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Kaur N, Barman N, Priya R, Rani G, Rawat A, Sharma V. Occurrence of Depression and its Association with Oral Health in Elderly People Living in Old Age Homes of Mathura. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2024; 16:S623-S625. [PMID: 38595567 PMCID: PMC11001149 DOI: 10.4103/jpbs.jpbs_902_23] [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: 09/15/2023] [Revised: 09/18/2023] [Accepted: 09/20/2023] [Indexed: 04/11/2024] Open
Abstract
Introduction Depression can affect oral health as a result of neglecting oral hygiene procedures which leads to an increased risk of dental caries and periodontal disease. Aim To determine relationship between oral health and depression among elder people residing in old age homes of Mathura city. Materials and Methods The study was conducted among 500 subjects aged ≥60 years where dental condition, number of missing teeth, removable denture wearing, teeth mobility, periodontal condition, pocket depth, loss of attachment, and depression according to the Patient Health Questionnaire-9 scale were assessed. Results Regression analysis showed a positive relationship of the PHQ-9 value with DMFT and MT. Conclusion Among people aged 60 years and over, severity of depression increased with higher number of MT and DT.
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Affiliation(s)
- Navpreet Kaur
- Head of Department, Department of Public Health Dentistry, K.D. Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Nitul Barman
- Post Graduate Student, Department of Public Health Dentistry, K.D. Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Ratna Priya
- Post Graduate Student, Department of Public Health Dentistry, K.D. Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Garima Rani
- Post Graduate Student, Department of Public Health Dentistry, K.D. Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Aditi Rawat
- Post Graduate Student, Department of Public Health Dentistry, K.D. Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Vivek Sharma
- Reader, Department of Public Health Dentistry, K.D. Dental College and Hospital, Mathura, Uttar Pradesh, India
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Al-Bitar KM, Garcia JM, Han S, Guentsch A. Association between periodontal health status and quality of life: a cross-sectional study. FRONTIERS IN ORAL HEALTH 2024; 5:1346814. [PMID: 38333564 PMCID: PMC10850382 DOI: 10.3389/froh.2024.1346814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 01/03/2024] [Indexed: 02/10/2024] Open
Abstract
Introduction Attachment loss due to periodontal diseases is associated with functional limitations as well as physical pain and psychological discomfort, which may lead to a reduced quality of life. The purpose of this study is to determine if the oral health status, specifically the periodontal status, influences oral health-related quality of life. Materials and methods Survey data were collected in a US dental school clinical setting in a cross-sectional study. Quality of life related to oral health was assessed with the Oral Health Impact Profile-49 (OHIP-49). In addition, DMFT index, periodontal status, and health literacy scores (dental and medical health literacy) were recorded, and the data of n = 97 subjects were statistically analyzed. Results The DMFT index of the study population was 14.98 ± 6.21 (D: 4.72 ± 4.77; M: 3.19 ± 3.46; F: 7.12 ± 4.62). Of the subjects, 44% were identified as periodontitis cases. These periodontitis cases demonstrated significantly higher OHIP-49 scores (66.93 ± 30.72) than subjects without signs of periodontal diseases (NP) (32.40 ± 19.27, p < 0.05). There was also a significant difference between NP patients and patients with gingivitis (66.24 ± 46.12, p < 0.05). It was found that there was a statistically significant difference between Stage 3 (severe) periodontitis and periodontal health (p = 0.003). Pearson correlations were completed, and positive relationships were found with OHIP-49 and DMFT (0.206, p < 0.05), and periodontal risk self-assessment (0.237, p < 0.05). Age [odds ratio (OR) 4.46], smoking (OR 2.67), and the presence of mobile teeth (OR 2.96) are associated with periodontitis. Conclusions Periodontal diseases may negatively impact the oral health-related quality of life. Patients suffering from periodontitis also showed more missing teeth, which might influence function. Age and smoking are associated with a higher prevalence of periodontitis. A good general health literacy was no guarantee for having an adequate oral literacy.
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Affiliation(s)
- Kinan M. Al-Bitar
- Private Practitioner, Waukesha, WI, United States
- Department of Surgical and Diagnostic Sciences, Marquette University School of Dentistry, Milwaukee, WI, United States
| | | | - Shengtong Han
- Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, WI, United States
| | - Arndt Guentsch
- Department of Surgical and Diagnostic Sciences, Marquette University School of Dentistry, Milwaukee, WI, United States
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Ribas-Pérez D, Sevillano Garcés D, Rodriguez Menacho D, Hernandez-Franch PV, Barbero Navarro I, Castaño Séiquer A. Cross-Sectional Study on Oral Health-Related Quality of Life Using OHIP-14 in Migrants Children in Melilla (Spain). CHILDREN (BASEL, SWITZERLAND) 2023; 10:1168. [PMID: 37508665 PMCID: PMC10377792 DOI: 10.3390/children10071168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Revised: 06/28/2023] [Accepted: 06/29/2023] [Indexed: 07/30/2023]
Abstract
Quality of life is a parameter that not only evaluates clinical parameters, but also refers to the perception of the individual in his or her sociocultural context. It also refers to psychosocial aspects that have a very important impact on people's lives. Oral health-related quality of life (OHRQoL) must also be considered when assessing oral health in any population for which an oral health program is to be developed. On this premise, and taking into account the precarious situation of refugee children housed in the Temporary Center for Migrants (CETI) in Melilla (Spain), a study was conducted to assess the oral health and OHRQoL of the children housed in the aforementioned facility. For this purpose, the 120 children in care at the time of the study underwent a basic epidemiological examination according to the recommendations of the World Health Organization (WHO), and their OHRQoL was assessed using the specific OHIP-14 questionnaire. The results show a state of oral health with a high caries prevalence (95%), high DMFT, and dft indices for the studied population. The oral health-related quality of life perceived by these children shows that pain and psychological discomfort are the areas rated worst by them. Thus, it is concluded that it is important to implement specific oral health programs for this population, based on caries prevention and pain management, which must also take into account the psychological and sociocultural aspects that have accompanied their lives.
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Affiliation(s)
- David Ribas-Pérez
- Department of Stomatology, University of Seville, 41004 Sevilla, Spain
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Khan ZA, Prabhu N, Issrani R, Albulayhid AAS, Mlih Alruwaili SM, Gadoe Alruwaili RH, Alsiyat BM, Bader AK, Sghaireen MG, Rao K, Baig MN. Oral Health-Related Quality of Life in Breast Cancer Patients in the Northern Region of Saudi Arabia. Healthcare (Basel) 2023; 11:healthcare11081189. [PMID: 37108023 PMCID: PMC10138330 DOI: 10.3390/healthcare11081189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 03/23/2023] [Accepted: 04/06/2023] [Indexed: 04/29/2023] Open
Abstract
BACKGROUND Breast cancer is one of the most prevalent diseases, and ignoring dental health care before and after treatment can have severe long-term consequences. Additionally, this may have a negative impact on the patient's general quality of life. AIM The aim of the present study was to assess oral health-related quality of life (OHRQoL) among breast cancer patients and identify possible factors associated with the outcome. METHODOLOGY In this observational cross-sectional study, 200 women who had received breast cancer therapy and were being followed up at a hospital made up the sample. The study was conducted between January 2021 and July 2022. Information on sociodemographic characteristics, general health, and breast cancer was recorded. The decayed, missing, and filled teeth index was used in clinical examinations to identify caries experience. OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14) questionnaire. After adjusting for confounding variables, a logistic regression analysis was used to determine the related factors. RESULTS The mean OHIP-14 score was 11.48 (SD 1.35). There was a 63.0% prevalence of negative impacts. Age and the time frame from cancer diagnosis were found to be significantly linked with the outcome by binary logistic regression analysis. CONCLUSIONS Breast cancer survivors who were ≤55 years old and the time elapsed since diagnosis was less than 36 months had a poor OHRQoL. To lessen the negative impacts of cancer treatment and enhance quality of life, patients with breast cancer need special oral care and should be monitored before, during, and after cancer treatment.
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Affiliation(s)
- Zafar Ali Khan
- Department of Oral & Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
| | - Namdeo Prabhu
- Department of Oral & Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
| | - Rakhi Issrani
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
| | | | | | | | | | - Alzarea K Bader
- Department of Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
| | - Mohammed Ghazi Sghaireen
- Department of Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
| | - Krishna Rao
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
| | - Muhammed Nadeem Baig
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
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Jetan M, Daifallah A, Rabayaa MK, Qadri R, Nassorah M, Nouri A, Al-Othaman N. The Impact of Spiritual Well-Being on the Quality of Life of Cancer Patients: A Cross-Sectional Study. Integr Cancer Ther 2023; 22:15347354231210841. [PMID: 37961876 PMCID: PMC10647945 DOI: 10.1177/15347354231210841] [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: 04/05/2023] [Revised: 09/26/2023] [Accepted: 10/13/2023] [Indexed: 11/15/2023] Open
Abstract
BACKGROUND Quality of life is a multidimensional concept that involves physical, social, emotional, and functional well-being. Spirituality represents a potentially influential factor in the quality of life. This study aimed to evaluate the quality of life and spirituality among cancer patients. METHODS A cross-sectional study was carried out on 354 cancer patients in Palestine. A self-administered questionnaire was used for data collection. The questionnaire was made up of 4 sections: sociodemographic factors, clinical data, FACT-G, and FACIT-sp. RESULTS A total of 354 cancer patients with a mean age of 46.4 ± 15.3 years were enrolled in the study. The spiritual well-being of patients reported in this study was measured by using the median FACIT-Sp total score, and it was 35 (IQR: 29-42). The quality of life of patients was measured using the median of the FACT-G total score, and it was 63 (IQR: 52-85). The FACT-G score was significantly variable based on several factors including age, marital status, cancer type, presence of metastasis, presence of treatment side effects, and the period since diagnosis (P-value < .05). The FACIT-Sp total score had a significantly strong positive relationship with FACT-G total score (r = .705, P < .001). Moreover, moderate to strong significant correlations were found between spirituality and quality of life subscales. CONCLUSIONS Quality of life among cancer patients is affected by their basic and clinical characteristics and is highly correlated with their spirituality level. Thus, addressing palliative support through spiritual care besides primary clinical treatment is of great importance to improve the quality of life among cancer patients.
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Affiliation(s)
- Mohamad Jetan
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
| | - Aiman Daifallah
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
- An-Najah National University Hospital, Nablus, West Bank and Gaza Strip, Palestine
| | | | - Rana Qadri
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
| | | | - Ahmed Nouri
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
| | - Nihad Al-Othaman
- An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine
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Jayasinghe TN, Harrass S, Erdrich S, King S, Eberhard J. Protein Intake and Oral Health in Older Adults-A Narrative Review. Nutrients 2022; 14:4478. [PMID: 36364741 PMCID: PMC9653899 DOI: 10.3390/nu14214478] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 10/18/2022] [Accepted: 10/20/2022] [Indexed: 08/31/2023] Open
Abstract
Oral health is vital to general health and well-being for all ages, and as with other chronic conditions, oral health problems increase with age. There is a bi-directional link between nutrition and oral health, in that nutrition affects the health of oral tissues and saliva, and the health of the mouth may affect the foods consumed. Evidence suggests that a healthy diet generally has a positive impact on oral health in older adults. Although studies examining the direct link between oral health and protein intake in older adults are limited, some have explored the relationship via malnutrition, which is also prevalent among older adults. Protein-energy malnutrition (PEM) may be associated with poor oral health, dental caries, enamel hypoplasia, and salivary gland atrophy. This narrative review presents the theoretical evidence on the impact of dietary protein and amino acid composition on oral health, and their combined impact on overall health in older adults.
