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Alzeer M, AlJameel A, Rosing K, Øzhayat E. The association between oral health literacy and oral health-related behaviours among female adolescents in the Kingdom of Saudi Arabia: A cross-sectional study. Saudi Dent J 2024; 36:1035-1042. [PMID: 39035552 PMCID: PMC11255937 DOI: 10.1016/j.sdentj.2024.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 05/12/2024] [Accepted: 05/14/2024] [Indexed: 07/23/2024] Open
Abstract
Objectives Oral health literacy (OHL) is suggested as an important denominator of oral health. This study aimed to identify ways to improve oral health by exploring the association between oral health literacy and oral health-related behaviours among female adolescents in the Eastern Province of the Kingdom of Saudi Arabia (KSA). Methods This cross-sectional study assessed OHL among 1,889 10th grade female students in the Eastern Province of the KSA. OHL was assessed using an Arabic version of the short version of the Health Literacy in Dentistry scale (A-HeLD-14). Self-reported socio-demographic information and oral health-related behaviours (toothbrushing, dental attendance, and sugary diet consumption) were also collected. The relationship between OHL and oral health-related behaviours was investigated using binary logistic regression, adjusted for socio-demographic information. Results The binary logistic regression analyses showed that poor OHL was significantly associated with infrequent toothbrushing (p < 0.001) and irregular dental attendance (p = 0.005) but not with consumption of sugary diets. All A-HeLD-14 domains were significantly associated with infrequent toothbrushing, and the domains concerning access, receptivity, and financial barriers were significantly associated with irregular dental attendance. The highest odds ratios (ORs) for infrequent toothbrushing were found in the domains of receptivity (OR = 4.19) and understanding (OR = 3.85) and for irregular dental attendance in the financial barriers (OR = 1.61) and access (OR = 1.49) domains, followed by the receptivity domain (OR = 1.35). Conclusion Poor OHL was significantly associated with infrequent toothbrushing and irregular dental attendance. Interventions focusing on OHL are warranted to improve oral health-related behaviours and thereby oral health in the population. The aspects that seem most vital to target are improved access to dental care, including the reduction of economic barriers, as well as increased awareness of oral health in the population.
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Affiliation(s)
- Muneera Alzeer
- Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, Copenhagen, Denmark
- Department of Dental Health, College of Applied Medical Sciences, King Saud University. P.O. Box: 10219, Riyadh 11433, Kingdom of Saudi Arabia
| | - AlBandary AlJameel
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, P. O. Box 60169, Riyadh 11545, Kingdom of Saudi Arabia
| | - Kasper Rosing
- Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, Copenhagen, Denmark
| | - Esben Øzhayat
- Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, Copenhagen, Denmark
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Lyons D, Zarzeczny A, Kahar P. Examining Oral Hygiene Behaviors, Oral Health-Related Quality of Life, and Attitudes Toward Oral Health Among Minority Students. Cureus 2024; 16:e60209. [PMID: 38868269 PMCID: PMC11167571 DOI: 10.7759/cureus.60209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2024] [Indexed: 06/14/2024] Open
Abstract
PURPOSE This study aimed to examine the association between oral hygiene behaviors, oral health-related quality of life (OHRQoL), oral health attitudes, and self-reported oral health problems among minority undergraduate students attending a state university in Florida. METHODS Chi-square analysis was conducted to examine the differences in self-reported dental caries and bleeding gums by oral hygiene behaviors, daily habits, and past oral experiences. Mann-Whitney U test was conducted to compare OHRQoL and attitude items with self-reported oral health issues and demographics. RESULTS A greater percentage of students (54.5%) who brushed for ≤1 minute experienced gum bleeding compared to 45.5% who did not report gum bleeding (p = 0.005). Median values for difficulty biting or chewing foods, took days off school, difficulty doing usual activities, and pain were significantly higher among those with self-reported dental caries and bleeding gums. Difficulty with speech significantly varied with the presence of bleeding gums and teeth insecurities (p = 0.027 and p = 0.011, respectively). Avoiding smiling experienced pain was significantly different among with teeth insecurities (p = 0.001, p = 0.031). Of the various attitude statements, "I value keeping my mouth healthy" significantly varied with dental caries and bleeding gums (p = 0.002; p = 0.005). Attitude toward acceptance of age-related tooth loss was significantly different with age (p = 0.022). CONCLUSIONS The results provide evidence of self-reported oral health problems affecting OHRQoL and attitudes toward oral health. Improving oral hygiene behaviors with resources available for regular dental visits to minimize dental issues and improve OHRQoL among minority students is warranted.
