1
|
Matsuyama Y, Aida J, Kondo K, Shiba K. Heterogeneous Association of Tooth Loss with Functional Limitations. J Dent Res 2024; 103:369-377. [PMID: 38533640 DOI: 10.1177/00220345241226957] [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] [Indexed: 03/28/2024] Open
Abstract
Tooth loss is prevalent in older adults and associated with functional capacity decline. Studies on the susceptibility of some individuals to the effects of tooth loss are lacking. This study aimed to investigate the heterogeneity of the association between tooth loss and higher-level functional capacity in older Japanese individuals employing a machine learning approach. This is a prospective cohort study using the data of adults aged ≥65 y in Japan (N = 16,553). Higher-level functional capacity, comprising instrumental independence, intellectual activity, and social role, was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC). The scale ranged from 0 (lowest function) to 13 (highest function). Doubly robust targeted maximum likelihood estimation was used to estimate the population-average association between tooth loss (having <20 natural teeth) and TMIG-IC total score after 6 y. The heterogeneity of the association was evaluated by estimating conditional average treatment effects (CATEs) using the causal forest algorithm. The result showed that tooth loss was statistically significantly associated with lower TMIG-IC total scores (population-average effect: -0.14; 95% confidence interval, -0.18 to -0.09). The causal forest analysis revealed the heterogeneous associations between tooth loss and lower TMIG-IC total score after 6 y (median of estimated CATEs = -0.13; interquartile range = 0.12). The high-impact subgroup (i.e., individuals with estimated CATEs of the bottom 10%) were significantly more likely to be older and male, had a lower socioeconomic status, did not have a partner, and had poor health conditions compared with the low-impact subgroup (i.e., individuals with estimated CATEs of the top 10%). This study found that heterogeneity exists in the association between tooth loss and lower scores on functional capacity. Implementing tooth loss prevention policy and clinical measures, especially among vulnerable subpopulations significantly affected by tooth loss, may reduce its burden more effectively.
Collapse
Affiliation(s)
- Y Matsuyama
- Department of Oral Health Promotion, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - J Aida
- Department of Oral Health Promotion, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - K Kondo
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
- Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Chiba, Japan
| | - K Shiba
- Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA
| |
Collapse
|
2
|
Alsultan M, Srivastava S, Javed MQ, Khan M, Ulfat H. Influence of Root Canal Treatment on Oral-Health-Related Quality of Life (OHRQoL) in Saudi Patients: A Cross-Sectional Study. Cureus 2023; 15:e45035. [PMID: 37829939 PMCID: PMC10566411 DOI: 10.7759/cureus.45035] [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: 09/11/2023] [Indexed: 10/14/2023] Open
Abstract
Objective This cross-sectional study aimed to assess the influence of root canal treatment on the oral-health-related quality of life (OHRQoL) of patients in the Kingdom of Saudi Arabia (KSA). The data on KSA's population are significantly limited, highlighting the significance of additional research to be carried out in this particular field. Methods The study was conducted at the dental clinics of the College of Dentistry, Qassim University, from January to June 2022. A total of 112 patients who had undergone endodontic therapy (ET) for teeth with irreversible pulpitis were included. Demographic data and treatment procedures were recorded. The patients' responses to the OHIP-14 questionnaire were analyzed to assess their OHRQoL. The scores were converted into qualitative categories (good, moderate, poor) for classification. Results The majority of patients (59.8%) reported a good OHRQoL after ET. Physical pain was the only variable where more than 50% of patients reported experiencing pain. Older age and smoking status were significantly associated with a poorer OHRQoL. However, no significant gender differences in OHRQoL were observed. Conclusion ET had a positive impact on the OHRQoL of patients in Saudi Arabia. The study highlights the importance of considering patient-centered outcomes, such as OHRQoL, in assessing the success of root canal treatment. Further research with longitudinal designs and randomized controlled trials is needed to better understand the long-term effects of root canal treatment on patients' OHRQoL and to compare them with other dental treatments.
Collapse
Affiliation(s)
- Montaha Alsultan
- Department of Conservative Dentistry, College of Dentistry, Qassim University, Buraidah, SAU
| | - Swati Srivastava
- Department of Conservative Dentistry, College of Dentistry, Qassim University, Buraidah, SAU
| | - Muhammad Qasim Javed
- Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Buraidah, SAU
| | - Mansoor Khan
- Department of Operative Dentistry, Foundation University College of Dentistry, Foundation University, Rawalpindi, PAK
| | - Hamza Ulfat
- Department of Operative Dentistry, Heavy Industries Taxila Education City-Institute of Medical Sciences (HITEC-IMS) Dental College, Taxila, PAK
| |
Collapse
|
3
|
Zechner MR, Singhal V, Murphy AA, York J, Karyczak S, Muhammad A. Dental pre‐doctoral student perceptions about serious mental illness: Concerns and role clarification. J Dent Educ 2022; 87:639-645. [DOI: 10.1002/jdd.13156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 11/26/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Michelle R. Zechner
- Department of Psychiatric Rehabilitation and Counseling Professions Rutgers School of Health Professions Piscataway New Jersey USA
| | - Vaishali Singhal
- Department of Community Health, Rutgers School of Dental Medicine and Department of Interdisciplinary StudiesRutgers School of Health Professions NewarkNew JerseyUSA
| | - Ann A. Murphy
- Department of Psychiatric Rehabilitation and Counseling Professions Rutgers School of Health Professions Piscataway New Jersey USA
| | - Jill York
- Department of Community Health Rutgers School of Dental Medicine Newark New Jersey USA
| | - Sean Karyczak
- Department of Psychiatric Rehabilitation and Counseling Professions Rutgers School of Health Professions Piscataway New Jersey USA
| | - Asiyah Muhammad
- Rutgers School of Environmental and Biological Sciences with a major in Biological Sciences and a minor in Health and Society New Brunswick New Jersey USA
| |
Collapse
|
4
|
Koyama S, Aida J, Mori Y, Okawa S, Odani S, Miyashiro I. COVID-19 Effects on Income and Dental Visits: A Cross-sectional Study. JDR Clin Trans Res 2022; 7:307-314. [PMID: 35533247 DOI: 10.1177/23800844221094479] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES In April 2020, the Japanese government declared a state of emergency owing to the outbreak of the novel coronavirus disease (COVID-19) pandemic, which resulted in reduced workforce and job losses. Furthermore, income is one of the most consistent predictors of dental visits. Therefore, this study examined the association between income changes and dental clinic visits during the COVID-19 state of emergency in Japan. METHODS An online, self-reported cross-sectional survey about health activities including dental visits during the first COVID-19 state of emergency was conducted in Osaka, Japan (June 23 to July 12, 2020). Among participants with toothaches, the assessment for the association between "refrained from visiting a dentist despite wanting treatment for toothache during the state of emergency (refrained treatment)" and income changes before and after the state of emergency using a multivariate Poisson regression model adjusted for sex, age, self-rated health, frequency of regular dental visits, and employment status. RESULTS Among 27,575 participants, 3,895 (14.1%) had toothaches, and 1,906 (6.9%) reported refrained treatment. Among people with decreased income (n = 8,152, 29.6% of overall participants), the proportions of the refrained treatment group were 8.0% (income decreased by 1%-49%), 9.9% (50%-99% decreased), and 9.1% (100% decreased). Among participants with toothache, after adjusting for all variables, compared with participants with no income change, we observed significantly higher prevalence ratios (PRs) for refrained treatment in those who experienced a decreased income owing to COVID-19 (1%-49% decrease: PR = 1.08; 95% confidence interval [CI], 1.005-1.17; 50%-99% decrease: PR = 1.18; 95% CI, 1.06-1.32; 100% decrease: PR = 1.18; 95% CI, 1.04-1.33). CONCLUSION Decreased income was associated with refrained dental treatment during the COVID-19 state of emergency in Osaka, Japan. The economic damage related to the COVID-19 pandemic could lead to oral health inequalities. KNOWLEDGE TRANSFER STATEMENT Our study found that individuals with decreased income owing to COVID-19 before and after the state of emergency showed significantly higher prevalence ratios for refraining from visiting a dentist despite wanting treatment for toothache. We believe that our study makes a significant contribution because it provides novel, basic data that economic damages related to the COVID-19 pandemic might expand to oral health inequalities.
