1
|
Chisini LA, Vargas-Ferreira F, Demarco GT, Peres KG, Peres MA, Horta BL, Demarco FF. Socioeconomic status in life course is associated with dental appearance dissatisfaction. Braz Oral Res 2024; 38:e051. [PMID: 38922211 DOI: 10.1590/1807-3107bor-2024.vol38.0051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 11/07/2023] [Indexed: 06/27/2024] Open
Abstract
The present study aimed to investigate the prevalence of dissatisfaction with dental appearance among 24-year-old Brazilian adults and the associated factors in life course. A subsample (n = 720) of the 1982 Pelotas Birth Cohort in southern Brazil was investigated at the ages of 15 and 24 years using clinical (caries and periodontal) examinations and interviews. The outcome was dissatisfaction with dental appearance at the age of 24 years. Covariate variables included socioeconomic factors, oral health, and dissatisfaction with general appearance collected during different periods of life. Poisson regression models with robust variance were applied. The prevalence of dissatisfaction with dental appearance was 43.5% (95%CI: 39.8-47.1). Individuals with downward income mobility (PR = 1.22, 95%CI: 1.07-1.79) and those always poor (PR = 1.21, 95%CI: 1.00-1.57) presented a higher prevalence of dissatisfaction with their dental appearance even after oral health variables and dissatisfaction with general appearance were controlled for. Moderate/severe malocclusion at 15 years (PR = 1.34, 95%CI: 1.13-1.59), highest experience of untreated dental caries at 24 years (PR = 1.82, 95%CI: 1.46-2.27), and dental pain experience at 24 years (PR = 1.29, 95%CI: 1.22-1.75) were associated with the outcome. Also, the prevalence of dissatisfaction with dental appearance was 20% higher (PR = 1.20, 95%CI: 1.01-1.43) among those dissatisfied with their general appearance. Our findings demonstrated a high prevalence of dissatisfaction with dental appearance among young adults. Lifetime economic disadvantage and dental problems (malocclusion at 15 years, untreated dental caries at 24 years, and dental pain at 24 years) were associated with dissatisfaction with dental appearance among young adults.
Collapse
Affiliation(s)
- Luiz Alexandre Chisini
- Universidade Federal de Pelotas - UFPel, Graduate Program in Dentistry, Pelotas, RS, Brazil
| | - Fabiana Vargas-Ferreira
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Social and Preventive Dentistry, Belo Horizonte, MG, Brazil
| | | | - Karen Glazer Peres
- National Dental Research Institute Singapore, National Dental Centre Singapore; Oral Health ACP, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore
| | - Marco Aurélio Peres
- National Dental Centre Singapore, Dental Research Institute Singapore, Singapure
| | - Bernardo Lessa Horta
- Universidade Federal de Pelotas - UFPel, Graduate Program in Epidemiology, Pelotas, RS, Brazil
| | - Flávio Fernando Demarco
- Universidade Federal de Pelotas - UFPel, Graduate Program in Dentistry and Epidemiology, Pelotas, RS, Brazil
| |
Collapse
|
2
|
Chisini LA, Boeira GF, Corrêa MB, Salas MMS, Maciel FV, Passos D, Gigante D, Opdam N, Demarco FF. Effect of weight satisfaction on adolescent facial and dental satisfaction. Eur Arch Paediatr Dent 2024; 25:335-347. [PMID: 38609709 DOI: 10.1007/s40368-024-00888-5] [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: 09/28/2023] [Accepted: 03/04/2024] [Indexed: 04/14/2024]
Abstract
PURPOSE To investigate if facial and dental satisfaction is related to body fat percentage and body weight satisfaction. METHODS A self-administered questionnaire was applied to adolescents from a Private School in Southern Brazil containing sociodemographic (sex and age) and self-perception variables. Adolescents were asked about their perceptions concerning dental problems. Body fat percentage was collected using bioelectrical impedance analysis. RESULTS A total of 372 adolescents were examined. Most adolescents were satisfied with their dental (81.7%) and facial appearance (87.6%), while 39% of adolescents were satisfied with their body weight. Poisson regression model showed that adolescents who expressed satisfaction with their body weight (PR = 1.12, 95%CI 1.06-1.19) and were satisfied with their dental appearance (PR = 1.24, 95% CI 1.08-1.41) exhibited a positive association with facial satisfaction. Adolescents dissatisfied with dental color (PR = 0.88, 95%CI 0.80-0.97), those reporting dental pain (PR = 0.88, 95%CI 0.80-0.97), and individuals with obesity (PR = 0.91, 95%CI 0.83-0.99) demonstrated a decrease in facial satisfaction. Adolescents aged 16 to 19 years (PR = 1.08, 95% CI 1.01-1.15) and those satisfied with their facial appearance (PR = 1.20, 95%CI 1.01-1.43) exhibited a higher prevalence of dental satisfaction. Conversely, adolescents dissatisfied with dental color (PR = 0.74, 95% CI 0.66-0.82) and those with misaligned teeth (PR = 0.63, 95%CI 0.55-0.73) reported lower levels of dental satisfaction. Parametric g-formula analysis found that the association between body fat and facial satisfaction was mediated by body weight satisfaction (p = 0.001). CONCLUSIONS While dental satisfaction was not influenced by corporeal characteristics, facial satisfaction was influenced by dental and body weight satisfaction. Obese adolescents had low facial satisfaction.