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Affiliation(s)
- Thilini N. Jayasinghe
- The Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, Australia
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia
| | - Sanaa Harrass
- School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia
| | - Sharon Erdrich
- School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia
| | - Shalinie King
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia
| | - Joerg Eberhard
- The Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, Australia
- School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia
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Shamim R, Nayak R, Satpathy A, Mohanty R, Pattnaik N. Self-esteem and oral health-related quality of life of women with periodontal disease - A cross-sectional study. J Indian Soc Periodontol 2022; 26:390-396. [PMID: 35959305 PMCID: PMC9362804 DOI: 10.4103/jisp.jisp_263_21] [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: 04/22/2021] [Revised: 09/15/2021] [Accepted: 10/17/2021] [Indexed: 11/04/2022] Open
Abstract
Aim The aim of this study is to assess the effect of periodontal disease on self-esteem and oral health-related quality of life (OHRQoL) in women. Materials and Methods A cross-sectional study was conducted among 522 women (mean age - 38.92 ± 14.3 years). Oral hygiene status, plaque level, gingival inflammation, probing depth, and periodontal status were assessed. The self-esteem was assessed using a Rosenberg Self-esteem Scale, and the OHRQoL was measured using a 14-item oral health impact profile (OHIP-14) questionnaire. Results Younger, employed women with higher income had significantly better OHRQoL and self-esteem. Women with healthy periodontium had better OHRQoL. Probing depth and community periodontal index scores were found to have a significant positive correlation with most of the sub-scale items and total OHIP-14 score in women with low self-esteem. Women with good OHRQoL and normal self-esteem were seen to be maintaining significantly better oral hygiene. No such statistically significant difference was observed in women with low self-esteem. Multiple regression analysis for the prediction of OHIP-14 score indicated that the best model included probing depth as the only statistically significant predictor (P = 0.002). Conclusion Periodontal disease has a significant negative impact on self-esteem and OHRQoL in women.
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Affiliation(s)
- Rohina Shamim
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rashmita Nayak
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Rinkee Mohanty
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | - Naina Pattnaik
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.,Department of Periodontics, Hi Tech Dental College and Hospital, Bhubaneswar, Odisha, India
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Kuipers S, Castelein S, Barf H, Kronenberg L, Boonstra N. Risk factors and oral health-related quality of life: A case-control comparison between patients after a first-episode psychosis and people from general population. J Psychiatr Ment Health Nurs 2022; 29:430-441. [PMID: 35034403 PMCID: PMC9304272 DOI: 10.1111/jpm.12820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 12/01/2021] [Accepted: 01/10/2022] [Indexed: 11/27/2022]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: Oral health consists of more than having good teeth; it is an important factor in general health and well-being. Despite its importance, oral health care is still largely overlooked in mental health nursing. There is no research available about oral health risk factors and OHRQoL in patients diagnosed with a psychotic disorder with a psychotic disorder (first-episode). WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study provides insight into the severity of the problem. It demonstrates the differences in risk factors and OHRQoL between patients diagnosed with a psychotic disorder (first-episode) and the general population. A negative impact on OHRQoL is more prevalent in patients diagnosed with a psychotic disorder (first-episode) (14.8%) compared to the general population (1.8%). Patients diagnosed with a psychotic disorder (first-episode) have a considerable increase in odds for low OHRQoL compared to the general population, as demonstrated by the odds ratio of 9.45, which supports the importance of preventive oral health interventions in this group. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The findings highlight the need for oral health interventions in patients diagnosed with a psychotic disorder (first-episode). Mental health nurses, as one of the main health professionals supporting the health of patients diagnosed with a mental health disorder, can support oral health (e.g. assess oral health in somatic screening, motivate patients, provide oral health education to increase awareness of risk factors, integration of oral healthcare services) all in order to improve the OHRQoL. ABSTRACT: Introduction No research is available about the oral health risk factors and oral health-related quality of life (OHRQoL) in patients diagnosed with a psychotic disorder. Aim To compare oral health risk factors and OHRQoL in patients diagnosed with a psychotic disorder (first-episode) to people with no history of psychotic disorder. Method A case-control comparison (1:2) multivariable linear regression analysis and an estimation of prevalence of impact on OHRQoL. Results Patients diagnosed with a psychotic disorder (first-episode) have lower OHRQoL with more associated risk factors. Of the patients diagnosed with a psychotic disorder (first-episode), 14.8% reported a negative impact on OHRQoL, higher than the prevalence of 1.8% found in people from the general population. Discussion The high prevalence rate of a negative impact on OHRQoL in patients diagnosed with a psychotic disorder (first-episode) shows the importance of acting at an early stage to prevent a worse outcome. Implications for practice The findings highlight the need for oral health interventions in patients diagnosed with a psychotic disorder (first-episode). Mental health nurses, as one of the main health professionals supporting the health of patients diagnosed with a mental health disorder, can support oral health (e.g. assess oral health in somatic screening) in order to improve the OHRQoL.
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Affiliation(s)
- Sonja Kuipers
- NHL Stenden University of Applied Sciences Leeuwarden, The Netherlands.,University of Groningen, Groningen, The Netherlands
| | - Stynke Castelein
- University of Groningen, Groningen, The Netherlands.,Lentis Psychiatric Institute, Groningen, The Netherlands
| | - Hans Barf
- NHL Stenden University of Applied Sciences Leeuwarden, The Netherlands
| | | | - Nynke Boonstra
- NHL Stenden University of Applied Sciences Leeuwarden, The Netherlands.,KieN Early Intervention Service, Leeuwarden, The Netherlands
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Silva LTD, Souza JFD, Wambier LM, Menezes JVNB, Torres-Pereira CDC, Fraiz FC. Can Hemophilia Impact on the Oral Health Conditions of Children and Adolescents? A Systematic Review and Metanalysis. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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Vu GT, Little BB, Esterhay RJ, Jennings JA, Creel L, Gettleman L. Oral health-related quality of life in US adults with type 2 diabetes. J Public Health Dent 2021; 82:79-87. [PMID: 34859441 DOI: 10.1111/jphd.12489] [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: 06/22/2020] [Revised: 09/27/2021] [Accepted: 11/15/2021] [Indexed: 11/27/2022]
Abstract
OBJECTIVES The objective of this study was to analyze factors associated with oral health-related quality of life (OHRQoL) between type 2 diabetes mellitus (T2DM) and nondiabetic US adults. METHODS The study sample included 2945 participants (aged ≥20) selected from National Health and Nutrition Examination Survey (NHANES) 2003-2004 that represented 130,689,262 million persons in a probability weighted sample. Oral health outcomes were measured by the NHANES version of Oral Health Impact Profile (OHIP) for OHRQoL and summarized as additive scores (OHIP-ADD) and as prevalence of negative impacts (OHIP-SC). Multiple logistic regression models used dichotomous outcome variables OHIP-ADD and OHIP-SC. The cut-off values for poor OHRQoL were heuristically defined as OHIP-ADD ≥6 and as OHIP-SC > 0. RESULTS Poor OHRQoL was significantly (p < 0.0001) predicted by T2DM (ORSC-controlled = 1.43, ORSC-uncontrolled = 1.73), obesity (ORSC = 1.24), untreated dental caries (ORSC = 1.79), periodontal disease (ORADD = 1.07), evaluated unmet denture need (ORSC = 1.72), low income (ORADD = 1.22), smoking (ORSC-former-smoker = 1.04, ORSC-current-smoker = 1.99), African-American (ORSC = 1.19), and female (ORSC = 1.66) in both logistic regression models. In contrast, protective factors significantly (p < 0.0001) associated with poor OHRQoL were private dental insurance (ORSC = 0.81), college education (ORSC = 0.85), and annual dental prophylaxis (ORSC = 0.83), after adjustment for covariates. CONCLUSIONS This study showed that private insurance coverage and annual prophylaxis are associated with better average OHRQoL among individuals with T2DM. Improved OHRQoL may be associated with glycaemia control, decreased BMI, and smoking cessation. The highest odds for poor OHRQoL were found among US adults with T2DM with uncontrolled HbA1c, untreated dental caries, and current smoking.
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Affiliation(s)
- Giang T Vu
- Department of Health Management and Systems Sciences, School of Public Health and Information Sciences, Louisville, Kentucky, USA
| | - Bert B Little
- Department of Health Management and Systems Sciences, School of Public Health and Information Sciences, Louisville, Kentucky, USA
| | - Robert J Esterhay
- Department of Health Management and Systems Sciences, School of Public Health and Information Sciences, Louisville, Kentucky, USA
| | - J' Aime Jennings
- Department of Health Management and Systems Sciences, School of Public Health and Information Sciences, Louisville, Kentucky, USA
| | - Liza Creel
- Department of Health Management and Systems Sciences, School of Public Health and Information Sciences, Louisville, Kentucky, USA
| | - Lawrence Gettleman
- Professor Emeritus, School of Dentistry University of Louisville, Louisville, Kentucky, USA
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Zhang K, Chen H, Lyu P, Wu J. A relation-based framework for effective teeth recognition on dental periapical X-rays. Comput Med Imaging Graph 2021; 95:102022. [PMID: 34883363 DOI: 10.1016/j.compmedimag.2021.102022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 11/05/2021] [Accepted: 11/12/2021] [Indexed: 11/16/2022]
Abstract
Dental periapical X-rays are used as a popular tool by dentists for diagnosis. To provide dentists with diagnostic support, in this paper, we achieve automated teeth recognition of dental periapical X-rays by using deep learning techniques, including teeth location and classification. Convolutional neural network(CNN) is a popular method and has made large improvements in medical image applications. However, in our specific task, the performance of CNN is limited by lack of data and too many teeth positions in X-rays. Addressing this problem, we consider to utilize the prior dental knowledge, and therefore we propose a relation-based framework to handle the teeth location and classification task. According to the relation in teeth labels, we apply a special label reconstruction technique to decompose the teeth classification task, and use a multi-task CNN to classify the teeth positions. Meanwhile, for teeth location task, we design a proposal correlation module to use the information in teeth positions, and insert it into the multi-task CNN. A teeth sequence refinement module is used for the post processing. Our experiment results show that our relation-based framework achieves high teeth classification and location performance, which is a big improvement compared to the direct use of famous detection structures. With reliable teeth information, our method can provide automated diagnostic support for the dentists.
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Affiliation(s)
- Kailai Zhang
- Department of Electronic Engineering, Tsinghua University, Beijing, China.
| | - Hu Chen
- Center of Digital Dentistry, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China
| | - Peijun Lyu
- Center of Digital Dentistry, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China
| | - Ji Wu
- Department of Electronic Engineering, Tsinghua University, Beijing, China
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Reisine S, Schensul JJ, Salvi A, Grady J, Ha T, Li J. Oral health-related quality of life outcomes in a randomized clinical trial to assess a community-based oral hygiene intervention among adults living in low-income senior housing. Health Qual Life Outcomes 2021; 19:227. [PMID: 34583694 PMCID: PMC8477498 DOI: 10.1186/s12955-021-01859-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 09/08/2021] [Indexed: 11/19/2022] Open
Abstract
Background Quality of life outcomes have been used frequently in clinical trials of oral health interventions. This study assessed the effects of a randomized trial on oral health related quality of life comparing an individual-based oral hygiene intervention to a community-based intervention. Methods Participants were recruited from six low-income senior housing residences. Buildings were randomly assigned to receive the individual-based intervention followed by the community-based intervention or to receive the community-based intervention followed by the individual intervention. Participants’ oral hygiene was assessed at baseline (T0), one month after the first intervention (T1) and one month after the second intervention (T2) and six months after the T2 assessment (T3). Oral hygiene was measured by the Gingival Index (GI) and Plaque scores (PS). Surveys collected data on beliefs, attitudes, behaviors and self-reported health status at T0, T1 and T2. Only oral hygiene and quality of life, measured by the General Oral Health Assessment Index (GOHAI), was assessed at all time points. general linear mixed models (GLMM) were used to assess changes in GOHAI over time, the interaction of condition by time and the contribution of psychosocial, behavioral, health status and background variables to changes in GOHAI. Results 331 people completed T0 assessments; 306 completed T1; 285 completed T2 and 268 completed T3. Scores on GOHAI at T0 ranged from 10 to 48 with a mean of 39.7 (sd = 7.8) and a median of 42. At T1, mean GOHAI was 40.7 (sd = 8.2), at T2 mean GOHAI was 41.1 (sd = 7.8) and at T3, GOHAI was 42.3 (sd = 8.2). GLMM showed that GOHAI improved significantly from T0 to T3 (p = 0.01) but the time by intervention interaction was not significant indicating that both interventions were effective in improving GOHAI but one intervention was not better than the other. Ethnicity, health status, worries, self-efficacy, number of missing teeth and symptoms of dry mouth were related to improvements in GOHAI. Neither GI nor PS were related to GOHAI. Conclusions The participants reported relatively good oral health related quality of life which improved significantly over time. Improvement occurred among all participants regardless of condition, suggesting that either intervention would be effective in future studies. Trial Registry: Clinicaltrials.gov, Clinical Trials ID #NCT02419144; Title: A Bi-level Intervention to Improve Older Adult Oral Health Status; Registered 04/07/2015 URL: https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S0005H9X&selectaction=Edit&uid=U0000KBK&ts=2&cx=-rajj5q
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Affiliation(s)
- Susan Reisine
- Division of Behavioral Sciences and Community Health, School of Dental Medicine, University of Connecticut, 263 Farmington Avenue, Farmington, CT, 06030, USA.
