Impact of maxillary incisor trauma on child psychology in patients with Class II Div 1 malocclusion in urban population of India

Abstract

Traumatic injuries to maxillary incisors can occur at any age, but its prevalence is high among children. Earlier studies also suggested that patients with increased overjet and lip incompetence were more prone to have trauma to maxillary incisors. The effect of Traumatic dental injuries is not only physical damage but also psychological damage as aesthetic issues are involved. Measures of oral-health-related quality of life (OHRQoL) provide essential information when assessing the treatment needs of individuals and populations. A total of 300 patients with age group 11-14 years with Class II div 1 malocclsion were included in the study. Patients were further subdivider into three group depending upon the severity of maxillary incisal trauma and no trauma group, further to that the psychological evaluation of all the patients were done using short-form of the Child Perceptions Questionnaire to ascertain the impact of oral health conditions (incisal trauma) on their quality-of-life. Mean functional limitation score was lowest for group 1 and highest with group 3 with 0.46, 0.626 and 4.191.405 respectively. Mean emotional wellbeing score was lowest in group 1 and highest in group 3 with 1.381.14 and 6.101.46 respectively Overall statistically significant differences were found between three groups w.r.t oral symptoms, functional limitation, emotional wellbeing and social wellbeing with p=0.001.Traumatic dental injury to maxillary incisors is associated with significant impairment of functionality and significant psychological implications with overall CPQ index scoring being highest in patients with more severe maxillary incisor trauma.