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BMC Oral Health
Published in: BMC Oral Health 1/2021

Open Access 01-12-2021 | Bleaching | Research article

Personality traits, psychosocial effects and quality of life of patients submitted to dental bleaching

Authors: Elize Bonafé, Márcia Rezende, Marina Molinari Machado, Suellen Nogueira Linares Lima, Eduardo Fernandez, Marcia M. P. Baldani, Alessandra Reis, Alessandro Dourado Loguercio, Matheus Coelho Bandeca

Published in: BMC Oral Health | Issue 1/2021

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Abstract

Background

Perception is defined as the ability to distinguish through the senses. All perception is dependent on factors such as personality, previously lived experiences and cultural elements. When planning an aesthetic treatment, consider the way the patients perceive the changes and outcomes is essential for reaching their expectations. The objective of this study was to assess if there was predominance of a personality trait of patient undergoing dental bleaching and if this treatment could promote changes in this traits, in the psychosocial impact and quality of life of these individuals.

Methods

The assessment of personality characteristics, quality of life, psychosocial and self-perception was a cross-sectional observational study and it was carried out by applying questionnaires to 55 patients that were submitted to a clinical phase. The psychometric instruments used were NEO FFI-R (personality), PIDAQ (psychosocial effect) and WHOQOL-BREF (quality of life). Each test domain was prior and after bleaching by Wilcoxon Signed Rank test (α = 0.05). The internal consistencies of each scale were evaluated by Cronbach's alpha.

Results

No statistical significant differences among personality traits means were observed among participants but there was predominance of two predominant personality traits in this study: conscientiousness (45.5%) and extraversion (34.5%). In four test domains of the PIDAQ, significant differences were observed before and after dental bleaching. The overall perception of the PIDAQ was also statistically significant demonstrating an improvement. There were no differences on overall or specific domains scores of the WHOQOL before and after treatment.

Conclusions

Subjects who underwent dental treatment improved their self-confidence and reduced concerns about dental aesthetics, social and personality impact of dental alterations.