| | - Jean J Schensul
- Institute for Community Research, Two Hartford Square West, Suite 100, 146 Wyllys St., Hartford, CT, 06106, USA
| | - Apoorva Salvi
- Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, Portland, OR, 97239, USA
| | - James Grady
- Department of Community Medicine, University of Connecticut School of Medicine, 195 Farmington Avenue, Farmington, CT, 06030, USA
| | - Toan Ha
- Department of Infectious Diseases and Microbiology, Graduate School of Public Health, University of Pittsburgh, 130 De Soto St., Pittsburgh, PA, 15261, USA
| | - Jianghong Li
- Institute for Community Research, Two Hartford Square West, Suite 100, 146 Wyllys St., Hartford, CT, 06106, USA
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Pereira D, Machado V, Botelho J, Proença L, Rua J, Lemos C, Mendes JJ, Delgado AS. Impact of Malocclusion, Tooth Loss and Oral Hygiene Habits on Quality of Life in Orthodontic Patients: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18137145. [PMID: 34281081 PMCID: PMC8297275 DOI: 10.3390/ijerph18137145] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 06/27/2021] [Accepted: 07/01/2021] [Indexed: 10/25/2022]
Abstract
We aimed to assess the impact of malocclusion on oral health-related quality of life (OHRQoL) in a sample composed of adolescents, younger adults and adults seeking orthodontic treatment. Participants were consecutively enrolled from January 2019 to March 2020. The oral health impact profile (OHIP-14) was used to measure the OHRQoL. The index of complexity, outcome and need (ICON) was used to assess malocclusion. Sociodemographic, medical, and clinical questionnaires were recorded. Statistical analyses were performed according as a function of sex and age range (15-30 or >30 years old). Linear and logistic regression models were applied to assess the association between OHIP-14 total score, malocclusion, and other relevant confounding variables. In a final sample of 93 participants (60 females and 33 males, aged 15 to 60 years), men reported significantly better OHRQoL (p = 0.005). Participants aged 30 years or older reported significantly worse OHRQoL (p = 0.042). OHIP-14 was significantly correlated with age (ρ = 0.259, p < 0.05) and the number of missing teeth (ρ = 0.369, p < 0.001). Multivariable regression showed OHIP-14 being associated with the number of missing teeth (B = 1.48, SE = 0.57, p < 0.05) and the presence of missing teeth (B = 1.38, SE = 0.65, p < 0.05). Malocclusion showed no association with OHRQoL. Age and the number of missing teeth may be key factors on self-perceived OHRQoL in adult patients seeking orthodontic treatment.
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Affiliation(s)
- Dinis Pereira
- Orthodontics Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (V.M.); (A.S.D.)
- Clinical Research Unit (CRU), CiiEM, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (J.B.); (J.R.); (J.J.M.)
- Correspondence: ; Tel.: +351-212-946-737
| | - Vanessa Machado
- Orthodontics Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (V.M.); (A.S.D.)
- Clinical Research Unit (CRU), CiiEM, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (J.B.); (J.R.); (J.J.M.)
| | - João Botelho
- Clinical Research Unit (CRU), CiiEM, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (J.B.); (J.R.); (J.J.M.)
| | - Luís Proença
- Quantitative Methods for Health Research Unit (MQIS), CiiEM, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal;
| | - João Rua
- Clinical Research Unit (CRU), CiiEM, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (J.B.); (J.R.); (J.J.M.)
| | - Carolina Lemos
- Population Studies Department, Institute of Biomedical Sciences Abel Salazar (ICBAS), 4050-313 Porto, Portugal;
- UniGENe, Institute for Molecular and Cell Biology (IBMC), 4050-313 Porto, Portugal
- Instituto de Investigação e Inovação em Saúde (i3S), University of Porto, 4050-313 Porto, Portugal
| | - José João Mendes
- Clinical Research Unit (CRU), CiiEM, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (J.B.); (J.R.); (J.J.M.)
| | - Ana Sintra Delgado
- Orthodontics Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (V.M.); (A.S.D.)
- Clinical Research Unit (CRU), CiiEM, Egas Moniz—Cooperativa de Ensino Superior, 2829-511 Caparica, Portugal; (J.B.); (J.R.); (J.J.M.)
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14
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Hardgraves VM, Henry LJ, Patton SK. “I’m Gonna Hang on to These As Long As I Can”: Examining the Perspectives and Knowledge of Oral Health Issues of Older Adults Living Independently. Am J Lifestyle Med 2021. [DOI: 10.1177/15598276211026842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Purpose: Advantages of fluoridated water, dental insurance, and greater awareness of preventive oral healthcare allow many adults in today’s aging cohort to maintain their teeth into their advanced years. The purpose of this study was to describe attitudes, expectations, knowledge, and intentions related to oral health issues from the experiences of older adults living independently in a largely rural south central state. Methods: A qualitative analysis guided by behavioral constructs of the Reasoned Action Approach was utilized to conduct semi-structured interviews of a purposeful sample of adults age 65 years and older living independently. Results: Participant data (N = 26) revealed 5 themes: difficulties accessing dental care; active coping; taking care of your mouth as part of overall health; interactions affecting oral health–related quality of life; and supporting roles. Overall, the intention to attain dental care was affected by the perceived need to prioritize many health issues over oral care. An overarching expectation to have affordable basic services available pervaded. Conclusion: The perceptions of participants reflect socioeconomic determinants that could be influenced through improved health literacy education focused on establishing a greater understanding of the oral systemic link especially as it relates to diabetes.
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Affiliation(s)
- Virginia M. Hardgraves
- From the University of Arkansas Fayetteville, Arkansas, USA (VH, SP) and Public Health/Community Health Promotion, University of Arkansas Fayetteville, Fayetteville Arkansas, USA (LH)
| | - Leah J. Henry
- From the University of Arkansas Fayetteville, Arkansas, USA (VH, SP) and Public Health/Community Health Promotion, University of Arkansas Fayetteville, Fayetteville Arkansas, USA (LH)
| | - Susan K. Patton
- From the University of Arkansas Fayetteville, Arkansas, USA (VH, SP) and Public Health/Community Health Promotion, University of Arkansas Fayetteville, Fayetteville Arkansas, USA (LH)
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15
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Kwon SR, Lee S, Oyoyo U, Wiafe S, De Guia S, Pedersen C, Martinez K, Rivas J, Chavez D, Rogers T. Oral health knowledge and oral health related quality of life of older adults. Clin Exp Dent Res 2021; 7:211-218. [PMID: 33200570 PMCID: PMC8019761 DOI: 10.1002/cre2.350] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 10/01/2020] [Accepted: 10/25/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To assess the relationship between oral health knowledge and oral health related quality of life among older adults with different ethnicities living in San Bernardino County, California. There is a gap in oral health knowledge (OHK) and how it relates to perceived oral health related quality of life. Thus, there is a need to assess OHK as a component of oral health literacy and identify areas in which knowledge gaps exit to develop educational strategies that address the need of the elderly population. MATERIALS AND METHODS The study was a cross-sectional study that included adults 65 years and older using a validated "Comprehensive Measure of Oral Health Knowledge" (CMOHK) and an "Oral Health Profile Index" (OHIP-14). Odds ratios were conducted to determine the factors associated with OHK. RESULTS Mean OHK score were 16.8, 14.6, and 8.9 for Caucasian, Asian, and Hispanics, respectively. "Poor" OHK was significantly associated with participants over the age of 75 years (OR = 1.9; 95% CI: 1.15-3.16), high school education or less (OR = 10.8; 95% CI: 5.92-19.84), minority ethnicity (OR = 7.3; 95% CI: 4.27-12.61), income less than $25,000 (OR = 10.7; 95% CI: 5.92-19.26), and reading ability less than "Excellent" (OR = 7.27; 95% CI: 4.35-12.14). Mean OHIP-Severity scores were 7.4, 12.5, and 24.4 for Caucasian, Asian, and Hispanics, respectively. Respondents with Poor OHK were 5.17 times more likely to be identified with high levels of severity (Severity >10). CONCLUSION It is imperative to develop communication strategies to inform older adults on oral health knowledge that provide equal opportunities for all ethnicities.
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Affiliation(s)
- So Ran Kwon
- Center for Dental ResearchLoma Linda University School of DentistryLoma LindaCaliforniaUSA
| | - Shirley Lee
- Department of Dental HygieneLoma Linda University School of DentistryLoma LindaCaliforniaUSA
| | - Udochukwu Oyoyo
- Center for Dental ResearchLoma Linda University School of DentistryLoma LindaCaliforniaUSA
| | - Seth Wiafe
- Loma Linda University School of Public HealthLoma LindaCaliforniaUSA
| | - Samantha De Guia
- Department of Dental HygieneLoma Linda University School of DentistryLoma LindaCaliforniaUSA
| | - Caitlin Pedersen
- Department of Dental HygieneLoma Linda University School of DentistryLoma LindaCaliforniaUSA
| | - Kelsey Martinez
- Department of Dental HygieneLoma Linda University School of DentistryLoma LindaCaliforniaUSA
| | - Joscelyn Rivas
- Department of Dental HygieneLoma Linda University School of DentistryLoma LindaCaliforniaUSA
| | - Daniela Chavez
- Department of Dental HygieneLoma Linda University School of DentistryLoma LindaCaliforniaUSA
| | - Tom Rogers
- Center for Dental ResearchLoma Linda University School of DentistryLoma LindaCaliforniaUSA
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16
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Lopes AG, Ju X, Jamieson L, Mialhe FL. Oral health-related quality of life among Brazilian adults with mental disorders. Eur J Oral Sci 2021; 129:e12774. [PMID: 33786899 DOI: 10.1111/eos.12774] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 01/05/2021] [Accepted: 01/19/2021] [Indexed: 01/10/2023]
Abstract
The aim of this study was to investigate associations of sociodemographic, lifestyle, medical conditions, and caries experience with oral health-related quality of life (OHRQoL) in a large sample of adults with mental disorders. A sample of 753 adults diagnosed with schizophrenia or depression, who were users of 10 public mental health outpatient clinics located in the city of São Paulo, Brazil, participated in the study. Participants provided data on sociodemographic characteristics, psychiatric diagnosis, medication use, and health behaviors. Oral examinations to evaluate dental caries (using the decayed, missing, and filled teeth ([DMFT] index) and dental plaque (using the Silness-Löe plaque index) were conducted. Oral health-related quality of life was evaluated using the 14-item Oral Health Impact Profile (OHIP-14) questionnaire. Log-Poisson regression was used to evaluate associations between the outcome and independent variables. The prevalence of one or more OHIP-14 impacts occurring fairly often/often was 72.3%. Physical pain was the OHIP domain with the highest prevalence, followed by psychological discomfort. Multivariable analysis showed that higher prevalence of the reponses 'fairly often/often' in the OHIP-14 was associated with being female, aged 35 to 54 years, having a low family income, a diagnosis of depression, a smoking habit, and fewer than 20 teeth. Adults with mental disorders had a high prevalence of impacts on their OHRQoL, which were associated with caries experience, sociodemographic characteristics, type of psychiatric diagnosis, and behavioral risk indicators.
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Affiliation(s)
| | - Xiangqun Ju
- Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, SA, Australia
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, SA, Australia
| | - Fábio Luiz Mialhe
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, University of Campinas, São Paulo, Brazil
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17
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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.
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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.
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18
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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.
