title: Impact of moderate and severe hypodontia and amelogenesis imperfecta on quality of life and self-esteem of adult patients.
abstract: OBJECTIVE
  The objective of this study was to investigate the impact of moderate and severe hypodontia and amelogenesis imperfecta on the quality of life and self-esteem of affected adult patients.
  
  
  METHODS
  Forty one adult patients (aged 18-45 years) with clinical and radiological diagnoses of moderate to severe hypodontia and twenty seven patients diagnosed with amelogenesis imperfecta were age and gender matched with a control group of patients attending for routine dental care. Subjects completed the Oral Health Impact Profile [OHIP-49] and Rosenberg Self Esteem Scale. A paired t-test was used to analyse data; the test alpha level was set at P ≤ 0.05.
  
  
  RESULTS
  The results for hypodontia patients were significantly different from controls in six out of the seven OHIP-49 domains, the exception being the Handicap domain. Total scores were also significantly different between the two groups (P=0.003). Self-esteem was not significantly different between the two groups (P=0.98). For amelogenesis imperfecta patients the results were significantly different from control patients in four out of the seven domains of the OHIP-49 and also in the total scores (P=0.01). When self-esteem was investigated there was no significant differences between the two groups (P=0.92).
  
  
  CONCLUSIONS
  Moderate to severe hypodontia and amelogenesis imperfecta have marked negative impacts on the Oral Health Related quality of life of this patient population relative to controls. However, self-esteem was not significantly affected.
authors.affiliation: Department of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Lincoln Place, Dublin 2, Ireland. hashema@tcd.ie
authors.forename: Atef
authors.initials: A
authors.lastname: Hashem
authors.forename: Alan
authors.initials: A
authors.lastname: Kelly
authors.forename: Brian
authors.initials: B
authors.lastname: O'Connell
authors.forename: Michael
authors.initials: M
authors.lastname: O'Sullivan
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000567:Amelogenesis Imperfecta / Q000523:psychology*; D000848:Anodontia / Q000523:psychology*; D016022:Case-Control Studies; D006233:Persons with Disabilities / Q000523:psychology; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009909:Oral Health; D010146:Pain / Q000523:psychology; D011788:Quality of Life; D012649:Self Concept; D013315:Stress, Psychological / Q000523:psychology; D055815:Young Adult
keywords: Amelogenesis imperfecta; Moderate hypodontia; Quality of life; Self esteem; Severe hypodontia