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Liang JH, Liu ML, Pu YQ, Wang C, Huang S, Jiang N, Hu LX, Zhang YS, Gui ZH, Pu XY, Huang SY, Chen YJ. Contribution of individual and cumulative social determinants of health underlying gender disparities in periodontitis in a representative US population: A cross-sectional NHANES study. J Clin Periodontol 2024; 51:558-570. [PMID: 38200631 DOI: 10.1111/jcpe.13941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 12/15/2023] [Accepted: 12/21/2023] [Indexed: 01/12/2024]
Abstract
AIM To examine the impact of both individual and cumulative social determinants of health (SDoH) on the likelihood of developing periodontitis, while also exploring any gender disparities in this relationship. MATERIALS AND METHODS Data of self-reported SDoH domains and sub-items based on Healthy People 2030 were obtained from the U.S. National Health and Nutrition Examination Surveys between 1999 and 2014. Logistic regression models, weighted by survey responses, were used to examine the relationship between SDoH (including eight sub-items and the cumulative number of unfavourable SDoH) and periodontitis. The results were further analysed by gender. RESULTS A total of 18,075 participants (8867 males and 9208 females) were included in the main analysis, of which 5814 (32.2%) had periodontitis. The study found that certain unfavourable SDoH were individually associated with higher odds of periodontitis, and the cumulative number of unfavourable SDoH was positively linked to the odds of developing periodontitis. Furthermore, males exposed to more unfavourable SDoH appeared to be more susceptible to developing periodontitis than females. CONCLUSIONS The findings suggest that unfavourable SDoH, especially when they accumulate, are associated with an increased odds of periodontitis and contribute to gender disparities within the U.S. POPULATION
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Affiliation(s)
- Jing-Hong Liang
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Mei-Ling Liu
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Ying-Qi Pu
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Cong Wang
- Department of Radiology, Henan Provincial People's Hospital, Zhengzhou, People's Republic of China
| | - Shan Huang
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Nan Jiang
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Li-Xin Hu
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Yu-Shan Zhang
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Zhao-Huan Gui
- Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Guangzhou, People's Republic of China
| | - Xue-Ya Pu
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Shao-Yi Huang
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
| | - Ya-Jun Chen
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China
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Pravin Kumar A, Palaiyatharasi K, Ponni K, Smitha N, Vikraman J, Vennila M. Effect of family linked factors on sibling's oral health. Bioinformation 2024; 20:79-84. [PMID: 38352900 PMCID: PMC10859943 DOI: 10.6026/973206300200079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Revised: 01/31/2024] [Accepted: 01/31/2024] [Indexed: 02/16/2024] Open
Abstract
The association between family factors and dental caries/dental plaque development in children is of interest. The parents of pediatric age group seeking treatment from the Government Chengalpattu Medical college hospital, who accompanied with two or more siblings, were included. A questionnaire was given to gather data on the parents' socioeconomic status and family size. The children underwent clinical examination to evaluate the state of their oral health. Results showed a significant relationship between dental plaque and caries experience of child with gender, parents' education, occupation and socioeconomic status. So we conclude that the family related factors such as parent's education, occupation, income and SES exerted a definite impact in the oral health of children than the family size and sibling factors.
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Affiliation(s)
- A Pravin Kumar
- Government Arignar Anna Memorial Cancer Hospital & Research Institute, Tamilnadu, India
- Government Chengalpattu Medical College and Hospital, Tamilnadu, India
| | - K Palaiyatharasi
- Government Namakkal medical college & Hospital, Tamilnadu, India
- Government Chengalpattu Medical College and Hospital, Tamilnadu, India
| | - K Ponni
- Government Chengalpattu Medical College and Hospital, Tamilnadu, India
| | - N Smitha
- Government Medical College & ESIC Hospital Coimbatore, Tamilnadu, India
| | - J Vikraman
- Government Chengalpattu Medical College and Hospital, Tamilnadu, India
| | - M Vennila
- Government Villupuram Medical College and Hospital, Tamilnadu, India
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Tognetti VM, Toledo EDS, Alves TM, Rizzardi KF, Parisotto TM, Pascon FM. Effect of two irrigating solutions on antimicrobial activity and clinical and radiographic success after endodontic treatment in primary teeth: a randomized clinical trial. Clin Oral Investig 2024; 28:81. [PMID: 38189975 DOI: 10.1007/s00784-023-05398-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Accepted: 12/05/2023] [Indexed: 01/09/2024]
Abstract
OBJECTIVES This study evaluated the antimicrobial activity, clinical and radiographic outcome of pulpectomy in primary teeth using either 1% sodium hypochlorite (NaOCl) or 2% chlorhexidine (CHX) as irrigants. MATERIALS AND METHODS A randomized double-blind controlled clinical study in which primary teeth were allocated to 1% NaOCl (n = 20) and 2% CHX (n = 20) groups. Microbiological collections were performed before and after irrigation for agar culture and real-time polymerase chain reaction (qPCR). Clinical and radiographic success was assessed at different times. Data were submitted to descriptive analysis, chi-square, Mann-Whitney, and Wilcoxon tests (p < .05). RESULTS For 1% NaOCl, the following clinical and radiographic success rates were observed: 7 days (93%/80%); 30 days, 3 and 6 months (100%). For 2% CHX: 7 days (73%/53%); 30 days (93%); 3 months (100%/93%); 6 months (100%) (p > .05). One percent NaOCl and 2% CHX effectively reduced total microorganisms (p < .05) but not mutans streptococci (p > .05). In qPCR analysis, the solutions promoted a reduction of total bacteria and Streptococcus mutans, and no difference was observed between times and groups (p > .05). CONCLUSIONS One percent NaOCl and 2% CHX were effective for clinical and radiographic success and antimicrobial activity in primary teeth submitted to pulpectomy. CLINICAL RELEVANCE Studying the antimicrobial activity and clinical and radiographic outcomes of pulpectomy in primary teeth using NaOCl and CHX as irrigants is clinically relevant because it provides information for optimizing treatment protocols and improving the quality of care for pediatric patients. It contributes to evidence-based practice and can potentially lead to better outcomes, reduced complications, and enhanced patient experiences.
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Affiliation(s)
- Valdinéia Maria Tognetti
- Department of Health Sciences and Pediatric Dentistry, Pediatric Dentistry Division, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, Brazil
- Laboratory of Molecular Biology of Microorganisms, University São Francisco, Bragança Paulista, São Paulo, Brazil
| | - Elora da Silva Toledo
- Laboratory of Molecular Biology of Microorganisms, University São Francisco, Bragança Paulista, São Paulo, Brazil
| | - Tainá Moreira Alves
- Laboratory of Molecular Biology of Microorganisms, University São Francisco, Bragança Paulista, São Paulo, Brazil
| | - Karina Ferreira Rizzardi
- Laboratory of Molecular Biology of Microorganisms, University São Francisco, Bragança Paulista, São Paulo, Brazil
| | - Thaís Manzano Parisotto
- Laboratory of Molecular Biology of Microorganisms, University São Francisco, Bragança Paulista, São Paulo, Brazil
| | - Fernanda Miori Pascon
- Department of Health Sciences and Pediatric Dentistry, Pediatric Dentistry Division, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, Brazil.