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Affiliation(s)
- Deonschae Lyons
- Department of Biology, Florida Gulf Coast University, Fort Myers, USA
| | - Angelina Zarzeczny
- Department of Health Sciences, Florida Gulf Coast University, Fort Myers, USA
| | - Payal Kahar
- Department of Health Sciences, Florida Gulf Coast University, Fort Myers, USA
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Guerreiro E, Botelho J, Machado V, Proença L, Mendes JJ, Manso AC. Caries Experience before and after COVID-19 Restrictions: An Observational Study. J Clin Med 2024; 13:1164. [PMID: 38398476 PMCID: PMC10889374 DOI: 10.3390/jcm13041164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Revised: 02/01/2024] [Accepted: 02/17/2024] [Indexed: 02/25/2024] Open
Abstract
Background: The declaration of COVID-19 as a pandemic by the World Health Organization in 2020 led to the suspension of several clinical practices globally, including dentistry. This study investigates the impact of these restrictions on dental caries experience. Methods: A retrospective cross-sectional study was conducted at Egas Moniz University's dental hospital in the Lisbon Metropolitan Area from June 2019 to June 2021. The study involved 3380 participants who were divided into two cohorts: after and before COVID-19 restrictions. Data collection included a questionnaire, full-mouth clinical examinations, and radiographs (panoramic X-rays, bitewings). Results: Before the COVID-19 restrictions, the prevalence of dental caries was 91.8%, with an average DMFT (decayed, missing, and filled teeth) index of 12.13. Post-restrictions, the prevalence decreased to 84.5%, with a DMFT index of 10.99. There was an increase in missing teeth and a decrease in decayed and filled teeth. Additionally, the frequency of toothbrushing declined among participants. Conclusions: The COVID-19 pandemic restrictions have significantly impacted dental caries experiences and oral health, highlighting a decrease in dental caries, but also a concerning reduction in oral hygiene practices. These results emphasize the importance of customized dental healthcare during public health emergencies to reduce impacts and maintain oral health.
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Affiliation(s)
- Eduardo Guerreiro
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Caparica, 2829-511 Almada, Portugal
- Biomedicine Doctoral Program, Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, 4050-313 Porto, Portugal; (J.B.); (V.M.); (L.P.); (J.J.M.); (A.C.M.)
| | - João Botelho
- Biomedicine Doctoral Program, Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, 4050-313 Porto, Portugal; (J.B.); (V.M.); (L.P.); (J.J.M.); (A.C.M.)
| | - Vanessa Machado
- Biomedicine Doctoral Program, Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, 4050-313 Porto, Portugal; (J.B.); (V.M.); (L.P.); (J.J.M.); (A.C.M.)
| | - Luís Proença
- Biomedicine Doctoral Program, Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, 4050-313 Porto, Portugal; (J.B.); (V.M.); (L.P.); (J.J.M.); (A.C.M.)
| | - José João Mendes
- Biomedicine Doctoral Program, Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, 4050-313 Porto, Portugal; (J.B.); (V.M.); (L.P.); (J.J.M.); (A.C.M.)
| | - Ana Cristina Manso
- Biomedicine Doctoral Program, Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, 4050-313 Porto, Portugal; (J.B.); (V.M.); (L.P.); (J.J.M.); (A.C.M.)
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Testa A, Jackson DB, Simon L, Ganson KT, Nagata JM. Stressful life events, oral health, and barriers to dental care during pregnancy. J Public Health Dent 2023; 83:275-283. [PMID: 37294070 DOI: 10.1111/jphd.12576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 04/02/2023] [Accepted: 05/17/2023] [Indexed: 06/10/2023]
Abstract
OBJECTIVES Poor oral health during pregnancy poses risks to maternal and infant well-being. However, limited research has documented how proximate stressful life events (SLEs) during the prenatal period are associated with oral health and patterns of dental care utilization. METHODS Data come from 13 states that included questions on SLEs, oral health, and dental care utilization in the Pregnancy Risk Assessment Monitoring System for the years 2016-2020 (n = 48,658). Multiple logistic regression analyses were used to assess the association between levels of SLE (0, 1-2, 3-5, or 6+) and a range of (1) oral health experiences and (2) barriers to dental care during pregnancy while controlling for socio-demographic and pregnancy-related characteristics. RESULTS Women with more SLEs in the 12 months before birth-especially six or more-reported worse oral health experiences, including not having dental insurance, not having a dental cleaning, not knowing the importance of caring for teeth and gums, needing to see a dentist for a problem, going to see a dentist for a problem, and unmet dental care needs. Higher levels of SLEs were also associated with elevated odds of reporting barriers to dental care. CONCLUSIONS SLEs are an essential but often understudied risk factor for poor oral health, unmet dental care needs, and barriers to dental care services. Future research is needed to understand better the mechanisms linking SLEs and oral health.