Collapse
Affiliation(s)
- L A Chisini
- School of Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St. 5th Floor, Room 502., Pelotas, Rio Grande do Sul, 96015-560, Brazil.
| | - G F Boeira
- School of Dentistry, Catholic University of Pelotas, Pelotas, Brazil
| | - M B Corrêa
- School of Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St. 5th Floor, Room 502., Pelotas, Rio Grande do Sul, 96015-560, Brazil
| | - M M S Salas
- Federal University of Juiz de Fora, Governador Valadares, Brazil
| | - F V Maciel
- Federal University of Pelotas, Gomes Carneiro St, Pelotas, RS, 96075-630, Brazil
| | - D Passos
- Federal University of Pelotas, Gomes Carneiro St, Pelotas, RS, 96075-630, Brazil
| | - D Gigante
- Federal University of Pelotas, Gomes Carneiro St, Pelotas, RS, 96075-630, Brazil
| | - N Opdam
- Radboud Institute for Health Sciences, Radboud University Nijmegen Medical Center, 21, Geert Grooteplein Zuid, 6525 EZ, Nijmegen, Netherlands
| | - F F Demarco
- School of Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St. 5th Floor, Room 502., Pelotas, Rio Grande do Sul, 96015-560, Brazil
| |
Collapse
|
3
|
Ströbele D, Othman A, Alevizakos V, Turan M, von See C. Mechanical evaluation for three-dimensional printed orthodontic springs with different heights- in vitro study. J Clin Exp Dent 2021; 13:e975-e979. [PMID: 34667491 PMCID: PMC8501863 DOI: 10.4317/jced.57908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 11/02/2020] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND The orthodontic spring materials in use have a significant influence on the applied forces. The prerequisite to identify the in vitro< force deflection of the CAD/CAM fabricated springs is considered mandatory to identify the material characteristics. The purpose of the present investigation was to evaluate the mechanical load on 3D printed springs using different coil heights. MATERIAL AND METHODS The springs were digitally designed with different coil heights using Autodesk Netfabb CAD software (San Rafael, CA, USA). Test specimens were manufactured using 3D printable experimental flexible material (Code: BM2008, GC, Tokyo, Japan). The specimens were divided according to the coil height into five groups, group A (n=4mm), group B (n=6mm), group C (n=8mm), group D (n=10mm) and group E (n=12mm). All group specimens were mechanically tested using a universal testing machine. Statistical analysis was performed using K-S-Test to compare the values of each to the control group (p< 0.001). RESULTS The highest value in all groups was achieved by 5.43 N/mm in group A, while the lowest value was achieved by 0.11 N/mm in group E. CONCLUSIONS 3D printed springs are mechanically affected by the coil heights and there is a direct correlation to the resulting force. Furthermore, the variations within the investigated groups must be thoroughly investigated prior to clinical application. Key words:CAD/CAM, 3D printing, Orthodontics, mechanical testing, material evaluation.
Collapse
Affiliation(s)
- Dragan Ströbele
- Dr. Center of digital technologies in dentistry and CAD/CAM - Danube Private University- Krems- Austria
| | - Ahmed Othman
- MSc. Center of digital technologies in dentistry and CAD/CAM - Danube Private University- Krems- Austria
| | - Vasilios Alevizakos
- Dr. med. Dent. Center of digital technologies in dentistry and CAD/CAM - Danube Private University- Krems- Austria
| | - Mesut Turan
- Center of digital technologies in dentistry and CAD/CAM - Danube Private University- Krems- Austria
| | - Constantin von See
- Univ. Prof. Dr. Center of digital technologies in dentistry and CAD/CAM - Danube Private University- Krems- Austria
| |
Collapse
|
4
|
Friedlander L, Berdal A, Boizeau P, Licht BA, Manière MC, Picard A, Azzis O, Vazquez MP, Alberti C, Molla MDLD. Oral health related quality of life of children and adolescents affected by rare orofacial diseases: a questionnaire-based cohort study. Orphanet J Rare Dis 2019; 14:124. [PMID: 31164137 PMCID: PMC6549379 DOI: 10.1186/s13023-019-1109-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Accepted: 05/27/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Rare diseases affecting the teeth, the oral cavity and the face are numerous, each of them present specific characteristics, and is a life-long condition. The aim of the study was to assess the association between Oral health-related quality of life (OHRQoL), and demographic characteristics, clinical and dental factors, and psycho-social characteristics to investigate that oral symptoms are not the main factors underlying a decrease in OHRQoL. MATERIAL AND METHODS We conducted a national cohort study in French centres for rare diseases (RD) specialized in orofacial diseases. The inclusion criteria were: to have received care in RD centres over the last 5 years (2012-2017) and to have been between 6 and 17 years of age on September 1, 2017. Patients were invited to answer a questionnaire composed of socio-demographic, clinical and dental questions, psychosocial questions and then fill in the Child-OIDP Index. At the end of the questionnaire, a free space was left for the patient to add a verbatim comment to provide qualitative data. Thematic analysis was used to analyze the verbatim answers. RESULTS Complete data were available for 110 patients. The sample included 44.5% boys and 55.5% girls. Ages ranged from 6 to 17 years old and 68.2% were between 6 to 12 years old and 31.8% were between 13 and 17 years old. Factor associated with a lower OHRQoL were: being a girl (p = 0.03), renouncement to dental care for financial reasons (p = 0.01), having syndromic disease (p = 0.01), having a problem with tooth shape and color (p = 0.03), feeling isolated, alone and different from other children (p = 0.003 and p = 0.02). Qualitative analysis highlighted very little recourse to psychological care and patients reported great anxiety and fear about the future. CONCLUSION OHRQoL of children suffering from these diseases is impaired, especially from the psychosocial point of view but also from that of the course of treatment and access to care. There is a need to improve the legibility of care pathways and the financial coverage of treatments.
