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Exploring the Mediating Role of Oral Health between Personality Traits and the Psychosocial Impact of Dental Aesthetics among Healthy Older People

  • Lucia MonacisEmail author
  • Lorenzo Lo Muzio
  • Santo Di Nuovo
  • Maria Sinatra
  • Valeria de Palo
Article
  • 11 Downloads

Abstract

This study aimed at exploring the mediating role of oral health in the relationships between personality traits and psychosocial impact of dental aesthetics among the elderly. The sample included 119 older adults (Mage = 68.89 SD = 9.75, 51 males) who were assessed through a self-report measure evaluating personality traits, the self-perceived impact of oral health on well-being and quality of life, and the self-perceived impact of dental aesthetics on daily living. Descriptive statistics, bivariate correlations and path coefficients were computed. Findings showed the mediating role of self-perceived oral health, given the positive indirect effects of neuroticism on social and psychological impact and aesthetic concern, and the negative indirect effects of conscientiousness on social impact and aesthetic concern. The interrelationships between personality traits and oral health in predicting psychosocial impact of dental aesthetics in elderly underline the usefulness of a patient-centered approach that clinicians should adopt to improve a healthcare system.

Keywords

Personality Dental aesthetics Oral health Active ageing 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflict of interest.

Informed Consent

As there is no person or personal data appearing in the paper, there is no one from whom a permission should be obtained in order to publish personal data.

Ethical Treatment of Experimental Subjects (Animal and Human)

Not relevant as no experiments have been carried out in this study.