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LIKAR OSTRC L, FRANKOVIČ S, PAVLIČ A. The Development and Evaluation of the Slovenian Version of the Early Childhood Oral Health Impact Scale (ECOHIS-SVN). Zdr Varst 2023; 62:173-181. [PMID: 37799415 PMCID: PMC10549250 DOI: 10.2478/sjph-2023-0025] [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: 03/10/2023] [Accepted: 08/10/2023] [Indexed: 10/07/2023] Open
Abstract
Introduction There has been no valid and reliable instrument available to measure the impact of oral health on the quality of life of Slovenian preschool children. The main aim of this study was to develop and evaluate the validity and reliability of the first Slovenian instrument assessing Oral Health-Related Quality of Life (OHRQoL) preschool children: the ECOHIS-SVN. Methods The ECOHIS-SVN was developed using forward-backward translations and with the participation of children aged under six and their parents. The children's teeth were examined, and parents were asked to complete questionnaires, including the ECOHIS-SVN. The internal consistency of ECOHIS-SVN was evaluated through the calculation of Cronbach's alpha (α), test-retest reliability with an intra-class-correlation coefficient (ICC), convergent validity with Spearman's rank correlation (r) and criterion validity with the Mann-Whitney test. The association between the ECOHIS-SVN score and parents' age, educational level, self-reported oral health and OHIP-SVN14 was estimated using multiple linear regression. Results In the study, 255 children participated, with a mean age of 4.8 years (±0.8). The ECOHIS-SVN questionnaire was completed by the parents of all 255 children and re-filled by 71 parents. The results of the total ECOHIS-SVN scale include α=0.85, ICC=0.85, and r=0.6-0.75. A statistically significant association was found between the ECOHIS-SVN and parents' age and between the ECOHIS-SVN and parents' OHIP-SVN14 in the whole group and in the subgroup of children with no teeth affected by cavitated caries (dmft=0) (p=0.025, p=0.028), respectively. Conclusion ECOHIS-SVN enables further studies to assess the OHRQoL of preschool children in the Slovenian-speaking population.
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Affiliation(s)
- Lenka LIKAR OSTRC
- University of Ljubljana, Faculty of Medicine, Department of Paediatric and Preventive Dentistry, Hrvatski trg 6, 1000Ljubljana, Slovenia
| | - Sabina FRANKOVIČ
- Community Health Centre Kranj, Mental Health Dispensary, Gosposvetska 10, 4000Kranj, Slovenia
| | - Alenka PAVLIČ
- University of Ljubljana, Faculty of Medicine, Department of Paediatric and Preventive Dentistry, Hrvatski trg 6, 1000Ljubljana, Slovenia
- University Medical Centre Ljubljana, Department of Paediatric and Preventive Dentistry, Bohoričeva 20, 1000Ljubljana, Slovenia
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Boodai H, ElSalhy M, Alsumait A, Ariga J, Al-Sharbati M. The relationship between children's oral health behaviours and oral health-related quality of life: a cross-sectional study. BMC Oral Health 2023; 23:757. [PMID: 37833726 PMCID: PMC10576284 DOI: 10.1186/s12903-023-03454-5] [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: 06/26/2022] [Accepted: 09/25/2023] [Indexed: 10/15/2023] Open
Abstract
BACKGROUND Understanding oral health behaviour s and their impact on Oral Health-Related Quality of Life (OHRQoL) may serve as an instrument to articulate the conventional oral health policy framework, thereby ameliorating the overall health of young individuals in the long term. OBJECTIVE The aim of this study was to investigate the relationship between children's oral health behaviour s and Oral Health-Related Quality of Life in the capital governorate, Kuwait. METHODS A cross-sectional study involving 607 children aged 12-14 years, randomly selected from schools in Kuwait Capital Region. A validated Oral Health Behaviour s and OHRQoL Child Perception Questionnaires (CPQ12-14) was used to collect the data. Chi-square, t-tests, and ANOVA were used to examine the association between oral behaviour s and children's OHRQoL. RESULTS About 52.2% of participants were males and the overall response rate was 93.8%. The mean ± SD for total OHRQoL impact was 3.1 ± 0.58, while the total mean for individual domains- for oral symptoms, functional limitations, emotional well-being and social well-being were 2.89 ± 0.63, 2.89 ± 0.72, 3.1 ± 0.91 and 3.4 ± 0.61, respectively. There was no significant difference in total OHRQoL impact score by frequency of last dental visit, flossing, use of mouth rinse or chewing gum (p > 0.05) but for the overall OHRQoL, frequency of soft drink intake was the only significant predictor associated with 0.2-unit decrease (B = -0.207, 95% CI, p = 0.002) in total OHRQoL scores. CONCLUSIONS High frequency of soft drink consumption was related to poorer OHRQoL. Behaviour changing interventions based on OHRQoL inferences coupled with clinical intervention are needed.
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Affiliation(s)
- Hanan Boodai
- School Oral Health, Dental Administration, Ministry of Health, Kuwait City, Kuwait.
| | - Mohamed ElSalhy
- College of Dental Medicine, University of New England, Portland, ME, USA
| | - Aishah Alsumait
- School Oral Health, Dental Administration, Ministry of Health, Kuwait City, Kuwait
| | - Jitendra Ariga
- School Oral Health, Dental Administration, Ministry of Health, Kuwait City, Kuwait
| | - Marwan Al-Sharbati
- Department of Social and Behaviour Al Sciences, Faculty of Public Health, Kuwait University, Kuwait City, Kuwait
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Dinis AR, Teixeira A, Pérez-Mongiovi D, Caldas IM. Fluctuating asymmetry in third molar agenesis as an aid to estimate socioeconomic status. Forensic Sci Med Pathol 2023:10.1007/s12024-023-00706-2. [PMID: 37672167 DOI: 10.1007/s12024-023-00706-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/24/2023] [Indexed: 09/07/2023]
Abstract
Traditionally, dental identification techniques are used to establish identity or assist in reconstructing an individual's biological profile. However, other aspects of identity, namely socioeconomic status (SES), can be estimated through teeth. This work aims to evaluate the influence of SES on third molar agenesis in a Portuguese population. X-rays from 448 subjects (223 belonging to a high and 225 to a low socioeconomic status) were assessed and demographic data (age, sex) and dental history were registered. Frequencies and associations between the variables were analyzed using the chi-square test. For each group, differences between third molar agenesis were studied using the Wilcoxon test. The significance level was 5%. X-rays displaying at least one agenesis were more common in females (in both SES groups). Differences between socioeconomic status were found in female subjects' upper right and lower left third molars, with a higher frequency of agenesis in the lower SES group. Agenesis of lower third molars displayed fluctuant asymmetry in both groups, whereas agenesis of upper third molars was also present in the lower SES group. These results suggest that socioeconomic status can affect third molar agenesis prevalence, and fluctuant asymmetry seems more prevalent in the lower SES, as it affects all third molars.