Collapse
Affiliation(s)
- Lisa Friedlander
- Sorbonne Paris Cité, INSERM, Laboratoire ECEVE UMR1123, Université Paris Diderot, Paris, France
- Centre de Reference, Maladies Orales et Dentaires Rares, Hopital Rothschild, APHP, Paris, France
- Filière de Santé Maladies Rares TETECOU, Malformations Rares de la tête, du cou et des dents, Hôpital Necker, Paris, France
| | - Ariane Berdal
- Centre de Reference, Maladies Orales et Dentaires Rares, Hopital Rothschild, APHP, Paris, France
- Filière de Santé Maladies Rares TETECOU, Malformations Rares de la tête, du cou et des dents, Hôpital Necker, Paris, France
- Sorbonne Paris Cité, INSERM, Laboratoire de Physiopathologie Orale et Moléculaire, Université Paris Diderot, UMRS, 1138 Paris, France
| | - Priscilla Boizeau
- AP-HP, Unité d’Epidémiologie Clinique, Hôpital Robert Debré, Paris, France
- Sorbonne Paris-Cité, INSERM U1123 et CIC-EC 1426, Université Paris Diderot, Paris, France
| | - Brigitte Alliot Licht
- Filière de Santé Maladies Rares TETECOU, Malformations Rares de la tête, du cou et des dents, Hôpital Necker, Paris, France
- Centre de Competence, Maladies orales et Dentaires Rares, CHU de Nantes, Nantes, France
| | - Marie-Cécile Manière
- Filière de Santé Maladies Rares TETECOU, Malformations Rares de la tête, du cou et des dents, Hôpital Necker, Paris, France
- Centre de Référence, Maladies orales et dentaires rares, Pôle de Médecine et Chirurgie Bucco-dentaires, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Arnaud Picard
- Filière de Santé Maladies Rares TETECOU, Malformations Rares de la tête, du cou et des dents, Hôpital Necker, Paris, France
- Centre de Référence des Fentes et Malformations Faciales, Hôpital Necker, AP-HP, Paris, France
- Université Paris Descartes-Sorbonne Paris Cité, Paris, France
| | - Olivier Azzis
- Filière de Santé Maladies Rares TETECOU, Malformations Rares de la tête, du cou et des dents, Hôpital Necker, Paris, France
- Centre de Compétence des Fentes et Malformations Faciales, CHU de Rennes, Rennes, France
| | - Marie-Paule Vazquez
- Filière de Santé Maladies Rares TETECOU, Malformations Rares de la tête, du cou et des dents, Hôpital Necker, Paris, France
- Centre de Référence des Fentes et Malformations Faciales, Hôpital Necker, AP-HP, Paris, France
- Université Paris Descartes-Sorbonne Paris Cité, Paris, France
| | - Corinne Alberti
- Sorbonne Paris Cité, INSERM, Laboratoire ECEVE UMR1123, Université Paris Diderot, Paris, France
- AP-HP, Unité d’Epidémiologie Clinique, Hôpital Robert Debré, Paris, France
- Sorbonne Paris-Cité, INSERM U1123 et CIC-EC 1426, Université Paris Diderot, Paris, France
| | - Muriel De La Dure Molla
- Centre de Reference, Maladies Orales et Dentaires Rares, Hopital Rothschild, APHP, Paris, France
- Filière de Santé Maladies Rares TETECOU, Malformations Rares de la tête, du cou et des dents, Hôpital Necker, Paris, France
- INSERM UMRS1163 Bases Moléculaires et Physiopathologiques des Ostéochondrodysplasies, Institut Imagine, Necker, Paris, France
| |
Collapse
|
5
|
Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: A systematic review. Dental Press J Orthod 2019; 23:40.e1-40.e10. [PMID: 30672991 PMCID: PMC6340198 DOI: 10.1590/2177-6709.23.6.40.e1-10.onl] [Citation(s) in RCA: 140] [Impact Index Per Article: 28.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Accepted: 06/01/2018] [Indexed: 01/20/2023] Open
Abstract
OBJECTIVE Considering that the available studies on prevalence of malocclusions are local or national-based, this study aimed to pool data to determine the distribution of malocclusion traits worldwide in mixed and permanent dentitions. METHODS An electronic search was conducted using PubMed, Embase and Google Scholar search engines, to retrieve data on malocclusion prevalence for both mixed and permanent dentitions, up to December 2016. RESULTS Out of 2,977 retrieved studies, 53 were included. In permanent dentition, the global distributions of Class I, Class II, and Class III malocclusion were 74.7% [31 - 97%], 19.56% [2 - 63%] and 5.93% [1 - 20%], respectively. In mixed dentition, the distributions of these malocclusions were 73% [40 - 96%], 23% [2 - 58%] and 4% [0.7 - 13%]. Regarding vertical malocclusions, the observed deep overbite and open bite were 21.98% and 4.93%, respectively. Posterior crossbite affected 9.39% of the sample. Africans showed the highest prevalence of Class I and open bite in permanent dentition (89% and 8%, respectively), and in mixed dentition (93% and 10%, respectively), while Caucasians showed the highest prevalence of Class II in permanent dentition (23%) and mixed dentition (26%). Class III malocclusion in mixed dentition was highly prevalent among Mongoloids. CONCLUSION Worldwide, in mixed and permanent dentitions, Angle Class I malocclusion is more prevalent than Class II, specifically among Africans; the least prevalent was Class III, although higher among Mongoloids in mixed dentition. In vertical dimension, open bite was highest among Mongoloids in mixed dentition. Posterior crossbite was more prevalent in permanent dentition in Europe.
Collapse
Affiliation(s)
- Maged Sultan Alhammadi
- Jazan University, College of Dentistry, Department of Preventive Sciences, Division of Orthodontics and Dentofacial Orthopedics (Jazan, Saudi Arabia).,Ibb University, Faculty of Oral and Dental Medicine, Department of Orthodontics and Dentofacial Orthopedics (Ibb, Republic of Yemen)
| | - Esam Halboub
- Jazan University, College of Dentistry, Department of Maxillofacial Surgery and Diagnostic Sciences (Jazan, Saudi Arabia)
| | - Mona Salah Fayed
- Cairo University, Faculty of Oral and Dental Medicine, Department of Orthodontics and Dentofacial Orthopedics (Cairo, Egypt).,University of Malaya, Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics (Kuala Lumpur, Malaysia)
| | - Amr Labib
- Cairo University, Faculty of Oral and Dental Medicine, Department of Orthodontics and Dentofacial Orthopedics (Cairo, Egypt)
| | - Chrestina El-Saaidi
- Kyoto University, Graduate School of Medicine, Department of Global Health and Socio-epidemiology (Kyoto, Japan)
| |
Collapse
|
6
|
Bittencourt JM, Martins LP, Bendo CB, Vale MP, Paiva SM. Negative effect of malocclusion on the emotional and social well-being of Brazilian adolescents: a population-based study. Eur J Orthod 2019; 39:628-633. [PMID: 28371848 DOI: 10.1093/ejo/cjx020] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Background/objectives The aesthetic impact of malocclusion can have negative repercussions on quality of life, social interaction, interpersonal relationships, and psychological well-being. The aim of this study was to evaluate the impact of malocclusion on the quality of life of Brazilian adolescents. Methods A representative cross-sectional study of 1612 adolescents from Belo Horizonte, Minas Gerais was conducted. The adolescents responded to the Brazilian version of the Child Perception Questionnaire (CPQ11-14-ISF:16) to assess the impact of the condition on quality of life. Cases of malocclusion were diagnosed using the Dental Aesthetic Index while clinical examination was performed by three calibrated examiners. Data regarding traumatic dental injuries, dental caries, gender, type of school, age and social vulnerability was collected. Data analysis was performed using bivariate and multivariate Poisson regression with robust variance (P < 0.05). Results The prevalence of malocclusion was 31.3%. The presence of definite malocclusion (PR = 1.28; CI = 1.13-1.45), severe malocclusion (PR = 1.24; CI = 1.04-1.47) and handicapping malocclusion (PR = 1.55; CI = 1.31-1.84) was associated with a greater negative impact on Emotional Well-Being. The presence of definite malocclusion (PR = 1.18; CI = 1.02-1.36), severe malocclusion (PR = 1.46; CI = 1.21-1.76) and handicapping malocclusion (PR = 1.61; CI = 1.35-1.94) was also associated with a greater negative impact on Social Well-Being. Conclusions Adolescents with handicapping malocclusion, where the need for treatment was mandatory, suffered from a greater negative impact on quality of life, with emotional and social aspects most affected.
