Influence of Personality Traits on Pain Perception, Attitude, Satisfaction, Compliance, and Quality of Life in Orthodontics: A Systematic Review
2025
Fabiana Nicita | Arianna Nicita | Francesco Nicita
Orthodontic treatment demand has surged due to heightened aesthetic concerns and the increased recognition of oral health’s role in overall well-being. This systematic review was conducted by searching across multiple databases (PubMed, Scopus, Web of Science, ScienceDirect, and Google Scholar) for observational studies published between January 2000 and April 2024 that assessed personality traits using validated instruments, with inclusion criteria focused on outcomes such as pain perception, treatment attitude, compliance, satisfaction, and quality of life. The results consistently indicate that negative personality traits, particularly high neuroticism, are associated with increased pain perception, lower satisfaction, and reduced compliance. In contrast, positive traits, including extraversion, agreeableness, and conscientiousness, were correlated with improved orthodontic outcomes and more favorable treatment attitudes. Additionally, extraversion and openness were observed to moderate the negative impact of malocclusion severity on oral health-related quality of life. When examining gender, overall differences were minimal; however, some studies indicated that females reported slightly higher pain scores. These findings underscore the multifaceted role of personality by suggesting that psychological profiling should be incorporated into clinical practice. By recognizing individual personality profiles, clinicians can tailor treatment approaches to foster patient-centered care, optimizing orthodontic outcomes and enhancing overall patient satisfaction.
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