior DF, Santos NC, da Silva ET, Nunes MF, Leles CR. Psychosocial impact of dental esthetics on quality of life in adolescents. Angle Orthod. 2009;79(6):1188\u201393. \n                    https:\/\/doi.org\/10.2319\/082608-452R.1\n                    \n                  .","journal-title":"Angle Orthod."},{"issue":"3","key":"1179_CR18","doi-asserted-by":"publisher","first-page":"540","DOI":"10.2319\/051710-263.1","volume":"81","author":"DF De Paula Junior","year":"2011","unstructured":"De Paula Junior DF, Silva ET, Campos AC, Nunez MO, Leles CR. Effect of anterior teeth display during smiling on the self-perceived impacts of malocclusion in adolescents. Angle Orthod. 2011;81(3):540\u20135. \n                    https:\/\/doi.org\/10.2319\/051710-263.1\n                    \n                  .","journal-title":"Angle Orthod."},{"issue":"3","key":"1179_CR19","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1093\/oxfordjournals.ejo.a035999","volume":"11","author":"PH Brook","year":"1989","unstructured":"Brook PH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod. 1989;11(3):309\u201320.","journal-title":"Eur J Orthod"},{"issue":"2","key":"1179_CR20","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1007\/s00056-016-0018-4","volume":"77","author":"J Kolenda","year":"2016","unstructured":"Kolenda J, Fischer-Brandies H, Ciesielski R, Koos B. Oral health-related quality of life after orthodontic treatment for anterior tooth alignment: association with emotional state and sociodemographic factors. J Orofac Orthop. 2016;77(2):138\u201345. \n                    https:\/\/doi.org\/10.1007\/s00056-016-0018-4\n                    \n                  .","journal-title":"J Orofac Orthop"},{"key":"1179_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2015\/690280","volume":"2015","author":"Cl\u00e1udia Maria de Castro Serafim","year":"2015","unstructured":"Serafim C, Gurgel J, Tiago C, Tavarez R, Maia Filho E. Clinical efficiency of two sequences of orthodontic wires to correct crowding of the lower anterior teeth. ScientificWorldJournal. 2015. \n                    https:\/\/doi.org\/10.1155\/2015\/690280.","journal-title":"The Scientific World Journal"},{"issue":"2","key":"1179_CR22","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.sdentj.2014.11.002","volume":"27","author":"H Rakhshan","year":"2015","unstructured":"Rakhshan H, Rakhshan V. Pain and discomfort perceived during the initial stage of active fixed orthodontic treatment. Saudi Dent J. 2015;27(2):81\u20137. \n                    https:\/\/doi.org\/10.1016\/j.sdentj.2014.11.002\n                    \n                  .","journal-title":"Saudi Dent J"},{"issue":"2","key":"1179_CR23","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1111\/j.1600-0528.2010.00573.x","volume":"39","author":"Z Liu","year":"2011","unstructured":"Liu Z, McGrath C, H\u00e4gg U. Associations between orthodontic treatment need and oral health-related quality of life among young adults: does it depend on how you assess them? Community Dent Oral Epidemiol. 2011;39(2):137\u201344. \n                    https:\/\/doi.org\/10.1111\/j.1600-0528.2010.00573.x\n                    \n                  .","journal-title":"Community Dent Oral Epidemiol"},{"issue":"4","key":"1179_CR24","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1179\/bjo.22.4.331","volume":"22","author":"C Nattrass","year":"1995","unstructured":"Nattrass C, Sandy JR. Adult orthodontics -- a review. Br J Orthod. 1995;22(4):331\u20137.","journal-title":"Br J Orthod"},{"issue":"3","key":"1179_CR25","first-page":"187","volume":"7","author":"EX McKiernan","year":"1992","unstructured":"McKiernan EX, McKiernan F, Jones ML. Psychological profiles and motives of adults seeking orthodontic treatment. Int J Adult Orthodon Orthognath Surg. 1992;7(3):187\u201398.","journal-title":"Int J Adult Orthodon Orthognath Surg"},{"key":"1179_CR26","doi-asserted-by":"publisher","unstructured":"Bellot-Arc\u00eds C, Montiel-Company JM, Pinho T, Almerich-Silla JM. Relationship between perception of malocclusion and the psychological impact of dental aesthetics in university students. J Clin Exp Dent. 2015;7(1). \n                    https:\/\/doi.org\/10.4317\/jced.52157\n                    \n                  .","DOI":"10.4317\/jced.52157"},{"issue":"5","key":"1179_CR27","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1016\/j.crohns.2013.10.005","volume":"8","author":"S Gandhi","year":"2014","unstructured":"Gandhi S, Jedel S, Hood MM, Mutlu E, Swanson G, Keshavarzian A. The relationship between coping, health competence and patient participation among patients with inactive inflammatory bowel disease. J Crohns Colitis. 2014;8(5):401\u20138. \n                    https:\/\/doi.org\/10.1016\/j.crohns.2013.10.005\n                    \n                  .","journal-title":"J Crohns Colitis"},{"issue":"3","key":"1179_CR28","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1016\/j.pec.2013.06.031","volume":"92","author":"JK Carroll","year":"2013","unstructured":"Carroll JK, Fiscella K, Epstein RM, Sanders MR, Winters PC, Moorhead SA, et al. Physical activity counseling intervention at a federally qualified health center: improves autonomy-supportiveness, but not patients' perceived competence. Patient Educ Couns. 