title: How Do Patients and Parents Decide for Orthodontic Treatment-Effects of Malocclusion, Personal Expectations, Education and Media.
abstract: OBJECTIVE
  To examine patients' and parents' perceptions and expectations from orthodontic treatment.
  
  
  METHODS
  491 patients (274 female, 217 male) aged 14-22 years, and 399 parents (245 female, 154 male) completed a questionnaire about preferences, needs and expectations about orthodontic treatment, and scored the present problem. Continuous variables were compared by Mann-Whitney U and Kruskal-Wallis tests, whereas Chi-square test was used for categorical variables.
  
  
  RESULTS
  Patients'(77.1%) and parents'(84.6%), decision about orthodontic treatments were influenced by suggestion of dentists. Patients who decided to attend to clinic by themselves were higher than parents (p=0.006). Dental aesthetics was the determinant factor for treatment demand for patients(61.0%) and parents(57.3%). Improvement in oral functions was more important for Class III patients than Class I patients (p=0.040). Adult patients/parents with higher education gave more importance to oral functions as well as dental aesthetics (p=0.031). There was no difference among Angle classifications regarding orthodontic problem scores. Parents found media sources valuable (p=0.018) but majority expected dentists for information about orthodontic treatments. Education degree of adult patients/parents effected this decision(p=0.002).
  
  
  CONCLUSIONS
  Desire to have better dental aesthetics was the primary motivating factor for all participants. Clinicians should consider concerns of Class III patients about oral functions during treatment planning.
authors.affiliation: From Gazi University.
authors.forename: C
authors.initials: C
authors.lastname: Tuncer
authors.affiliation: From Gazi University.
authors.forename: N
authors.initials: N
authors.lastname: Canigur Bavbek
authors.affiliation: From Gazi University.
authors.forename: B
authors.initials: B
authors.lastname: Balos Tuncer
authors.affiliation: From Gazi University.
authors.forename: A
authors.initials: A
authors.lastname: Ayhan Bani
authors.affiliation: From Gazi University.
authors.forename: B
authors.initials: B
authors.lastname: Çelik
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003146:Communications Media; D054626:Consumer Health Information; D003430:Cross-Sectional Studies; D003657:Decision Making; D003812:Dentist-Patient Relations; D004522:Educational Status; D004955:Esthetics, Dental; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000523:psychology*; D008311:Malocclusion, Angle Class I / Q000523:psychology; D008313:Malocclusion, Angle Class III / Q000523:psychology; D009042:Motivation; D009971:Orthodontics, Corrective / Q000523:psychology*; D010290:Parents / Q000523:psychology; D011368:Professional-Family Relations; D012649:Self Concept; D055815:Young Adult
keywords: expectation; malocclusion; orthodontic treatment need; perception; questionnaire