Does age influence self-perception of the soft-tissue profile in children?

Article Article scientifique Article Does age influence self-perception of the soft-tissue profile in children? eng 2021-01-15 2021-03 author Varatharaju Vysnave 704415 author Caflisch Marianne 96460 author Soroken Cindy Jan 774302 author Kiliaridis Stavros 130544 author Antonarakis Gregory 0000-0001-6741-6922 133276 e207-e215 10.1016/j.ajodo.2020.10.016 33461898 0889-5406 Introduction: Appreciation of the soft-tissue profile is important in orthodontic diagnosis and treatment. However, are the patients themselves aware of their profile appearance? We aimed to evaluate if age influences self-perception of the soft-tissue profile in children. Methods: The study population for this prospective cross-sectional investigation consisted of 3 groups of 60 patients, classified according to age (<12 years; 12-15 years; >15 years). Each subject's right-sided facial profile was photographed to obtain a silhouette. Facial profile silhouette templates were created to represent the local population. Each subject's photograph was inserted into the corresponding template, and the subjects were asked to identify themselves. Facial profile self-recognition was recorded as a binary variable (yes or no). Other recorded variables included age, sex, and sexual maturity rating (using Tanner staging). Chi-square tests were used to analyze facial profile self-recognition between different subgroups, and stepwise multiple regression was used to predict the probabilities of facial profile self-recognition, with age, sexual maturity rating, and other recorded variables as independent variables. Results: Eighty percent of subjects aged >15 years recognized their own profile, compared with only 55% and 50% of subjects aged 12-15 years and <12 years, respectively. Subjects aged >15 years were significantly more likely to recognize their profile than younger subjects (P = 0.001). Similarly, subjects with the most advanced sexual maturity rating (stage V) were significantly more likely to recognize their profile (85% self-recognition) than those in groups I-IV (P <0.001). Girls were more likely to recognize their profiles than boys (P = 0.028). When using multiple regression analysis, sexual maturity rating appears to be the only significant predictor for facial profile self-recognition (R2 = 0.25; P <0.001). Conclusions: Facial profile self-recognition seems to improve with age and sexual maturity (sexual maturity rating stage V). Because orthodontic treatment planning takes possible soft-tissue changes into account, it is important to evaluate the degree of self-perception of the patients to adapt our goals and treatment discussions. Adolescent Child Cross-Sectional Studies Dental Care Female Humans Male Prospective Studies Self Concept Dewey 617.6 Dewey 618 209 Division d'orthodontie 24Q1 58 Département de pédiatrie, gynécologie et obstétrique 223 false 188 Groupe Kiliaridis Stavros (médecine dentaire) 239 515 Recherche en infectiologie pédiatrique et en pédiatrie générale 853 1448 Orthodontie 1065 American journal of orthodontics and dentofacial orthopedics 159 3 64e7873f-deca-4e6f-9b25-546e702c6caa Article (Published version) Public AmJOrthod159(3)-e207-215.pdf 510287 application/pdf CC BY-4.0 openAccess Faculté de médecine / Section de médecine dentaire / Département de réhabilitation oro-faciale / Division d'orthodontie Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Does age influence self-perception of the soft-tissue profile in children?	American journal of orthodontics and dentofacial orthopedics	2021	139	184
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Varatharaju, Vysnave