{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T18:16:56Z","timestamp":1794334616290,"version":"4.9.0"},"reference-count":25,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOS"],"abstract":"<jats:p>Objective: Severe malocclusions affect Oral Health Related Quality of Life (OHRQoL), but the effects of less severe malocclusions are underexplored. This study investigates OHRQoL and psychological well-being in adults with less severe malocclusion, but high subjective need of orthodontic treatment.\nMaterial and methods: This cross-sectional study included 130 study participants aged 18\u201375 years, with less severe malocclusion. Two groups were assessed: 65 with high subjective orthodontic treatment need and 65 in a control group. Patients with malocclusions graded with Index of Orthodontic Treatment Need\u2013Dental Health Component (IOTN-DHC) index 1, 2, or 3 were included. Three questionnaires were used: Oral Health Impact Profile (OHIP-14), Hospital Anxiety and Depression Scale (HADS), and a general appearance perception survey.\nResults: The high subjective need group showed significantly higher OHIP-14 scores, reflecting poorer OHRQoL, compared to the control group. When age was considered, only the orofacial appearance subscale remained significant. No clinical signs of depression or anxiety were found among participants. However, a subset in the high subjective need group spent over an hour daily on their oral appearance.\nConclusions: Adults seeking orthodontic treatment despite low objective treatment need may have impacted OHRQoL and an impairment from the time spent on their oral appearance. Dentist should consider patients\u2019 subjective treatment needs and impact on daily functioning when treating patients with mild malocclusions.<\/jats:p>","DOI":"10.2340\/aos.v84.43536","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T13:43:46Z","timestamp":1747143826000},"page":"251-257","source":"Crossref","is-referenced-by-count":1,"title":["Quality of life among adults with less severe malocclusions seeking orthodontic treatment"],"prefix":"10.2340","volume":"84","author":[{"given":"Narmina","family":"Sandlund","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idil","family":"Burt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Schibbye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2025,5,13]]},"reference":[{"key":"111065","doi-asserted-by":"crossref","unstructured":"Syci\u0144ska-Dziarnowska M, Szyszka-Sommerfeld L, Wo\u017aniak K, Lindauer SJ, Spagnuolo G. Predicting interest in orthodontic aligners: a Google trends data analysis. Int J Environ Res Public Health. 2022;19(5):3105. https:\/\/doi.org\/10.3390\/ijerph19053105","DOI":"10.3390\/ijerph19053105"},{"key":"111066","doi-asserted-by":"crossref","unstructured":"Jedli\u0144ski M, Belfus J, Milona M, Mazur M, Grocholewicz K, Janiszewska-Olszowska J. Orthodontic treatment demand for fixed treatment and aligners among young adults in middle Europe and South America \u2013 a questionnaire study. BMC Oral Health. 2024;24(1):292. https:\/\/doi.org\/10.1186\/s12903-024-04023-0","DOI":"10.1186\/s12903-024-04023-0"},{"key":"111067","doi-asserted-by":"crossref","unstructured":"Kragt L, Dhamo B, Wolvius E, Ongkosuwito E. The impact of malocclusions on oral health-related quality of life in children \u2013 a systematic review and meta-analysis. Clin Oral Investig. 2016;20(8):1881\u201394. https:\/\/doi.org\/10.1007\/s00784-015-1681-3","DOI":"10.1007\/s00784-015-1681-3"},{"key":"111068","doi-asserted-by":"crossref","unstructured":"Sun L, Wong HM, McGrath CPJ. Association between the severity of malocclusion, assessed by occlusal indices, and oral health related quality of life: a systematic review and meta-analysis. Oral Health Prevent Dent. 2018;16(3):211\u201323. https:\/\/doi.org\/10.3290\/j.ohpd.a40761","DOI":"10.1186\/s12955-018-1015-7"},{"key":"111069","doi-asserted-by":"crossref","unstructured":"G\u00f6ranson E, Sonesson M, Naimi-Akbar A, Dimberg L. Malocclusions and quality of life among adolescents: a systematic review and meta-analysis. Eur J Orthod. 2023;45(3):295\u2013307. https:\/\/doi.org\/10.1093\/ejo\/cjad009","DOI":"10.1093\/ejo\/cjad009"},{"key":"111070","doi-asserted-by":"crossref","unstructured":"Dimberg L, Arnrup K, Bondemark L. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod. 2015;37(3):238\u201347. https:\/\/doi.org\/10.1093\/ejo\/cju046","DOI":"10.1093\/ejo\/cju046"},{"key":"111071","doi-asserted-by":"crossref","unstructured":"N\u00e4rhi L, Tolvanen M, Pirttiniemi P, Silvola A-S. Malocclusion severity and its associations with oral health-related quality of life in an adult population. Eur J Orthod. 2022;44(4):377\u201384. https:\/\/doi.org\/10.1093\/ejo\/cjab070","DOI":"10.1093\/ejo\/cjab070"},{"key":"111072","unstructured":"Sun L, Wong HM, McGrath CP. Relationship between the severity of malocclusion and oral health related quality of life: a systematic review and meta-analysis. Oral Health Prevent Dent. 2017;15(6):503\u201317. https:\/\/doi.org\/10.3290\/j.ohpd.a38994"},{"key":"111073","doi-asserted-by":"crossref","unstructured":"Alrashed M, Alqerban A. The relationship between malocclusion and oral health-related quality of life among adolescents: a systematic literature review and meta-analysis. Eur J Orthod. 2021;43(2):173\u201383. https:\/\/doi.org\/10.1093\/ejo\/cjaa051","DOI":"10.1093\/ejo\/cjaa051"},{"key":"111074","doi-asserted-by":"crossref","unstructured":"Lin F, Ren M, Yao L, He Y, Guo J, Ye Q. Psychosocial impact of dental esthetics regulates motivation to seek orthodontic treatment. Am J Orthod Dent Orthop. 2016;150(3):476\u201382. https:\/\/doi.org\/10.1016\/j.ajodo.2016.02.024","DOI":"10.1016\/j.ajodo.2016.02.024"},{"key":"111075","doi-asserted-by":"crossref","unstructured":"Auer D. Understanding body image from a psychosocial stance: how this connects with patients requesting cosmetic procedures. J Aesth Nurs. 2020;9(3):128\u201331. https:\/\/doi.org\/10.12968\/joan.2020.9.3.128","DOI":"10.12968\/joan.2020.9.3.128"},{"key":"111076","doi-asserted-by":"crossref","unstructured":"Dimitrov D. Body dysmorphic disorder (BDD). In: Bewley A, Lepping P, Taylor R, editors. Psychodermatology in clinical practice. Cham: Springer International Publishing; 2021. p. 173\u201384.","DOI":"10.1007\/978-3-030-54307-5_14"},{"key":"111077","unstructured":"Phillips KA. The broken mirror: understanding and treating body dysmorphic disorder. New York: Oxford University Press; 1996."},{"key":"111078","doi-asserted-by":"crossref","unstructured":"Hepburn S, Cunningham S. Body dysmorphic disorder in adult orthodontic patients. Am J Orthod Dent Orthop. 2006;130(5):569\u201374. https:\/\/doi.org\/10.1016\/j.ajodo.2005.06.022","DOI":"10.1016\/j.ajodo.2005.06.022"},{"key":"111079","doi-asserted-by":"crossref","unstructured":"Farhad S, Foruzan E, Reza Alizadeh N, Farbod R, Nika Rezaei K, Sepideh D, et al. 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