Trial registration

This study was conducted in parallel to a clinical investigation that aimed to evaluate tooth sensitivity related to dental bleaching technique and registered in REBEC clinical registry under protocol RBR-6pt2n3 in 13 November 2013.
Literature
1.
Samorodnitzky-Naveh GR, Geiger SB, Levin L. Patients’ satisfaction with dental esthetics. J Am Dent Assoc. 2007;138(6):805–8.PubMedCrossRef
2.
3.
Fernandez E, Bersezio C, Bottner J, Avalos F, Godoy I, Inda D, et al. Longevity, esthetic perception, and psychosocial impact of teeth bleaching by low (6%) hydrogen peroxide concentration for in-office treatment: a randomized clinical trial. Oper Dent. 2017;42(1):41–52.PubMedCrossRef
4.
Little AC, Jones BC, DeBruine LM. Facial attractiveness: evolutionary based research. Philos Trans R Soc Lond Ser B Biol Sci. 2011;366(1571):1638–59.CrossRef
5.
Mehl C, Harder S, Lin J, Vollrath O, Kern M. Perception of dental esthetics: influence of restoration type, symmetry, and color in four different countries. Int J Prosthodont. 2015;28(1):60–4.PubMedCrossRef
6.
Allen MS, Walter EE. Personality and body image: a systematic review. Body Image. 2007;19:79–88.CrossRef
7.
Van der Geld P, Oosterveld P, Van Heck G, Kuijpers-Jaqtam A. Smile attractiveness. Self-perception and influence on personality. Angle Orthod. 2007;77(5):759–65.PubMed
8.
Grzic R, Spalj S, Lajnert V, Glavicic S, Uhac I, Pavicic DK. Factors influencing a patient’s decision to choose the type of treatment to improve dental esthetics. Vojnosanit Pregled. 2012;69(11):978–85.CrossRef
9.
De Jongh A, Oosterink FM, Van Rood YR, Aartman IH. Preoccupation with one’s appearance: a motivating factor for cosmetic dental treatment? Br Dent J. 2008;204(12):691–5.PubMedCrossRef
10.
Karasneh J, Al-Omiri MK, Al-Hamad KQ, Al Quran FA. Relationship between patients’ oral health-related quality of life, satisfaction with dentition, and personality profiles. J Contemp Dent Pract. 2009;10(6):E049-56.PubMed
11.
Torres BL, Costa FO, Modena CM, Cota LO, Cortes MI, Seraidarian PI. Association between personality traits and quality of life in patients treated with conventional mandibular dentures or implant-supported overdentures. J Oral Rehabil. 2011;38(6):454–61.PubMedCrossRef
12.
Younis A, Al-Omiri MK, Hantash RO, Alrabab’Ah M, Dar-Odeh N, Abu Hammad O, Khraisat A. Relationship between dental impacts on daily living, satisfaction with the dentition and personality profiles among a Palestinian population. Trop Dent J. 2012;35(138):21–30.
13.
Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Diatchenko L, Dubner R, et al. Psychological factors associated with development of TMD: the OPPERA prospective cohort study. J Pain. 2013;14(12):T75-90.PubMedCrossRef
14.
Al-Omiri MK, Karasneh J, Alhijawi MM, Zwiri AM, Scully C, Lynch E. Recurrent aphthous stomatitis (RAS): a preliminary within-subject study of quality of life, oral health impacts and personality profiles. J Oral Pathol Med. 2015;44(4):278–83.PubMedCrossRef
15.
Herrera A, Martin J, Perez F, Bonafe E, Reis A, Loguercio AD, Fernandez E. Is personality relevant in the choice of bleaching? Clin Oral Investig. 2016;20(8):2105–11.PubMedCrossRef
16.
Allport GW. Pattern and growth in personality. 1st ed. New York: Holt; 1961.
17.
Srivastava S, John OP. Development of personality in early and middle adulthood: set like plaster or persistent change? J Pers Soc Psychol. 2003;84(5):1041–53.PubMedCrossRef
18.
Haan N, Millsap R, Hartka E. As time goes by: change and stability in personality over fifty years. Psychol Aging. 1986;1(3):220–32.PubMedCrossRef
19.
Hogan R. A socioanalytic perspective on the five-factor model. In: Wiggins JS, editor. The five-factor model of personality: theoretical perspectives. 1st ed. New York: Guilford Press; 1996.
20.
McCrae RR, Costa PT Jr. Toward a new generation of personality theories: theoretical contexts for the five-factor model. In: Wiggins JS, editor. The five-factor model of personality: theoretical perspectives. 1st ed. New York: Guilford Press; 1996.
21.
Botwin MD, Buss DM. Structure of act-report data: is the five-factor model of personality recaptured? J Pers Soc Psychol. 1989;56(6):988–1001.PubMedCrossRef
