The Effect of Orthodontic Intervention on Mental Health and Body Image
Open accessAbstract
AIM: Physical health especially oral and dental health can play a leading role in individuals’ mental health status. Therefore, determining the relationship between orthodontics, mental health, and body image can provide solutions for the development of treatment services and provision of greater accessibility of communities to them.METHODS: The present study was natural experimental research conducted to determine the relationship between orthodontic treatment, mental health, and body image. To conduct this research, individuals referring to orthodontic clinics in the city of Kermanshah and meeting the inclusion criteria in the study were selected using convenience sampling method and then they were assessed before and after undergoing orthodontics via the standardised Goldberg’s General Health Questionnaire (GHQ) and Multidimensional Body-Self Relations Questionnaire (MBSRQ).RESULTS: The mean scores of mental health problems in the study participants reduced and such a difference calculated by Wilcoxon signed-rank test with a 95% confidence level was significant (P = 0.001). Moreover, all the subscales of GHQ in the study participants showed a significant decrease after orthodontics compared to the stage before that (P ˂ 0.05). The mean score of MBSRQ before orthodontics was equal to 171.78 and this value reached 172.51 after that, indicating individuals’ increased scores and their high levels of satisfaction with their body image. Nevertheless, the given difference was trivial, and it was not statistically significant (P = 0.751).CONCLUSIONS: The results of the present study showed that orthodontic treatment could significantly increase mental health status in the clients and also improve multidimensional attitudes towards body image.
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Traditional variable-centered analysis (such as regression models) fails to reveal the underlying subtype structure of body image.
“Secondly, there are methodological limitations. Traditional variable center analysis (such as regression model) [16] fails to reveal the underlying subtype structure of body image, and there may be qualitative differences in psychological responses of orthodontic patients.”
From Correlation between latent categories of body image and sleep quality in adolescent orthodontic patients. (2025) · cites this paper as [16]
The Material and Methods section describes paired t-tests and Wilcoxon signed-rank tests, while the Discussion identifies sampling and follow-up as limitations. Neither section addresses whether variable-centered analysis or regression fails to reveal body-image subtypes (searched for regression, latent subtypes, and heterogeneous psychological responses). (LLM, conf=0.76)
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Cites
Does Orthodontic Treatment Affect Patients’ Quality of Life?
Kiyak, H. A. (2008) · Journal of Dental Education · doi:10.1002/j.0022-0337.2008.72.8.tb04564.x · Cited by 232 · see citing works
The impact of orthodontic treatment on quality of life and self-esteem in adult patients
Johal, A., Alyaqoobi, I., Patel, R., & Cox, S. (2014) · European Journal of Orthodontics · doi:10.1093/ejo/cju047 · Cited by 137 · see citing works
Jung, M. (2010) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2008.08.040 · Cited by 101 · see citing works
Impact of orthodontics on the psychologic profile of adult patients: A prospective study
Varela, M., & García-Camba, J. E. (1995) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/s0889-5406(95)70076-5 · Cited by 80 · see citing works
Psychopathology and Body Image in Cosmetic Surgery Patients
Vargel, S., & Uluşahin, A. (2001) · Aesthetic Plastic Surgery · doi:10.1007/s00266-001-0009-7 · Cited by 75 · see citing works
Nascimento, V. D. C., Conti, A. C. D. C. F., Cardoso, M. D. A., Valarelli, D. P., & de Almeida‐Pedrin, R. R. (2016) · The Angle Orthodontist · doi:10.2319/072215-496.1 · Cited by 75 · see citing works