Collapse
Affiliation(s)
- S Koyama
- Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
| | - J Aida
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Y Mori
- Department of Public Health and Medical Affairs, Osaka Prefectural Government, Chuo-ku, Osaka, Japan
| | - S Okawa
- Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan
| | - S Odani
- Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
| | - I Miyashiro
- Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
| |
Collapse
|
5
|
Muhammad T, Srivastava S. Tooth loss and associated self-rated health and psychological and subjective wellbeing among community-dwelling older adults: A cross-sectional study in India. BMC Public Health 2022; 22:7. [PMID: 34983470 PMCID: PMC8729065 DOI: 10.1186/s12889-021-12457-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 12/20/2021] [Indexed: 11/10/2022] Open
Abstract
Background Losing teeth has been considered as part of normal aging. However, in developing countries, tooth loss among older adults is shown to be more negatively associated with self-image and quality of life compared to their western counterparts. This study examines the association of tooth loss with self-rated health and psychological and subjective wellbeing among older adults in India. Methods Data were derived from the "Building Knowledge Base on Population Ageing in India" (BKPAI) survey which was carried out in 2011. The final sample size for the analysis was 9231 older adults. Descriptive statistics and bivariate analysis along with binary logistic regression analysis were conducted to fulfil the objective of the study. Results A proportion of 12.3% of older adults reported complete tooth loss. It was found that older adults who reported tooth loss were 2.38 times significantly more likely to have poor self-rated health (SRH) [2.38; CI: 1.99,2.83] than older adults who did not report tooth loss. The odds of low psychological health were high among older adults who suffered from tooth loss than their counterparts [OR: 1.59; CI: 1.33,1.91]. Older adults who reported tooth loss had 65% significantly higher odds of low subjective well-being than older adults who did not report tooth loss [OR: 1.65; CI: 1.38,1.97]. Conclusion Complete loss of teeth is associated with older individuals’ poor SRH as well as low psychological and subjective well-being, but such a consequence is avoidable by practising the efforts to maintain good oral health.
Collapse
Affiliation(s)
- T Muhammad
- International Institute for Population Sciences, Mumbai, Maharashtra, 400088, India
| | - Shobhit Srivastava
- International Institute for Population Sciences, Mumbai, Maharashtra, 400088, India.
| |
Collapse
|
6
|
Skośkiewicz-Malinowska K, Kaczmarek U, Malicka B. Gender-wise comparison of oral health quality of life and its relationship with oral health parameters among elderly from Wroclaw, south-west Poland. PLoS One 2021; 16:e0259286. [PMID: 34731179 PMCID: PMC8565738 DOI: 10.1371/journal.pone.0259286] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 10/06/2021] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND In recent years, there has been an increase of aging population with longer life expectancy in females. This study aims to compare some oral health parameters and quality of life in the elderly. METHODS The survey involved 500 urban residents (Wroclaw, Poland) aged 65 and older, of both gender. Socio-demografic data were assessed by self-reported questionnaire. Clinical examination included oral health assessment by the World Health Organization criteria with extension and oral dryness (Chalacombe scale). Quality of Life (QoL) was evaluated using Euro-Quality of Life, Oral Health Impact Profile-14 and Patient Health Questionnaire-9, which were validated for the Polish population. The relationship strength between psychometric scale scores and sociodemographic and clinical factors was determined by calculating Spearman's linear correlation coefficient values and regression coefficient values. RESULTS There was no gender-wise differences in oral health parameters, except for a higher number of decayed teeth in males (DT 1.9±3.2 vs 1.2±2.4; p = 0.34). Oral dryness was diagnosed significantly more frequently in females then males (36.9% vs. 25.5%; p = 0.076). The males were significantly more likely to have high treatment needs (36.1% vs. 26.9%; p = 0.032) and they required urgent dental treatment (7.2% vs. 2.8%; p = 0.022). There were no significant differences in terms of QoL evaluated by EQ-5D, EQ-5D VAS or OHIP-14 questionnaires between males and females (0.832±0.194 vs 0.855±0.197, 67.9±10.9 vs 66.1±18.6, 7.2±12.9 vs 8.5±14.0, respectively; p > 0.05). However, females presented the higher severity of depressive symptoms measured by the PHQ-9 questionnaire (4.0±4.1 vs. 2.8±3.8; p<0.001). CONCLUSION It can be concluded that the independent predictors which significantly affect the high QoL scores on the EQ-5D scale were found to be female gender, age below 75, high or middle income, independence in daily life, a low number of comorbidities, lack of oral treatment needs.
Collapse
Affiliation(s)
| | - Urszula Kaczmarek
- Department of Conservative Dentistry with Endodntics, Wroclaw Medical University, Wroclaw, Poland
| | - Barbara Malicka
- Department of Conservative Dentistry with Endodntics, Wroclaw Medical University, Wroclaw, Poland
| |
Collapse
|
7
|
Palo K, Tolvanen M, Karlsson H, Karlsson L, Lahti S. Is the oral health-related quality of life associated with quality of life among pregnant Finnish families: a cross-sectional study. Acta Odontol Scand 2021; 79:523-527. [PMID: 33823739 DOI: 10.1080/00016357.2021.1906441] [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: 01/26/2020] [Revised: 03/12/2021] [Accepted: 03/12/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE The objectives of this study was to find out if oral health-related quality of life and its dimensions (OHRQoL) are associated with overall quality of life (QoL) among mothers and fathers during pregnancy and whether these two constructs were associated within the family sharing the same living environment. MATERIAL AND METHODS The data (mothers n = 2580, fathers n = 1467) for this cross-sectional data study were collected from the FinnBrain Birth Cohort study during 2011-2015. OHRQoL was measured using a 14-item Oral Health Impact Profile (OHIP-14) questionnaire and QoL by using the WHOQoL-Bref questionnaire. Spearman correlation coefficients were used to assess the statistical significance of the associations. RESULTS OHRQoL was weakly associated at the individual level with the overall QoL (mothers r = 0.21, fathers r = 0.22, p < 0.001), but the correlations within families were low for QoL and OHRQoL. CONCLUSIONS Our findings suggest that overall QoL is a different construct than OHRQoL though slightly overlapping.
