Скачать или смотреть Can a malocclusion cause bullying?

Join me for a summary exploring bullying and its relationship with malocclusion, with a contemporary review of evidence showing the psychological effects various malocclusions can cause young people.

This podcast is a summary of Andrew DiBiase’s lecture last year at the British Orthodontic Conference. Andrew’s research explores what factors moderate bullying, and what factors can be protective against bullying.

Introduction

Nearly 1 in 3 patients report teasing or fear of teasing as a motivating factor for orthodontic treatment Bauss 2023 AJODO
1 in 7 patients attending our clinics are bullied Seehra et al., 2011
Most upsetting feature of bullying teeth 60.7% Shaw
13, 387 teenagers 25% report bullying
Around 7% related to teeth

Definition of bullying: Olweus 1984
Unprovoked and sustained campaign of aggression, towards someone in order to hurt them
Student exposed repeatedly to negative action on the part of one or more students
Harm, imbalance of power, organised, repetitive, harm experienced

Who gets bullied and how?
Younger more – 10 year olds 22%, 15 year olds 7%
Girls are greater than boys by 5%
Boys low athletic competence
Judged on humour as well Langlois 2000
Girls appearance
We do judge girls on physical appearance Langlois 2000
80% verbal - Cyber bullying – doesn't stop at the school gate

Consequences of bullying
Short term and long term effects
Poorer academic performance
Crime
Self harm
26% within young population and teeth occupying the reason in 1 in 5 young people Bitor 2022 AJODO
Low self esteem
Structural changes, medulla – related to fear (peer victimisation and its impact on adolescent brain)

What features are more likely to result in bullying Dibiase, Jad Seehra 2014
Greater rate of bullying
2 div 1: 18%
Increased overjet 16% Tristão SR 2020
Deep overbite
Missing teeth, anterior spacing
IOTN AC 9 and 10
Regression – younger worse
Low athletic competence p 0.019



Conclusions
Relationship between bullying and severe malocclusion
Schoolchildren who report being bothered by their teeth report being lonelier at school and lower self-esteem
Malocclusion has a greater impact on females than males
Malocclusion and peer relations is moderated by self-esteem in girls, but not boys
Good peer relations protect against the negative impact of malocclusion in girls with low or average self-esteem