Argyrides, M., & Kkeli, N. (2013) · Psychological Reports · doi:10.2466/03.07.pr0.113x29z6 · Cited by 68 · see citing works
Baets, E. D., Lambrechts, H., Lemiere, J., Diya, L., & Willems, G. (2011) · European Journal of Orthodontics · doi:10.1093/ejo/cjr088 · Cited by 65 · see citing works
Effect of malocclusion or orthodontic treatment on oral health-related quality of life in adults
Kang, J.-M., & Kang, K.-H. (2014) · The Korean Journal of Orthodontics · doi:10.4041/kjod.2014.44.6.304 · Cited by 61 · see citing works
Deng, X., Wang, Y.-J., Deng, F., Liu, P.-L., & Wu, X. (2017) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2017.05.028 · Cited by 60 · see citing works
A longitudinal study of changes in psychosocial well-being during orthognathic treatment
Alanko, O., Tuomisto, M. T., Peltomäki, T., Tolvanen, M., Soukka, T., & Svedström‐Oristo, A. (2017) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2017.05.004 · Cited by 59 · see citing works
Shayan, Z., Pourmovahed, Z., Najafipour, F., Abdoli, A. M., Mohebpour, F., & Najafipour, S. (2015) · International Journal of Reproductive BioMedicine (IJRM) · doi:10.29252/ijrm.13.12.801 · Cited by 38 · see citing works
Impact of body mass index on oral health during orthodontic treatment: an explorative pilot study
von Bremen, J., Lorenz, N., & Ruf, S. (2015) · European Journal of Orthodontics · doi:10.1093/ejo/cjv074 · Cited by 34 · see citing works
The Effect of Short-Term Aerobic Exercise on Depression and Body Image in Iranian Women
Zarshenas, S., Houshvar, P., & Tahmasebi, A. (2013) · Depression Research and Treatment · doi:10.1155/2013/132684 · Cited by 25 · see citing works
Orthodontic treatment and follow-up of a patient with cerebral palsy and spastic quadriplegia
Çifter, M., & Cura, N. (2016) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2015.10.031 · Cited by 24 · see citing works
Standardization of GHQ-28 Inventory on the Students of Azerbaijan Province of Iran
Javanmard, G. H., & Mamaghani, J. (2013) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2013.06.507 · Cited by 18 · see citing works
Vaida, L. L., Pirte, A., Corega, C., Slăvescu, D. A., & Muţiu, G. (2009) · PubMed · Cited by 15 · see citing works
Tamme, J. A., Rohnen, M., Gaßling, V., Ciesielski, R., Fischer-Brandies, H., Wiltfang, J., & Koos, B. (2017) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2017.08.016 · Cited by 15 · see citing works
Topçuoğlu, T., Yildirim, O., Birlik, M., Sökücü, O., & Semiz, M. (2013) · Nigerian Journal of Clinical Practice · doi:10.4103/1119-3077.122850 · Cited by 12 · see citing works
Peeran, S. W., Kumar, N. G., Azaruk, F. A., Alsaid, F., Abdalla, K., Mugrabi, M. H., & Peeran, S. A. (2014) · Journal of Natural Science Biology and Medicine · doi:10.4103/0976-9668.136172 · Cited by 9 · see citing works
Body Dysmorphic Disorder in Orthodontic Patients
Shivalinga, B., Avinash, B., & Jain, S. (2013) · World Journal of Dentistry · doi:10.5005/jp-journals-10015-1202 · Cited by 8 · see citing works
The Relationship between Oral and dental health and quality of life based on DIDL index
Khadem, P., Jabarifar, E., Marofi, V., Davoud, G., & Taher, V. M. (2011) · Res Dent Sci · Cited by 8 · see citing works
Luo, H., Feng, Y., Xu, X.-F., & Zhang, J. (2014) · PubMed · Cited by 7 · see citing works
Danaee, S., Fijan, S., Mohammadi, N., & Zadeh, R. (2015) · International Journal of Research in Medical Sciences · doi:10.5455/2320-6012.ijrms20150505 · Cited by 6 · see citing works
Asgari, I., Arezo, E. A., Hossein, K. M., & Eslamipour, F. (2012) · Majallah-i dandānpizishkī-i dānishgāh-i ̒ulūm-i pizishkī-i Tihrān/Majallah-i dandānpizishkī-i dānishgāh-i ̒ulūm-i pizishkī-i Tihrān. · Cited by 5 · see citing works
Investigating the relation between women's body image and unconsummated marriage
Noroozi, M., Hosseini, S., & Montazery, G. (2017) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_176_16 · Cited by 4 · see citing works
[Effect of body image in adolescent orthodontic treatment].
