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Prog Orthod. 2012 May;13(1):69-77. doi: 10.1016/j.pio.2011.08.001. Epub 2011 Sep 23.

Psychological aspects of orthodontics in clinical practice. Part two: general psychosocial wellbeing.

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Discipline of Orthodontics, Department of Oral Sciences, University of Otago, Dunedin, New Zealand.


Orthodontists tend to treat/see their patients on a systematic, recurrent basis, often during crucial stages of psychological development. Therefore, they have a pivotal role in identifying a number of psychological as well as of psychiatric disorders. Effective communication is crucial and unfortunately, it is often underestimated in a busy clinical practice. Aim of part two of this article it to review the role clinical orthodontics and the orthodontist-patient relationship have on the patients' psychosocial wellbeing, including effects on self-esteem, bullying and harassment by peers, and even several psychiatric disorders, such as anorexia/bulimia nervosa, and attention deficit hyperactivity disorders. Due to the complexity and importance of these issues, the orthodontist may play a dynamic role, not only in the management of dental malocclusions, but at times, as "psychologist" and a counselor to the patient.

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