Collapse
Affiliation(s)
- Jéssica Madeira Bittencourt
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Letícia Pereira Martins
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Cristiane Baccin Bendo
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Miriam Pimenta Vale
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| | - Saul Martins Paiva
- Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, MG 31270-901, Brazil
| |
Collapse
|
7
|
Guimarães SPDA, Jorge KO, Fontes MJF, Ramos-Jorge ML, Araújo CTP, Ferreira EF, Melgaço CA, Zarzar PM. Impact of malocclusion on oral health-related quality of life among schoolchildren. Braz Oral Res 2018; 32:e95. [PMID: 30231170 DOI: 10.1590/1807-3107bor-2018.vol32.0095] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Accepted: 07/26/2018] [Indexed: 11/22/2022] Open
Abstract
The aim of the present study was to evaluate the prevalence and impact of malocclusion on oral health-related quality of life (OHRQoL) among schoolchildren aged 8 to 10 years and their parents in Diamantina, a town in the southeast of Brazil. A cross-sectional study was conducted with a sample of 390 randomly selected children who were subjected to a clinical oral examination. The Dental Aesthetic Index was used to diagnose malocclusion and the need for orthodontic treatment. The Child Perceptions Questionnaire (CPQ (8-10)) was used to evaluate the impact of malocclusion on OHRQoL. The children's parents answered the Brazilian Economic Criterion Questionnaire for the socioeconomic classification. Data analysis involved the nonparametric Kruskal-Wallis test and Spearman's correlation coefficients. The variables were grouped into a hierarchy of categories ranging from distal to proximal determinants. Poisson regression analysis with robust variance was performed at each level to correlate the total CPQ (8-10) score with the independent variables. The prevalence of malocclusion was 78.7%. Crossbite remained significantly associated with a negative impact on OHRQoL (PR = 1.28; 95%CI:1.17-1.39; p < 0.001). The prevalence of malocclusion was high in the sample investigated and exerted a negative impact on OHRQoL.
Collapse
Affiliation(s)
- Soraia Pimenta de Araújo Guimarães
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, Diamantina, MG, Brazil
| | - Kelly Oliva Jorge
- Department of Pediatric Dentistry, School of Dentistry, Universidade Vale do Rio Verde, Belo Horizonte, MG, Brazil
| | | | - Maria Letícia Ramos-Jorge
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, Diamantina, MG, Brazil
| | - Cíntia Tereza Pimenta Araújo
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri - UFVJM, Diamantina, MG, Brazil
| | - Efigênia Ferreira Ferreira
- Department of Oral Public Health, School of Dentistry, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brazil
| | - Camilo Aquino Melgaço
- Department of Pediatric Dentistry, School of Dentistry, Universidade Vale do Rio Verde, Belo Horizonte, MG, Brazil
| | - Patrícia Maria Zarzar
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brazil
| |
Collapse
|
8
|
Luzzi V, Ierardo G, Corridore D, Di Carlo G, Di Giorgio G, Leonardi E, Campus GG, Vozza I, Polimeni A, Bossù M. Evaluation of the orthodontic treatment need in a paediatric sample from Southern Italy and its importance among paediatricians for improving oral health in pediatric dentistry. J Clin Exp Dent 2017; 9:e995-e1001. [PMID: 28936290 PMCID: PMC5601117 DOI: 10.4317/jced.54005] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Accepted: 06/21/2017] [Indexed: 12/29/2022] Open
Abstract
Background Data from epidemiological studies investigating the prevalence and severity of malocclusions in children are of great relevance to public health programs aimed at orthodontic prevention. Previous epidemiological studies focused mainly on the adolescence age group and reported a prevalence of malocclusion with a high variability, going from 32% to 93%. Aim of our study was to assess the need for orthodontic treatment in a paediatric sample from Southern Italy in order to improve awareness among paediatricians about oral health preventive strategies in pediatric dentistry. Material and Methods The study used the IOTN-DHC index to evaluate the need for orthodontic treatment for several malocclusions (overjet, reverse overjet, overbite, openbite, crossbite) in a sample of 579 children in the 2-9 years age range. Results The most frequently altered occlusal parameter was the overbite (prevalence: 24.5%), while the occlusal anomaly that most frequently presented a need for orthodontic treatment was the crossbite (8.8%). The overall prevalence of need for orthodontic treatment was of 19.3%, while 49% of the sample showed one or more altered occlusal parameters. No statistically significant difference was found between males and females. Conclusions Results from this study support the idea that the establishment of a malocclusion is a gradual process starting at an early age. Effective orthodontic prevention programs should therefore include preschool children being aware paediatricians of the importance of early first dental visit. Key words:Orthodontic treatment, malocclusion, oral health, pediatric dentistry.