Minghui, P., Jing, K., & Deng, X. (2017) · PubMed · doi:10.7518/hxkq.2017.05.008 · Cited by 4 · see citing works
Choobineh, A., Masoud, N., Hasanzadeh, J., & Rostami, R. (2013) · Majallah-i dandānpizishkī-i dānishgāh-i ̒ulūm-i pizishkī-i Tihrān/Majallah-i dandānpizishkī-i dānishgāh-i ̒ulūm-i pizishkī-i Tihrān. · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [6]Amnaie A Nasiri M Adib M Shirvani A Relationship between self-concept and satisfaction with tooth alignment and demand for orthodontic treatment and professionally determined orthodontic needs Journal of Isfahan Dental School 2012 7 5 656 61
- [10]Heidari-Charoudeh M Kermani A Aesthetic beliefs relationship with body image and how to manage the appearance of youth Case study:18-to-30-year-old resident of Mashhad Journal of Iranian Social Studies 2011 12 4 30 49
Cited by
Sorted by citations
A longitudinal study of changes in psychosocial well-being during orthognathic treatment
Alanko, O., Tuomisto, M. T., Peltomäki, T., Tolvanen, M., Soukka, T., & Svedström‐Oristo, A. (2017) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2017.05.004 · Cited by 59 · see citing works
Rezaei, F., Masalehi, H., Golshah, A., & Imani, M. M. (2019) · BMC Oral Health · doi:10.1186/s12903-019-0989-9 · Cited by 51 · see citing works
Self-citationSampson, A., Jeremiah, H. G., Andiappan, M., & Newton, T. (2020) · Journal of Orthodontics · doi:10.1177/1465312519899664 · Cited by 35 · see citing works
“Studies have shown that adults who have had orthodontic treatment have improved self-esteem and quality of life (de Couto Nascimento et al., 2016; Imani et al., 2018).”
BackgroundSicari, F., Merlo, E. M., Gentile, G., Nucera, R., Portelli, M., Settineri, S., Myles, L. A. M., & Militi, A. (2023) · Children · doi:10.3390/children10101691 · Cited by 27 · see citing works
“Despite results linked to psychological interventions, most of the studies are centered on psychological difficulties reduction through orthodontic interventions [26,88,90].”
BackgroundAlshammari, A., Siddiqui, A. A., Shammary, N. H. A., Malik, Y. R., & Alam, M. K. (2022) · Healthcare · doi:10.3390/healthcare10122488 · Cited by 16 · see citing works
“one’s teeth and face can have an impact on one’s mental image of one’s body, which can lead to personal happiness [4].”
BackgroundSelf-Reported Changes in Oral Hygiene Habits among Adolescents Receiving Orthodontic Treatment
Petrauskienė, S., Wanczewska, N., Slabšinskienė, E., & Žemgulytė, G. (2019) · Dentistry Journal · doi:10.3390/dj7040096 · Cited by 15 · see citing works
“Accomplished orthodontic treatment can improve multidimensional attitudes toward body image and mental health status [5].”
BackgroundImani, M. M., Jalali, A., Nouri, P., & Golshah, A. (2020) · The Cleft Palate-Craniofacial Journal · doi:10.1177/1055665620980606 · Cited by 11 · see citing works
Self-citationAssessment of Mental Health Elderly with Chronic Pain Based on Quranic Components
Khalighi, E., Ghiasi, G., Karimi, E., Borji, M., Salimi, E., Tarjoman, A., & Solaimanizadeh, L. (2019) · Journal of Religion and Health · doi:10.1007/s10943-019-00908-5 · Cited by 8 · see citing works
Predictors of orthodontic treatment preferences in a large representative UK adult cohort
Nangle, M. R., Freer, E., Henry, J. D., & Coundouris, S. P. (2025) · BDJ · doi:10.1038/s41415-024-8157-2 · Cited by 4 · see citing works
PREVALENCE AND STRUCTURE OF DENTO-MAXILLOFACIAL ANOMALIES IN CHILDREN
Бяла, О.-Х. А. (2024) · Ukrainian Dental Almanac · doi:10.31718/2409-0255.1.2024.14 · Cited by 3 · see citing works
Akpasa, I. O., Yemitan, T. A., Aikins, E. A., & Popoola, B. O. (2022) · International Journal of Biological and Pharmaceutical Sciences Archive · doi:10.53771/ijbpsa.2022.3.1.0027 · Cited by 3 · see citing works
Xu, C., Zhang, Y., Xiong, B., Wang, H., & Liang, M. (2025) · BMC Oral Health · doi:10.1186/s12903-025-06571-5 · Cited by 3 · see citing works
“Traditional variable center analysis (such as regression model) [16] fails to reveal the underlying subtype structure of body image, and there may be qualitative differences in psychological responses of orthodontic patients.”