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Affiliation(s)
- Ana Rita Dinis
- 1H-TOXRUN - One Health Toxicology Research Unit, University Institute of Health Sciences (IUCS), CESPU, CRL, 4585-116, Gandra, Portugal
| | - Alexandra Teixeira
- 1H-TOXRUN - One Health Toxicology Research Unit, University Institute of Health Sciences (IUCS), CESPU, CRL, 4585-116, Gandra, Portugal
| | - Daniel Pérez-Mongiovi
- 1H-TOXRUN - One Health Toxicology Research Unit, University Institute of Health Sciences (IUCS), CESPU, CRL, 4585-116, Gandra, Portugal
| | - Inês Morais Caldas
- 1H-TOXRUN - One Health Toxicology Research Unit, University Institute of Health Sciences (IUCS), CESPU, CRL, 4585-116, Gandra, Portugal.
- Faculty of Dental Medicine, University of Porto, Rua Dr. Manuel Pereira da Silva, 4200-393, Porto, Portugal.
- Departamento de Ciências da Vida, Centre for Functional Ecology, University of Coimbra (CFE-UC), Calçada Martim de Freitas, 3000-456, Coimbra, Portugal.
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Shokravi M, Khani-Varzgan F, Asghari-Jafarabadi M, Erfanparast L, Shokrvash B. The Impact of Child Dental Caries and the Associated Factors on Child and Family Quality of Life. Int J Dent 2023; 2023:4335796. [PMID: 37547815 PMCID: PMC10404155 DOI: 10.1155/2023/4335796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 04/15/2023] [Accepted: 07/07/2023] [Indexed: 08/08/2023] Open
Abstract
Introduction Dental caries are considered as common health hazards and a serious lifelong threat to general health and quality of life. The present study aimed at identifying the impact of child dental caries and the associated factors on both child and family quality of life (QoL). Material and Methods. In this cross-sectional study, preschool children were selected randomly through clustered sampling from five educational districts in Tabriz, Iran, 2016. To assess the QoL related to oral health, the Early Childhood Oral Health Impact Scale (ECOHIS) was used. Clinical oral examination was performed to assess the presence of caries through the index of decayed, missing, and filled teeth (dmft). Descriptive and analytic statistical methods were used. To assess the underlying predictors of ECOHIS as a whole scale and the dimensions as a linear regression model were used as univariate and multivariate. Results : Out of 756 children under 7 years old, 51.5% boys, mean (M) standard deviation (SD) of age 5.76 (0.78). About 85% of children had dental caries. The predictors of suboptimal ECOHIS related to both general and child dimensions were child age 6 year and above: r (756) = 2.43, and P ≤ 0.001, low-socioeconomic status: r (756) = 3.36 and P < 0.001 and high dmft: r (756) = 9.10 and P < 0.001. The predictors of suboptimal ECOHIS related to family domain were sex (girl): r (756) = 0.39 and P = 0.047; mother education (under12): r (756) = -0.92 and P < 0.001; mother job (employed) as univariate: r (756) = 0.71 and P = 0.002); and dmft: r (756) = -0.58 and P = 0.035. Conclusion Adverse oral health of children imposes adverse effects on the QoL of children and families. Children's age, family socioeconomic level, presence of dental caries, child's gender, and mother's educational level were associated with the impact on QoL.
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Affiliation(s)
- Marziyeh Shokravi
- Department of Pediatric Dentistry, Faculty of Dentistry, Qazvin University of Medical Science, Qazvin, Iran
- Dental caries Prevention Research Center, Qazvin University Of Medical Science, Qazvin, Iran
| | - Fatemeh Khani-Varzgan
- Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Golgasht Street, Tabriz, Iran
| | - Mohammad Asghari-Jafarabadi
- Cabrini Research, Cabrini Health, Melbourne, VIC 3144, Australia
- Biostatistics Unit, School of Public Health and Preventative Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3004, Australia
- Department of Psychiatry, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC 3168, Australia
- Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Leila Erfanparast
- Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Golgasht Street, Tabriz, Iran
| | - Behjat Shokrvash
- Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Golgasht Street, Tabriz, Iran
- Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
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Göranson E, Sonesson M, Naimi-Akbar A, Dimberg L. Malocclusions and quality of life among adolescents: a systematic review and meta-analysis. Eur J Orthod 2023; 45:295-307. [PMID: 36995692 PMCID: PMC10230246 DOI: 10.1093/ejo/cjad009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Abstract
BACKGROUND Malocclusions in adolescents might have a negative impact on oral health-related quality of life (OHRQoL). Potential confounding variables (confounders) such as age, gender, caries, and socioeconomic status may skew the real relationship between malocclusions and OHRQoL. OBJECTIVES To analyse the effect of malocclusions in adolescents on OHRQoL, when controlled for potential confounders. SEARCH METHODS Five databases (PubMed, Cochrane Library, Cinahl, Scopus, and Web of Science) were searched up to 15 June 2022. SELECTION CRITERIA Studies in which OHRQoL in 10-19-year olds with and without malocclusions were compared. DATA COLLECTION AND ANALYSIS Screening, data extraction, and quality assessments were performed by four investigators independently. Risk of bias was assessed according to the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) guidelines. To be included, studies had to control for confounders. Certainty of evidence was assessed with GRADE. RESULTS Thirteen cross-sectional studies with low and moderate risk of bias were included in the qualitative synthesis. Four of these were also included in the quantitative synthesis (meta-analysis). The 13 studies in the qualitative synthesis displayed a large variation among the indices used for malocclusion ratings, as well as in instruments measuring OHRQoL. There was moderate quality of evidence that malocclusions have a negative effect on OHRQoL. The four articles included in the quantitative synthesis (meta-analysis) measured malocclusions with DAI and OHRQoL with CPQ 11-14 short form. There was moderate quality of evidence that malocclusions have a negative effect on OHRQoL (RR/PR 1.15, 95% CI 1.12-1.18, 3672 participants). CONCLUSIONS There is moderate quality of evidence that malocclusions in adolescents have a negative impact on OHRQoL, after taking relevant confounders into consideration. Future studies should ideally use standardized measures for malocclusion ratings and OHRQoL. REGISTRATION PROSPERO. CRD42020186152.