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Affiliation(s)
- Alexander Testa
- Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Dylan B Jackson
- Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Lisa Simon
- Department of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
- Harvard Medical School, Boston, Massachusetts, USA
| | - Kyle T Ganson
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
| | - Jason M Nagata
- Department of Pediatrics, University of California, San Francisco, California, USA
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Steinvik LM, Svartdal F, Johnsen JAK. Delay of Dental Care: An Exploratory Study of Procrastination, Dental Attendance, and Self-Reported Oral Health. Dent J (Basel) 2023; 11:dj11020056. [PMID: 36826201 PMCID: PMC9955773 DOI: 10.3390/dj11020056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 11/15/2022] [Accepted: 02/06/2023] [Indexed: 02/22/2023] Open
Abstract
Delay of dental care is a problem for dental public health. The present study explored the relationship between procrastination and dental attendance, focusing on delay in seeking dental care. This hypothetical relation was compared to other avoidance-related factors affecting dental attendance. In addition, an inquiry into the reasons for delaying dental care was conducted. Students (n = 164) answered an internet-based questionnaire on socio-demographic factors, dental health, dental attendance, delay of dental care, reasons for the delay, procrastination (IPS), dental anxiety (MDAS), perceived stress (PSS) and oral health self-efficacy (OHSES). The study found no significant relation between procrastination and delay in dental care. However, procrastination was related differently to past, present, and future dental attendance and seemed to relate to oral health behavior. Delay of dental care was associated with higher dental anxiety and lower oral health self-efficacy. The cost of dental care was the most frequently given reason for the delay of dental care. Further research on the delay of dental care and dental attendance is warranted in understanding the behavior, implementing interventions, and improving the utilization of public dental care.
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Affiliation(s)
- Lene M. Steinvik
- Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
| | - Frode Svartdal
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
| | - Jan-Are K. Johnsen
- Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
- Correspondence: ; Tel.: +47-776-49-131
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Guerreiro E, Botelho J, Machado V, Proença L, Mendes JJ, Manso AC. Caries Experience and Risk Indicators in a Portuguese Population: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2511. [PMID: 36767876 PMCID: PMC9915840 DOI: 10.3390/ijerph20032511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 01/23/2023] [Accepted: 01/28/2023] [Indexed: 06/18/2023]
Abstract
Oral health surveys are essential for assessing the dental caries experience and to influence national policies. This retrospective cross-sectional study aims to analyze dental caries experience for which dental treatment was sought in a reference university dental hospital at the Lisbon Metropolitan Area between January 2016 and March 2020. Full-mouth examination, and sociodemographic, behavior, and medical information were included. Descriptive analyses and logistic regression analysis were applied to ascertain risk indicators associated with dental caries experience. A final sample of 9349 participants (5592 females/3757 males) were included, aged 18 to 99 years old. In this population, caries experience was 91.1%, higher in female participants. Age (OR = 1.01, 95% CI [1.00-1.02], occupation (OR = 2.94, 95% CI [2.37-3.65], OR = 3.35, 95% CI [2.40-4.67], OR = 2.55, 95% CI [1.66-3.91], for employed, unemployed, and retired, respectively), overweight (OR = 1.52, 95% CI [1.18-1.96]), reporting to have never visited a dentist (OR = 0.38, 95% CI [0.23-0.64], and self-reported week teeth status (OR = 2.14, 95% CI [1.40-3.28]) were identified as risk indicators for the presence of dental caries, according to adjusted multivariable logistic analyses. These results highlight a substantial rate of dental experience in a Portuguese cohort and will pave the way for future tailored oral public health programs in Portugal.