Collapse
Affiliation(s)
- Katri Palo
- Department of Community Dentistry, Institute of Dentistry, University of Turku, Turku, Finland
- Dental Care, Primary Health Care, Social and Health Services, City of Vaasa, Finland
| | - Mimmi Tolvanen
- Department of Community Dentistry, Institute of Dentistry, University of Turku, Turku, Finland
- Center for Life Course Health Research, University of Oulu, Oulu, Finland
| | - Hasse Karlsson
- Department of Clinical Medicine, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, Finland
- Department of Psychiatry, University of Turku, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| | - Linnea Karlsson
- Department of Clinical Medicine, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
- Department of Child Psychiatry, University of Turku, Turku, Finland
| | - Satu Lahti
- Department of Community Dentistry, Institute of Dentistry, University of Turku, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| |
Collapse
|
8
|
Nguyen VTN, Furuta M, Zaitsu T, Oshiro A, Shimazaki Y, Ando Y, Miyazaki H, Kambara M, Fukai K, Aida J. Periodontal health predicts self-rated general health: A time-lagged cohort study. Community Dent Oral Epidemiol 2021; 50:421-429. [PMID: 34418132 DOI: 10.1111/cdoe.12691] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 06/17/2021] [Accepted: 07/29/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES There is limited evidence of a temporal relationship between periodontal diseases and self-perceived general health. To plug this knowledge gap, we aimed to assess how periodontal health affects future self-rated health (SRH). METHODS We collected data from five waves of an annual nationwide Japanese survey of dental patients from 2015 to 2019. The analysis of repeated measurements included 9306 observations from 4242 patients aged 20 years or older. The clinical periodontitis measurements were bleeding on probing, deepest periodontal pocket depth and most severe clinical attachment loss (CAL). We used a self-administered questionnaire to collect data on sociodemographic characteristics, diabetes history, health behaviour, SRH and self-reported periodontitis. We applied 2-level ordered logistic regression models for repeated measurements to examine the relationships between SRH (time t) and 1-year-lagged periodontal health (time t-1) after adjusting for covariates. RESULTS The percentage of SRH responses recorded at time t as 'good', 'moderate' and 'poor' were 36.9%, 52.4% and 10.7%, respectively. Multivariate analyses showed that the risk of poorer SRH at time t increased in patients with CAL ≥7 mm (odds ratio [OR] = 1.15, 95% confidence interval [CI] = 1.02-1.30), those who reported bleeding gums (OR = 1.33, 95% CI = 1.21-1.46) and those who perceived swollen gums (OR = 1.40, 95% CI = 1.26-1.56) at time t-1. Sensitivity analyses using the 4-year follow-up model and 3-year-lagged cohort model also showed consistent results. CONCLUSION Periodontitis shows a gradual contribution to future SRH in dental patients, even after adjusting for sociodemographic characteristics, general health and health-related behaviours.
Collapse
Affiliation(s)
- Vy Thi Nhat Nguyen
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.,Faculty of Odonto-Stomatology, Hue University of Medicine and Pharmacy, Hue University, Vietnam
| | - Michiko Furuta
- Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Kyushu University Faculty of Dental Science, Fukuoka, Japan.,8020 Promotion Foundation, Tokyo, Japan
| | - Takashi Zaitsu
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Akiko Oshiro
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yoshihiro Shimazaki
- 8020 Promotion Foundation, Tokyo, Japan.,Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Nagoya, Japan
| | - Yuichi Ando
- 8020 Promotion Foundation, Tokyo, Japan.,National Institute of Public Health, Saitama, Japan
| | - Hideo Miyazaki
- 8020 Promotion Foundation, Tokyo, Japan.,Meirin College, Niigata, Japan
| | - Masaki Kambara
- 8020 Promotion Foundation, Tokyo, Japan.,Department of Dentistry, Osaka Dental University, Osaka, Japan
| | - Kakuhiro Fukai
- 8020 Promotion Foundation, Tokyo, Japan.,Fukai Institute of Health Science, Saitama, Japan
| | - Jun Aida
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.,8020 Promotion Foundation, Tokyo, Japan.,Division for Regional Community Development, Liaison Center for Innovative Dentistry, Graduate School of Dentistry, Tohoku University, Sendai, Japan
| |
Collapse
|
9
|
Zheng S, Zhao L, Ju N, Hua T, Zhang S, Liao S. Relationship between oral health-related knowledge, attitudes, practice, self-rated oral health and oral health-related quality of life among Chinese college students: a structural equation modeling approach. BMC Oral Health 2021; 21:99. [PMID: 33676475 PMCID: PMC7936478 DOI: 10.1186/s12903-021-01419-0] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 02/01/2021] [Indexed: 12/11/2022] Open
Abstract
Background This study aimed to evaluate the associations among oral health-related knowledge, attitudes, practice (KAP), self-rated oral health and oral health-related quality of life (OHRQoL) among Chinese college students. Methods Of the 2000 participants, 1751 (87.55%) students answered an online questionnaire between October 2019 and January 2020. The questionnaire included demographic characteristics, knowledge, attitudes, and practice related to oral health, self-rated oral health, and OHRQoL. Structural equation modelling was applied to assess the associations among study variables. Results Among the total students, oral health-related knowledge and attitudes were satisfactory, while the oral health practice was not optimistic. The final model showed satisfactory fitness to the data. Oral health knowledge was associated with attitudes directly and positively. Attitudes toward oral health had a direct and positive effect on practice. Oral health knowledge had an indirect effect on practice through attitudes. Oral health practice was directly associated with self-rated oral health. Oral health knowledge, practice, and self-rated oral health all affected OHRQoL directly and positively, while attitudes had a direct negative impact on OHRQoL. Conclusions OHRQoL was influenced by oral health knowledge, attitudes, practice, and self-rated oral health. Our findings support the KAP theory. Limitations of the KAP model were also found.