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Affiliation(s)
- Emma Göranson
- Center for Orthodontics and Pediatric Dentistry, Norrköping, Public Dental Service Östergötland, Norrköping, Sweden
- Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
- Department of Orthodontics, Malmö University, Malmö, Sweden
| | | | - Aron Naimi-Akbar
- HTA-O Health Technology in Odontology, Malmö University, Malmö, Sweden
| | - Lillemor Dimberg
- Department of Orthodontics, Malmö University, Malmö, Sweden
- HTA-O Health Technology in Odontology, Malmö University, Malmö, Sweden
- Department of Orthodontics, Folktandvården Stockholms län AB, Folktandvården Eastmaninstitutet, Stockholm, Sweden
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Hong CL, Thomson WM, Broadbent JM. Oral Health-Related Quality of Life from Young Adulthood to Mid-Life. Healthcare (Basel) 2023; 11:515. [PMID: 36833050 PMCID: PMC9957151 DOI: 10.3390/healthcare11040515] [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: 01/27/2023] [Accepted: 02/02/2023] [Indexed: 02/12/2023] Open
Abstract
Quality of life varies with time, often worsening, and is affected by circumstances, events, and exposures at different stages of life. Little is known about how oral health-related quality of life (OHRQoL) changes during middle age. We investigated OHRQoL changes from age 32 to 45 years among participants in a population-based birth cohort, along with clinical and socio-behavioural associations. Generalised estimating equation models were used to investigate the association between OHRQoL (assessed at ages 32, 38, and 45 years; n = 844), and the socioeconomic position in childhood (up to age 15 years) and adulthood (ages 26 through to 45 years), dental self-care (dental services utilisation and tooth brushing), oral conditions (such as tooth loss), and experiencing a dry mouth. The multivariable analyses were controlled for sex and personality traits. At each stage of life, those of a lower socioeconomic status were at greater risk of experiencing OHRQoL impacts. Those who engaged in favourable dental self-care habits (the regular use of dental services and at least twice daily tooth brushing) experienced fewer impacts. A social disadvantage at any stage of life has enduring deleterious effects on one's quality of life in middle age. Ensuring access to timely and appropriate dental health services in adulthood may reduce the impacts of oral conditions on one's quality of life.
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Affiliation(s)
| | | | - Jonathan M. Broadbent
- Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin 9016, New Zealand
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Chapain KP, Rampal KG, Gaulee Pokhrel K, Adhikari C, Hamal D, Pokhrel KN. Influence of gender and oral health knowledge on DMFT index: a cross sectional study among school children in Kaski District, Nepal. BMC Oral Health 2023; 23:59. [PMID: 36726123 PMCID: PMC9890681 DOI: 10.1186/s12903-023-02755-z] [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: 07/30/2022] [Accepted: 01/19/2023] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Oral health problems are highly prevalent among school children in Nepal. Poor oral health condition may be influenced by various factors. However, little is known about the sociodemographic and awareness related factors on oral health problems among school children in Nepal. Therefore, this study aimed to assess the association of gender and knowledge on DMFT index among school children. METHODS A cross-sectional study was conducted among school children of Grade Seven in 12 schools of Kaski district in Nepal. Schools were randomly selected from the urban and semi-urban areas in the district. Data were collected covering oral health knowledge, socio-demographic characteristics, oral health condition and practices. The factors of poor oral health condition and practices were examined using t-test, one-way ANOVA, and multiple linear regression. RESULTS Of the total participants (n = 669), 54.9% were females and their mean DMFT score was 1.82 (SD = 1.07). Total decayed score was higher among those who did not have knowledge that fluoride prevents decay compared to those who had knowledge about it (Being aware of fluoride prevents decay: Mean = 1.21 (SD = 1.54) versus not being aware of that: mean = 2.13 (SD = 2.13); p = 0.029). Females were more likely to have higher DMFT scores compared to males (β-coefficient = 0.43, 95% CI 0.13, 0.73, p = 0.005). In addition, higher knowledge score was negatively associated with higher DMFT score (β-coefficient = - 0.09, 95% CI - 0.20, -0.01, p = 0.047). CONCLUSION Being female students and those having lower level of knowledge on oral health attributed to higher DMFT index. Periodic dental check-up coupled with oral health education on regular brushing, use of fluoridated paste, tongue cleaning and care of gum diseases are recommended in schools.
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Affiliation(s)
- Kamal Prasad Chapain
- Development and Research Service International Nepal, Khumaltar, Lalitpur, Nepal
| | | | | | - Chiranjivi Adhikari
- grid.444743.40000 0004 0444 7205School of Health and Allied Sciences (SHAS), Pokhara University, Kaski, Nepal ,grid.501262.20000 0004 9216 9160Department of Public Health, Indian Institute of Public Health-Gandhinagar (IIPHG), Gandhinagar, Gujarat India
| | - Deependra Hamal
- grid.416380.80000 0004 0635 3587Manipal College of Medical Sciences, Pokhara, Nepal
| | - Khem Narayan Pokhrel
- Development and Research Service International Nepal, Khumaltar, Lalitpur, Nepal.
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Curto A, Mihit F, Curto D, Albaladejo A. Assessment of Orthodontic Treatment Need and Oral Health-Related Quality of Life in Asthmatic Children Aged 11 to 14 Years Old: A Cross-Sectional Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10020176. [PMID: 36832305 PMCID: PMC9954178 DOI: 10.3390/children10020176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 01/12/2023] [Accepted: 01/15/2023] [Indexed: 01/19/2023]
Abstract
This study investigated the need for orthodontic treatment in asthmatic children aged 11 to 14 years and how the treatment affected their oral health-related quality of life (OHRQoL). MATERIALS AND METHODS This cross-sectional study was conducted at the dental clinic of the University of Salamanca in 2020-2022. The study selected a consecutive sample of 140 children with asthma (52.1% girls; 47.9% boys). This study used the Orthodontic Treatment Needs Index (OTN) to analyze the need for orthodontic treatment and the Children's Perception Questionnaire (CPQ11-14) to assess OHRQoL. RESULTS Sex and age did not significantly influence the need for orthodontic treatment, although age may be considered influential for OHRQoL concerning oral symptoms (p < 0.01), functional limitations (p < 0.05), and total score on the CPQ11-14 questionnaire (p < 0.05): the younger the age, the greater the effect of the need for orthodontic treatment on OHRQoL. The social well-being of the patients was much more significantly impacted by the need for orthodontic treatment (15.7 ± 1.91) than by oral symptoms (7.64 ± 1.39), which were the least impacted. In all parts of the CPQ11-14 questionnaire and in the patients' total scores, we observed significant agreement (p < 0.01) that treatment influenced OHRQoL. CONCLUSION An inverse relationship exists between the severity of the treatment needed and OHRQoL.
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Affiliation(s)
- Adrián Curto
- Pediatric Dentistry, Department of Surgery, Faculty of Medicine, University of Salamanca, Alfonso X El Sabio Avenue s/n, 37007 Salamanca, Spain
- Correspondence: ; Tel.: +34-(923)-294-541
| | - Fátima Mihit
- Faculty of Medicine, University of Salamanca, Alfonso X El Sabio Avenue s/n, 37007 Salamanca, Spain
| | - Daniel Curto
- Department of Pathology, 12 de Octubre University Hospital, Córdoba Avenue s/n, 28041 Madrid, Spain
| | - Alberto Albaladejo
- Orthodontics, Department of Surgery, Faculty of Medicine, University of Salamanca, Alfonso X El Sabio Avenue s/n, 37007 Salamanca, Spain
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12
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Balseca Ibarra MC, Medina Vega MV, Souto MLS, Romito GA, Frias AC, Raggio DP, Crosato EM, Mendes FM, Pannuti CM. Impact of gingivitis on oral health-related quality of life in 12-year-old schoolchildren of Quito, Ecuador. Eur Arch Paediatr Dent 2023; 24:211-218. [PMID: 36602708 DOI: 10.1007/s40368-022-00777-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Accepted: 12/20/2022] [Indexed: 01/06/2023]
Abstract
PURPOSE Evaluate the impact of gingivitis on oral health-related quality of life (OHRQoL) amongst 12-year-old schoolchildren from Quito, Ecuador. METHODS We evaluated 998 school children using the Community Periodontal Index for gingival bleeding and calculus. OHRQoL was assessed with the Child Perceptions Questionnaire 11-14 (CPQ11-14) questionnaire. RESULTS Of the 998 schoolchildren, 93% had gingival bleeding and 73% had dental calculus. Schoolchildren with more than one sextant with gingival bleeding had 1.18 times higher mean CPQ11-14 (RR 1.18, 95% CI 1.11-1.27) than those with none or just one affected sextant. Male schoolchildren presented a 15% lower mean Child Perceptions Questionnaire (CPQ) (RT 0.85; 95% CI 0.76-0.96). Children whose parents had incomplete secondary education had a 15% lower mean CPQ (RT 0.85; 95% CI 0.77-0.94). Bleeding in more than one sextant was significantly associated with worse quality of life in the emotional well-being (RT 1.40, 95% CI 1.03-1.90) and social well-being domains (RT 1.76, 95% CI 1.32-2.34). CONCLUSION Gingival bleeding negatively impacted the OHRQoL of 12-year-old Ecuadorian schoolchildren living in Quito.
