{
  "abstract": "Background\n\nMalocclusion can negatively impact psychosocial well-being and oral health-related quality of life (OHRQoL), particularly during adolescence and young adulthood. This study evaluated the prevalence and severity of psychosocial burden associated with self-perceived malocclusion and its relationship with OHRQoL among adolescents and young adults in Kano State, Nigeria.Methods\n\nThis cross-sectional study included 316 participants aged 13-25 years recruited from secondary schools and a university in Kano metropolis using convenience sampling. Data were collected using self-administered questionnaires comprising the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN-AC), the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), and the Oral Health Impact Profile (OHIP-14). Descriptive statistics, Wilcoxon rank-sum tests, Pearson's chi-squared tests, and Spearman's correlations were used. Multivariable logistic regression identified predictors of high psychosocial impact (PIDAQ grade). Statistical significance was set at p < 0.05.Results\n\nOf 316 participants (mean age 16.9 ± 3.6 years; 55% male), 45.2% perceived a need for orthodontic treatment (34.8% moderate, 10.4% definite). High psychosocial impact (PIDAQ > 31) was recorded in 63.3% (n = 200), with male participants showing significantly higher median PIDAQ scores than females (38 vs. 34, p = 0.03). A negative impact on OHRQoL (OHIP-14 > 14) was reported by 32.9% (n = 104). IOTN-AC showed mild positive correlations with aesthetic concern (ρ = 0.13) and psychological impact (ρ = 0.18). OHIP-14 was strongly correlated with psychological impact (ρ = 0.62) and social impact (ρ = 0.59). In multivariable analysis, male sex (OR = 2.65, 95% CI:1.48-4.83), higher OHIP-14 score (OR = 1.14, 95% CI:1.10-1.19), and higher IOTN-AC score (OR = 1.30, 95% CI:1.12-1.53) were independent predictors of high psychosocial impact, while tertiary education was protective (OR = 0.07, 95% CI:0.02-0.31).Conclusion\n\nSelf-perceived malocclusion is associated with reduced dental self-confidence, impaired OHRQoL, and adverse social and psychological well-being among Nigerian adolescents and young adults. These associations vary by sex and education level. Early orthodontic assessment and integrated oral health education may mitigate psychosocial burdens.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Child Dental Health, Bayero University, Kano, Nigeria.",
    "Department of Oral Diagnostic Sciences, Bayero University, Kano, Nigeria. oaaborisade.ods@buk.edu.ng.",
    "Department of Oral and Maxillofacial Surgery, University of Nigeria, Nsukka, Nigeria."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Khadijah Musa Sa'ad"
    },
    {
      "affs": [
        1
      ],
      "name": "Adetayo Aborisade"
    },
    {
      "affs": [
        2
      ],
      "name": "Bernard Ogbozor"
    },
    {
      "affs": [
        0
      ],
      "name": "Tope Emmanuel Adeyemi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4s4qy8vrjm9m4.bib",
  "cited_by": 0,
  "doi": "10.1186/s12903-026-09399-9",
  "fulltext_url": "https://europepmc.org/articles/PMC13689316",
  "id": "4s4qy8vrjm9m4",
  "issns": [
    "1472-6831"
  ],
  "landing_url": "https://europepmc.org/article/MED/42907828",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RK1-715"
    ],
    [
      "openalex",
      "3505|Orthodontics and Dentofacial Orthopedics"
    ]
  ],
  "openalex": "W7170344721",
  "pdf_url": "https://europepmc.org/articles/PMC13689316?pdf=render",
  "pmcid": "PMC13689316",
  "pmid": "42907828",
  "published": "2026-07-01",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/4s4qy8vrjm9m4.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:59Z",
      "native_id": "MED:42907828",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42907828"
    },
    {
      "first_seen": "2026-10-30T13:46:30Z",
      "native_id": "091b5fc5493142e09575bcad2dc8b670",
      "source": "doaj",
      "url": "https://doi.org/10.1186/s12903-026-09399-9"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:RK1-715",
      "subfield": "general"
    }
  ],
  "title": "Psychosocial impact of self-perceived malocclusion on oral health-related quality of life in Nigerian adolescents and young adults: a cross-sectional study.",
  "title_text": "Psychosocial impact of self-perceived malocclusion on oral health-related quality of life in Nigerian adolescents and young adults: a cross-sectional study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T14:20:51Z",
  "url": "https://research.draconitic.com/paper/4s4qy8vrjm9m4",
  "venue": "BMC oral health",
  "versions": []
}