Collapse
Affiliation(s)
- Suge Zheng
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Lili Zhao
- Department of Stomatology, First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, Anhui, China
| | - Nianting Ju
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Tiantian Hua
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Shunhua Zhang
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China.
| | - Shengkai Liao
- Department of Stomatology, First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, Anhui, China.
| |
Collapse
|
10
|
Balasubramanian M, Keuskamp D, Amarasena N, Brennan D. Predictors for oral and general health outcomes and quality of life among older people attending general practice clinics in South Australia. Gerodontology 2021; 38:395-403. [PMID: 33475189 DOI: 10.1111/ger.12534] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Revised: 12/15/2020] [Accepted: 01/08/2021] [Indexed: 12/21/2022]
Abstract
BACKGROUND As the proportion and number of older people in Australia continue to grow, innovative means to tackle primary care and prevention are necessary to combat the individual, social and economic challenges of non-communicable diseases. OBJECTIVE To assess risk factors (or predictors) for oral and general health outcomes and quality of life of older people (75+ years.) attending general practice (GP) clinics in South Australia. METHODS Data were collected from older people attending 48 GP clinics in metropolitan South Australia. Age, sex, education, living arrangement, material standards, chronic conditions and nutrition were assessed as risk factors. Global self-rated oral and general health and quality of life (OHIP Severity and EQ-5D Utility) were included as outcome measures. RESULTS A total of 459 participants completed the study; response rate was 78%. In the adjusted models, high satisfaction with material standards and good nutritional health were positively associated with all four oral and general health measures. Sex (β = -0.08), age (β = -0.09) and number of chronic conditions (β = -0.12) were negatively associated with EQ-5D, while living arrangement (β = 0.07) was positively associated. Further, having four or more chronic conditions (RR:1.47) was significantly associated with self-rated general health. CONCLUSION Satisfaction with material standards and nutritional risk were consistent predictors for oral and general health outcomes and quality of life of older people visiting GP clinics.
Collapse
Affiliation(s)
- Madhan Balasubramanian
- Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.,Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, Australia.,Faculty of Dentistry, Oral & Craniofacial Sciences, Kings College London, London, UK
| | - Dominic Keuskamp
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, Australia
| | - Najith Amarasena
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, Australia
| | - David Brennan
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, Australia
| |
Collapse
|
11
|
TÔrres LHDN, Fagundes MLB, Silva DDD, Neri AL, Hilgert JB, Hugo FN, Sousa MDLRD. Self-rated general and oral health and associated factors in independently-living older individuals. Braz Oral Res 2020; 34:e079. [PMID: 32696912 DOI: 10.1590/1807-3107bor-2020.vol34.0079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Accepted: 04/20/2020] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to verify the association between sociodemographic, general health, and oral health data with self-rated general health (SRGH) and self-rated oral health (SROH) in independent-living older Brazilians. This cross-sectional study was part of a larger study with older individuals living independently in the city of Campinas, Brazil - the "Rede FIBRA" Study (the Frailty in Brazilian Elderly Study). A random sample of 688 older individuals responded the SRGH and 673, the SROH. SRHG and SROH were both assessed using a single item. The questionnaire included sociodemographic, general, and oral health data. The mean age was 72.28 ± 5.4 years. The adjusted analysis revealed that the probability of rating general health as bad was higher for illiterate participants (PR: 1.77, 95%CI: 1.13-2.77) or with low educational level (PR: 1.76, 95%CI: 1.17-2.65), those with depressive symptoms (PR: 1.45, 95%CI:1.21-1.74), participants that self-reported food limitation due to problems with denture or lack of it (PR: 1.29, 95%CI: 1.05-1.56), and those with xerostomia (PR 1.40, 95%CI: 1.17-1.67). The probability of rating general health as bad was lower for participants that presented 0-2 chronic diseases (PR: 0.64, 95%CI: 0.53-0.78) and were pre-frail (PR: 0.76, 95%CI: 0.61-0.96). With regard to SROH, the probability of rating oral health as bad was higher for participants with natural teeth (PR:1.61, 95%CI: 1.24-2.08), that reported xerostomia (PR: 1.44, 95%CI: 1.13-1.84), and food limitation due to problems with denture or lack of it (PR: 1.43, 95%CI: 1.07-1,91), and lower for participants that reported having enough money to cover daily expenses (PR: 0.78, 95%CI: 0.61-0.99). Oral health data and income seem to be related to self-perceptions of general and oral health.
Collapse
Affiliation(s)
| | | | - Débora Dias da Silva
- Departament of Community and Dental Health, Dental School, Universidade Paulista, Campinas, SP, Brazil
| | - Anita Liberalesso Neri
- Departament of Genrontology, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
| | - Juliana Balbinot Hilgert
- Departament of Preventive and Social Dentistry, Dental School, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Fernando Neves Hugo
- Departament of Preventive and Social Dentistry, Dental School, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Maria da Luz Rosário de Sousa
- Department of Health Sciences and Pediatric Dentistry, Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| |
Collapse
|
12
|
Tejaswini D, Kulkarni S, Doshi D, Srilatha A. Self perceived oro-facial behaviour and malocclusion among young adults in Hyderabad city. Int J Adolesc Med Health 2020; 33:195-200. [PMID: 32549147 DOI: 10.1515/ijamh-2018-0297] [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: 12/29/2018] [Accepted: 01/20/2019] [Indexed: 11/15/2022]
Abstract
BACKGROUND Aesthetic alterations in the face can be self-perceived and can affect quality of life in young adults. OBJECTIVE To assess the impact of malocclusion on self- perceived oro-facial behaviour among young adults. METHODS A Cross sectional study was conducted among 638 young adults (aged 18-21 years) of Hyderabad city. One college from each of the five zones of the Hyderabad city (five colleges) were selected by simple random sampling procedure. A 21-item Oro-facial investment scale (OFIS) questionnaire assessing self-perceived oral health knowledge, attitude, practice and Dental Aesthetic Index (DAI) assessing the severity of malocclusion was used. Data were analysed with standard statistical software (SPSS, Statistical package for the social sciences, version 20.0). p < 0.05 was considered statistically significant. RESULTS Males had higher mean scores for knowledge (2.90 ± 0.49) than females (2.73 ± 0.82) and was statistically significant (p = 0.002*). No statistically significant gender differences were found in relation to attitude and practice. Analysis of variance (ANOVA) showed that there was a significant difference in all the three scores (knowledge, attitude, practice) with respect to age, with significantly high score for knowledge and practice among 18 year old subjects (p = 0.0001*; p = 0.0003* respectively) and attitude among 21 year old subjects (p = 0.0049*). No statistically significant age, gender differences were found in relation to DAI scores. Upon correlation, DAI significantly and positively correlated with knowledge (p = 0.03*) and attitude (p = 0.0001*). CONCLUSION This study has shown significant impact of malocclusion on the self-perceived oro-facial behaviour.