References

  1. Afroz, S., Rathi, S., Rajput, G., & Rahman, S. A. (2013). Dental esthetics and its impact on psycho-social well-being and dental self-confidence: A campus based survey of north Indian university students. Journal of Indian Prosthodontist Society, 13(4), 455–460.  https://doi.org/10.1007/s13191-012-0247-1.CrossRefGoogle Scholar
  2. Bellot-Arcís, C., Ferrer-Molina, M., Carrasco-Tornero, Á., Montiel Company, J. M., & Almerich-Silla, J. M. (2015). Differences in psychological traits between lingual and labial orthodontic patients: Perfectionism, body image, and the impact of dental esthetics. Angle Orthodontist, 85(1), 58–63.  https://doi.org/10.2319/020714-97.1.CrossRefGoogle Scholar
  3. Bucci, R., Rongo, R., Zito, E., Galeotti, A., Valletta, R., & D’Antò, V. (2015). Cross-cultural adaptation and validation of the Italian psychosocial impact of dental aesthetics questionnaire (PIDAQ). Quality of Life Research, 24(3), 747–752.  https://doi.org/10.1007/s11136-014-0807-4.CrossRefGoogle Scholar
  4. Chae, S., Lee, Y., Kim, J., Chun, K. H., & Lee, J. K. (2017). Factors associated with perceived unmet dental care needs of older adults. Geriatrics and Gerontology International, 17(1), 1936–1942.  https://doi.org/10.1111/ggi.12997.CrossRefGoogle Scholar
  5. Chiorri, C., Bracco, F., Piccinno, T., Modafferi, C., & Battini, V. (2015). Psychometric properties of a revised version of the ten item personality inventory. European Journal of Psychological Assessment, 31(2), 109–119.  https://doi.org/10.1027/1015-5759/a000215.CrossRefGoogle Scholar
  6. de Couto Nascimento, V., de Castro Ferreira Conti, A. C., de Almeida Cardoso, M., Valarelli, D. P., & de Almeida-Pedrin, R. R. (2016). Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation. Angle Orthodontist, 86(5), 839–845.  https://doi.org/10.2319/072215-496.1.CrossRefGoogle Scholar
  7. de Paula, J. D. F., Santos, C. M., da Silva, E. T., Nunes, M. F., & Leles, C. R. (2009). Psychosocial impact of dental esthetics on quality of life in adolescents. Angle Orthodontist, 79(6), 1188–1193.  https://doi.org/10.2319/082608-452R.1.CrossRefGoogle Scholar
  8. Deng, X., Wang, Y.-J., Deng, F., Liu, P.-L., & Wu, Y. (2018). Psychological well-being, dental esthetics, and psychosocial impacts in adolescent orthodontic patients: A prospective longitudinal study. American Journal of Orthodontics and Dentofacial Orthopedics., 153(1), 87–96.e2.  https://doi.org/10.1016/j.ajodo.2017.05.028.CrossRefGoogle Scholar
  9. Faber, J. (2016). Elderly people, quality of life, and orthodontics. Journal of the World Federation of Orthodontists, 5(1), 1.  https://doi.org/10.1016/j.ejwf.2016.03.001.CrossRefGoogle Scholar
  10. Feu, D., de Oliveira, B. H., de Oliveira Almeida, M. A., Kiyak, H. A., & Miguel, J. A. (2010). Oral health-related quality of life and orthodontic treatment seeking. American Journal of Orthodontics and Dentofacial Orthopedics, 138(2), 152–159.  https://doi.org/10.1016/j.ajodo.2008.09.033.CrossRefGoogle Scholar
  11. Hamdam, A. M. (2004). The relationship between patient, parent and clinician perceived need and normative orthodontic treatment need. European Journal of Orthodontics, 26(3), 265–271.  https://doi.org/10.1093/ejo/26.3.265.CrossRefGoogle Scholar
  12. Hu, L., & Bentler, P. M. V. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.  https://doi.org/10.1080/10705519909540118.CrossRefGoogle Scholar
  13. Inglehart, M. R., & Bagramian, R. A. (2002). Oral health related quality of life: An introduction. In M. R. Inglehart & R. A. Bagramian (Eds.), Oral health related quality of life (5th ed., pp. 1–6). Chicago: Quintessence.Google Scholar
  14. Isiekwe, G. I., Sofola, O. O., Onigbogi, O. O., Utomi, I. L., Sanu, O. O., & daCosta, O. O. (2016). Dental esthetics and oral health-related quality of life in young adults. American Journal of Orthodontics and Dentofacial Orthopedics, 150(4), 627–636.  https://doi.org/10.1016/j.ajodo.2016.03.025.CrossRefGoogle Scholar
  15. Klages, U., Bruckner, A., Guld, Y., & Zentner, A. (2005). Dental esthetics, orthodontic treatment, and oral-health attitudes in young adults. American Journal of Orthodontics and Dentofacial Orthopedics, 128(4), 442–449.  https://doi.org/10.1016/j.ajodo.2004.05.023.CrossRefGoogle Scholar
  16. Klages, U., Claus, N., Wehrbein, H., & Zentner, A. (2006). Development of a questionnaire for assessment of the psychosocial impact of dental aesthetics in young adults. European Journal of Orthodontics, 28(2), 103–111.  https://doi.org/10.1093/ejo/cji083.CrossRefGoogle Scholar