Perceptions of patients regarding the cost of orthodontic treatment: Questionnaire based study
Chugh, T., Ahluwalia, R., Mathew, M., Mailk, R., & Katara, P. (2025) · Journal of Contemporary Orthodontics · doi:10.18231/j.jco.2025.014 · Cited by 1 · see citing works
Adyasti, K., Pratiwi, D., & Siregar, E. (2021) · Journal of Dentomaxillofacial Science · doi:10.15562/jdmfs.v6i1.1112 · Cited by 1 · see citing works
Causes and Challenges of Males’ Rhinoplasty in Iranian Population: Qualitative StudyPreprint
Ghaffari, Z., Jalali, A., Abasi, P., & Yousefi-Labani, J. (2020) · Research Square · doi:10.21203/rs.3.rs-51833/v1 · Cited by 1 · see citing works
Self-citationDental Psychological Stress or Phobia among Orthodontic Patients of Mardan
Falak, N., Ahmed, S. N., Jan, S. S. F., Haris, Iqbal, A., & Gul, S. (2021) · Pakistan Journal of Medical and Health Sciences · doi:10.53350/pjmhs2115123442
Festila, D. G., Muntean, A., Enache, A. M., & Ghergi, M. (2022) · Jurnal Medical Brasovean · doi:10.31926/jmb.2021.1.14
“[19] Imani M, Jalali A, Dinmohammadi M, Nouri P.”
BackgroundRisfi (2022) · Indonesian Journal of Medical Anthropology · doi:10.32734/ijma.v3i1.7609 · Cited by 1 · see citing works
Danylyuk, D., & Чаповський, А. О. (2023) · Scientific and practical journal Stomatological Bulletin · doi:10.35220/2078-8916-2023-48-2.25
Reda, B., Zanon, G., Contardo, L., Nahidh, M., & Hmeidan, M. (2025) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.70030
Mental health screening in the orthodontic setting: A feasibility study
Kornmehl, D. L., Aldosari, M., Laniado, N., & Ahmed, M. K. (2025) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2025.10.018
Hoyte, T. (2026) · BDJ Open · doi:10.1038/s41405-026-00424-1
“These associations are well established within oral health related quality of life literature, which recognizes malocclusion as both a clinical and psychosocial condition [1, 2].”
Merlo, E. M., Sicari, F., Gentile, G., Myles, L. A. M., Nucera, R., Portelli, M., & Militi, A. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15186965
“Nevertheless, most available studies have primarily focused on the outcomes of orthodontic and dental interventions [4,31,37], whereas comparatively less attention has been devoted to the psychological dimensions underlying patients’ experiences.”
- Authors
- Imani, M. M., Jalali, A., Dinmohammadi, M., & Nouri, P.
- Affiliations
- Kermanshah University of Medical Sciences (IR)
- Zanjan University of Medical Sciences (IR)
- Corresponding author
- Jalali, Amir
- Venue
- Open Access Macedonian Journal of Medical Sciences
- Published
- 2018-06-17
- Volume
- 6
- Issue
- 6
- Pages
- 1132-1137
- ISSN
- 1857-9655 (ISSN-L)
- PMC
- PMC6026436
- OpenAlex
- W2809030439
- Cited by
- 24
- References
- 27
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 3 · 2017: 1
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Open Access Macedonian Journal of Medical Sciences (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Open Access Macedonian Journal of Medical Sciences (submittedVersion)
- Topics
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- orthodontic treatment, mental health, body image, body satisfaction, dental health, psychological well-being, orthodontic patients
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