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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
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19
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Brown M, Lockhart C, Thomas B, Rech R. Oral Health Related Quality of Life in an Adult Jamaican Population. CARIBBEAN MEDICAL JOURNAL 2020. [DOI: 10.48107/cmj.2020.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives
The aim of this study is to evaluate the impact of
sociodemographic characteristics, oral health status and
behaviours on Oral Health Related Quality of Life
(OHRQoL) on an adult Jamaican population.
Methods
Adults who presented for treatment at the UWI Mona
Dental Polyclinic participated in this cross-sectional study.
Participants responded to a structured questionnaire
consisting of sociodemographic and oral hygiene habits
and were also examined for the presence of decayed,
missing and filled teeth (DMFT). OHRQoL was assessed
using the Oral Health Impact Profile (OHIP-14)
questionnaire. Descriptive statistical analysis, univariate
and multiple Poisson Regression with robust variance
were performed to identify the factors impacting
OHRQoL.
Results
The study sample consisted of 120 adults between the
ages of 18-59 years. The mean OHIP-14 score was 9.81
(±9.06), 24% presented impaired OHRQoL and 76%
presented frequent impaired OHRQoL. The most
prevalent domain was physical pain (80%) followed by
psychological discomfort (59%) and the mean DMFT
score was 9.92 (±8.78). In the adjusted logistic
regression, participants aged between 29-46 years (PR
0.58, CI 0.37-0.90, p= 0.016) and the use of fluoride
toothpaste (PR 0.52, 95%, CI 0.35- 0.77, p = 0.001)
were negatively associated with OHRQoL.
Conclusion
Physical pain was the dimension that most impacted
domain in OHRQoL. The most negative OHRQoL was
associated with the 29 to 46 years age-group and the use
of fluoride toothpaste. These findings are important for
oral health strategies in this population.
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Affiliation(s)
- Michelle Brown
- School of Dentistry, University of the West Indies, Faculty of Medical Sciences, Mona, Jamaica
| | - Candace Lockhart
- School of Dentistry, University of the West Indies, Faculty of Medical Sciences, Mona, Jamaica
| | - Biney Thomas
- School of Dentistry, University of the West Indies, Faculty of Medical Sciences, Mona, Jamaica
| | - Rafaela Rech
- Department of Preventive and Social Dentistry, Faculty of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre/RS, Brazil
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20
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Sekiguchi A, Kawashiri SY, Hayashida H, Nagaura Y, Nobusue K, Nonaka F, Yamanashi H, Kitamura M, Kawasaki K, Fukuda H, Iwasaki T, Saito T, Maeda T. Association between high psychological distress and poor oral health-related quality of life (OHQoL) in Japanese community-dwelling people: the Nagasaki Islands Study. Environ Health Prev Med 2020; 25:82. [PMID: 33302863 PMCID: PMC7730733 DOI: 10.1186/s12199-020-00919-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 11/23/2020] [Indexed: 02/08/2023] Open
Abstract
Background We investigated the association between psychological distress and oral health status/oral health-related quality of life (OHQoL) in Japanese community-dwelling people. Methods We conducted a cross-sectional study using data from the Nagasaki Islands Study. A total of 1183 (455 men and 728 women) has been analyzed in this study. Psychological distress was measured using the Kessler Psychological Distress Scale (K6). Oral health status was measured by dental examination. The OHQoL was measured using the General Oral Health Assessment Index (GOHAI). We defined the total score of ≥5 points on the K6 as high psychological distress (high-K6 group). Results The multiple linear regression analysis to identify the GOHAI showed that gender, K6, the total number of teeth, the number of dental caries, and visiting a dental clinic within the past 6 months significantly associated with the GOHAI. Among all of these variables, high-K6 (≥ 5) was a substantial contributing factor of the GOHAI (β = − 0.23, 95% Cl − 2.31 to −1.41, p < 0.0001). Conclusions It is likely that the individual with high psychological distress was strongly related to poor OHQoL even in the general population.
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Affiliation(s)
- Ai Sekiguchi
- Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan
| | - Shin-Ya Kawashiri
- Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.
| | - Hideaki Hayashida
- Department of Oral Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Yuki Nagaura
- Department of General Medicine, Nagasaki University Hospital, Nagasaki, Japan
| | - Kenichi Nobusue
- Department of Island and Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Fumiaki Nonaka
- Department of Island and Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Hirotomo Yamanashi
- Department of General Medicine, Nagasaki University Hospital, Nagasaki, Japan
| | - Masayasu Kitamura
- Department of Oral Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Koji Kawasaki
- Community Medical Network Center, Nagasaki University Hospital, Nagasaki, Japan
| | | | - Takahiro Iwasaki
- Department of Dentistry for the Disability and Oral Health, Division of Dysphagia Rehabilitation, Asahi University, Gifu, Japan
| | - Toshiyuki Saito
- Department of Oral Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Takahiro Maeda
- Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan.,Department of General Medicine, Nagasaki University Hospital, Nagasaki, Japan
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21
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Kusama T, Todoriki H, Osaka K, Aida J. Majority of New Onset of Dental Caries Occurred from Caries-Free Students: A Longitudinal Study in Primary School Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228476. [PMID: 33207679 PMCID: PMC7698044 DOI: 10.3390/ijerph17228476] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 11/12/2020] [Accepted: 11/14/2020] [Indexed: 12/19/2022]
Abstract
We examined Rose's axiom that a large number of people exposed to a small risk may generate more cases than a small number exposed to a high risk, using data on caries incidence. This longitudinal study was based on the records of annual dental checks conducted in primary schools in Okinawa, Japan. Participants were students aged 6-11 years at baseline in 2014, and a follow-up survey was conducted after one-year. The outcome variable was the increased number of decayed, missing, and filled teeth (DMFT). The predictor variable was the baseline DMFT score. Gender, grade, and affiliated school variables were adjusted. A negative binomial regression model was used to obtain the estimated increase of DMFT score. Among 1542 students, 1138 (73.8%) were caries-free at baseline. A total of 317 (20.6%) developed new caries during the follow-up. The predicted number of new carious teeth in a caries-free students and students with DMFT = 1 at baseline were 0.26 (95% CI, 0.22-0.31) and 0.45 teeth (95% CI, 0.33-0.56), respectively. However, among the total of 502 newly onset of carious teeth, 300 teeth (59.7%) occurred from the caries-free students at baseline. Hence, prevention strategies should target the low-risk group because they comprise the majority of the population.
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Affiliation(s)
- Taro Kusama
- Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan; (T.K.); (K.O.)
| | - Hidemi Todoriki
- Tropical Biosphere Research Center, University of the Ryukyus, Okinawa 903-0213, Japan;
| | - Ken Osaka
- Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan; (T.K.); (K.O.)
| | - Jun Aida
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo 113-8549, Japan
- Division for Regional Community Development, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan
- Correspondence: ; Tel.: +81-3-5803-5475; Fax: +81-3-5803-0194
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Moghaddam LF, Vettore MV, Bayani A, Bayat AH, Ahounbar E, Hemmat M, Armoon B, Fakhri Y. The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral health-related quality of life among children: a systematic review and Meta-analysis. BMC Pediatr 2020; 20:489. [PMID: 33092562 PMCID: PMC7579886 DOI: 10.1186/s12887-020-02371-8] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 10/06/2020] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Health-related quality of life (HQoL) indicators are considered valid measures of patient assessment in physical, mental and oral healthcare. This study aimed to examine the evidence on the relationship of oral health status, demographic and socioeconomic characteristics with oral health-related quality of life (OHRQoL) in children. METHODS Studies in English published up to December 2019 were searched on PsycINFO, PubMed, SciELO, Scopus, and Web of Science databases. Epidemiological studies simultaneously assessing sociodemographic factors related to oral health (age, income, gender, maternal education), oral health measures (orthodontic treatment needs, dental caries and periodontal disease) and OHRQoL in children aged 3-12 years were included. Methodological quality was assessed using a Critical Appraisal Checklist. Meta-analysis was used to estimate pooled measures between sociodemographic factors and oral health measures with OHRQoL. RESULTS Eleven articles were included. Lower children's age (3-5 years vs > 5), gender (girls vs boys), lower income (< 70$ vs ≥ $70), low maternal education (≤ 6 vs > 6 years) were associated with poor OHRQoL among children. Orthodontic treatment needs, dental caries and periodontal diseases were also associated with poor children's OHRQoL. Meta-regression showed that Human Development Index, sample size, year of publication and participant's age were relevant aspects that influenced the above mentioned relationships. CONCLUSIONS Our findings suggest that oral health promotion strategies to improve children's OHRQoL should consider the social and environmental where they live as well their oral health status. Further longitudinal studies are needed to explore the determinants of OHQoL in children.
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Affiliation(s)
- Ladan Fattah Moghaddam
- Department of nursing, faculty of nursing and midwifery, Tehran medical sciences, Islamic Azad University, Tehran, Iran
| | - Mario Vianna Vettore
- Department of Social and Preventive Dentistry, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Azadeh Bayani
- Student Research Committee, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amir-Hossien Bayat
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Elahe Ahounbar
- Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Morteza Hemmat
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Bahram Armoon
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Yadolah Fakhri
- Department of Environmental Health Engineering, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
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Sharma L, Pradhan D, Srivastava R, Shukla M, Singh O, Pratik. Assessment of oral health status and inflammatory markers in end stage chronic kidney disease patients: A cross-sectional study. J Family Med Prim Care 2020; 9:2264-2268. [PMID: 32754485 PMCID: PMC7380786 DOI: 10.4103/jfmpc.jfmpc_101_20] [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: 01/16/2020] [Revised: 03/12/2020] [Accepted: 03/26/2020] [Indexed: 12/03/2022] Open
Abstract
Aim: To assess the oral health status and inflammatory markers in end stage chronic kidney disease (CKD) patients. Objectives: To study and compare oral health status of end stage CKD patients with the control group (matched health individuals) and to study and compare inflammatory biomarkers in study and control groups. Materials and Methods: A cross-sectional study was conducted among 50 patients of end stage CKD and 50 matched healthy individual, who were taken as control in the study. Convenience sampling technique was used. Oral health status was recorded by using WHO proforma (2013). Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP ) were also measured in the both groups. These are inflammatory markers which show systemic inflammation. Statistical analysis was done by using IBM SPSS Statistics-version 21 (IBM Corp. Released 2012. IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.) Results: The study revealed that patients on dialysis going for transplantation have evidence of increased inflammation as indicated by raised CRP values. Conclusion: The present study concludes that the oral hygiene of the patients is deteriorated who are having chronic kidney disease. Good oral and dental care in CKD patients can improve the transplant outcomes.
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Affiliation(s)
- Lokesh Sharma
- Dental Surgeon and Consultant- Kanpur, Uttar Pradesh, India
| | - Devina Pradhan
- Department of Public Health Dentistry, Rama Dental College Hospital and Research Centre, Kanpur, Uttar Pradesh, India
| | - Rahul Srivastava
- Oral Medicine and Radiology, Rama Dental College Hospital and Research Centre, Kanpur, Uttar Pradesh, India
| | - Manas Shukla
- Periodontology, Rama Dental College Hospital and Research Centre, Kanpur, Uttar Pradesh, India
| | - Omveer Singh
- Department of Public Health Dentistry, Career Dental College, Lucknow, Uttar Pradesh, India
| | - Pratik
- Department of Orthodontics and Dentofacial Orthopaedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
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Farias IPSE, Sousa SAD, Almeida LDFDD, Santiago BM, Pereira AC, Cavalcanti YW. Does non-institutionalized elders have a better oral health status compared to institutionalized ones? A systematic review and meta-analysis. CIENCIA & SAUDE COLETIVA 2020; 25:2177-2192. [PMID: 32520263 DOI: 10.1590/1413-81232020256.18252018] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Accepted: 10/03/2018] [Indexed: 12/29/2022] Open
Abstract
Abstract This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with regards to respective eligibility criteria. After reading titles and abstracts, five studies were included and analyzed with respect their methodological quality. Oral status of institutionalized and non-institutionalized elderly was compared through meta-analysis. Included articles involved a cross-sectional design, which investigated 1936 individuals aged 60 years and over, being 999 Institutionalized and 937 non-institutionalized elders. Studies have investigated the prevalence of edentulous individuals, the dental caries experience and the periodontal status. Meta-analysis revealed that institutionalized elderly have greater prevalence of edentulous (OR = 2.28, 95%CI = 1.68-3.07) and higher number of decayed teeth (MD = 0.88, 95%CI = 0.71-1.05) and missed teeth (MD = 4.58, 95%CI = 1.89-7.27). Poor periodontal status did not differ significantly between groups. Compared to non-institutionalized, institutionalized elders have worse dental caries experience.