Collapse
Affiliation(s)
- Valeria Luzzi
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Denise Corridore
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Gabriele Di Carlo
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Gianni Di Giorgio
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Emanuele Leonardi
- Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Roma, Rome, Italy
| | - Guglielmo-Giuseppe Campus
- School of Dentistry, University of Sassari, Italy.,WHO Collaborating Centre for Epidemiology and Community Dentistry of Milan, University of Milan, Italy
| | - Iole Vozza
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Maurizio Bossù
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| |
Collapse
|
9
|
Okori H, Apolot PS, Mwaka E, Tumusiime G, Buwembo W, Munabi IG. A secondary analysis to determine variations of dental arch measurements with age and gender among Ugandans. BMC Res Notes 2015; 8:428. [PMID: 26358318 PMCID: PMC4566201 DOI: 10.1186/s13104-015-1411-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2014] [Accepted: 09/07/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Dental arch dimensions are useful in dental practice and in forensic odontology. Local data is essential because ethnic differences exist in dental arch dimensions. In the Ugandan population no studies had been done on dental arch dimensions. The objective of the current study was to determine the variations in dental arch dimensions with age and gender in a sample of dental casts from the Ugandan population. METHOD This was a secondary analysis of dental casts previously prepared using mandibular and maxillary arch impressions of 220 children (85 boys and 135 girls) aged 12-17 years recruited from schools in Kampala, Uganda. Dental arch dimensions for the maxilla and mandibular casts were taken using a digital vernier calliper. The data was analysed using the means based independent samples t test to obtain the descriptive statistics with regression analysis being used to obtain the regression coefficients and constants using STATA 12. RESULTS The overall maxillary dimensions were significantly smaller in females than males by 1.50 mm (95% CI -2.91 to -0.09, P = 0.04), controlling for age group. The overall dimensions of the mandible were also smaller in younger participants, though this was not statistically significant. CONCLUSION From this study we observed significant differences in arch dimensions between males and females that are of forensic value for this population. There is need for more study of the differences in arch dimensions with age using a larger and more age diverse study population.
Collapse
Affiliation(s)
- Hilda Okori
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, P.O.Box 7072, Kampala, Uganda, East Africa.
| | - Pricilla S Apolot
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, P.O.Box 7072, Kampala, Uganda, East Africa.
| | - Erisa Mwaka
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, P.O.Box 7072, Kampala, Uganda, East Africa.
| | - Gerald Tumusiime
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, P.O.Box 7072, Kampala, Uganda, East Africa.
| | - William Buwembo
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, P.O.Box 7072, Kampala, Uganda, East Africa.
| | - Ian G Munabi
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, P.O.Box 7072, Kampala, Uganda, East Africa.
| |
Collapse
|
10
|
Almeida ABD, Leite ICG, Melgaço CA, Marques LS. Dissatisfaction with dentofacial appearance and the normative need for orthodontic treatment: determinant factors. Dental Press J Orthod 2015; 19:120-6. [PMID: 25162576 PMCID: PMC4296625 DOI: 10.1590/2176-9451.19.3.120-126.oar] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Objective This study aims at assessing the normative need for orthodontic treatment and the
factors that determine the subjective impact of malocclusion on 12-year-old
Brazilian school children. Methods A total of 451 subjects (215 males and 236 females) were randomly selected from
private and public schools of Juiz de Fora, Brazil. The collected data included
sociodemographic information and occlusal conditions. The esthetic subjective
impact of malocclusion was assessed by means of the Orthodontic Aesthetic
Subjective Impact Score - OASIS, whereas the malocclusion and the need for
orthodontic treatment were assessed by means of the Dental Aesthetic Index (DAI)
and the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC). Results Prevalence of normative need for orthodontic treatment was 65.6% (n = 155), and
prevalence of orthodontic esthetic subjective impact was 14.9%. The following
variables showed significant association with esthetic subjective impact of
malocclusion: female (p = 0.042; OR = 0.5; CI = 0.2-0.9), public school student (p
= 0.002; OR = 6.8; CI = 1.9-23.8), maxillary overjet ≥ 4 mm (p = 0.037; OR = 1.7;
CI = 1-3) and gingival smile ≥ 4 mm (p = 0.008; OR = 3.4; CI = 1.3-8.8). Conclusion The normative need for orthodontic treatment overestimated the perceived need.
Occlusal and sociocultural factors influenced the dissatisfaction of
schoolchildren with their dentofacial appearance.
Collapse
|
11
|
Nagarajappa R, Batra M, Sanadhya S, Daryani H, Ramesh G. Relationship between oral clinical conditions and daily performances among young adults in India - a cross sectional study. J Epidemiol Glob Health 2015; 5:347-57. [PMID: 25814396 PMCID: PMC7320497 DOI: 10.1016/j.jegh.2015.03.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Revised: 03/10/2015] [Accepted: 03/11/2015] [Indexed: 12/11/2022] Open
Abstract
Objective of the present study was to investigate relationship between oral health-related quality of life using Oral Impacts on Daily Performances (OIDP) scale and specific clinical dental measures. A cross sectional descriptive survey was conducted among 800 students. Oral health status and impacts were assessed using WHO guidelines and OIDP index respectively. Chi square test and multiple logistic regressions were employed for statistical analysis. Participants with caries were significantly (p ⩽ 0.05) more likely to have an impact on cleaning (OR = 2.487) and sleeping and relaxing (OR = 8.996). Similarly participants with oral mucosal conditions were more likely to have an impact on eating (OR = 3.97), cleaning (OR = 2.966) and physical activities (OR = 11.190). Dental Aesthetic Index (DAI) impacted on cleaning (OR = 2.134), emotional stability (OR = 3.957) and social contact (OR = 3.21). OIDP Index showed acceptable psychometric properties in the context of an oral health survey. Subjects presented a strong and consistent relationship between dental status and perceived impacts.