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Affiliation(s)
- M C Balseca Ibarra
- Universidad Central del Ecuador, Quito, Ecuador.,Periodontics Department, University of São Paulo, São Paulo, Brazil
| | - M V Medina Vega
- Universidad Central del Ecuador, Quito, Ecuador.,Periodontics Department, University of São Paulo, São Paulo, Brazil
| | - M L S Souto
- University of São Paulo, São Paulo, São Paulo, Brazil
| | - G A Romito
- Periodontics Department, University of São Paulo, São Paulo, Brazil
| | - A C Frias
- Social Dentistry Department, University of São Paulo, São Paulo, Brazil
| | - D P Raggio
- Paedriatic Department, University of São Paulo, São Paulo, Brazil
| | - E M Crosato
- Social Dentistry Department, University of São Paulo, São Paulo, Brazil
| | - F M Mendes
- Paedriatic Department, University of São Paulo, São Paulo, Brazil
| | - C M Pannuti
- Periodontics Department, University of São Paulo, São Paulo, Brazil.
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13
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Zhao J, Shi H, Wang J, Huang R, Liu Y, Zhang Y, Jiang N, Wang T, Wang J, Xu X. Association of oral health knowledge, self-efficacy and behaviours with oral health-related quality of life in Chinese primary school children: a cross-sectional study. BMJ Open 2022; 12:e062170. [PMID: 36521895 PMCID: PMC9756180 DOI: 10.1136/bmjopen-2022-062170] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 11/30/2022] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVE Achieving good oral health-related quality of life (OHRQOL) is of particular concern in children. The inter-relations among oral health knowledge, self-efficacy, behaviours and OHRQOL in children groups remain unclear. This study aimed to explore the inter-relations between these oral health behaviour-related factors and OHRQOL in primary school children. METHODS In this cross-sectional study, 651 children in grades 2 and 3 were recruited in October 2020 from two primary schools in Minhang District, Shanghai, China. Data were collected through self-reported questionnaires, consisting of demographic characteristics, oral health knowledge, self-efficacy, oral health behaviours and OHRQOL. Pearson's correlation analyses were used to analyse the relationship between study variables. Structural equation models were used to test the inter-relations between OHRQOL and oral health behaviour-related factors. RESULTS Four hypothetical structural equation models were tested and one of them was selected as the most appropriate model, which explained 15.0% of the variance in OHRQOL. This selected model showed that oral health behaviours were directly related to OHRQOL. Oral health knowledge was indirectly associated with OHRQOL through both self-efficacy and oral health behaviours. Self-efficacy was directly associated with OHRQOL or was indirectly associated with OHRQOL through oral health behaviours. CONCLUSION This study revealed a pathway of association between children's oral health knowledge and their OHRQOL, in which children's oral health self-efficacy and behaviours had indirect effects. This provides a basis for understanding the mechanism of oral health promotion interventions to improve children's OHRQOL and helps to identify direct or indirect intervention targets.
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Affiliation(s)
- Jie Zhao
- Fudan University School of Public Health, Fudan University, Shanghai, Shanghai, China
- Minhang Branch of Fudan University School of Public health, Fudan University, Shanghai, Shanghai, People's Republic of China
| | - Hongyan Shi
- Dental Disease Prevention and Treatment Clinic of Minhang District, Shanghai, China
| | - Jingya Wang
- Fudan University School of Public Health, Fudan University, Shanghai, Shanghai, China
- Minhang Branch of Fudan University School of Public health, Fudan University, Shanghai, Shanghai, People's Republic of China
| | - Rui Huang
- Dental Disease Prevention and Treatment Clinic of Minhang District, Shanghai, China
| | - Yongyi Liu
- University of Washington School of Public Health, University of Washington, Seattle, Washington, USA
| | - Yuxin Zhang
- Fudan University School of Public Health, Fudan University, Shanghai, Shanghai, China
- Minhang Branch of Fudan University School of Public health, Fudan University, Shanghai, Shanghai, People's Republic of China
| | - Nan Jiang
- Fudan University School of Public Health, Fudan University, Shanghai, Shanghai, China
- Minhang Branch of Fudan University School of Public health, Fudan University, Shanghai, Shanghai, People's Republic of China
| | - Ting Wang
- Fudan University School of Public Health, Fudan University, Shanghai, Shanghai, China
- Minhang Branch of Fudan University School of Public health, Fudan University, Shanghai, Shanghai, People's Republic of China
| | - Jiwei Wang
- Fudan University School of Public Health, Fudan University, Shanghai, Shanghai, China
- Minhang Branch of Fudan University School of Public health, Fudan University, Shanghai, Shanghai, People's Republic of China
| | - Xiaoming Xu
- Dental Disease Prevention and Treatment Clinic of Minhang District, Shanghai, China
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14
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Asokan S, PR GP, Mathiazhagan T, Viswanath S. Association between Intelligence Quotient Dental Anxiety and Oral Health-related Quality of Life in Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2022; 15:745-749. [PMID: 36866135 PMCID: PMC9973088 DOI: 10.5005/jp-journals-10005-2452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
Background Determining the intelligence quotient (IQ) grades of children help in managing dental anxiety (DA) and maintaining the good oral health-related quality of life (OHRQoL). Aim To assess the association between IQ, DA, and OHRQoL in children aged 10-11 years. Design This cross-sectional study was carried out among 202 children aged 10-11 years in the Southern part of Tamil Nadu, India. The IQ level, DA, and OHRQoL were measured using Raven's Coloured Progressive Matrices (RCPM), Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and Child Oral Health Impact Profile Short Form (COHIP-SF) 19, respectively. Chi-squared test and Spearman rank order correlation test were used for analysis. Results The results revealed a significant negative correlation (p < 0.05; r = -0.239) between IQ and OHRQoL. DA was negatively correlated with IQ (r = -0.093) and OHRQoL (r = -0.065), but it was not statistically significant. The gender-based comparison revealed no significant difference in the distribution of girls and boys within different grades of IQ levels (p = 0.74), DA (p = 0.29), and OHRQoL (p = 0.85). Conclusion Children with higher IQ showed low OHRQoL scores. DA was negatively correlated with IQ and OHRQoL. How to cite this article Asokan S, PR GP, Mathiazhagan T, et al. Association between Intelligence Quotient Dental Anxiety and Oral Health-related Quality of Life in Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2022;15(6):745-749.