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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
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Self-Perception of Periodontal Health and Associated Factors: A Cross-Sectional Population-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082758. [PMID: 32316219 PMCID: PMC7215350 DOI: 10.3390/ijerph17082758] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 04/07/2020] [Accepted: 04/13/2020] [Indexed: 12/18/2022]
Abstract
The aim of this cross-sectional study was to explore sociodemographic, behavioral, and clinical factors associated with self-awareness of periodontal health. Data were collected from a representative sample of 736 adults (25–75 years old) in a city of Northern Italy who self-assessed gingival bleeding, oral malodor, and tooth mobility in a questionnaire and who underwent clinical periodontal examination and organoleptic evaluation. Approximately 50% of the subjects were aware of their actual gingival health status and oral odor. The logistic regression analysis revealed that females presented higher odds of correctly perceiving their gingival conditions and mouth odor, while those who were older and smokers had a greater probability of being less objective in reporting them. Tooth type and position in the dental arches were positively associated with self-perception of tooth mobility. These findings reflected a low level of self-awareness that may influence oral care-seeking behavior. Subjects may be unconcerned about their periodontal health condition or lack enough knowledge to be aware of it. This points to the need for planning strategies to improve education and knowledge about periodontal health, which, by enhancing self-perception of periodontal symptoms, could help everyone to seek treatment in the initial stage of the disease.
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Ibraheem EM, ElGabry HS. Impact of Wearing Two Different Types of Partial Dentures on Oral Health-related Quality of Life in Geriatric Diabetic Patients – A Crossover Study. Open Access Maced J Med Sci 2020. [DOI: 10.3889/oamjms.2020.4205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE: This study aimed to evaluate oral health-related quality of life (OHRQoL) of partially edentulous elderly diabetic patients before and after wearing heat-cured acrylic resin and flexible partial dentures.
BACKGROUND: In the past two decades, an increased concern about the effect of oral conditions on a patient’s quality of life leads to the development of a wide range of OHRQoL measurements. There is a necessity for evaluation required for setting the measurements that are recommended to be used for different needs of geriatric patients.
MATERIALS AND METHODS: One hundred partially edentulous bilateral free-end saddle diabetic elderly patients have been randomly selected from the outpatient clinics of the Excellence Centre at National Research Centre. Heat-cured acrylic resin partial denture and flexible removable partial dentures were made for all patients. General oral health assessment questionnaire was completed before and after wearing the two types of partial dentures. The criteria of assessment were speech, mastication and associated pain, esthetics and physiological status, and general life satisfaction and practicing daily activity.
RESULTS: The results revealed a significant improvement regarding all aspects of OHRQoL after wearing both partial dentures for diabetic elderly patients. More improvement was observed after wearing the flexible one.
CONCLUSIONS: Our findings indicated that OHRQoL in diabetic elderly patients was markedly improved by restoring edentulous spaces using flexible partial dentures than using heat-cured acrylic resin partial dentures.
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Jardim LC, Flores PT, do Carmo Dos Santos Araújo M, Chiesa J, de Moraes CMB, Antoniazzi RP. Oral health-related quality of life in breast cancer survivors. Support Care Cancer 2020; 28:65-71. [PMID: 30982094 DOI: 10.1007/s00520-019-04792-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Accepted: 03/31/2019] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The aim of the present study was to evaluate oral health-related quality of life (OHRQoL) among breast cancer survivors and identify possible factors associated with the outcome. METHODS A cross-sectional study was conducted with 151 women in follow-up at a hospital after treatment for breast cancer. Data were collected on socio-demographic characteristics, general health, and breast cancer. Clinical examinations were performed to determine caries experience using the decayed, missing, and filled teeth (DMFT) index. The Oral Health Impact Profile (OHIP-14) questionnaire was administered for the assessment of OHRQoL. Logistic regression analysis was performed to identify associated factors after adjustments for confounding variables. RESULTS The mean OHIP-14 score was 12.8 (SD 10.92). The prevalence of negative impact was 58.9%. A negative impact was associated with depression, the diagnosis of breast cancer, chemotherapy, number of restored teeth, and xerostomia (p < 0.05). In the adjusted analysis, only the oral variables remained significantly associated with the outcome. CONCLUSION A greater number of restored teeth and xerostomia exert a negative impact on the OHRQoL of women who have survived breast cancer, which suggests the need for special attention to the oral health of this population.
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Affiliation(s)
- Luísa Comerlato Jardim
- School of Dentistry, Universidade Franciscana, Santa Maria, RS, Brazil.
- Master's Degree in Health and Life Sciences, Universidade Franciscana, Silva Jardim, 1175 - Centro, Santa Maria, RS, 97010-491, Brazil.
| | - Priscila Trindade Flores
- Master's Degree in Health and Life Sciences, Universidade Franciscana, Silva Jardim, 1175 - Centro, Santa Maria, RS, 97010-491, Brazil
- School of Nutrition, Universidade Franciscana, Santa Maria, RS, Brazil
| | - Maria do Carmo Dos Santos Araújo
- Master's Degree in Health and Life Sciences, Universidade Franciscana, Silva Jardim, 1175 - Centro, Santa Maria, RS, 97010-491, Brazil
| | - Juarez Chiesa
- School of Medicine, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - Cristina Machado Bragança de Moraes
- Master's Degree in Health and Life Sciences, Universidade Franciscana, Silva Jardim, 1175 - Centro, Santa Maria, RS, 97010-491, Brazil
- School of Nutrition, Universidade Franciscana, Santa Maria, RS, Brazil
| | - Raquel Pippi Antoniazzi
- School of Dentistry, Universidade Franciscana, Santa Maria, RS, Brazil
- School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
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Gushi LL, Sousa MDLRD, Frias AC, Antunes JLF. Fatores associados ao impacto das condições de saúde bucal nas atividades de vida diária de adolescentes, Estado de São Paulo, 2015. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2020; 23:e200098. [DOI: 10.1590/1980-549720200098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 04/01/2020] [Indexed: 11/21/2022] Open
Abstract
RESUMO: Objetivo: Verificar a associação entre impacto nas atividades de vida diária e variáveis sociodemográficas e parâmetros bucais em adolescentes no Estado de São Paulo. Métodos: Estudo transversal com dados de 5.409 adolescentes que participaram da “Pesquisa Estadual de Saúde Bucal de São Paulo - SB”, de 2015. O impacto nas atividades de vida diária foi avaliado pelo índice de impacto das condições de saúde bucal nas atividades de vida diária (em inglês: oral impacts on daily performances [OIDP]), pela prevalência (presença ou ausência de impacto) e pela severidade do impacto (escores do OIDP). Utilizou-se o modelo de regressão binomial negativa inflado de zeros, considerando os pesos amostrais. Foram calculados as razões de prevalências (RP), as razões de médias (RM) e os intervalos de confiança (IC). Resultados: A prevalência de impacto nas atividades de vida diária foi de 37,4%. Após o ajuste, pôde-se observar que o sexo feminino permaneceu com maior prevalência (RP = 1,59; IC95% 1,36 ‒ 1,81) e severidade do impacto (RM = 1,49; IC95% 1,22 ‒ 1,81). Na comparação com brancos, os demais grupos tiveram maior prevalência de impacto. A renda familiar maior que R$ 2.501 (RM = 0,79; IC95% 0,64 ‒ 0,98) e a aglomeração domiciliar (RM = 1,18; IC95% 1,00 ‒ 1,39) foram associadas com a severidade do impacto. Nas condições de saúde bucal, verificou-se que a cárie não tratada (RP = 1,46; IC95% 1,23 ‒ 1,74) e o sangramento gengival (RP = 1,35; IC95% 1,14 ‒ 1,60) permaneceram associados com maior prevalência de impacto. Conclusão: Sexo feminino, ter cor não branca, ter cárie não tratada e sangramento gengival foram associados ao maior impacto nas atividades de vida diária. Ter renda maior que R$ 2.500 e residir em domicílios menos aglomerados associaram-se com menor impacto.
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Nguyen QC, Duverger O, Mishra R, Mitnik GL, Jani P, Frischmeyer-Guerrerio PA, Lee JS. Oral health-related quality of life in Loeys-Dietz syndrome, a rare connective tissue disorder: an observational cohort study. Orphanet J Rare Dis 2019; 14:291. [PMID: 31842932 PMCID: PMC6915860 DOI: 10.1186/s13023-019-1250-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Accepted: 11/01/2019] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Loeys-Dietz syndrome (LDS) is a rare connective tissue disorder whose oral manifestations and dental phenotypes have not been well-characterized. The aim of this study was to explore the influence of oral manifestations on oral health-related quality of life (OHRQoL) in LDS patients. MATERIAL AND METHODS LDS subjects were assessed by the craniofacial team at the National Institutes of Health Clinical Center Dental Clinic between June 2015 and January 2018. Oral Health Impact Profile (OHIP-14) questionnaire, oral health self-care behavior questionnaire and a comprehensive dental examination were completed for each subject. OHRQoL was assessed using the OHIP-14 questionnaire with higher scores corresponding to worse OHRQoL. Regression models were used to determine the relationship between each oral manifestation and the OHIP-14 scores using a level of significance of p ≤ 0.05. RESULTS A total of 33 LDS subjects (51.5% female) aged 3-57 years (19.6 ± 15.1 years) were included in the study. The OHIP-14 scores (n = 33) were significantly higher in LDS subjects (6.30 [SD 6.37]) when compared to unaffected family member subjects (1.50 [SD 2.28], p < 0.01), and higher than the previously reported scores of the general U.S. population (2.81 [SD 0.12]). Regarding oral health self-care behavior (n = 32), the majority of LDS subjects reported receiving regular dental care (81%) and maintaining good-to-excellent daily oral hygiene (75%). Using a crude regression model, worse OHRQoL was found to be associated with dental hypersensitivity (β = 5.24; p < 0.05), temporomandibular joints (TMJ) abnormalities (β = 5.92; p < 0.01), self-reported poor-to-fair oral health status (β = 6.77; p < 0.01), and cumulation of four or more oral manifestations (β = 7.23; p < 0.001). Finally, using a parsimonious model, self-reported poor-to-fair oral health status (β = 5.87; p < 0.01) and TMJ abnormalities (β = 4.95; p < 0.01) remained significant. CONCLUSIONS The dental hypersensitivity, TMJ abnormalities, self-reported poor-to-fair oral health status and cumulation of four-or-more oral manifestations had significant influence on worse OHRQoL. Specific dental treatment guidelines are necessary to ensure optimal quality of life in patients diagnosed with LDS.
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Affiliation(s)
- Quynh C Nguyen
- Craniofacial Anomalies and Regeneration Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA
| | - Olivier Duverger
- Craniofacial Anomalies and Regeneration Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA.
| | - Rashmi Mishra
- Craniofacial Anomalies and Regeneration Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA
| | - Gabriela Lopez Mitnik
- Program Analysis and Reporting Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA
| | - Priyam Jani
- Craniofacial Anomalies and Regeneration Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA
| | - Pamela A Frischmeyer-Guerrerio
- Food Allergy Research Unit, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA
| | - Janice S Lee
- Craniofacial Anomalies and Regeneration Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA.