Collapse
Affiliation(s)
- Ramesh Nagarajappa
- Department of Public Health Dentisty, Rama Dental College Hospital and Research Centre, A-1/8, Lakhanpur, Kanpur, Uttar Pradesh, India.
| | - Mehak Batra
- Department of Public Health Dentistry, Pacific Dental College and Hospital, Airport Road, Debari, Udaipur, Rajasthan, India
| | - Sudhanshu Sanadhya
- Department of Public Health Dentisty, Government Dental College, Subhash Nagar, Jaipur, Rajasthan, India
| | - Hemasha Daryani
- Department of Public Health Dentistry, Hitkarni Dental College, Jabalpur, Madhya Pradesh, India
| | - Gayathri Ramesh
- Department of Oral and Maxillofacial Pathology, Rama Dental College Hospital and Research Centre, A-1/8, Lakhanpur, Kanpur, Uttar Pradesh, India
| |
Collapse
|
12
|
Benson PE, Da’as T, Johal A, Mandall NA, Williams AC, Baker SR, Marshman Z. Relationships between dental appearance, self-esteem, socio-economic status, and oral health-related quality of life in UK schoolchildren: A 3-year cohort study. Eur J Orthod 2014; 37:481-90. [DOI: 10.1093/ejo/cju076] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
|
13
|
Gilchrist F, Rodd H, Deery C, Marshman Z. Assessment of the quality of measures of child oral health-related quality of life. BMC Oral Health 2014; 14:40. [PMID: 24758535 PMCID: PMC4021173 DOI: 10.1186/1472-6831-14-40] [Citation(s) in RCA: 85] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2014] [Accepted: 04/03/2014] [Indexed: 11/13/2022] Open
Abstract
Background Several measures of oral health-related quality of life have been developed for children. The most frequently used are the Child Perceptions Questionnaire (CPQ), the Child Oral Impacts on Daily Performances (C-OIDP) and the Child Oral Health Impact Profile (COHIP). The aim of this study was to assess the methodological quality of the development and testing of these three measures. Methods A systematic search strategy was used to identify eligible studies published up to December 2012, using both MEDLINE and Web of Science. Titles and abstracts were read independently by two investigators and full papers retrieved where the inclusion criteria were met. Data were extracted by two teams of two investigators using a piloted protocol. The data were used to describe the development of the measures and their use against existing criteria. The methodological quality and measurement properties of the measures were assessed using standards proposed by the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) group. Results The search strategy yielded 653 papers, of which 417 were duplicates. Following analysis of the abstracts, 119 papers met the inclusion criteria. The majority of papers reported cross-sectional studies (n = 117) with three of longitudinal design. Fifteen studies which had used the original version of the measures in their original language were included in the COSMIN analysis. The most frequently used measure was the CPQ. Reliability and construct validity appear to be adequate for all three measures. Children were not fully involved in item generation which may compromise their content validity. Internal consistency was measured using classic test theory with no evidence of modern psychometric techniques being used to test unidimensionality of the measures included in the COSMIN analysis. Conclusion The three measures evaluated appear to be able to discriminate between groups. CPQ has been most widely tested and several versions are available. COHIP employed a rigorous development strategy but has been tested in fewer populations. C-OIDP is shorter and has been used successfully in epidemiological studies. Further testing using modern psychometric techniques such as item response theory is recommended. Future developments should also focus on the development of measures which can evaluate longitudinal change.
Collapse
Affiliation(s)
- Fiona Gilchrist
- Unit of Oral Health and Development, School of Clinical Dentistry, Sheffield S10 2TA, UK.
| | | | | | | |
Collapse
|
14
|
Basavaraj P, Sunil MK, Nagarajappa R, Ashish S, Ramesh G. Correlation between oral health and Child-OIDP index in 12- and 15-year-old children from Modinagar, India. Asia Pac J Public Health 2013; 26:390-400. [PMID: 24285777 DOI: 10.1177/1010539513510553] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To investigate the relationship between oral health measures and oral health-related quality of life using the Child-Oral Impact on Daily Performance index among school children of Modinagar. A cross-sectional analytical study was conducted on 900 school children aged 12 and 15 years in Modinagar, India. Children were interviewed about sociodental impacts on quality of life and examined for their normative treatment need for dental caries, traumatic dental injuries, and dentofacial anomalies. Frequency distributions for bivariate analysis and logistic regression for multivariate analysis were used for statistical analysis. Prevalence of oral impacts was high (60%), with a mean score of 2.49 ± 3.92. A significant association (P ≤ .05) was observed in oral impacts on daily performances with age, presence of dental caries, traumatic injuries, and dentofacial anomalies score. A strong association between clinical dental indicators and oral impacts in children showed eating followed by cleaning of teeth and smiling as the most commonly affected daily performances.
Collapse
Affiliation(s)
- Patthi Basavaraj
- DJ College of Dental Sciences and Research, Modinagar, Uttar Pradesh, India
| | - M K Sunil
- Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India
| | | | - Singla Ashish
- DJ College of Dental Sciences and Research, Modinagar, Uttar Pradesh, India
| | - Gayathri Ramesh
- Pacific Dental College and Hospital, Udaipur, Rajasthan, India
| |
Collapse
|
15
|
Sardenberg F, Martins MT, Bendo CB, Pordeus IA, Paiva SM, Auad SM, Vale MP. Malocclusion and oral health-related quality of life in Brazilian school children. Angle Orthod 2013; 83:83-89. [PMID: 22612389 PMCID: PMC8805542 DOI: 10.2319/010912-20.1] [Citation(s) in RCA: 73] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2012] [Accepted: 03/01/2012] [Indexed: 11/12/2023] Open
Abstract
OBJECTIVE To test the hypothesis that malocclusion and its impact on quality of life has no effect on 8- to 10-year-old Brazilian schoolchildren as measured by an oral health-related quality of life (OHRQoL) instrument. MATERIALS AND METHODS A cross-sectional study was carried out with a population-based sample of 1204 8- to 10-year-old children attending elementary schools in Belo Horizonte, Brazil. Dental examinations were carried out by two calibrated examiners. OHRQoL was assessed using the Brazilian version of the Child Perceptions Questionnaire. The Dental Aesthetic Index was used for the clinical assessment of malocclusion. Dental caries and socioeconomic factors were used as controlling variables. Bivariate analysis involved the chi-square test and the Fisher exact test. A Poisson regression model was employed for the multivariate analysis (P < .05). RESULTS Anterior segment spacing and anterior mandibular overjet were significantly associated with impact on OHRQoL (P < .05). Schoolchildren with malocclusion were 1.30-fold (95% CI: 1.15-1.46; P < 0.001) more likely to experience a negative impact on OHRQoL than those without malocclusion. Children belonging to families with an income less than or equal to two times the minimum wage were 1.59-fold (95% CI: 1.35-1.88; P < 0.001) more likely to experience a negative impact on OHRQoL than those belonging to families with the highest income. CONCLUSIONS Schoolchildren with malocclusion from lower-income families experience a greater negative impact on OHRQoL.