22.
Costa PT, Mc Crae RR. Inventário de personalidade NEO revisado NEO-PI-R - Manual. 3rd ed. São Paulo: Vetor; 2010.
23.
McCrae RR. Consensual validation of personality traits: Evidence from self-reports and ratings. J Pers Soc Psychol. 1982;43(2):293–303.CrossRef
24.
Martin J, Rivas V, Vildosola P, Moncada L, Oliveira OB, Saad JR, et al. Personality style in patients looking for tooth bleaching and its correlation with treatment satisfaction. Braz Dent J. 2016;27(1):60–5.PubMedCrossRef
25.
Modig M, Andersson L, Wardh I. Patients’ perception of improvement after orthognathic surgery: pilot study. Br J Oral Maxillofac Surg. 2006;44(1):24–7.PubMedCrossRef
26.
Mehl C, Harder S, Lin J, Vollrath O, Kern M. Perception of dental esthetics in different cultures. Int J Prosthodont. 2014;27(6):523–9.PubMedCrossRef
27.
Cunningham SJ, Garratt AM, Hunt NP. Development of a condition-specific quality of life measure for patients with dentofacial deformity: II. Validity and responsiveness testing. Community Dent Oral Epidemiol. 2002;30(2):81–90.PubMedCrossRef
28.
Klages U, Claus N, Wehrbein H, Zentner A. Development of a questionnaire for assessment of the psychosocial impact of dental aesthetics in young adults. Eur J Orthod. 2006;28(2):103–11.PubMedCrossRef
29.
Singh VP, Singh R. Translation and validation of a Nepalese version of the Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ). J Orthod. 2014;41(1):6–12.PubMedCrossRef
30.
Solomon D, Katz RV, Bush AC, Farley VK, McGerr TJ, Min H, et al. Psychosocial impact of anterior dental esthetics on periodontal health, dental caries, and oral hygiene practices in young adults. Gen Dent. 2016;64(2):44–50.PubMed
31.
Chen H, Huang J, Dong X, Qian J, He J, Qu X, Lu E. A systematic review of visual and instrumental measurements for tooth shade matching. Quintessence Int. 2012;43(8):649–59.PubMed
32.
Meireles SS, Goettems ML, Dantas RV, Bona AD, Santos IS, Demarco FF. Changes in oral health related quality of life after dental bleaching in a double-blind randomized clinical trial. J Dent. 2014;42(2):114–21.PubMedCrossRef
33.
Bruhn AM, Darby ML, McCombs G, Lynch CM. Vital tooth whitening effects on oral health-related quality of life in older adults. J Dent Hyg. 2012;86(3):239–47.PubMed
34.
McGrath C, Wong AH, Lo EC, Cheung CS. The sensitivity and responsiveness of an oral health related quality of life measure to tooth whitening. J Dent. 2005;33(8):697–702.PubMedCrossRef
35.
Bersezio C, Ledezma P, Mayer C, Rivera O, Oliveira OB, Fernandez E. Effectiveness and effect of non-vital bleaching on the quality of life of patients up to 6 months post-treatment: a randomized clinical trial. Clin Oral Investig. 2018;22(9):3013–9.PubMedCrossRef
36.
Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. In: Ohrbach R, Bjorner J, Ma J, editors. Guidelines for establishing cultural equivalency of instruments. 2nd ed. Oxford: Oxford University Press; 2009.
37.
Lima MP, Simões A. NEO-PI-R Manual Profissional. 1st ed. Lisboa: CEGOC; 2000.
38.
39.
Engels JM, Diehr P. Imputation of missing longitudinal data: a comparison of methods. J Clin Epidemiol. 2003;56(10):968–76.PubMedCrossRef
40.
Fleck MP. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref.” Revista de Saúde Pública. 2000;34(2):178–83.PubMedCrossRef
41.
Fleck MP, Leal OMF, Louzada SN, Xavier MK, Chachamovich E, Vieira GM, et al. Desenvolvimento da versão em português do instrumento de avaliação de qualidade de vida da OMS (WHOQOL-100). Braz J Psychiatry. 1999;21(1):19–28.CrossRef
42.
Sardenberg F, Oliveira AC, Paiva SM, Auad SM, Vale MP. Validity and reliability of the Brazilian version of the psychosocial impact of dental aesthetics questionnaire. Eur J Orthod. 2011;33(3):270–5.PubMedCrossRef
43.
Rezende M, Bonafe E, Vochikovski L, Farago PV, Loguercio AD, Reis A, Kossatz S. Pre- and postoperative dexamethasone does not reduce bleaching-induced tooth sensitivity: a randomized, triple-masked clinical trial. J Am Dent Assoc. 2016;147(1):41–9.PubMedCrossRef
44.