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Lam PC, John DA, Galfalvy H, Kunzel C, Lewis-Fernández R. Oral Health-Related Quality of Life Among Publicly Insured Mental Health Service Outpatients With Serious Mental Illness. Psychiatr Serv 2019; 70:1101-1109. [PMID: 31522632 DOI: 10.1176/appi.ps.201900111] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The study investigated factors associated with unmet need for dental care and oral health-related quality of life (OHQoL) among individuals with serious mental illness receiving outpatient care in a public mental health program serving a largely low-income population, mostly from racial-ethnic minority groups. METHODS Cross-sectional interview data were collected from a convenience sample (N=150) of outpatients. Adjusted risk ratios (ARRs) and adjusted risk differences (ARDs) were estimated by logistic regression models to examine the independent contribution of sociodemographic and clinical factors to low OHQoL and past-year unmet dental need, defined as inability to obtain all needed dental care. RESULTS More than half of participants reported low OHQoL (54%) and a past-year dental visit (61%). Over one-third (39%) had past-year unmet dental need. Financial barriers (ARR=3.16) and nonfinancial barriers (ARR=2.18) were associated with greater risk for past-year unmet dental need after control for age, gender, high dental anxiety, and limited English proficiency. ARDs for financial and nonfinancial barriers indicated absolute differences of 40 and 27 percentage points, respectively. Unmet dental need (ARR=1.31), xerostomia severity (ARR=1.20), and a schizophrenia spectrum diagnosis (ARR=1.33) were associated with low OHQoL, after control for age and current smoking, with ARDs ranging from 11 to 15 percentage points. CONCLUSIONS Improving oral health promotion, oral health service access, and the integration of the mental and oral health systems may help reduce the high prevalence of low OHQoL in this population, given that low OHQoL is partly driven by unmet dental need.
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Affiliation(s)
- Peter C Lam
- New York State Center of Excellence for Cultural Competence (Lam, John, Lewis-Fernández) and Anxiety Disorders Clinic and Hispanic Treatment Program (Lewis-Fernández), New York State Psychiatric Institute, New York; Department of Psychiatry, Vegelos College of Physicians and Surgeons (Galfalvy, Lewis-Fernández), Department of Biostatistics (Galfalvy) and Department of Sociomedical Sciences (Kunzel), Mailman School of Public Health, and Division of Foundational Sciences, Section of Oral, Diagnostic, and Rehabilitation Sciences, College of Dental Medicine (Kunzel), all at Columbia University, New York
| | - Dolly A John
- New York State Center of Excellence for Cultural Competence (Lam, John, Lewis-Fernández) and Anxiety Disorders Clinic and Hispanic Treatment Program (Lewis-Fernández), New York State Psychiatric Institute, New York; Department of Psychiatry, Vegelos College of Physicians and Surgeons (Galfalvy, Lewis-Fernández), Department of Biostatistics (Galfalvy) and Department of Sociomedical Sciences (Kunzel), Mailman School of Public Health, and Division of Foundational Sciences, Section of Oral, Diagnostic, and Rehabilitation Sciences, College of Dental Medicine (Kunzel), all at Columbia University, New York
| | - Hanga Galfalvy
- New York State Center of Excellence for Cultural Competence (Lam, John, Lewis-Fernández) and Anxiety Disorders Clinic and Hispanic Treatment Program (Lewis-Fernández), New York State Psychiatric Institute, New York; Department of Psychiatry, Vegelos College of Physicians and Surgeons (Galfalvy, Lewis-Fernández), Department of Biostatistics (Galfalvy) and Department of Sociomedical Sciences (Kunzel), Mailman School of Public Health, and Division of Foundational Sciences, Section of Oral, Diagnostic, and Rehabilitation Sciences, College of Dental Medicine (Kunzel), all at Columbia University, New York
| | - Carol Kunzel
- New York State Center of Excellence for Cultural Competence (Lam, John, Lewis-Fernández) and Anxiety Disorders Clinic and Hispanic Treatment Program (Lewis-Fernández), New York State Psychiatric Institute, New York; Department of Psychiatry, Vegelos College of Physicians and Surgeons (Galfalvy, Lewis-Fernández), Department of Biostatistics (Galfalvy) and Department of Sociomedical Sciences (Kunzel), Mailman School of Public Health, and Division of Foundational Sciences, Section of Oral, Diagnostic, and Rehabilitation Sciences, College of Dental Medicine (Kunzel), all at Columbia University, New York
| | - Roberto Lewis-Fernández
- New York State Center of Excellence for Cultural Competence (Lam, John, Lewis-Fernández) and Anxiety Disorders Clinic and Hispanic Treatment Program (Lewis-Fernández), New York State Psychiatric Institute, New York; Department of Psychiatry, Vegelos College of Physicians and Surgeons (Galfalvy, Lewis-Fernández), Department of Biostatistics (Galfalvy) and Department of Sociomedical Sciences (Kunzel), Mailman School of Public Health, and Division of Foundational Sciences, Section of Oral, Diagnostic, and Rehabilitation Sciences, College of Dental Medicine (Kunzel), all at Columbia University, New York
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Bukhari OM. Dental Caries Experience and Oral Health Related Quality of Life in Working Adults. Saudi Dent J 2019; 32:382-389. [PMID: 33304081 PMCID: PMC7714960 DOI: 10.1016/j.sdentj.2019.11.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 11/10/2019] [Accepted: 11/11/2019] [Indexed: 12/02/2022] Open
Abstract
Objective To evaluate effect of dental caries experience and untreated dental decay on Oral Health-Related Quality of Life (OHRQoL) in working adults. Methods The clinical records of 160 patients were reviewed. Dental health indicators were derived from individual tooth- and surface-level data allowing for calculating the number of decayed surfaces (D), number of decayed missed filled surfaces (DMFS), and significant caries (SiC) indices. A questionnaire was administered to verify demographic factors and OHRQoL. The questionnaire was administered via face-to-face interview, for patients in the hospital; or via telephone interview, for those who could not complete it during their hospital visit. Models were developed using multivariable linear regression to predict total OHIP-14 scores and examine the simultaneous association of independent and outcome variables. The model was adjusted for age, gender, and nationality.. Results Physical limitation and psychological discomfort were the most frequent impacted domains, affecting 17.1% and 7.5% of subjects, respectively. Painful aching was the most frequent item to have any impact, affecting 64.4% of the subjects. The results of multivariable analysis indicated that the SiC score could statistically significantly predict the Oral Health Impact Profile (OHIP) score, P=0.0003. In the linear regression model, for participants with DMFS equal to or higher than the SiC, on average, OHIP scores were almost 10 points higher than for participants with DMFS below the SiC. Conclusion The more the dental decay the higher the impact on OHRQoL. From a dental public health perspective, using OHRQoL as a need assessment tool, along with dental clinical indicator, can be helpful in planning and targeting public health programs for the most in-need adult populations. Clinical Significance This study identified that patients with severe dental caries report poorer OHRQoL. Clinicians should be aware of impacts that dental decay may have on OHRQoL, including physical, psychological concerns, and pain.
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Affiliation(s)
- Omair M Bukhari
- Umm Alqura University, Faculty of Dentistry, 2373 Al Awali, Makkah 24381, Saudi Arabia
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Silva MA, Batista AUD, Abreu MHNG, Forte FDS. Oral Health Impact Profile: need and use of dental prostheses among Northeast Brazilian independent-living elderly. CIENCIA & SAUDE COLETIVA 2019; 24:4305-4312. [PMID: 31664402 DOI: 10.1590/1413-812320182411.32472017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Accepted: 04/19/2018] [Indexed: 11/22/2022] Open
Abstract
This study aimed to explore the association between use and need of dental prostheses to the quality of life in elderly individuals in a Referral Center for Elderly Care in the northeastern of Brazil. A cross-sectional study was developed with 199 elderlies of both sexes. Data were collected from clinical examinations (WHO criteria) and a questionnaire regarding socioeconomic status, Oral Health Impact Profile index (OHIP-14) by a single calibrated examiner with Kappa = 0.91. Data were analyzed using Mann-Whitney test, Poisson regression (p<0,05). The sample consisted of 84.9% women, mean age of 70.02 (sd±6.50) years. There was an independent association between quality of life and the covariates sex and need of dental prostheses. Men showed lower values of the score (PR = 0.734, p = 0.011) than women. Individuals without normative need for dental prostheses showed lower values of OHIP-14 (PR = 0.767; p = 0.003) than those in need.
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Affiliation(s)
- Michelle Almeida Silva
- Centro de Ciências da Saúde, Universidade Federal da Paraíba. Campus I, Cidade Universitária. 58051-900 João Pessoa PB Brasil.
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Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, Listl S, Celeste RK, Guarnizo-Herreño CC, Kearns C, Benzian H, Allison P, Watt RG. Oral diseases: a global public health challenge. Lancet 2019; 394:249-260. [PMID: 31327369 DOI: 10.1016/s0140-6736(19)31146-8] [Citation(s) in RCA: 1464] [Impact Index Per Article: 292.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 04/12/2019] [Accepted: 04/26/2019] [Indexed: 02/08/2023]
Abstract
Oral diseases are among the most prevalent diseases globally and have serious health and economic burdens, greatly reducing quality of life for those affected. The most prevalent and consequential oral diseases globally are dental caries (tooth decay), periodontal disease, tooth loss, and cancers of the lips and oral cavity. In this first of two papers in a Series on oral health, we describe the scope of the global oral disease epidemic, its origins in terms of social and commercial determinants, and its costs in terms of population wellbeing and societal impact. Although oral diseases are largely preventable, they persist with high prevalence, reflecting widespread social and economic inequalities and inadequate funding for prevention and treatment, particularly in low-income and middle-income countries (LMICs). As with most non-communicable diseases (NCDs), oral conditions are chronic and strongly socially patterned. Children living in poverty, socially marginalised groups, and older people are the most affected by oral diseases, and have poor access to dental care. In many LMICs, oral diseases remain largely untreated because the treatment costs exceed available resources. The personal consequences of chronic untreated oral diseases are often severe and can include unremitting pain, sepsis, reduced quality of life, lost school days, disruption to family life, and decreased work productivity. The costs of treating oral diseases impose large economic burdens to families and health-care systems. Oral diseases are undoubtedly a global public health problem, with particular concern over their rising prevalence in many LMICs linked to wider social, economic, and commercial changes. By describing the extent and consequences of oral diseases, their social and commercial determinants, and their ongoing neglect in global health policy, we aim to highlight the urgent need to address oral diseases among other NCDs as a global health priority.
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Affiliation(s)
- Marco A Peres
- Menzies Health Institute Queensland and School of Dentistry and Oral Health, Griffith University, Gold Coast, QLD, Australia
| | - Lorna M D Macpherson
- Department of Dental Public Health, School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK
| | - Robert J Weyant
- Department of Dental Public Health, University of Pittsburgh, Pittsburgh, PA, USA
| | - Blánaid Daly
- Division of Child and Public Dental Health, Dublin Dental University Hospital, Trinity College Dublin, University of Dublin, Dublin, Ireland
| | - Renato Venturelli
- WHO Collaborating Centre in Oral Health Inequalities and Public Health, Department of Epidemiology and Public Health, University College London, London, UK
| | | | - Stefan Listl
- Quality and Safety of Oral Healthcare, Department of Dentistry, Radboud University Medical Center, Radboud University, Nijmegen, Netherlands; Section for Translational Health Economics, Medical Faculty, Heidelberg University, Heidelberg, Germany
| | - Roger Keller Celeste
- Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Carol C Guarnizo-Herreño
- Departamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Cristin Kearns
- Department of Preventive and Restorative Dental Sciences and Philip R Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA
| | - Habib Benzian
- WHO Collaborating Centre for Quality-Improvement, Evidence-Based Dentistry, Department of Epidemiology and Health Promotion, New York University College of Dentistry, New York, NY, USA; New York University College of Global Public Health, New York, NY, USA
| | - Paul Allison
- Faculty of Dentistry, McGill University, Montreal, QC, Canada
| | - Richard G Watt
- WHO Collaborating Centre in Oral Health Inequalities and Public Health, Department of Epidemiology and Public Health, University College London, London, UK.