Collapse
Affiliation(s)
- Fernanda Sardenberg
- PhD Student, Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Milene T. Martins
- PhD Student, Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Cristiane B. Bendo
- PhD Student, Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Isabela A. Pordeus
- Full Professor, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Saul M. Paiva
- Associate Professor, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Sheyla M. Auad
- Associate Professor, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Miriam P. Vale
- Associate Professor, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| |
Collapse
|
16
|
Moura C, Cavalcanti AL, Gusmão ES, Soares RDSC, Moura FTC, Santillo PMH. Negative self-perception of smile associated with malocclusions among Brazilian adolescents. Eur J Orthod 2012; 35:483-90. [PMID: 22531664 DOI: 10.1093/ejo/cjs022] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
This study estimated the prevalence of negative self-perception of smile because of occlusion abnormalities and investigated their association according to standard clinical criteria. The sample consisted of 1290 randomly selected Brazilian adolescent boys and girls aged 12-16 years. The outcome of interest was dissatisfaction with smile, and data were collected using a standardized questionnaire. Occlusion characteristics were assessed using the dental aesthetic index (DAI). The other study variables were gender, age, and use of dental services. A chi-square test and Poisson multiple regression were used for statistical analysis. Of the 1290 students interviewed and examined, 539 (41.8 per cent) were dissatisfied with their smile; of these, 373 (69.2 per cent) assigned their dissatisfaction to the presence of an occlusal abnormality, and 166 (30.8 per cent) reported reasons other than occlusal abnormalities for their negative self-perception of their smile. In multivariate analysis, the following variables were associated with the outcome of interest: maxillary anterior irregularity [prevalence ratio (PR) = 1.40; 95 per cent confidence interval (CI) = 1.29-1.80], incisal spacing (PR = 1.37; 95 per cent CI = 1.19-1.57), vertical open bite (PR = 1.34; 95 per cent CI = 1.15-1.55), mandibular anterior irregularity (PR = 1.29; 95 per cent CI = 1.14-1.46), permanent anterior teeth missing (PR = 1.21; 95 per cent CI = 1.05-1.39), and incisal diastema (PR = 1.14; 95 per cent CI = 1.01-1.31). The negative self-perception of smile was statistically associated with severity of occlusal disorders according to the DAI scores, which suggests that self-perception should be used together with standard clinical criteria when decisions about orthodontic treatments are made in public health care systems.
Collapse
Affiliation(s)
- Cristiano Moura
- Department of Dentistry, Universidade Federal de Campina Grande, Patos – PB, Brazil.
| | | | | | | | | | | |
Collapse
|
17
|
Navabi N, Farnudi H, Rafiei H, Arashlow MT. Orthodontic treatment and the oral health-related quality of life of patients. JOURNAL OF DENTISTRY (TEHRAN, IRAN) 2012; 9:247-54. [PMID: 23119134 PMCID: PMC3484829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/29/2012] [Accepted: 06/13/2012] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Malocclusion is a common oral disorder, can cause negative impacts on oral conditions, social life and patients' self confidence. The objective of this study was to determine whether orthodontic treatment influence oral health related quality of life (OHQoL). MATERIALS AND METHODS Cross-sectional design with self-reported data were collected from 302 participants attended at professional orthodontic office (62% female; mean age, 21.71 years) in two "treatment" and "no treatment" groups. The measure namely (oral health impact profile) OHIP-14 was used to assess the patient's OHQol. Linear regression model was used in the data analysis. RESULTS A significant relationship was found in one question and one domain of OHIP-14 between the two groups (P<0.05) which showed difference in physical limitation. Linear regression model showed that in the treatment group, this domain of OHQoL was 1.86 times less likely complicated than in the "no treatment" group. CONCLUSION Patients who had completed orthodontic treatment had a better OHQoL in physical aspects than those who never had treatment.
Collapse
Affiliation(s)
- N. Navabi
- Assistant Professor, Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran,Corresponding author: N. Navabi, Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran,
| | | | - H. Rafiei
- Assistant Professor, Department of Orthodontics, Kerman School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
| | | |
Collapse
|
18
|
Borges CM, Peres MA, Peres KG. Associação entre presença de oclusopatias e insatisfação com a aparência dos dentes e gengivas: estudo com adolescentes brasileiros. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2010; 13:713-23. [DOI: 10.1590/s1415-790x2010000400015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2010] [Accepted: 06/23/2010] [Indexed: 11/22/2022] Open
Abstract
Apesar da alta prevalência de oclusopatias em adolescentes ser mundialmente relatada, poucos estudos investigaram a associação entre oclusopatias definidas por critérios clínicos e a auto-avaliação da aparência dentária e das gengivas em adolescentes. O objetivo deste estudo foi investigar a associação entre oclusopatias e auto-avaliação da aparência dentária e gengival em adolescentes brasileiros. Foram utilizados os dados de um estudo transversal realizado com adolescentes de 15 a 19 anos de idade (n = 16.126) de 250 cidades localizadas nas cinco macrorregiões do Brasil. O desfecho foi a insatisfação com a aparência dentária e gengival, sendo a principal variável exploratória as oclusopatias, medidas através do Índice de Estética Dental - DAI. As demais variáveis exploratórias, potenciais fatores de confusão e mediação, foram renda familiar per capita, atraso escolar, condição de estudo, sexo, idade, cor da pele, agravos bucais (cárie não tratada, perda dentária devido à cárie, cálculo, fluorose e dor nos dentes e gengivas) e a utilização dos serviços odontológicos. Realizaram-se análises de regressão de Poisson simples e multiva-riável. A prevalência de insatisfação com a aparência dos dentes e gengivas foi de 11,4% (IC 95%: 10,4-12,5). Todos os graus de oclusopatias foram associados à insatisfação com a aparência dos dentes e gengivas. A análise multivariável ajustada mostrou que a auto-avaliação negativa da aparência em adolescentes com oclusopatias graves ou muito graves foi 40% e 80% maior quando comparados àqueles com oclusão normal, respectivamente. Os resultados contribuem para a inclusão do critério de auto-avaliação da aparência dental durante as decisões de tratamento ortodôntico, principalmente no âmbito do Sistema Único de Saúde.