Collapse
Affiliation(s)
- Dasari Tejaswini
- Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Research Centre, Road No 5, Kamala Nagar, Dilsukhnagar, Hyderabad, Telangana, 500060, India
| | - Suhas Kulkarni
- Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital, Hyderabad, India
| | - Dolar Doshi
- Department of Public Health Dentistry, Government Dental College, Hyderabad, India
| | - Adepu Srilatha
- Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital, Hyderabad, India
| |
Collapse
|
13
|
Bado FMR, De Checchi MHR, Cortellazzi KL, Ju X, Jamieson L, Mialhe FL. Oral health literacy, self‐rated oral health, and oral health‐related quality of life in Brazilian adults. Eur J Oral Sci 2020; 128:218-225. [DOI: 10.1111/eos.12695] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2020] [Indexed: 12/27/2022]
Affiliation(s)
- Fernanda Maria Rovai Bado
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
| | | | - Karine Laura Cortellazzi
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
| | - Xiangqun Ju
- Australian Research Centre for Population Oral Health Adelaide Dental School University of Adelaide Adelaide SA Australia
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health Adelaide Dental School University of Adelaide Adelaide SA Australia
| | - Fábio Luiz Mialhe
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
| |
Collapse
|
14
|
Wigsten E, Kvist T, Jonasson P, Davidson T. Comparing Quality of Life of Patients Undergoing Root Canal Treatment or Tooth Extraction. J Endod 2020; 46:19-28.e1. [PMID: 31843125 DOI: 10.1016/j.joen.2019.10.012] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Revised: 08/19/2019] [Accepted: 10/13/2019] [Indexed: 12/12/2022]
Abstract
INTRODUCTION The knowledge of patient-centered outcomes concerning the consequences of root canal treatment in daily life is limited. The treatment option is often tooth extraction with possible prosthetic replacement. This study aimed to achieve a greater understanding of the patient perspective by evaluating the effect of root canal treatment in terms of quality of life and quality-adjusted life year (QALY) weights in comparison with patients who underwent tooth extraction. METHODS Patients with either root canal treatment or extraction were recruited from 6 clinics in the general public dental service during a predetermined period of 8 weeks. Three different instruments were used: the Oral Health Impact Profile evaluating the oral health-related quality of life (OHRQOL), the EQ-5D-5L evaluating health-related quality of life (HRQOL) and QALY weights, and a disease-specific questionnaire evaluating satisfaction regarding the root canal treatment. The evaluation was assessed at the initiation of treatment and after 1 month. Patient-based and tooth-specific characteristics were obtained from the dental records. RESULTS Eighty-five patients were included. The distribution between sexes was even, with 43 women and 42 men. The mean age was 51.1 years. Forty-eight patients (56.5%) had a tooth extraction, and 37 patients (43.5%) initiated root canal treatment. The response rate for the questionnaire at baseline was 95.3%, and at the 1-month follow-up, it was 74.1%. Two relevant and comparable groups were obtained after exclusion of the extracted third molars (n = 20), resulting in 65 patients for further analyses. At follow-up, the patients who initiated root canal treatment registered a significant improvement in perceived HRQOL according to the QALY weights (P = .02 and P < .01, respectively). Patients initiating root canal treatment reported generally high satisfaction. CONCLUSIONS A cohort of patients either initiating root canal treatment or tooth extraction as a control group was established. Initiating root canal treatment had a positive impact on perceived HRQOL. The included patients in general dental practice registered overall high satisfaction regarding root canal treatment.
Collapse
Affiliation(s)
- Emma Wigsten
- Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
| | - Thomas Kvist
- Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Peter Jonasson
- Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | | | - Thomas Davidson
- Centre for Medical Technology Assessment, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
| |
Collapse
|
15
|
Chew T, Brennan D, Rossi-Fedele G. Comparative Longitudinal Study on the Impact Root Canal Treatment and Other Dental Services Have on Oral Health-related Quality of Life Using Self-reported Health Measures (Oral Health Impact Profile-14 and Global Health Measures). J Endod 2019; 45:985-993.e1. [PMID: 31202516 DOI: 10.1016/j.joen.2019.05.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Revised: 03/20/2019] [Accepted: 05/01/2019] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The literature assessing quality of life for subjects who have undergone root canal treatment (RCT) is scarce. The aim of this study was to compare the effect of RCT with other dental services (exodontia, restorative, prosthodontics, periodontics, and negative controls [preventative and scale and clean]) on oral health-related quality of life. METHODS A random sample of 3000 adults aged 30-61 years was obtained from the Australian electoral roll in 2009. Data were collected through questionnaires, dental service logbooks, and treatment receipts. The impact their dentition had at baseline and the 2-year follow-up for the Oral Health Impact Profile-14 and the self-rated dental health score followed by "global transition statement of change" (GTSC) was assessed. Binary regression models were used to compare the outcomes. RESULTS Responses were collected from 1096 respondents (response rate = 36.5%). After adjustment (for age, sex, household income, and reason for visit), the RCT group had significant differences (P ≤ .05) to other dental services at the 2-year follow-up using the Oral Health Impact Profile-14 (odds ratio = 0.34; 95% confidence interval, 0.12-0.96) and GTSC (odds ratio = 0.29; 95% confidence interval, 0.09-0.88) but not with individual treatment groups. Using the self-rated dental health score/GTSC, only the prosthodontic treatment group had a significant difference to the RCT group at baseline, whereas the negative controls (P ≤ .01) had significant differences to the RCT group with the odds for improved health 5 times higher, at 2-year follow-up. CONCLUSIONS The RCT group presented with similar oral health-related quality of life when compared with the other individual treatment groups; however, they consistently reported poorer oral health outcomes when the negative controls were included.
Collapse
Affiliation(s)
| | - David Brennan
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, Australia
| | | |
Collapse
|
16
|
Brennan DS, Mittinty MM, Jamieson L. Psychosocial factors and self‐reported transitions in oral and general health. Eur J Oral Sci 2019; 127:241-247. [DOI: 10.1111/eos.12608] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/30/2018] [Indexed: 11/26/2022]
Affiliation(s)
- David S. Brennan
- Australian Research Centre for Population Oral Health Adelaide Dental School Adelaide SA Australia
| | - Manasi M. Mittinty
- Australian Research Centre for Population Oral Health Adelaide Dental School Adelaide SA Australia
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health Adelaide Dental School Adelaide SA Australia
| |
Collapse
|
17
|
Number of remaining teeth and health-related quality of life: the Korean National Health and Nutrition Examination Survey 2010-2012. Health Qual Life Outcomes 2019; 17:5. [PMID: 30626402 PMCID: PMC6327472 DOI: 10.1186/s12955-019-1078-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Accepted: 01/02/2019] [Indexed: 12/20/2022] Open
Abstract
Objectives/aims With the Euro-Qol-5 dimension (EQ-5D) system, we investigated the relationship between the number of remaining teeth and QoL using data from the Korean National Health and Nutrition Examination Survey (KNHANES), 2010–2012. A total of 17,417 participants, more than 19 years old, were finally included in this study (men = 7394 and women = 10,023). Through this study, we have discovered that the remaining teeth affect overall health and that the fewer number of them may indicate a lower quality of life, as well. The quality of life according to the number of remaining teeth was assessed among Koreans using the Euro-Qol-5 dimension (EQ-5D) system. Method The Euro-Qol-5 dimension (EQ-5D) system was used to measure the health-related QoL. Its five dimensions included mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The respondents were asked to choose one of the followings: G 1, no problems; G 2, some problems; and G 3, problematic, to best describe their health status for the five dimensions. Then, we assigned low QoL to G2 + G3 and high QoL to G1. We used age, gender, economic income, educational level, residence, and marital status for the demographic variables and, drinking, smoking, exercise, BMI, and metabolic syndrome for health behaviors. Multiple logistic regression analysis was performed to examine the odds ratios (ORs) and confidence intervals (CIs) for the high QoL (G1) on the five categories of EQ-5D according to the number of remaining teeth. On the basis of the 0–15 remaining teeth group, we drew a comparison of the QoL between the 16–20 and 21–28 remaining teeth groups. Results Subjects with 21–28 remaining teeth had higher QoL scores and had higher ORs of high QoL, especially for mobility (OR = 1.256, 95% CI = 1.056–1.495), self-care (OR = 1.441, 95% CI = 1.096–1.894), and usual activities (OR = 1.241, 95% CI = 1.022–1.508, respectively), than those with 0–15 remaining teeth after adjusting for age, sex, body mass index, smoking, drinking, exercise, income, education, and metabolic syndrome. ORs from the high QoL had the tendency to increase as the number of remaining teeth increased (all p for trend < 0.05). However, there was no relationship between the number of remaining teeth and QoL in the pain/discomfort and anxiety/depression dimensions. Conclusion The number of remaining teeth was associated with QoL, and subjects who had more teeth obtained higher QoL scores. The subjects in the high QoL group were especially associated with the components of EQ-5D such as mobility, self-care, and daily living.
