Psychological Responses to Treatment of Impacted Canines in Young Patients: A Randomized Clinical Study



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Abstract

BACKGROUND: Implementing a psychosomatic approach to the diagnosis and treatment of patients with malocclusion is critical in dentistry.

AIM: This study aimed to assess psychological responses to various treatment methods for impacted canines in young patients using the Psycho-Sensory-Anatomical-Functional Maladjustment Syndrome questionnaire.

METHODS: The study included 44 patients (17 males and 27 females) with impacted maxillary canines aged 18–44 years. Based on treatment method, the patients were divided into two groups: group 1 (main group), spontaneous eruption; and group 2 (comparison group), closed eruption. The mean age of the patients in groups 1 and 2 was 27.6 ± 0.18 years and 26.2 ± 0.11 years, respectively. The control group comprised 15 age-matched individuals (7 males and 8 females) without malocclusion and psychosomatic disorders who had not received previous orthodontic treatment. Patients’ self-perception of disease was evaluated using an analog scale for self-assessment of the severity of individual symptoms. Statistical analysis was performed using Statistica 7.0 and the Pearson’s chi-squared test for nonparametric data. The significance level was set at p ≤ 0.05.

RESULTS: Patients in the closed eruption group experienced discomfort for 9 months longer due to fixed appliances. This negatively affected their adaptation to daily life (S = 10.27 conventional units) compared to patients in the spontaneous eruption group (S = 6.27 conventional units) (p = 0.0024). Furthermore, these findings were associated with prolonged active orthodontic treatment (p = 0.0013).

CONCLUSION: Impacted canine treatment by spontaneous eruption provides a more positive self-perception of health over a longer period.

About the authors

Sergei A. Filonenko

MEDI

Author for correspondence.
Email: filo-sergey@yandex.ru
ORCID iD: 0009-0002-0638-9830
SPIN-code: 7297-4687

Orthodontist

Russian Federation, Saint Petersburg

Lyudmila N. Soldatova

I.P. Pavlov First St. Petersburg State Medical University

Email: slnzub@gmail.com
ORCID iD: 0000-0002-4359-2179
SPIN-code: 2164-8583

MD, Dr. Sci. (Medicine), Assistant Professor, Depart. of Dentistry of Children's Age and Orthodontics, Senior Teacher, Depart. of Maxillofacial Surgery and Surgical Dentistry

Russian Federation, Saint Petersburg

Kamil A. Kerimkhanov

Body Aesthetics

Email: 1yadakamil@mail.ru
ORCID iD: 0000-0002-9149-2631
SPIN-code: 3333-4165

Orthodontist

Russian Federation

References

  1. Griffin SO, Jones JA, Brunson D, et al. Burden of oral disease among older adults and implications for public health priorities. Am J Public Health. 2012;102(3):411–418. doi: 10.2105/AJPH.2011.300362
  2. Farman AG, Scarfe WC. The basics of maxillofacial cone beam computed tomography. Seminars in Orthodontics. 2009;15(1):2–13. doi: 10.1053/j.sodo.2008.09.001
  3. Iordanishvili AK, Horoshilkina FY, Robustova TG, at al. Clinical experience of using syndrome psichosensor-anatomo-functional disadaptation in dentistry. Orthodontia and maxillofacial surgery. 2018;(3/4):2–10. Available from: https://www.1spbgmu.ru/images/home/universitet/izdatelstvo/DentalScience/2012/__DSE_3-4_2018.pdf
  4. Solovyov MM, Orekhova LY. Symposium “Psycho-sensory-functional maladaptation syndrome in dentistry and related disciplines”. Periodontology. 2014;2(71):40. Available from: https://www.elibrary.ru/download/elibrary_22135434_42101724.pdf
  5. Iordanishvili AK, Khoroshilkina FY, Soldatova LN, et al. Features of psychophysiological adaptation of young people suffering from dentoalveolar anomalies. Orthodontics. 2019;(1(77)):3–9. EDN: PQKRIN
  6. Soldatova LN, Filonenko SA. Comparative analysis of combined methods of treatment of impaction of permanent canines of the upper jaw. Institute of Stomatology. 2023;3(100):49–51. EDN: SYWKYY
  7. Solovyov MM. Use of the "psycho-sensory-anatomical-functional maladaptation syndrome" in the treatment-diagnostic, educational and upbringing processes: a manual for teachers and doctors. Bagnenko SF, Yaremenko AI, Skromtsa AA, editors. Saint Petersburg: SPbSMU; 2015. 35 p. (In Russ.) ISBN: 978-5-88999-307-0
  8. Iordanishvili AK, Udaltsova NA, Prisyazhnyuk OV. Peculiarities of personal response in prevention andtreatment of increased teeth sensitivity on the background of sugar diabetes 2 types. Ecology and development of society. 2018;(4(27)):47–52. Available from: https://www.maneb.ru/sites/default/files/журнал_4_2018_%20%282%29.pdf
  9. Iordanishvili AK, Guk VA. Features personal response to disease in periodontal pathology. Parodontologiya. 2016;21(4):32–36. Available from: https://www.parodont.ru/jour/article/view/174
  10. Iordanishvili AK, Muzykin MI, Balin DV. Features of personal reaction when replacing removable dental prostheses with structures on artificial supports. Russian Herald of dental implantology. 2016;(2(26)):46–53. EDN: UFRZQK
  11. Iordanishvili AK, Tsygan VN, Volodin AI, et al. Features of psychological maladaptation of adults in the loss of teeth and elimination of defects of dental rows using different designs of dental prostheses. Bulletin of the Russian Military Medical Academy. 2017;(2(58)):49–53. EDN: ZAOOEH
  12. Iordanishvili AK, Kuvshinova AK, Volodin AI, et al. Optimization of patients' adaptation to removable dental prostheses. Military Medical Journal. 2018;339(10):63–65. EDN: YOUBID
  13. Iordanishvili A.K. Mental health of denture wearers when using removable dental prostheses. Clinical Dentistry. 2018;(1(85)):64–67. doi: 10.37988/1811-153X_2018_1_64 EDN: YVEWCE
  14. Iordanishili AK, Serikov AA, Faizov AR. Personality response to the disease in parafunction of masticatory muscles. Scientific Notes of St. Petersburg State Medical University named after Acad. I.P. Pavlov. 2017;24(2):52–58. doi: 10.24884/1607-4181-2017-24-2-52-58
  15. Iordanishvili AK, Serikov AA, Soldatova LN, et al. Evaluation of temporomandibular joint pathology on the background of connective tissue dysplasia using the syndrome of psychosensory-anatomo-functional maladaptation. Kursk scientific and practical journal "Man and his health". 2018;(3):17–24. doi: 10.21626/vestnik/2018-3/03
  16. Iordanishvili AK, Korovin NV, Chernysh VF. Features of personal response in wisdom teeth diseases. Ural Medical Journal. 2017;(7(151)):10–14. EDN: ZGZSDR
  17. Robustova TG, Iordanishvili AK, Lyskov NV. Prevention of infectious-inflammatory complications arising after tooth extraction surgery. Periodontology. 2018;(2(23)):58–61. doi: 10.25636/PMP.1.2018.2.10 EDN: VCEVJK
  18. Lobeiko VV, Tsygan VN, Iordanishvili AK. The analysis of indicators of the self-rating condition of the elderly and old people suffering from neoplasms of sialadens with use of the syndrome of psycho-sensory-anatomy-functional disadaptation. Periodontology. 2017;22(2(83)):66–70. EDN: YPRZTJ

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