Collapse
|
19
|
Bianco A, Fortunato L, Nobile CGA, Pavia M. Prevalence and determinants of oral impacts on daily performance: results from a survey among school children in Italy. Eur J Public Health 2009; 20:595-600. [PMID: 19892850 DOI: 10.1093/eurpub/ckp179] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The use of health status measures to assess health-related quality of life is not widespread. The objectives of this study were to assess the prevalence, characteristics and severity of oral impacts on health using the Child-Oral Impact on Daily Performance (Child-OIDP). METHODS The survey was conducted on 11-16 years old randomly selected students in Catanzaro. Data were collected through a self-administered questionnaire, an interview for the calculation of Child-OIDP and the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN) and an oral examination. RESULTS Only 5.5% out of 530 children did not report any dental problem in the previous 3 months and 66.8% had experienced dental impacts according to the Child-OIDP. Sex, fruit intake frequency, mouthwash habits and IOTN AC score assessed by dentist were significant risk factors for dental impacts. CONCLUSION Our findings suggest that the measurement of Oral Health-Related Quality of Life (OHRQoL) should be an essential component of oral health surveys.
Collapse
Affiliation(s)
- Aida Bianco
- Medical School, University of Catanzaro Magna Græcia, Via Tommaso Campanella, Catanzaro, Italy
| | | | | | | |
Collapse
|
20
|
Mtaya M, Brudvik P, Astrøm AN. Prevalence of malocclusion and its relationship with socio-demographic factors, dental caries, and oral hygiene in 12- to 14-year-old Tanzanian schoolchildren. Eur J Orthod 2009; 31:467-76. [PMID: 19336630 DOI: 10.1093/ejo/cjn125] [Citation(s) in RCA: 90] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
The aim of this study was to assess the prevalence of malocclusion and its association with socio-demographic characteristics, caries experience, and level of oral hygiene in 12- to 14-year-old schoolchildren residing in two socio-economically different districts of Tanzania. A total of 1601 children (mean age 13 years, 60.5 per cent girls) attending 16 primary schools in Kinondoni and Temeke districts participated in a clinical examination and were interviewed in school settings. Chi-square and multiple logistic regression models were used to test for statistically significant differences between different groups. The results showed that 63.8 per cent (62.6 per cent in Kinondoni and 66.0 per cent in Temeke) of the subjects had at least one type of anomaly, with a midline shift (22.5 per cent), spacing of at least 2 mm (21.9 per cent), and an open bite (16.1 per cent) being the most frequently recorded. The majority (93.6 per cent) of the children showed a Class I molar relationship. Class II and Class III malocclusions were registered in 4.4 and 2.0 per cent, respectively. Multiple logistic regression analyses, controlling for socio-demographic factors, showed that the odds ratio for having an open bite was 1.8 if residing in a less socio-economically privileged district. Subjects with decayed, missing, and filled teeth (DNFT) (>0) were 1.7, 2.1, 2.4, and 1.7, respectively, more likely to be diagnosed with a malocclusion, a midline shift, Angle Class II and III, and an open bite. Schoolchildren with fair/poor oral hygiene were less likely than their counterparts with good oral hygiene to be diagnosed with a midline shift. Malocclusions were prevalent in the Tanzanian children investigated and were associated with environmental factors in terms of caries experience and residing in a less affluent district. Preventive programmes to combat the prevalence of malocclusion are recommended.
Collapse
Affiliation(s)
- Matilda Mtaya
- Department of Clinical Dentistry, University of Bergen, Norway.
| | | | | |
Collapse
|
21
|
Comparison of the discriminative ability of a generic and a condition-specific OHRQoL measure in adolescents with and without normative need for orthodontic treatment. Health Qual Life Outcomes 2008; 6:64. [PMID: 18718004 PMCID: PMC2533301 DOI: 10.1186/1477-7525-6-64] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2008] [Accepted: 08/21/2008] [Indexed: 12/28/2022] Open
Abstract
Background At present, there is no evidence on whether using condition-specific Oral Health-Related Quality of Life (OHRQoL) measures provides more reliable information than generic measures for needs assessment. Therefore, the objective was to assess the discriminative ability of one generic and one condition-specific OHRQoL measure, namely, respectively, the short form of the Oral Health Impact Profile (OHIP-14) and the Condition-Specific form of the Oral Impacts on Daily Performances (CS-OIDP) attributed to malocclusion, between adolescents with and without normative need for orthodontic treatment. Methods 200 16–17-year-old adolescents were randomly selected from 957 schoolchildren attending a Sixth Form College in London, United Kingdom. The impact of their oral conditions on quality of life during the last 6 months was assessed using two OHRQoL measures; OHIP-14 and OIDP. Adolescents were also examined for normative orthodontic treatment need using the Index of Orthodontic Treatment Need (IOTN) and the Dental Aesthetic Index (DAI). Discriminative ability was assessed comparing the overall scores and prevalence of oral impacts, calculated using each OHRQoL measure, between adolescents with and without normative need. Using the prevalence of oral impacts allowed adjusting for covariates. Results There were significant differences in overall scores for CS-OIDP attributed to malocclusion between adolescents with and without normative need for orthodontic treatment when IOTN or DAI were used to define need (p = 0.029 or 0.011 respectively), and in overall scores for OHIP-14 when DAI, but not IOTN was used to define need (p = 0.029 and 0.080 respectively). For the prevalence of impacts, only the prevalence of CS-OIDP attributed to malocclusion differed significantly between adolescents with and without normative need, even after adjusting for covariates (p = 0.017 and 0.049 using IOTN and DAI to define need). Conclusion CS-OIDP attributed to malocclusion was better able than OHIP-14 to discriminate between adolescents with and without normative needs for orthodontic treatment.
Collapse
|