Collapse
|
18
|
Sousa JLD, Henriques A, Silva ZPD, Severo M, Silva S. Posição socioeconômica e autoavaliação da saúde bucal no Brasil: resultados da Pesquisa Nacional de Saúde. CAD SAUDE PUBLICA 2019; 35:e00099518. [DOI: 10.1590/0102-311x00099518] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2018] [Accepted: 02/06/2019] [Indexed: 11/22/2022] Open
Abstract
Resumo: Analisou-se a autoavaliação da saúde bucal da população adulta brasileira segundo a posição socioeconômica (região de residência, escolaridade, renda e classe social), explorando as variáveis com maior sensibilidade para medir tal associação. Estudaram-se 59.758 indivíduos com 18 anos ou mais de idade, que participaram da Pesquisa Nacional de Saúde 2013, um inquérito domiciliar de base populacional. A autoavaliação da saúde bucal (dentes e gengivas) foi analisada como positiva, regular e negativa. Com base na regressão logística multinomial, estimaram-se odds ratio (OR) brutos e ajustados e os respectivos intervalos de 95% de confiança (IC95%). Foram calculados os percentuais de concordância e o valor de kappa para comparar os valores obtidos pelos modelos de regressão e os valores esperados. A prevalência da autoavaliação da saúde bucal positiva foi 67,4%, 26,7% para regular e 5,9% para negativa. Após ajuste, a chance de autoavaliar a saúde bucal como negativa foi significativamente mais elevada entre os indivíduos com renda domiciliar per capita de até um salário mínimo (OR = 4,71; IC95%: 2,84-7,83), sem nível de escolaridade completo (OR = 3,28; IC95%: 2,34-4,61), da classe social destituídos de ativos (OR = 3,03; IC95%: 2,12-4,32) e residentes na Região Nordeste (OR = 1,50; IC95%: 1,19-1,89). Diversos indicadores de posição socioeconômica influenciam a percepção sobre a saúde bucal, mas a renda domiciliar per capita, a escolaridade e a classe social foram as responsáveis pelo maior gradiente na autoavaliação da saúde bucal de adultos no Brasil em 2013.
Collapse
Affiliation(s)
- Jailson Lopes de Sousa
- Instituto Brasileiro de Geografia e Estatística, Brasil; Universidade de São Paulo, Brazil
| | | | | | | | | |
Collapse
|
19
|
Vigu A, Stanciu D. When the fear of dentist is relevant for more than one's oral health. A structural equation model of dental fear, self-esteem, oral-health-related well-being, and general well-being. Patient Prefer Adherence 2019; 13:1229-1240. [PMID: 31413551 PMCID: PMC6663078 DOI: 10.2147/ppa.s209068] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Accepted: 06/21/2019] [Indexed: 01/11/2023] Open
Abstract
PURPOSE To develop and test a complex model that captures the individuals' general well-being and the specific oral-health-related well-being. We were specifically interested, as a specific research question, if self-esteem, dental fear, and the oral health-related well-being are credible predictors for the general well-being. PATIENTS AND METHODS A one-time associative research design measured dental-specific anxiety, self-esteem, oral-health-related specific well-being, and general well-being in 281 participants, 3rd and 6th year dental students (M Age =22.59 years, SD Age =3.13; 55% females), which completed a battery of relevant questionnaires: the Dental Fear Survey, the Rosenberg Self-Image Scale, the short form of Oral Health Impact Profile, and the Flourishing Scale. The data were subject to structural equation modeling in order to validate potential pathways of influence hypothesized based on previous evidence from the literature. RESULTS We developed and tested a complex structural equations model, in which dental fear influences both the specific oral-health-related well-being and the persons' self-esteem. In turn, self-esteem mediates the influence pathways between dental fear and oral-health-specific well-being, on the one hand, and the overall well-being, on the other hand. CONCLUSION Our research contributes directly to strengthening the theoretical basis for future interdisciplinary research, by providing, first, a tested and replicable model that surpasses the simple correlation or prediction, and second, empirical evidence for the significant mutual interdependence between psychological experiences, eg, self-esteem, and the two main aspects of well-being, ie, specific and general. From a practical, clinical viewpoint, our research provides further insights and justification for the importance of educating the patient, on all levels, from the individual clinical practice to community programs and public oral health policies, with respect to the importance of oral health.