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Affiliation(s)
- Sharath Asokan
- Department of Pediatric and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Geetha Priya PR
- Department of Pediatric and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Thendral Mathiazhagan
- Department of Pediatric and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Sudhandra Viswanath
- Department of Pediatric and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
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15
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Oral Health-Related Quality of Life of 2 to 5-Year-Old Children in Iran. JOURNAL OF RESEARCH IN DENTAL AND MAXILLOFACIAL SCIENCES 2022. [DOI: 10.52547/jrdms.7.4.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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16
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Toti Ç, Droboniku E, Kaçani G, Tepedino M, Meto A, Fiorillo L, D'Amico C, Hysi D, Ndreu K, Cicciù M, Tanellari O. Benefits in Oral Health during Orthodontic Treatment of Patients Aged 17 to 21 Years. Eur J Dent 2022. [PMID: 36096140 DOI: 10.1055/s-0042-1744374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Abstract
OBJECTIVES The aim of the present study was to evaluate the effects of orthodontic treatment on patients' oral health-related quality of life (OHRQoL) in a population aged 17 to 21 years. The influence of gender and malocclusion severity was also investigated. MATERIALS AND METHODS In the present study, 108 patients were enrolled. Each patient completed a questionnaire about oral health impact profile (OHIP)-14 before treatment and after 12 months of treatment. The severity of the initial malocclusion was evaluated through the index for orthodontic treatment need (IOTN). STATISTICAL ANALYSIS Statistical analysis was performed to assess the presence of difference in OHRQoL score before and after the treatment, and the influence of gender and IOTN score on the observed outcomes. RESULTS We found no significant differences related to gender regarding their perception of how malocclusion affects the quality of life before orthodontic treatment. Moreover, no significant differences were found between males and females regarding their perception of how orthodontic treatment affects the quality of life 12 months after orthodontic treatment. Also, the analysis showed no statistically significant difference between males and females in the correlation IOTN-OHIP for Grades 2 and 3. A statistically significant difference between males and females was found only in Grade 4, both before (p=0.046) and after treatment (p=0.051). CONCLUSION Finally, OHIP-14 can be a valuable instrument to assess the perceptions and the expectations of patients toward orthodontic treatment.
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Affiliation(s)
- Çeljana Toti
- Department of Orthodontics, Faculty of Dental Medicine, University of Medicine, Tirana, Albania
| | - Etleva Droboniku
- Department of Dental Therapy, Faculty of Dental Medicine, University of Medicine, Tirana, Albania
| | - Gerta Kaçani
- Department of Orthodontics, Faculty of Dental Medicine, University of Medicine, Tirana, Albania
| | - Michele Tepedino
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Aida Meto
- Department of Dentistry, Faculty of Dental Medicine, University of Western Balkans, Tirana, Albania.,Department of Dentistry, Faculty of Dental Sciences, University of Aldent, Tirana, Albania
| | - Luca Fiorillo
- Department of Dentistry, Faculty of Dental Sciences, University of Aldent, Tirana, Albania.,Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy.,Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli," Naples, Italy
| | - Cesare D'Amico
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy
| | - Dorjan Hysi
- Department of Dental Therapy, Faculty of Dental Medicine, University of Medicine, Tirana, Albania
| | | | - Marco Cicciù
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Messina, Italy
| | - Olja Tanellari
- Department of Orthodontics, Faculty of Dental Medicine, University of Medicine, Tirana, Albania
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17
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The Efficacy of a Multi-Theory-Based Peer-Led Intervention on Oral Health Among Hong Kong Adolescents: A Cluster-Randomized Controlled Trial. J Adolesc Health 2022; 70:267-274. [PMID: 34521576 DOI: 10.1016/j.jadohealth.2021.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 07/30/2021] [Accepted: 08/02/2021] [Indexed: 11/22/2022]
Abstract
PURPOSE This study aimed to investigate the effects of a peer-led oral health intervention based on the Health Belief Model and the Social Cognitive Theory on improving oral health among Hong Kong adolescents. METHODS The study adopted a cluster-randomized controlled trial design, and 1184 students in 12 schools were randomized to intervention or control groups. After baseline assessment, the intervention group received a peer-led theory-based oral health intervention, while the control group received booklets for oral health promotion. Self-reported brushing and flossing, Health Belief Model/Social Cognitive Theory constructs, and oral health-related quality of life (OHRQoL) were measured at baseline, 6 months, and 12 months, and dental plaque accumulation and caries status were measured at baseline and 12 months. The trial was registered at https://www.clinicaltrials.gov (NCT03694496). RESULTS Brushing, flossing, and OHRQoL improved more in the experimental group than in the control group at the 6-month follow-up compared with baseline (p < .001). The mean gain score difference was .81 for brushing, .47 for flossing, and -2.51 for OHRQoL. At the 12-month follow-up, the mean gain score of brushing frequency, plaque index, caries status, and OHRQoL were .18, -.28, -.32, and -2.79, respectively, which all sustained the significant difference (p < .001). CONCLUSIONS Our findings suggested that the Health Belief Model combined with Social Cognitive Theory in a peer-led intervention is effective to increase self-reported brushing frequency and improve oral hygiene status and OHRQoL among adolescents.
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18
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de Lucena EHG, da Silva RO, Barbosa ML, de Araújo ECF, Pereira AC, Cavalcanti YW. Influence of socioeconomic status on oral disease burden: a population-based study. BMC Oral Health 2021; 21:608. [PMID: 34847895 PMCID: PMC8638103 DOI: 10.1186/s12903-021-01970-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Accepted: 11/11/2021] [Indexed: 11/24/2022] Open
Abstract
Background Dental caries is associated with Biological, behavioral, socioeconomic, and environmental factors; however, socioeconomic status is a distal determinant of dental caries development that modulates exposure to risk and protective factors. This study aimed to analyze the socioeconomic factors associated with the concentration of oral diseases in a population-based study in Brazil.
Methods This is a quantitative, analytical, cross-sectional study based on secondary data from the SB São Paulo 2015 epidemiological survey. A total of 17,560 subjects were included. The concentration of oral disease in the population was estimated by the oral disease burden (ODB) variable. The ODB consists of four components: dental caries; tooth loss; need for dental prosthesis and periodontal condition. Thus, the total score on the ODB could vary between 0 and 4, with the highest score indicating the worst possible situation. ODB was analyzed in multivariate negative binomial regression, and multivariate binary logistic regression analysis. The following factors were included as independent variables: age group, skin color, socioeconomic factors, family income and Oral Impact on Daily Performance (OIDP).