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Torppa‐Saarinen E, Suominen AL, Lahti S, Tolvanen M. Longitudinal pathways between perceived oral health and regular service use of adult Finns. Community Dent Oral Epidemiol 2019; 47:374-380. [DOI: 10.1111/cdoe.12478] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Revised: 05/10/2019] [Accepted: 05/20/2019] [Indexed: 11/27/2022]
Affiliation(s)
| | - Anna L. Suominen
- Institute of Dentistry University of Eastern Finland Kuopio Finland
- Department of Oral and Maxillofacial Diseases Kuopio University Hospital Kuopio Finland
- Public Health Evaluation and Projection Unit National Institute for Health and Welfare Helsinki Finland
| | - Satu Lahti
- Institute of Dentistry University of Turku Turku Finland
| | - Mimmi Tolvanen
- Institute of Dentistry University of Turku Turku Finland
- Center for Life Course Health Research, Institute of Medicine University of Oulu Oulu Finland
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Ghotane SG, Challacombe SJ, Gallagher JE. Fortitude and resilience in service of the population: a case study of dental professionals striving for health in Sierra Leone. BDJ Open 2019; 5:7. [PMID: 31098298 PMCID: PMC6513870 DOI: 10.1038/s41405-019-0011-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Revised: 11/05/2018] [Accepted: 11/26/2018] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE Sierra Leone (SL), with a population of over 7 million people, has a critical health workforce shortage. This research explores the views of key players on population oral health needs and demands, the challenges of oral and dental care delivery, and professional careers in dentistry, in order to inform future capacity building. MATERIALS AND METHODS Semi-structured interviews were conducted with a purposive sample of key players in dentistry and healthcare, both in-country and externally. An interpretive phenomenological approach was used in exploring views of key-players on the oral needs and demands of population, challenges in the delivery of oral and dental care, professional careers of dental professionals in SL, and future workforce capacity building based on a topic guide drawn from the available literature. Interviews were audio-recorded, transcribed verbatim, anonymised and analysed using QSR NVivo 10 for data management and reported in accordance to the consolidated criteria for reporting qualitative research. RESULTS Twenty-one informants, of whom 18 were male, 17 were in-country and 16 were dental professionals, participated in the research. Dental professionals reported clear consensus on a considerable level of unmet oral health needs, most notably dental caries and periodontal disease, together with life threatening oral conditions such as osteomyelitis, Ludwig's Angina and Burkitt's Lymphoma. Challenges associated with the delivery of dental care revolved around five themes: patients' predisposition for traditional remedies and urgent care; practical hindrances to the delivery of care; professional isolation and weak governance; and place with pressing local crises and lack of political will. An emerging typology of dental professionals included: demonstrating loyalty to their nation and family; exhibiting resilience in challenging circumstances; embracing opportunity most notably amongst expatriates; and striving to serve the needs of the population. There was support for innovative future capacity building developments. CONCLUSION This paper provides important insights to the delivery of dental care in a low-income country with significant oral health needs and multiple challenges in the delivery of dental care, whilst also providing a vision for developing, building and retaining future human resources for oral health.
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Affiliation(s)
- Swapnil G. Ghotane
- Faculty of Dentistry, Oral and Craniofacial Sciences, King’s College London, Centre for Host Microbiome Interactions, Denmark Hill Campus, Bessemer Road, London, SE5 9RS UK
| | - Stephen J. Challacombe
- Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, Centre for Host Microbiome Interactions, Floor 22, Guys Tower, Guys Hospital, London, SE1 9RT UK
| | - Jennifer E. Gallagher
- Faculty of Dentistry, Oral and Craniofacial Sciences, King’s College London, Centre for Host Microbiome Interactions, Denmark Hill Campus, Bessemer Road, London, SE5 9RS UK
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Skośkiewicz-Malinowska K, Malicka B, Ziętek M, Kaczmarek U. Oral health condition and occurrence of depression in the elderly. Medicine (Baltimore) 2018; 97:e12490. [PMID: 30313038 PMCID: PMC6203496 DOI: 10.1097/md.0000000000012490] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 08/28/2018] [Indexed: 02/07/2023] Open
Abstract
Depression is a common disorder among the elderly; however, it is not a standard element of the ageing process. Depression can affect oral health as a result of neglecting oral hygiene procedures, cariogenic nutrition, avoidance of necessary dental care which leads to an increased risk of dental caries and periodontal disease.Assessment of the relationship of oral health parameters with depression.500 subjects aged ≥65 (mean 74.4 ± 7.4) were involved in the study. Dental condition (decay-missing-filled index [DMFT], number of missing teeth [MT], removable denture wearing, teeth mobility), periodontal condition (bleeding on probing [BoP], pocket depth [PD], loss of attachment), oral dryness (the Challacombe Scale) and depression according to the Patient Health Questionnaire-9 (PHQ-9) scale were assessed.Depression on a minimal level was detected in 60.2% of the subjects, mild-in 22.2%, moderate-in 6.0% and moderately-in 2.6%. The mean of the PHQ-9 scale was 3.56 ± 4.07. Regression analysis showed a positive relationship of the PHQ-9 value with DMFT, the number of MT, oral dryness and with age. No correlation was observed between other examined oral health indicators, such as periodontal condition (BoP, PD, clinical attachment level), periodontitis, removable denture wearing a PHQ-9.The results of our study have shown that among people aged 65 and over, the severity of depression increases with a higher number of MT, the number of decayed teeth, as well as prevalence of oral dryness.
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Affiliation(s)
| | | | - Marek Ziętek
- Department of Periodontology, Wroclaw Medical University, Poland
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Gouvêa GR, Bulgareli JV, David LL, Ambrosano GMB, Cortellazzi KL, Guerra LM, Frias AC, Meneghim MDC, Pereira AC. Variables associated with the oral impact on daily performance of adults in the state of São Paulo: A population-based study. PLoS One 2018; 13:e0203777. [PMID: 30212507 PMCID: PMC6136774 DOI: 10.1371/journal.pone.0203777] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 08/27/2018] [Indexed: 01/08/2023] Open
Abstract
OBJECTIVE This study aimed to assess the oral impact on daily performance and its association with sociodemographic characteristics, tooth pain, need for prosthesis, and periodontal disease of adults in the state of São Paulo, Brazil. METHODS This was a cross-sectional epidemiological study with secondary data obtained from the Oral Health Conditions Project- 2015 conducted in 163 municipalities in the state of São Paulo with the participation of 17,560 individuals. This study evaluated adults in the age-range between 35-44 years (n = 5,855), selected by means of probabilistic cluster sampling in two stages. The outcome variable was the OIDP (Oral Impacts on Daily Performances), obtained by using this instrument to assess daily activities (eating, speaking, oral hygiene, relaxation, sports practice, smile, study/work, social contact, and sleep). The independent variables were collected and grouped into three blocks: Block 1 (sex, age group, and ethnic group); Block 2 (household income and education); and Block 3 (tooth pain, need for prosthesis, bleeding, calculus, and periodontal pockets). A hierarchical multiple logistic regression analysis was performed considering the complex cluster sampling plan. Each observation was assigned a specific weight, depending on the location, which resulted in weighted frequencies adjusted for the effect of outlining. RESULTS the female sex (p<0.0001), ethnic group black/mulatto (p<0.0001), low household income (p = 0.0112), up to 8 years of education (p<0.0001), tooth pain (p<0.0001), presence of bleeding (p<0.0001), and presence of periodontal pockets (p<0.0001) had greater oral impact on daily performance. CONCLUSION sociodemographic characteristics, tooth pain, and presence of periodontal disease were associated with oral impact on daily performance of the adult population in the state of São Paulo, Brazil.
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Affiliation(s)
- Giovana Renata Gouvêa
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
- * E-mail:
| | - Jaqueline Vilela Bulgareli
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Luciene Luvizotto David
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Gláucia Maria Bovi Ambrosano
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Karine Laura Cortellazzi
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Luciane Miranda Guerra
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Antonio Carlos Frias
- Department of Community Dentistry, Dental School, USP—University of São Paulo, São Paulo, SP, Brazil
| | - Marcelo de Castro Meneghim
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Antonio Carlos Pereira
- Department of Community Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
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Mukherjee A, Dye BA, Clague J, Belin TR, Shetty V. Methamphetamine use and oral health-related quality of life. Qual Life Res 2018; 27:3179-3190. [PMID: 30076578 DOI: 10.1007/s11136-018-1957-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2018] [Indexed: 12/26/2022]
Abstract
PURPOSE Methamphetamine (MA) is associated with adverse health effects, including the rampant tooth decay condition called "Meth Mouth." However, the impact of MA use on oral health-related quality of life (OHRQOL) is unknown. This study assessed the relationship between MA use and self-reported OHRQOL. METHODS This cross-sectional study uses information from 545 MA-using participants recruited from Los Angeles County, California. Dental examinations were performed by three calibrated dentists using National Health and Nutrition Examination Survey (NHANES) protocols. Data on socio-demographic, behavioral, and drug-use history were recorded using questionnaires. Participants were categorized as 'light' or 'moderate/heavy' users based on reported frequency of MA use in the past 30 days. Route of MA administration was categorized as 'smoking' or 'other.' Self-reported OHRQOL was based on the Oral Health Impact Profile scale. RESULTS Majority of the participants were male (80.9%). Median age was 45.0 years (IQR-13.0). Median number of days of MA use was 10.0 (IQR-12.0). Smoking was the preferred route of MA use (70.2%). Root caries in ≥ 3 teeth were reported in 78% of MA users. More than half of the participants reported having painful aching in mouth, avoidance of particular food items, feeling embarrassed, and discomfort while eating in the last 12 months. In unadjusted logistic models, moderate/heavy MA users were more likely to report an affected sense of taste [OR = 1.58, 95% CI (1.10-2.27)] and avoidance of particular foods [OR = 1.45, 95% CI (1.02-2.01)] than light users. Among individuals preferring other MA administration routes, moderate/heavy MA users were 3.09 times as likely to report an affected sense of taste than light users [OR = 3.09, 95% CI (1.52-6.27)]. CONCLUSION Oral health and OHRQOL appear to be worse among Methamphetamine users than in the US general population.
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Affiliation(s)
- Amrita Mukherjee
- NIH, National Institute of Dental and Craniofacial Research, 31 Center Drive Suite 5B55, Bethesda, MD, 20892-2190, USA
| | - Bruce A Dye
- NIH, National Institute of Dental and Craniofacial Research, 31 Center Drive Suite 5B55, Bethesda, MD, 20892-2190, USA. .,NIDCR Dental Public Health Residency Program, NIH/NIDCR, 31 Center Drive Suite 5B55, Bethesda, MD, 20892-2190, USA.
| | - Jason Clague
- UCLA, School of Dentistry, 10833 Le Conte Ave, Office 23-009CHS, Box 951668, Los Angeles, CA, 90095-1668, USA.,Department of Biostatistics, UCLA, Fielding School of Public Health, 650 Charles E. Young Dr. South, Room 51-267, Los Angeles, CA, 90095-1772, USA
| | - Thomas R Belin
- Department of Biostatistics, UCLA, Fielding School of Public Health, 650 Charles E. Young Dr. South, Room 51-267, Los Angeles, CA, 90095-1772, USA
| | - Vivek Shetty
- UCLA, School of Dentistry, 10833 Le Conte Ave, Office 23-009CHS, Box 951668, Los Angeles, CA, 90095-1668, USA
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Torppa-Saarinen E, Tolvanen M, Suominen AL, Lahti S. Changes in perceived oral health in a longitudinal population-based study. Community Dent Oral Epidemiol 2018; 46:569-575. [DOI: 10.1111/cdoe.12393] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Accepted: 05/24/2018] [Indexed: 11/28/2022]
Affiliation(s)
| | - Mimmi Tolvanen
- Institute of Dentistry; University of Turku; Turku Finland
| | - Anna L. Suominen
- Institute of Dentistry; University of Eastern Finland; Kuopio Finland
- Department of Oral and Maxillofacial Diseases; Kuopio University Hospital; Kuopio Finland
- Public Health Evaluation and Projection Unit; National Institute for Health and Welfare; Helsinki Finland
| | - Satu Lahti
- Institute of Dentistry; University of Turku; Turku Finland
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Oral Health-Related Quality of Life in Young Adults: A Survey of Russian Undergraduate Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15040719. [PMID: 29641464 PMCID: PMC5923761 DOI: 10.3390/ijerph15040719] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2018] [Revised: 03/29/2018] [Accepted: 04/09/2018] [Indexed: 12/29/2022]
Abstract
Background: Oral health (OH) is poor among young adults in Russia, but there is little information on OH-related quality of life (OHRQoL) in this population. We investigated how socio-demographic factors, self-reported OH characteristics, oral health behaviour, and clinically-assessed OH are related to OHRQoL in medical and dental students in North-West Russia. Methods: This cross-sectional study included 391 medical and 275 dental Russian undergraduate students aged 18–25 years. Information on socio-demographic, self-reported OH characteristics, and oral health behaviour was obtained from a structured, self-administered questionnaire. A clinical examination was performed to assess dental caries experience based on the decayed (D) missing (M) filled (F) teeth (T) index; Simplified Oral Hygiene Index; and Gingival Index. OHRQoL was measured by the OH Impact Profile (OHIP-14). Results: 53.6% of students reported low OHRQoL during the last 12 months. Female sex (odds ratio [OR] = 1.48, 95% confidence interval [CI]: 1.00–2.19), rural place of childhood residence (OR = 1.56, 95% CI: 1.06–2.28), poor self-assessed dental aesthetic (OR = 1.75, 95% CI: 1.16–2.64), dissatisfaction with mouth and teeth (OR = 2.51, 95% CI: 1.68–3.77), and DMFT index (OR = 1.05, 95% CI: 1.01–1.09), were all significantly, independently associated with low OHRQoL. Conclusion: Socio-demographic factors (rural place of childhood residence, female sex), poor self-reported OH characteristics, and high DMFT index were associated with low OHRQoL.