Collapse
Affiliation(s)
- Alexandra Vigu
- Department of Dental Materials and Ergonomics, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-napoca, Cluj-Napoca, Romania
| | - Dorin Stanciu
- Department of Psychology and Pedagogy, Technical University of Cluj-napoca, Cluj-Napoca, Romania
- Riley College of Education and Leadership (rcoel), Walden University, Minneapolis, USA
- Correspondence: Dorin StanciuDepartment of Psychology and Pedagogy, Technical University of Cluj-Napoca, 15 Constantin Daicoviciu Street, Tower Building, Room 205, Cluj-Napoca, RomaniaTel/Fax +40 26 440 1348Email
| |
Collapse
|
20
|
Ha DH, Spencer AJ, Thomson WM, Scott JA, Do LG. Commonality of Risk Factors for Mothers' Poor Oral Health and General Health: Baseline Analysis of a Population-Based Birth Cohort Study. Matern Child Health J 2018; 22:617-625. [PMID: 29396632 DOI: 10.1007/s10995-018-2431-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Objective The association between and commonality of risk factors for poor self-rated oral health (SROH) and general health (SRGH) among new mothers has not been reported. The purpose of this paper is to assess the commonality of risk factors for poor SROH and SRGH, and self-reported obesity and dental pain, among a population-based sample of new mothers in Australia. It also investigated health conditions affecting new mothers' general health. Methods Data collected at baseline of a population-based birth cohort was used. Mothers of newborns in Adelaide were approached to participate. Mothers completed a questionnaire collecting data on socioeconomic status (SES), health behaviours, dental pain, SROH, self-reported height and weight and SRGH. Analysis was conducted sequentially from bivariate to multivariable regression to estimate prevalence rate (PR) of reporting poor/fair SROH and SRGH. Results of the 1895 new mothers, some 21 and 6% rated their SROH and SRGH as poor/fair respectively. Dental pain was associated with low income and smoking status, while being obese was associated with low SES, low education and infrequent tooth brushing. SROH and SRGH was associated with low SES, smoking, and dental pain. SROH was also associated with SRGH [PR: 3.06 (2.42-3.88)]. Conclusion for practice There was a commonality of factors associated with self-rated oral health and general health. Strong associations between OH and GH were also observed. Given the importance of maternal health for future generations, there would be long-term societal benefit from addressing common risk factors for OH and GH in integrated programs.
Collapse
Affiliation(s)
- Diep H Ha
- School of Dentistry, Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia.
| | - A John Spencer
- School of Dentistry, Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia
| | | | | | - Loc G Do
- School of Dentistry, Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia
| |
Collapse
|
21
|
Vigu AL, Stanciu D, Lotrean LM, Campian RS. Complex interrelations between self-reported oral health attitudes and behaviors, the oral health status, and oral health-related quality of life. Patient Prefer Adherence 2018; 12:539-549. [PMID: 29695896 PMCID: PMC5905524 DOI: 10.2147/ppa.s159621] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
PURPOSE The purpose of this study was to develop and test a moderated mediation model that was able to describe the relationships between oral health-related attitudes and behaviors, oral health status (OHS), and oral health-related quality of life. The hypothesized relations corresponded to research questions such as "is a person's oral health predicted by the actions that person takes in order to prevent oral health conditions?" and "do individuals with better oral health also have higher levels of oral health-related quality of life?". MATERIALS AND METHODS A cross-sectional correlational study with selected predictor variables was conducted in Cluj-Napoca, Romania, among 191 participants, enrolled in the fourth and sixth years of study at the Dentistry School of the Medicine and Pharmacology, University of Cluj-Napoca. Participants completed the Hiroshima University Dental Behavior Inventory (HUDBI) questionnaire targeting specific behavior and attitude with respect to their dental self-care, Oral Health Impact Profile (OHIP) short questionnaire for measuring oral health-related quality of life, and the current OHS was assessed objectively using Decayed, Missing, Filled Teeth/Surfaces (DMFT) index. Statistical analyses were done using structural equation modeling software. RESULTS Our research showed relevant associations between HUDBI, DMFT, and OHIP. The relationship between HUDBI and OHIP was mediated by DMFT. Furthermore, HUDBI worked as a moderator between DMFT and OHIP. Thus, our study revealed a case for moderated mediation, which is usually ignored in similar research. CONCLUSION The "straightforward" causality between oral health-related behavior and the actual OHS must be considered with caution, as well as their impact on the oral health-related quality of life. Further research is needed to investigate the interaction between variables, the strength of the interrelations and the magnitude of their interactions, and the confidence that can be placed in these measurements, with respect to the general population and/or those lacking domain-specific education.
Collapse
Affiliation(s)
- Alexandra Lucia Vigu
- Department of Dental Materials and Ergonomics, “Iuliu Haţieganu” University of Medicine and Pharmacy
| | - Dorin Stanciu
- Department of Psychology and Pedagogy, Technical University of Cluj-Napoca
- Correspondence: Dorin Stanciu, Department of Psychology and Pedagogy, Technical University of Cluj-Napoca, 15 Constantin Daicoviciu Street, Tower Building, Room 205, Cluj-Napoca, Romania, Tel +40 7 5108 6089, Fax +40 264 40 1348, Email
| | - Lucia Maria Lotrean
- Department of Community Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy
| | - Radu Septimiu Campian
- Department of Oral Rehabilitation, Health and Management, “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
| |
Collapse
|
22
|
Wide U, Hakeberg M. Oral health-related quality of life, measured using the five-item version of the Oral Health Impact Profile, in relation to socio-economic status: a population survey in Sweden. Eur J Oral Sci 2017; 126:41-45. [DOI: 10.1111/eos.12393] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Ulla Wide
- Department of Behavioral and Community Dentistry; Institute of Odontology; The Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
| | - Magnus Hakeberg
- Department of Behavioral and Community Dentistry; Institute of Odontology; The Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
| |
Collapse
|
23
|
Bomfim RA, Mafra MAS, Gharib IMS, De-Carli AD, Zafalon EJ. Factors associated with a fantastic lifestyle in Brazilian college students - a multilevel analysis. REVISTA CEFAC 2017. [DOI: 10.1590/1982-0216201719518716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Purpose: to analyze possible associations between a Fantastic lifestyle and self-perception of oral health, binge drinking, and socio-demographic variables among public college students. Methods: questionnaires validated for use in Brazil were applied to 672 students in randomly selected courses. It was the first questionnaire to assess a Fantastic lifestyle, the second to measure oral health-related quality of life (OHIP-14), and the third to include socio-demographic information. Multilevel linear regression was used for the analyses. Results: among the participants, 64.21% were full-time students, 52.82% were females, 50.85% had a family income between 4 and 8 minimum wages, 16.75% were binge drinkers, and 22.22% used to drive after drinking. Socio-demographic variables such as income (p = 0.001), religion (p = 0.02), marital status (p = 0.021), binge drinking (p <0.001), and OHIP-14 (p <0.001) were associated with a Fantastic lifestyle. Conclusions: fantastic lifestyle of the Brazilian college students was associated with income, oral health-related quality of life, marital status, religion, and alcohol consumption (binge drinking).
Collapse
|
24
|
Nguyen VH, Lin SC, Cappelli DP, Nair S. The association between dental, general, and mental health status among underserved and vulnerable populations served at health centers in the US. J Public Health Dent 2017; 78:41-48. [PMID: 28719064 DOI: 10.1111/jphd.12234] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Accepted: 06/14/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Vulnerable populations in underserved communities are disproportionately at high risk for multiple medical, dental, and behavioral health conditions. This study aims to: a) examine the occurrence of acute dental needs and b) investigate the association of acute dental needs and self-rated general and mental health status among the adult dentate health center population. METHODS This cross-sectional study analyzed data on adult patients (n = 5,035) from the 2014 Health Center Patient Survey, a nationally representative survey of health center patients. Multivariate logistic regression was used to assess the association of acute dental needs and a) self-rated general health status and b) mental health status. RESULTS Approximately, two thirds of adult dentate heath center patients reported having an acute dental need. After adjusting for confounding factors, not having or having had health insurance that pays for dental care, general health status of fair or poor, and ever having a mental illness were associated with higher odds of having an acute dental need. CONCLUSIONS The results highlight the role of health centers in addressing oral health disparities among vulnerable populations and the importance of a team-based multidisciplinary approach to ensuring the integration and coordination of oral health services within a comprehensive primary care delivery system.
