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Introduction
Since dental work it is necessary to consider certain psychological
aspects of the child patient that are signifcant in thedetection of
occlusal alterations, their need to approach and treatment for the correct
pediatric care. The mouth is one of the organs of the human being
that intervenes most in his social relations withothers,sounfavorable
psychological onsodations can cause various afectations, giving rise
to certain inappropriate behaviors and attitudes in the development
and well-being of the individual.
1
From a complex perspective of the
human being, growth and development contemplate the biological,
social and psycho cognitive aspects. The interest aroused in recent
years by the study of psychological and social determinants refects
a substantial change in medical thinking
2,3
and invites us to question
ourselvesfor the integral approach in childhood.
Currently it is very common to observe functional maloclusions in
children, specifcally during mixed teething. This morphological and
functional abnormality of bone, muscle and dentary components can
afect not only the normal functioning of the stomatopathic system
such as breathing, phonation, chewing, all of which are vital functions
for the development and growth of the child, directly afecting the
proper psychic maturation.
2
Occlusions or occlusal alterations have
a multifactorial etiology, among them the most common are: tooth
crowding, open bites, cross bites, little or excessive growth of the
jaws among others. Each has very particular characteristics and has
varying degrees of complexity to the treatment; however, they have
a common appearance, usually afecting the aesthetics and psiquis of
patients.
3
We are interested in placing ourselves in the latter aspect
since the efects on the subjective construction of the child take on a
vital dimension.
Peñaranda points out the psychologicalmeaning of the mouth and
face posed in various articles, expressinghowthese two areas can be
white of manifestations and alterations of a psychological nature.
Character alterations such as: depression, loss of sense of humor,
irritability, fall of afective bonds, anhedonia (inability to obtain
pleasure, loss of interest), psychomotor delay (slowness of thought,
word and mimicry), feelings of disability, guilt, impotence, negative
content in conversation, personal neglect, pessimism and sometimes
ideasof suicide, which may be related to problems of dental type.
4
Accordingly, the authors claim that the face is the mirror of the soul,
beyond aesthetics, the harmony of the face is an important factor in
the health and quality of life of people.
4
Facial and occlusal disarmony
has both physical and psychological efects on people, especially in
children and adolescents.
5
Occlusal alterations can make certain people
shy, retracted and fearful, warning of possibilities to cause social
unrest, create inferiority complexes and negative attitudes that alter
their performance before the vinea.
6
To establish a correct diagnosis of
maloclusions it is importantto take a thorough approach that examines
not only the dental, muscle and skeletal factors of the stomatognetic
set but also, the individual himself in his psychic personality and
social environment.
7
to look into the thresholds of psychological
involvement present in thechild associated with occlusal alterations
introduces a unique look at establishing comprehensive approaches
that contemplate multidisciplinary work in order to improve the
quality of life and the proper growth of the subject.
Development
Malocclusion is often something visible that could lead
to adversesocial reactions and arepresentation of itself with
veryimportantcharacteristics fromwhich disadvantageous efects on
the subject accrue. A small deformity in the stomatopathic system
can cause psychological alterations and social discomfort in the
development and well-being of the individual, and may present a car
with decreased brushing and self-esteem.
8-11
In the same sense studies
of Meneses, D. and Botero, P., mention that aesthetic commitment
during growth can generate harmful psychological efects depending
on the degree of physical deformity.
Facial and occlusal alterations bring both physical and psychological
efects on people, especially in children and adolescents who are going
through a process of growth and maturation. The health of adolescents
and young people is of great importance to all societies, as they will be
fundamental elements for the drive for progress and development.
12
In
J Dent Health Oral Disord Ther. 2021;12(3):59‒61. 59
©2021 Rosende et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Psychological affectation in child maloclutions
Volume 12 Issue 3 - 2021
Maria N Rosende,
1
Alina N Peláez,
2
Edna Y
Meza,
3
Paola B Olivera
4
1
Deputy Professor, Chair of Psychology of the child, adolescent
and adult, Faculty of Dentistry of THE UNNE, Argentina
2
Deputy Professor, Chair Research Methodology, Faculty of
Dentistry of the UNNE, Argentina
3
Postgraduate Research Fellow, Chair Research Methodology,
Faculty of Dentistry of the UNNE, Argentina
4
Assistant Teacher, Chair Research Methodology, Faculty of
Dentistry of the UNNE, Argentina
Correspondence: Maria N. Rosende, Faculty of Dentistry,
National University of the Northeast, Liberty Avenue 5450,
Corrientes – Argentina, C.P. 3400, Fax 03794- 4457992,
Email
Received: July 01, 2021 | Published: July 28, 2021
Abstract
In recent years, diferent investigations have highlighted the importance of constructing
the diagnosis based on complexity in health, which implies putting the concept of
comprehensive dental health in perspective. Occlusal alterations in childhood have
a multifactorial etiology, considering the dental, muscular and skeletal factors of the
stomatognathic complex as well as the subject in their psychism and social environment,
noting the maturational development of the child, therefore this article presents an update
on the afectation Psychology in child malocclusions and the impact they cause in the
construction of the childhood personality.
Keywords: Psychic afectation, Malocclusions, Childhood
Journal of Dental Health, Oral Disorders & Terapy
Literature Review
Open Access