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Affiliation(s)
- Eduardo Guerreiro
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
| | - João Botelho
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
- Evidenced-Based Hub, Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
| | - Vanessa Machado
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
- Evidenced-Based Hub, Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
| | - Luís Proença
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
- Evidenced-Based Hub, Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
| | - José João Mendes
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
- Evidenced-Based Hub, Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
| | - Ana Cristina Manso
- Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz—School of Health and Science, 2829-511 Almada, Portugal
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Herbert C. Oral health and mental health in healthy adults, a topic of primary prevention and health care, empirical results from two online studies. CURRENT PSYCHOLOGY 2023; 42:1-15. [PMID: 36643793 PMCID: PMC9825076 DOI: 10.1007/s12144-022-04121-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2022] [Indexed: 01/09/2023]
Abstract
Oral health is an important, yet often neglected aspect of health and well-being. Among geriatric populations, oral diseases, poor oral health, and reduced oral hygiene behavior are major comorbid factors of geriatric diseases such as dementia, cardiovascular diseases, or mental health conditions. However, little is known so far about the relationships between oral health and mental health in the younger adult population, who is yet not suffering from any disorder. In the present manuscript the results of two online studies, online study 1, n = 133, all-female sample and online study 2: n = 29, mixed gender sample, are reported that investigate the relationship between self-reported oral health impairments and preclinical symptoms of mental disorders including self-reported symptoms associated with depression or eating disorders as well as self-reported perceived stress and behavior change related to the COVID-19 pandemic. The results of both studies support links between self-reported oral health impairments, self-reported depressive symptoms (including anxiety and current affect) and symptoms related to eating disorders (such as bulimic behavior, body dissatisfaction or drive for thinness) among young adults and suggest that perceived stress may contribute to both, impaired oral health and impaired mental health in young adults (women and men). Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-04121-8.
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Affiliation(s)
- Cornelia Herbert
- Applied Emotion and Motivation Psychology, Institute of Psychology and Education, Ulm University, 89081 Ulm, Germany
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BDJ Open 2021 - our most successful year to date. Br Dent J 2022; 232:744-746. [PMID: 35624266 PMCID: PMC9137261 DOI: 10.1038/s41415-022-4197-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This paper aims to provide an update on the previous version published towards the end of last year, titled 'BDJ Open (2019-2020) and the advantages of open access publishing'. In this paper, we will highlight articles published throughout 2021, in order to focus on which areas authors felt were important to publish open access and also which areas have been expanded upon in the journal. Furthermore, this paper will examine how open access publishing in BDJ Open has enabled the continuous process of hypothesis testing to be shared more widely, as well as how publishing protocols and early results open access gives strength to that by allowing earlier opportunity for comment by other researchers, both through the peer review process and through further correspondence to authors directly and to the journal editors who publish their work. Provides an update on the previous 2019-2020 paper by examining articles published in BDJ Open in 2021, to highlight which areas researchers felt were important to publish open access. Highlights the advantages of open access publishing to authors, readers and the scientific community, particularly in light of the ongoing COVID-19 pandemic. Explores how open access publishing in BDJ Open has enabled the continuous process of hypothesis testing to be shared more widely, allowing earlier opportunity for comment by other researchers.
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Stein Duker LI, Grager M, Giffin W, Hikita N, Polido JC. The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042380. [PMID: 35206566 PMCID: PMC8872083 DOI: 10.3390/ijerph19042380] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 02/11/2022] [Accepted: 02/15/2022] [Indexed: 01/28/2023]
Abstract
Dental fear and anxiety (DFA) is common across the lifespan and represents a barrier to proper oral health behaviors and outcomes. The aim of this study is to present a conceptual model of the relationships between DFA, general anxiety/fear, sensory over-responsivity (SOR), and/or oral health behaviors and outcomes. Two rounds of literature searches were performed using the PubMed database. Included articles examined DFA, general anxiety/fear, SOR, catastrophizing, and/or oral health behaviors and outcomes in typically developing populations across the lifespan. The relationships between the constructs were recorded and organized into a conceptual model. A total of 188 articles were included. The results provided supporting evidence for relationships between DFA and all other constructs included in the model (general anxiety/fear, SOR, poor oral health, irregular dental attendance, dental behavior management problems [DBMP], and need for treatment with pharmacological methods). Additionally, SOR was associated with general anxiety/fear and DBMP; general anxiety/fear was linked to poor oral health, irregular attendance, and DBMP. This model provides a comprehensive view of the relationships between person factors (e.g., general anxiety/fear, SOR, and DFA) and oral health behaviors and outcomes. This is valuable in order to highlight connections between constructs that may be targeted in the development of new interventions to improve oral health behaviors and outcomes as well as the experience of DFA.
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Affiliation(s)
- Leah I. Stein Duker
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA; (W.G.); (N.H.)
- Correspondence:
| | | | - Willa Giffin
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA; (W.G.); (N.H.)
| | - Natasha Hikita
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA; (W.G.); (N.H.)
| | - José C. Polido
- Children’s Hospital Los Angeles, Los Angeles, CA 90027, USA;
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