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Oliveira EJP, Rocha VFB, Nogueira DA, Pereira AA. Qualidade de vida e condições de saúde bucal de hipertensos e diabéticos em um município do Sudeste Brasileiro. CIENCIA & SAUDE COLETIVA 2018. [DOI: 10.1590/1413-81232018233.00752016] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo O objetivo deste estudo foi avaliar a qualidade de vida relacionada às condições clínicas de saúde bucal entre hipertensos e diabéticos de Alfenas, MG, Brasil. Estudo domiciliar, descritivo-analítico, transversal, com amostra randomizada, sistemática, estratificada por Equipe Saúde da Família, composta por 218 sujeitos. Aplicou-se os índices CPOD, T-Health, FS-T, SiC index, uso e necessidade de próteses e OHIP-14. A maioria dos sujeitos (56,42%) apresenta apenas Hipertensão Arterial, é do sexo feminino (67,43%), com idade média de 64,83 (± 11,99), variando entre 35 e 93 anos. Não se observou diferenças significativas para as variáveis entre hipertensos, diabéticos e hipertensos-diabéticos. Registrou-se CPOD = 27,16 (± 6,15), com 22,94 (± 10,46) dentes perdidos; T-Health = 5,23 (± 6,52); FS-T = 8,53 (± 10,12) e SiC = 32 (± 0,00). Dos sujeitos, 85,78% usavam próteses (58,72% Prótese Total) e 61,01% necessitavam das mesmas (58,26% no arco inferior). As correlações entre OHIP-14 (5,37 [± 4,95]) e condições clínicas evidenciaram a presença de dentes afetando dimensões psicológicas, além de uso e necessidade de próteses associadas a impactos físicos e sociais (p < 0,05). Concluiu-se que edentulismo, uso e necessidade de próteses afetaram a qualidade de vida de hipertensos e diabéticos em aspectos psicológicos, físicos e sociais.
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Colussi PRG, Hugo FN, Muniz FWMG, Rösing CK. Oral Health-Related Quality of Life and Associated Factors in Brazilian Adolescents. Braz Dent J 2018; 28:113-120. [PMID: 28301028 DOI: 10.1590/0103-6440201701098] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 11/01/2016] [Indexed: 11/22/2022] Open
Abstract
This study aimed to assess the impact of oral health on the quality of life of adolescents. A cross-sectional study was performed with students from public and private schools from Passo Fundo, Brazil. All students were aged between 15 and 19 years old. The proportional random sample consisted of 736 adolescents from 20 schools. A structured questionnaire was applied, and an oral examination was performed, counting the number of teeth. Oral health-related quality of life was assessed by OHIP-14. Associations between quality of life and associated factors were analyzed. The mean OHIP-14 score was 7.25. Age, ethnicity and studying in a public school were associated to the OHIP-14 score. Tooth loss (p=0.79) was not associated with quality of life. Additionally, questions related to appearance, such as whether teeth appearance bothers the adolescent (p=0.68) were not associated with quality of life. Attending a public school (OR=1.63; CI95%: 0.98-2.70) and self-reported halitosis (OR=1.48; CI95%: 1.01-2.16) were strongly associated to higher impact on quality of life. It was concluded that socioeconomic conditions and halitosis were associated to higher impact on quality of life of adolescents.
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Affiliation(s)
| | - Fernando Neves Hugo
- Department of Community Dentistry, UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
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Monteiro de Barros Miotto M, Soares Alves N, Vieira Calmon M, Awad Barcellos L. Impacto dos Problemas Orais na Qualidade de Vida de Dependentes Químicos em Recuperação num Centro de Tratamento. PORTUGUESE JOURNAL OF PUBLIC HEALTH 2017. [DOI: 10.1159/000477647] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Gnanamanickam ES, Teusner DN, Arrow PG, Brennan DS. Dental insurance, service use and health outcomes in Australia: a systematic review. Aust Dent J 2017; 63:4-13. [PMID: 28543627 DOI: 10.1111/adj.12534] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2017] [Indexed: 11/29/2022]
Abstract
Private health insurance plays a key role in financing dental care in Australia. Having private dental insurance has been associated with higher levels of access to dental care, visiting for a check-up and receiving a favourable pattern of services. Associations with better oral health have also been reported. In the absence of any existing review, this paper aims to systematically review the relationship between dental insurance and dental service use and/or oral health outcomes in Australia. A systematic search of online databases and subsequent sifting resulted in 36 publications, 33 of which were cross sectional and three cohort analyses. Dental service outcomes were more commonly reported than oral health outcomes. There was considerable heterogeneity in the outcome measures reported, for both service use and health outcomes. Overall, the majority of the evidence was from cross sectional studies and few studies reported analyses adjusted for confounding factors. The consolidated evidence points towards a positive association between dental insurance and dental visiting. Dentally insured adults are likely to have more regular access to dental care and have a more favourable pattern of service use than the uninsured. However, evidence of associations between dental insurance and oral health are mixed.
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Affiliation(s)
- E S Gnanamanickam
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - D N Teusner
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - P G Arrow
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.,Department of Health, Dental Health Services, Perth, Western Australia, Australia
| | - D S Brennan
- Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
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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.
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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
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Haag D, Peres K, Balasubramanian M, Brennan D. Oral Conditions and Health-Related Quality of Life: A Systematic Review. J Dent Res 2017; 96:864-874. [DOI: 10.1177/0022034517709737] [Citation(s) in RCA: 143] [Impact Index Per Article: 20.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The objective of this study was to verify whether oral conditions (tooth loss, periodontal disease, dental caries) are negatively associated with health-related quality of life (HRQoL) in adults. A search was carried out on PubMed, EMBASE, Web of Science, Scopus, SciELO, and LILACS databases until the end of July 2016 with no date restrictions. Quantitative observational studies written in English were included and data extraction was performed independently by 2 reviewers. HRQoL was investigated as the outcome, and tooth loss, periodontal diseases, and dental caries were exposures. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used and the quality of the selected studies was assessed by using the Joanna Briggs Institute Meta-Analysis of Statistics assessment and review instrument (JBI-MAStARI). Twenty-one studies were included. The sample sizes ranged from 88 to 15,501 subjects; 20 studies were cross-sectional designs, while 1 was a case-control study. Case definitions of the exposures were different across the studies, mainly for tooth loss, which was defined according to 11 different criteria. Fifteen studies were of “high” and 6 of “medium” quality. Eight HRQoL instruments were identified, and the most frequent was the EuroQol ( n = 8). Ten of 16 studies reported a negative impact of tooth loss on HRQoL. Four of 7 studies reported that periodontal disease impairs HRQoL, and 1 study showed that periodontal disease is positively associated with HRQoL. All studies that assessed dental caries reported a negative association between this condition and HRQoL. Despite the different definitions and measures of tooth loss and dental caries, the majority of the available evidence reported a negative impact of these conditions on HRQoL. Mixed and inconclusive findings were observed for the association between periodontal disease and HRQoL. Longitudinal prospective studies are suggested to improve the strength of the findings.
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Affiliation(s)
- D.G. Haag
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia
| | - K.G. Peres
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia
| | - M. Balasubramanian
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia
| | - D.S. Brennan
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia
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Kruger E, Tennant M. Ten years of hospitalisation for oral health-related conditions in Western Australia: an unjust dichotomy. Aust J Prim Health 2017; 22:153-158. [PMID: 25586799 DOI: 10.1071/py14087] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2014] [Accepted: 11/27/2014] [Indexed: 11/23/2022]
Abstract
The objective of this study was: (1) to examine the demographics of in-patient oral health care by Aboriginal status; (2) to identify the mix of oral conditions by Aboriginal status; and (3) to describe trends over a 10-year period, comparing Aboriginal and non-Aboriginal groups. Hospitalisation data were obtained from the Western Australian Morbidity Data System (HMDS). The principal diagnosis, as classified by the International Classification of Disease (ICD-10AM), was obtained for every episode for adult patients who were discharged from all hospitals in Western Australia (WA) for the financial years 1999-2000 to 2008-09. Results indicated that more than 130000 persons were admitted to hospitals in WA over 10 years, for oral health-related conditions, at a direct cost of more than $400million. Most of those admitted were younger than 30 years, and 2.8% of all those admitted were Aboriginal people. Aboriginal people were admitted at significantly higher rates, for a very different mix of conditions, they were mostly from younger age groups, were mostly from very remote and the most disadvantaged areas and were almost all uninsured, compared with non-Aboriginal people. Hospital admissions for oral health-related conditions, as well as the mix of conditions that drive these hospitalisations, are strongly divided across social, racial and geographic variables, and remain a burden to the health-care system.
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Affiliation(s)
- Estie Kruger
- International Research Collaborative - Oral Health and Equity, School of Anatomy, Physiology and Human Biology, Faculty of Sciences, The University of Western Australia, 35 Stirling Highway, Nedlands, WA 6009, Australia
| | - Marc Tennant
- International Research Collaborative - Oral Health and Equity, School of Anatomy, Physiology and Human Biology, Faculty of Sciences, The University of Western Australia, 35 Stirling Highway, Nedlands, WA 6009, Australia
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Oral health-related quality of life and associated factors in a care-dependent and a care-independent older population. J Dent 2016; 55:33-39. [DOI: 10.1016/j.jdent.2016.09.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Revised: 07/25/2016] [Accepted: 09/19/2016] [Indexed: 11/18/2022] Open
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Lawal FB, Taiwo JO, Oke GA. Impact of Oral Health on The Quality of Life of Elementary School Teachers. Ethiop J Health Sci 2016; 25:217-24. [PMID: 26633924 PMCID: PMC4650876 DOI: 10.4314/ejhs.v25i3.4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background The success of preventive school health programs is largely dependent on teachers who are role models to pupils and pivotal to implementation. It is therefore important to understand the perception of school teachers about the impact of oral health on their daily activities. The aim of this study was to assess oral health related quality of life of elementary school teachers by evaluating the impact of oral conditions like dental caries and periodontal disease on their daily performances and school work. Methods This was a descriptive cross sectional study in which 407 teachers were selected through multistage random sampling technique. Data were collected with structured interviewer-administered Oral Impact on Daily Performances (OIDP) questionnaires and by clinical oral examinations. Data were collated and analysed with SPSS. Results The prevalence of reporting of impacts on daily performances was 39.1% with eating and enjoying food being the most commonly impacted activity. Impacts on daily performances were more likely to be reported by teachers with better education (p = 0.019). Teachers with caries had higher odds of reporting impacts as a result of oral health status (CI: 1.04, 5.64, p = 0.040). The severity of periodontal disease found on clinical examination was not related to reporting of impacts on quality of life (p > 0.05). Conclusions The oral health status of school teachers impacted significantly on their daily performance and school work when they experienced pain. Painless but highly prevalent oral lesions were, however, not perceived to influence their quality of life.
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Affiliation(s)
- Folake B Lawal
- Department of Periodontology and Community Dentistry, University of Ibadan, Ibadan, Nigeria
| | - Juliana O Taiwo
- Department of Periodontology and Community Dentistry, University of Ibadan, Ibadan, Nigeria
| | - Gbemi A Oke
- Department of Periodontology and Community Dentistry, University of Ibadan, Ibadan, Nigeria
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