Results In the sample, 86.9% had no minimum ODP component. Negative multivariate binomial regression showed a statistically significant relationship (p < 0.005) between ODB and all variables analyzed (skin color, family income, education, OIDP results and age range). The adjusted multivariate binary logistic regression showed that the individuals most likely to have at least one component of ODB were nonwhite (25.5%), had a family income of up to R$ 1500.00/month (19.6%), had only completed primary education (19.1%), and reported that their oral health had an impact on their daily activities (57.6%). Older adults individuals were two times more likely than adolescents to have an ODB component. Conclusions ODB is associated with factors related to social inequality. Adults and older adults individuals had the highest cumulative number of ODB components.
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19
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Lawal FB, Dosumu EB. Self-reported and clinically evident gingival bleeding and impact on oral health-related quality of life in young adolescents: a comparative study. Malawi Med J 2021; 33:121-126. [PMID: 34777707 PMCID: PMC8560349 DOI: 10.4314/mmj.v33i2.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background Very little is known about how self-reported gingival bleeding affects the oral health-related quality of life in adolescents compared with clinically evident bleeding. This study aimed to compare the impact of self-reported gingival bleeding and clinically evident gingival bleeding on the oral health-related quality of life in young adolescents. Methods This was a cross-sectional study involving 976 students (aged 10–14 years) in randomly selected primary schools in Ibadan. Data were obtained by oral examination and completion of the Child Oral Impact on Daily Performance Questionnaire. Data were analysed with SPSS version 24. The Mann Whitney U test was used to determine the association between gingival bleeding and the quality of life. Results The mean age of the participants was 11.4±1.3 years. Almost half (48.3%) of the participants reported gingival bleeding during tooth cleaning while the gingiva of 534 (54.7%) participants bled on examination. Pupils with self-reported bleeding suffered a significantly greater impact on their overall quality of life than those without self-reported bleeding (mean ranks: 528.1 vs. 451.6, P<0.001). For pupils with self-reported bleeding, there were higher impacts on all domains relating to quality of life than those who did not report bleeding (eating: mean ranks=521.0 vs. 458.2; speaking: 502.2 vs. 475.8; teeth cleaning: 522.7 vs. 456.7; sleeping: 497.7 vs. 456.7; showing teeth/smiling: 503.4 vs. 474.6; emotional stability: 501.1 vs. 476.8; school work: 492.4 vs. 484.9, and enjoying contact with other children: 494.0 vs. 483.4). There was no statistically significant association between clinically evident bleeding and impacts on the quality of life (P=0.272). Conclusion Almost half of the students reported gingival bleeding while cleaning their teeth and over 50% experienced gingival bleeding on probing. Those with self-reporting of gingival bleeding had greater impacts on oral health-related quality of life compared with those with clinically evident bleeding.
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Affiliation(s)
- Folake B Lawal
- Department of Periodontology and Community Dentistry, University of Ibadan, Ibadan, Nigeria.,Department of Periodontology and Community Dentistry, University College Hospital, Ibadan, Nigeria.,Consortium for Advanced Research Training in Africa (CARTA), APHRC, Nairobi, Kenya
| | - Elizabeth B Dosumu
- Department of Periodontology and Community Dentistry, University of Ibadan, Ibadan, Nigeria.,Department of Periodontology and Community Dentistry, University College Hospital, Ibadan, Nigeria
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20
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Worthington HV, Khangura S, Seal K, Mierzwinski-Urban M, Veitz-Keenan A, Sahrmann P, Schmidlin PR, Davis D, Iheozor-Ejiofor Z, Rasines Alcaraz MG. Direct composite resin fillings versus amalgam fillings for permanent posterior teeth. Cochrane Database Syst Rev 2021; 8:CD005620. [PMID: 34387873 PMCID: PMC8407050 DOI: 10.1002/14651858.cd005620.pub3] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
BACKGROUND Traditionally, amalgam has been used for filling cavities in posterior teeth, and it continues to be the restorative material of choice in some low- and middle-income countries due to its effectiveness and relatively low cost. However, there are concerns over the use of amalgam restorations (fillings) with regard to mercury release in the body and the environmental impact of mercury disposal. Dental composite resin materials are an aesthetic alternative to amalgam, and their mechanical properties have developed sufficiently to make them suitable for restoring posterior teeth. Nevertheless, composite resin materials may have potential for toxicity to human health and the environment. The United Nations Environment Programme has established the Minamata Convention on Mercury, which is an international treaty that aims "to protect the [sic] human health and the environment from anthropogenic emissions and releases of mercury and mercury compounds". It entered into force in August 2017, and as of February 2021 had been ratified by 127 governments. Ratification involves committing to the adoption of at least two of nine proposed measures to phase down the use of mercury, including amalgam in dentistry. In light of this, we have updated a review originally published in 2014, expanding the scope of the review by undertaking an additional search for harms outcomes. Our review synthesises the results of studies that evaluate the long-term effectiveness and safety of amalgam versus composite resin restorations, and evaluates the level of certainty we can have in that evidence. OBJECTIVES To examine the effects (i.e. efficacy and safety) of direct composite resin fillings versus amalgam fillings. SEARCH METHODS An information specialist searched five bibliographic databases up to 16 February 2021 and used additional search methods to identify published, unpublished and ongoing studies SELECTION CRITERIA: To assess efficacy, we included randomised controlled trials (RCTs) comparing dental composite resin with amalgam restorations in permanent posterior teeth that assessed restoration failure or survival at follow-up of at least three years. To assess safety, we sought non-randomised studies in addition to RCTs that directly compared composite resin and amalgam restorative materials and measured toxicity, sensitivity, allergy, or injury. DATA COLLECTION AND ANALYSIS We used standard methodological procedures expected by Cochrane. MAIN RESULTS We included a total of eight studies in this updated review, all of which were RCTs. Two studies used a parallel-group design, and six used a split-mouth design. We judged all of the included studies to be at high risk of bias due to lack of blinding and issues related to unit of analysis. We identified one new trial since the previous version of this review (2014), as well as eight additional papers that assessed safety, all of which related to the two parallel-group studies that were already included in the review. For our primary meta-analyses, we combined data from the two parallel-group trials, which involved 1645 composite restorations and 1365 amalgam restorations in 921 children. We found low-certainty evidence that composite resin restorations had almost double the risk of failure compared to amalgam restorations (risk ratio (RR) 1.89, 95% confidence interval (CI) 1.52 to 2.35; P < 0.001), and were at much higher risk of secondary caries (RR 2.14, 95% CI 1.67 to 2.74; P < 0.001). We found low-certainty evidence that composite resin restorations were not more likely to result in restoration fracture (RR 0.87, 95% CI 0.46 to 1.64; P = 0.66). Six trials used a split-mouth design. We considered these studies separately, as their reliability was compromised due to poor reporting, unit of analysis errors, and variability in methods and findings. Subgroup analysis showed that the findings were consistent with the results of the parallel-group studies. Three trials investigated possible harms of dental restorations. Higher urinary mercury levels were reported amongst children with amalgam restorations in two trials, but the levels were lower than what is known to be toxic. Some differences between amalgam and composite resin groups were observed on certain measures of renal, neuropsychological, and psychosocial function, physical development, and postoperative sensitivity; however, no consistent or clinically important harms were found. We considered that the vast number of comparisons made false-positive results likely. There was no evidence of differences between the amalgam and composite resin groups in neurological symptoms, immune function, and urinary porphyrin excretion. The evidence is of very low certainty, with most harms outcomes reported in only one trial. AUTHORS' CONCLUSIONS Low-certainty evidence suggests that composite resin restorations may have almost double the failure rate of amalgam restorations. The risk of restoration fracture does not seem to be higher with composite resin restorations, but there is a much higher risk of developing secondary caries. Very low-certainty evidence suggests that there may be no clinically important differences in the safety profile of amalgam compared with composite resin dental restorations. This review supports the utility of amalgam restorations, and the results may be particularly useful in parts of the world where amalgam is still the material of choice to restore posterior teeth with proximal caries. Of note, however, is that composite resin materials have undergone important improvements in the years since the trials informing the primary analyses for this review were conducted. The global phase-down of dental amalgam via the Minamata Convention on Mercury is an important consideration when deciding between amalgam and composite resin dental materials. The choice of which dental material to use will depend on shared decision-making between dental providers and patients in the clinic setting, and local directives and protocols.
