Relative Frequency of OCD in People with Malocclusion Class I Requiring Orthodontic Treatment

Faezeh Keshvarifard; Mehdi Rafiei; Susan Sadeghian; Hadi Farhadi; Nafiseh Shirani

doi:10.18502/ijds.v17i3.7529

Faezeh Keshvarifard Dentist, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.
Mehdi Rafiei Assistant Professor, Department of Orthodontics, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.
Susan Sadeghian Assistant Professor, Department of Orthodontics, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.
Hadi Farhadi Assistant Professor, Department of Educational Science and Psychology, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.
Nafiseh Shirani Postgradute Student, Department of Orthodontics, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.

DOI: https://doi.org/10.18502/ijds.v17i3.7529

Keywords: Obsessive-compulsive disorder, Malocclusion, Orthodontics.

Abstract

Introduction: The Malocclusion or misalignment of teeth affects not only oral function but also facial esthetics and the psychological well-being of patients. In addition, obsessive-compulsive disorder is a psychological disorder associated with anxiety involving 2-2.5% of the population during their life. This study aimed to assess the severity of obsessive-compulsive disorder in patients having class I malocclusion with crowding.

Materials & Methods: In this case-control trial, Using the Yale-Brown questionnaire, female patients with 18-22 years old of ages having class I crowding malocclusion and referring to orthodontic department of Azad Dental school enrolled in the trial as the case group (n = 60). The participants with similar malocclusion without reference for orthodontic treatments followed up as the control group (n = 60). The obtained data by Yale-Brown questionnaire classified the obsessive-compulsive disorder in the participants into four groups of mild, fairly mild, moderate and severe levels. The results of the two groups were analyzed using the Chi-square test (p value < 0.05).

Results: In malocclusion patients referring for orthodontic treatments, 19 (31.7%) had mild OCD; 7 (11.7%) had fairly mild OCD; 23 (38.3%) had moderate OCD and 11 (18.3%) showed severe OCD. These values were 28 (46.7%); 12 (20.0%); 15 (25.0%) and 5 (8.3%) for malocclusion patients not referring for orthodontic patients respectively. No significant differences were found among 2 groups regarding severity of OCD (p value = 0.07).

Conclusion: In terms of the severity of OCD, there were no significant variations between malocclusion patients with and without referring for orthodontic treatments.