Hassan S, Shaikh A, Fida M. Esthetic impact of tooth extraction in Pakistani patients. J Ayub Med Coll Abbottabad. 2014;26(3):263–8.PubMed
45.
Bellot-Arcis C, Montiel-Company JM, Almerich-Silla JM. Psychosocial impact of malocclusion in Spanish adolescents. Kor J Orthod. 2013;43(4):193–200.CrossRef
46.
Claudino D, Traebert J. Malocclusion, dental aesthetic self-perception and quality of life in a 18 to 21 year-old population: a cross section study. BMC Oral Health. 2013;13:3.PubMedPubMedCentralCrossRef
47.
Lukez A, Pavlic A, Trinajstic Zrinski M, Spalj SA. The unique contribution of elements of smile aesthetics to psychosocial well-being. J Oral Rehabil. 2015;42(4):275–81.PubMedCrossRef
48.
Gazit-Rappaport T, Haisraeli-Shalish M, Gazit E. Psychosocial reward of orthodontic treatment in adult patients. Eur J Orthod. 2010;32(4):441–6.PubMedCrossRef
49.
Prado RF, Ramos-Jorge J, Marques LS, de Paiva SM, Melgaco CA, Pazzini CA. Prospective evaluation of the psychosocial impact of the first 6 months of orthodontic treatment with fixed appliance among young adults. Angle Orthod. 2016;86(4):644–8.PubMedCrossRef
50.
Alkhatib MN, Holt R, Bedi R. Age and perception of dental appearance and tooth colour. Gerodontology. 2005;22(1):32–6.PubMedCrossRef
51.
52.
Afroz S, Rathi S, Rajput G, Rahman SA. Dental esthetics and its impact on psychosocial well-being and dental self confidence: a campus based survey of north Indian university students. J Indian Prosthodont Soc. 2013;13(4):455–60.PubMedPubMedCentralCrossRef
53.
Grosofsky A, Adkins S, Bastholm R, Meyer L, Krueger L, Meyer J, Torma P. Tooth color: effects on judgments of attractiveness and age. Percept Mot Skills. 2003;96(1):43–8.PubMedCrossRef
54.
Akarslan ZZ, Sadik B, Erten H, Karabulut E. Dental esthetic satisfaction, received and desired dental treatments for improvement of esthetics. Indian J Dent Res. 2009;20(2):195–200.PubMedCrossRef
55.
Bowling A. Measuring health: a review of quality of life measurement scales. 2nd ed. Milton Keynes: Open University Press; 1991. p. 1–55.
56.
Cunningham SJ, Garratt AM, Hunt NP. Development of a condition-specific quality of life measure for patients with dentofacial deformity: I. Reliability of the instrument. Community Dent Epidemiol. 2000;28(3):195–201.CrossRef
57.
Orley J, Saxena S, Herrman H. Quality of life and mental illness. Reflections from the perspective of the WHOQOL. Br J Psychiatry. 1998;172:291–3.PubMedCrossRef
58.
John MT, Reissmann DR, Celebic A, Baba K, Kende D, Larsson P, Rener SK. Integration of oral health-related quality of life instruments. J Dent. 2016;53:38–43.PubMedPubMedCentralCrossRef
59.
60.
Bowling A, Rowe G, Lambert N, Waddington M, Mahtani KR, Kenten C. The measurement of patients’ expectations for health care: a review and psychometric testing of a measure of patients’ expectations. Health Technol Assess. 2012;16(30):1–12.CrossRef
61.
Steel P, Schmidt J, Shultz J. Refining the relationship between personality and subjective well-being. Psychol Bull. 2008;134(1):138–61.PubMedCrossRef
62.
Grant S, Langan-Fox J, Anglim J. The big five traits as predictors of subjective and psychological well-being. Psychol Rep. 2009;105(1):205–31.PubMedCrossRef
63.
Widiger TA, Presnall JR. Clinical application of the five-factor model. J Pers. 2013;81(6):515–27.PubMedCrossRef
64.
McCrae RR, Terracciano A. Personality profiles of cultures: aggregate personality traits. J Pers Soc Psychol. 2005;89(3):407–25.PubMedCrossRef
65.
Matis BA, Cochran MA, Franco A, Al-Ammar W, Eckert GJ, Stropes M. Eight in-office tooth whitening systems evaluated in vivo: a pilot study. Oper Dent. 2007;32(4):322–7.PubMedCrossRef
Metadata
Title
Personality traits, psychosocial effects and quality of life of patients submitted to dental bleaching
Authors
Elize Bonafé
Márcia Rezende
Marina Molinari Machado
Suellen Nogueira Linares Lima
Eduardo Fernandez
Marcia M. P. Baldani
Alessandra Reis
Alessandro Dourado Loguercio
Matheus Coelho Bandeca
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Bleaching
Published in
BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01370-6

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