{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:21:26Z","timestamp":1787764886971,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>CONTEXT:<\/jats:title>\n                    <jats:p>Malocclusion is a common dental issue that can lead to significant oral health problems. However, patient management and treatment options for malocclusion can vary, and there is a lack of information regarding self-perception and barriers to orthodontic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIMS:<\/jats:title>\n                    <jats:p>This study aimed to assess the self-perception of malocclusion and explore barriers to orthodontic care among residents of Bandar Saujana Putra in Klang Valley, Malaysia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTINGS AND DESIGN:<\/jats:title>\n                    <jats:p>A cross-sectional study through the use of a validated questionnaire was distributed to the residents of Bandar Saujana Putra. Responses were collected from June 2021 to February 2022 via both online (Google Forms) and physical forms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS AND MATERIAL:<\/jats:title>\n                    <jats:p>The questionnaire consists of four sections, which assessed the respondents' demographics, understanding and awareness toward malocclusion, and barriers to orthodontic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>STATISTICAL ANALYSIS USED:<\/jats:title>\n                    <jats:p>Responses were analyzed using the Pearson Chi-square test with IBM SPSS version 26.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      A total of 231 responses were collected from 83 (35.9%) males and 148 (64.1%) females. Females had a significantly higher level of awareness and knowledge regarding malocclusion compared to males (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). The majority of the female respondents (83.8%) agreed that malocclusion can lead to dental caries (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02) and 60.8% of them identified \u201cunpleasant appearance\u201d as the main barrier to orthodontic treatment (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>The findings suggest that clear braces could be a viable alternative for patients who are concerned with their appearance and may be a solution to the barrier of \u201cunpleasant appearance.\u201d Our study contributes to the existing literature on malocclusion and barriers to orthodontic care in Malaysia.<\/jats:p>\n                  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Ilyana","family":"Azrin","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, MAHSA University, Jalan SP 2, Bandar Saujana Putra, Jenjarom, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuruljannah Nor","family":"Azmi","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, MAHSA University, Jalan SP 2, Bandar Saujana Putra, Jenjarom, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prathap Chandar","family":"Manivannan","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, MAHSA University, Jalan SP 2, Bandar Saujana Putra, Jenjarom, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeannie Hui-Yeng","family":"Yap","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, MAHSA University, Jalan SP 2, Bandar Saujana Putra, Jenjarom, Selangor, 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