  17. Locker, D. (1988). Measuring oral health: A conceptual framework. Community Dental Health, 5, 3–18.Google Scholar
  18. McCrae, R. R., & Costa, P. (1990). Personality in adulthood. New York: The Guilford Press.Google Scholar
  19. Monacis, L., Muzio, L. L., De Palo, V., Campus, G., Ottolenghi, L., Venezia, P., & Sinatra, M. (2019). The Italian version of the Oral health impact profile (OHIP-14) and its personality correlates. Psicologia della Salute, 2019(2), 123–142.  https://doi.org/10.3280/PDS2019-002006.CrossRefGoogle Scholar
  20. Montero, J., & Gómez-Polo, C. (2017). Association between personality traits and oral health-related quality of life: A cross-sectional study. International Journal of Prosthodontics, 30(5), 429–436.  https://doi.org/10.11607/ijp.5199.CrossRefGoogle Scholar
  21. Montero, J., Gómez Polo, C., Rosel, E., Barrios, R., Albaladejo, A., & López-Valverde, A. (2016). The role of personality traits in self-rated oral health and preferences for different types of flawed smiles. Journal of Oral Rehabilitation, 43(1), 39–50.  https://doi.org/10.1111/joor.12341.CrossRefGoogle Scholar
  22. Romero-Maroto, M., Santos-Puerta, N., González Olmo, M. J., & Peñacoba-Puente, C. (2015). The impact of dental appearance and anxiety on self-esteem in adult orthodontic patients. Orthodontics and Craniofacial Research, 18(3), 143–155.  https://doi.org/10.1111/ocr.12091.CrossRefGoogle Scholar
  23. Rouxel, P., Tsakos, G., Chandola, T., & Watt, R. G. (2016). Oral health - a neglected aspect of subjective well-being in later life. Journals of Gerontology - Series B Psychological Sciences and Social Sciences, 73(3), 382–386.  https://doi.org/10.1093/geronb/gbw024.CrossRefGoogle Scholar
  24. Slade, G. D. (1997). Derivation and validation of a short form oral health impact profile. Community Dentistry and Oral Epidemiology, 25(4), 284–290.  https://doi.org/10.1111/j.1600-0528.1997.tb00941.x.CrossRefGoogle Scholar
  25. Soeda, H., Sato, Y., Yamaga, E., & Minakuchi, S. A. (2017). Structural equation model to assess the influence of neuroticism on oral health-related quality of life in complete denture wearers. Gerodontology., 34(4), 446–454.  https://doi.org/10.1111/ger.12291.CrossRefGoogle Scholar
  26. Spalj, S., Novsak, A., Bilobrk, P., Katic, V., Trinajstic Zrinski, M., & Pavlic, A. (2016). Mediation and moderation effect of the big five personality traits on the relationship between self-perceived malocclusion and psychosocial impact of dental esthetics. Angle Orthodpntist, 86(3), 413–420.  https://doi.org/10.2319/032315-187.1.CrossRefGoogle Scholar
  27. Takeshita, H., Ikebe, K., Kagawa, R., Okada, T., Gondo, Y., Nakagawa, T., Ishioka, Y., Inomata, C., Tada, S., Matsuda, K.-I., Kurushima, Y., Enoki, K., Kamide, K., Masui, Y., Takahashi, R., Arai, Y., & Maeda, Y. (2015). Association of personality traits with oral health-related quality of life independently of objective oral health status: A study of community-dwelling elderly Japanese. Journal of Dentistry, 43(3), 342–349.  https://doi.org/10.1016/j.jdent.2014.12.011.CrossRefGoogle Scholar
  28. Thomson, W. M., Caspi, A., Poulton, R., Moffitt, T. E., & Broadbent, J. M. (2011). Personality and oral health. European Journal of Oral Sciences, 119(5), 366–372.  https://doi.org/10.1111/j.1600-0722.2011.00840.x.CrossRefGoogle Scholar
  29. Venete, A., Trillo-Lumbreras, E., Prado-Gascó, V.-J., Bellot-Arcís, C., Almerich-Silla, J.-M., & Montiel-Company, J.-M. (2017). Relationship between the psychosocial impact of dental aesthetics and perfectionism and self-esteem. Journal of Clinical and Experimental Dentistry, 9(12), e1453–e1458.  https://doi.org/10.4317/jced.54481.CrossRefGoogle Scholar
  30. Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. Journal of the American Medical Association, 273, 59–65.  https://doi.org/10.1001/jama.273.1.59.CrossRefGoogle Scholar
  31. World Health Organization. (1948). Constitution of the World Health Organization. Geneva: World Health Organization.Google Scholar
  32. Zhou, Y., Wang, Y., Wang, X., Volière, G., & Hu, R. (2014). The impact of orthodontic treatment on the quality of life a systematic review. BMC Oral Health, 14(1), 66.  https://doi.org/10.3290/j.ohpd.a38994.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of HumanitiesUniversity of FoggiaFoggiaItaly
  2. 2.Department of Clinical and Experimental MedicineUniversity of FoggiaFoggiaItaly
  3. 3.Department of Educational SciencesUniversity of CataniaCataniaItaly
  4. 4.Department of Education, Psychology, CommunicationUniversity of BariBariItaly

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