2013;92(3):432\u20136. \n                    https:\/\/doi.org\/10.1016\/j.pec.2013.06.031\n                    \n                  .","journal-title":"Patient Educ Couns"},{"key":"1179_CR29","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1037\/0033-295X.84.2.191","volume":"84","author":"A Bandura","year":"1977","unstructured":"Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191\u2013215.","journal-title":"Psychol Rev"},{"key":"1179_CR30","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1016\/j.pec.2009.06.014","volume":"78","author":"ME Buglar","year":"2010","unstructured":"Buglar ME, White KM, Robinson NG. The role of self-efficacy in dental patients' brushing and flossing: testing an extended health belief model. Patient Educ Couns. 2010;78:269\u201372. \n                    https:\/\/doi.org\/10.1016\/j.pec.2009.06.014\n                    \n                  .","journal-title":"Patient Educ Couns"},{"key":"1179_CR31","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1111\/1467-9450.00352","volume":"44","author":"E Skaret","year":"2003","unstructured":"Skaret E, Kvale G, Raadal M. General self-efficacy, dental anxiety and multiple fears among 20-year-olds in Norway. Scand J Psychol. 2003;44:331\u20137.","journal-title":"Scand J Psychol"},{"issue":"4","key":"1179_CR32","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1080\/08964289.2011.636770","volume":"37","author":"F Anagnostopoulos","year":"2011","unstructured":"Anagnostopoulos F, Buchanan H, Frousiounioti S, Niakas D, Potamianos G. Self-efficacy and oral hygiene beliefs about toothbrushing in dental patients: a model- guided study. Behav Med. 2011;37(4):132\u20139. \n                    https:\/\/doi.org\/10.1080\/08964289.2011.636770\n                    \n                  .","journal-title":"Behav Med"},{"key":"1179_CR33","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1080\/01973533.2010.539949","volume":"33","author":"MG Millar","year":"2011","unstructured":"Millar MG. Predicting dental flossing behavior: the role of implicit and explicit responses and beliefs. Basic Appl Soc Psychol. 2011;33:7\u201315.","journal-title":"Basic Appl Soc Psychol"},{"issue":"1","key":"1179_CR34","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1093\/ejo\/cjt007","volume":"36","author":"C Pe\u00f1acoba","year":"2014","unstructured":"Pe\u00f1acoba C, Gonz\u00e1lez MJ, Santos N, Romero M. Psychosocial predictors of affect in adult patients undergoing orthodontic treatment. Eur J Orthod. 2014;36(1):93\u20138. \n                    https:\/\/doi.org\/10.1093\/ejo\/cjt007\n                    \n                  .","journal-title":"Eur J Orthod"},{"key":"1179_CR35","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1348\/135910706X96896","volume":"12","author":"PM Kenealy","year":"2007","unstructured":"Kenealy PM, Kingdon A, Richmond S, Shaw WC. The Cardiff dental study: a 20-year critical evaluation of the psychological health gain from orthodontic treatment. Br J Health Psychol. 2007;12:17\u201349.","journal-title":"Br J Health Psychol"},{"issue":"6","key":"1179_CR36","doi-asserted-by":"publisher","first-page":"505","DOI":"10.1111\/j.1600-0528.2011.00618.x","volume":"39","author":"P Arrow","year":"2011","unstructured":"Arrow P, Brennan D, Spencer AJ. Quality of life and psychosocial outcomes after fixed orthodontic treatment: a 17-year observational cohort study. Community Dent Oral Epidemiol. 2011;39(6):505\u201314. \n                    https:\/\/doi.org\/10.1111\/j.1600-0528.2011.00618.x\n                    \n                  .","journal-title":"Community Dent Oral Epidemiol"}],"container-title":["Health and Quality of Life Outcomes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12955-019-1179-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12955-019-1179-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12955-019-1179-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T23:05:48Z","timestamp":1593039948000},"score":1,"resource":{"primary":{"URL":"https:\/\/hqlo.biomedcentral.com\/articles\/10.1186\/s12955-019-1179-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,26]]},"references-count":36,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["1179"],"URL":"https:\/\/doi.org\/10.1186\/s12955-019-1179-9","relation":{},"ISSN":["1477-7525"],"issn-type":[{"value":"1477-7525","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,26]]},"assertion":[{"value":"18 March 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 June 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 June 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"No conflicts of interest have been declared by the authors.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"110"}}