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. 2011 Dec;38(4):247-56; quiz 294.
doi: 10.1179/14653121141641.

Bullying in Orthodontic Patients and Its Relationship to Malocclusion,self-Esteem and Oral Health-Related Quality of Life

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Bullying in Orthodontic Patients and Its Relationship to Malocclusion,self-Esteem and Oral Health-Related Quality of Life

Jadbinder Seehra et al. J Orthod. .

Abstract

Objectives: To measure the self-reported frequency and severity of bullying amongst patients referred for orthodontic treatment and to investigate whether there is a relationship between levels of self-reported bullying, malocclusion and need for orthodontic treatment and an individual's self-esteem and oral health-related quality of life (OHRQoL).

Design and setting: Cross-sectional study of an adolescent group referred for orthodontic assessment at three UK hospitals.

Subjects and methods: Three hundred and thirty-six participants aged between 10 and 14 years were recruited. Validated questionnaires were used to measure the self-reported frequency and severity of bullying, self-esteem and OHRQoL. Orthodontic treatment need was assessed using IOTN.

Results: The prevalence of bullying was 12·8%. Being bullied was significantly associated with Class II Division 1 incisor relationship (P = 0·041),increased overbite (P = 0·023),increased overjet (P = 0·001)and a high need for orthodontic treatment assessed using AC IOTN (P = 0·014).Bullied participants also reported lower levels of social competence (P<0·001),athletic competence (P<0·001), physical appearance related self-esteem (P<0·001)and general self-esteem (P<0·001). Higher levels of oral symptoms (P = 0·032),functional limitations (P<0·001), emotional (P<0·001)and social impact (P<0·001) from their oral condition, resulting in a negative impact on overall OHRQoL (P<0·001),were also reported.

Conclusions: Significant relationships exist between bullying and certain occlusal traits, self-esteem and OHRQoL.

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