Collapse
Affiliation(s)
- Vy H Nguyen
- Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD, USA
| | - Sue C Lin
- Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD, USA
| | - David P Cappelli
- Department of Comprehensive Dentistry, School of Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Suma Nair
- Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD, USA
| |
Collapse
|
25
|
Jamieson L, Brennan D, Peres MA, Luzzi L, Miller C, Bowden J, McCaffrey N. Having fewer than 21 teeth associated with poorer general health among South Australians. J Public Health Dent 2017; 77:216-224. [DOI: 10.1111/jphd.12200] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Accepted: 12/01/2016] [Indexed: 12/21/2022]
Affiliation(s)
- Lisa Jamieson
- School of Dentistry, Australian Research Centre for Population Oral Health; University of Adelaide; Australia
| | - David Brennan
- School of Dentistry, Australian Research Centre for Population Oral Health; University of Adelaide; Australia
| | - Marco A. Peres
- School of Dentistry, Australian Research Centre for Population Oral Health; University of Adelaide; Australia
| | - Liana Luzzi
- School of Dentistry, Australian Research Centre for Population Oral Health; University of Adelaide; Australia
| | - Caroline Miller
- Tobacco Control Research and Evaluation; South Australian Health and Medical Research Institute; Adelaide Australia
| | - Jacqui Bowden
- Tobacco Control Research and Evaluation; South Australian Health and Medical Research Institute; Adelaide Australia
| | - Nikki McCaffrey
- Flinders Health Economics Group & Palliative Care Clinical Studies Collaborative; Flinders University; Adelaide Australia
| |
Collapse
|
26
|
Kumar V, Ankola AV, Jalihal SG. The Oro-Facial Investment Scale (OFIS) - A Novel Outcomes and Evaluation Measure for Self-Appraised Oro-Facial Behavioural and Aesthetic Constructs among Professional Healthcare Students of Belagavi : A Cross-Sectional Study. J Clin Diagn Res 2017; 10:ZC45-ZC49. [PMID: 28050503 DOI: 10.7860/jcdr/2016/21733.8901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Accepted: 08/10/2016] [Indexed: 12/20/2022]
Abstract
INTRODUCTION Several studies have shown that self perceived dental appearance is an important determinant in the decision to seek treatment. AIM The aim of the present study was to assess the self-perceived oral health knowledge, attitude, practice, behaviour and perception among 18-20 year old students of professional healthcare institutions in Belagavi city, Karnataka. MATERIALS AND METHODS The novel 21 item Oro-Facial Investment Scale (OFIS) formulated for this study was distributed to 600 students of professional healthcare institutions (200 each from Medical, Physiotherapy and Ayurveda specialties respectively). Psychometric properties of the questionnaire were assessed. Descriptive statistics and chi-square test were applied. RESULTS Total 98.17% practiced the use of facial and oral care products on a regular basis. All 600 participants disagreed that they hate their facial appearance and the way their teeth looked. Out of 200 Ayurveda students, 37 were unsatisfied with the appearance of their teeth. Also, majority of the respondents agreed that they take prompt care of oral wounds or lesions. While majority of the subjects did not feel conscious when a dentist checks their teeth, a robust 153 respondents expressed their reservations for their dental examination to be performed. CONCLUSION The OFIS seamlessly amalgamates the dental unit with the immediate facial components; hence, bringing together, in harmony, a multifaceted dimension in self assessment of the overall facial and dental behavioural practices.
Collapse
Affiliation(s)
- Vaibhav Kumar
- Postgraduate Student, Department of Public Health Dentistry, KLE University, KLE VK Institute of Dental Sciences , Belagavi, Karnataka, India
| | - Anil V Ankola
- Professor and Head, Department of Public Health Dentistry, KLE University, KLE VK Institute of Dental Sciences , Belagavi, Karnataka, India
| | - Sagar G Jalihal
- Senior Lecturer, Department of Public Health Dentistry, KLE University, KLE VK Institute of Dental Sciences , Belagavi, Karnataka, India
| |
Collapse
|
27
|
Taichman LS, Van Poznak CH, Inglehart MR. Self-reported oral health and quality of life of postmenopausal breast cancer survivors on aromatase inhibitors and women without cancer diagnoses: a longitudinal analysis. Support Care Cancer 2016; 24:4815-24. [PMID: 27455851 DOI: 10.1007/s00520-016-3336-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Accepted: 07/10/2016] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Aromatase inhibitors (AIs) are a well-established component of adjuvant therapy in postmenopausal women with hormone receptor (HR) + early stage breast cancer (BCa). We explored in an 18-month cohort study whether subjective oral health (OH), subjective periodontal health (PH), and oral health-related quality of life (OHRQoL) of postmenopausal BCa survivors on AIs differ from those of women without cancer diagnoses, and whether saliva flow, OH, PH, and OHRQoL are related. METHODS Data were collected from 29 postmenopausal BCa survivors on AIs and 29 postmenopausal women without cancer diagnoses. Socio-demographic information, OH, PH, and OHRQoL were collected at baseline and 6, 12, and 18 months later. Unstimulated whole saliva volume per 15 min was determined by drooling. RESULTS The two groups did not differ in background characteristics at baseline. Women on AIs had poorer OH (p = .043), PH (p = .04), and OHRQoL (p = .017), and lower saliva flow rate (p < .001) than control respondents. BCa survivors had the poorest PH at the 18-month visit. Xerostomia was correlated with OH at baseline and with OH and PH at 18 months. However, objective saliva flow rate was not correlated with OH or OHRQoL at this visit. CONCLUSIONS This study is the first to investigate the effects of AIs on patients' subjective OH, subjective PH, and OHRQoL. The data suggest that women treated with AIs have worse OH, PH, and OHRQoL than women without cancer diagnoses. Interprofessional care is recommended so that women on AIs receive optimal supportive oral care to assure long-term OH and positive OHRQoL. TRIAL REGISTRATION ClinicalTrials.gov NCT01272570 https://clinicaltrials.gov/ct2/show/NCT01272570 .
Collapse
Affiliation(s)
- L Susan Taichman
- Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI, 48109-1078, USA.
| | - Catherine H Van Poznak
- Department of Internal Medicine, Hematology and Oncology Division, University of Michigan, Ann Arbor, MI, USA
| | - Marita R Inglehart
- Department of Periodontics and Oral Medicine, School of Dentistry & Department of Psychology, College of Literature, Science & Arts, University of Michigan, Ann Arbor, MI, USA
| |
Collapse
|