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Affiliation(s)
- Helen V Worthington
- Cochrane Oral Health, Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Sara Khangura
- Canadian Agency for Drugs and Technologies in Health (CADTH), Ottawa, Canada
| | - Kelsey Seal
- Canadian Agency for Drugs and Technologies in Health (CADTH), Ottawa, Canada
| | | | - Analia Veitz-Keenan
- Department of Oral Maxillofacial Pathology, Radiology and Medicine, New York University College of Dentistry, New York, USA
| | - Philipp Sahrmann
- Clinic of Conservative and Preventive Dentistry, Center for Dental and Oral Medicine and Maxillo-Facial Surgery, University of Zurich, Zurich, Switzerland
| | - Patrick Roger Schmidlin
- Clinic of Conservative and Preventive Dentistry, Center for Dental and Oral Medicine and Maxillo-Facial Surgery, University of Zurich, Zurich, Switzerland
| | - Dell Davis
- Texas Medical Center Library, Houston Academy of Medicine, Houston, USA
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21
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Impact of dental caries on oral health related quality of life among preschool children: perceptions of parents. BMC Oral Health 2021; 21:68. [PMID: 33588827 PMCID: PMC7885600 DOI: 10.1186/s12903-021-01396-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 01/12/2021] [Indexed: 11/12/2022] Open
Abstract
Background Childhood dental caries can affect the children’s and their parents’ oral health-related quality of life. The aim of the present study was to evaluate the impact of oral and dental health conditions on the oral health-related quality of life in preschool children and their parents. Methods In this descriptive-analytical cross-sectional study, samples were selected from children 3 to 6 years old enrolled in licensed kindergartens using "proportional allocation" sampling. Then, the parents of the children were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS). Results In this study, 350 children aged 3 to 6 years were evaluated with a mean age of 4.73 years. The mean dmft index (decayed, missed, and filled teeth) was 3.94 ± 4.17. The mean score of oral health-related quality of life was 11.88 ± 6.9, which 9.36 ± 5.02 belongs to the impact on children and 2.52 ± 3.20 to parents' impact. Conclusions The mean score of ECOHIS increased with the dmft index increase in children, indicating a significant relationship between the dmft and ECOHIS score. These outcomes can be used as proper resources to develop preventive policies and promote oral health in young children.
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Carvalho KRJ, Ribeiro APDJ, Carrada CF, Scalioni FAR, Devito KL, Paiva SM, Machado FC, Ribeiro RA. Association Between Dental Caries Experience and Socioeconomic Determinants on Oral Health-Related Quality of Life among Children and their Families. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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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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Paula JSD, Zina LG, Jamieson L, Mialhe FL. The effect of caries increment on oral health-related quality of life among adolescents in Brazil: a 3-year longitudinal study. Braz Oral Res 2020; 34:e107. [PMID: 32876116 DOI: 10.1590/1807-3107bor-2020.vol34.0107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 07/14/2020] [Indexed: 11/22/2022] Open
Abstract
This study aimed to assess the effect of caries increment on Oral Health-related Quality of Life (OHRQoL) of Brazilian adolescents and to evaluate the responsiveness of the Child Perceptions Questionnaire (CPQ11-14) in this group. A population-based sample of 515 Brazilian 12-year-olds from a large city located in the southeast of Brazil was evaluated according to a random multistage sampling design at baseline and 291 at three years follow-up, using the DMFT index and the CPQ11-14 instrument. To evaluate the responsiveness to change, the measures of effect size and longitudinal construct validity were used. It was verified that OHRQoL among adolescents with DMFT increment across the three years worsened significantly (p<0.05) in relation to their counterparts. The effect size varied from small to moderate. The longitudinal construct validity of CPQ11-14 was satisfactory. Caries increment impacted on OHRQoL of adolescents in Brazil. The CPQ11-14 instrument demonstrated acceptable responsiveness properties.
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Affiliation(s)
- Janice Simpson de Paula
- Department of Community and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Lívia Guimarães Zina
- Department of Community and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, Australia
| | - Fábio Luiz Mialhe
- Department of Community Dentistry, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
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Do malocclusion and orthodontic treatment impact oral health? A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2020; 157:738-744.e10. [PMID: 32487303 DOI: 10.1016/j.ajodo.2020.01.015] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Revised: 01/01/2020] [Accepted: 01/01/2020] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Currently, there is limited evidence on the effects of malocclusion on oral health and whether the correction of malocclusion results in an improvement in oral health. In this review, we examined the evidence from randomized controlled trials and prospective cohort studies to provide information on any association between malocclusion and oral health and the effects of orthodontic treatment. METHODS We conducted this review in 2 parts: (1) we looked at the impact of malocclusion on oral health, and (2) we reviewed the evidence on the effect of orthodontic treatment on oral health. We searched for randomized controlled trials and prospective cohort studies. The searches were completed for articles published between January 1, 1990 and October 8, 2018 and covered Medline via Ovid, Embase, and the Cochrane Database of Systematic Reviews. References of included articles and previous systematic reviews were hand-searched. No language restrictions were applied. Two members of the study team assessed the quality of the studies using the Appraisal Tool for Cross-Sectional Studies to appraise the quality of studies in part 1. The assessment was performed at the study level. Two authors assessed each study independently, with a third author consulted when a disagreement occurred. For studies in part 2, we used the Newcastle-Ottawa scale to assess the risk of bias. When studies were included in a Cochrane review, we incorporated the risk of bias assessment. We developed data extraction forms for each area of oral health under investigation (trauma, quality of life, caries, and periodontal disease). Each author piloted the form, and we held discussions to inform any necessary refinements. We extracted data from studies into 2 × 2 tables, which provided a binary analysis of malocclusion vs the outcome of interest. If these data were not available from the published paper, then studies were not included in the meta-analysis. The authors were contacted when possible to request data in this format. RESULTS For part 1 of the study, we identified 87 studies. The overall quality was low. We could not include any of the data into an analysis because of a large variation in the nature of the studies, data collected, and outcome measures that were selected. For part 2 of the study, we found 7 studies; however, there were similar deficiencies in the data as in part 1, and thus, we could not reach any strong conclusions. CONCLUSIONS Overall, there is an absence of published evidence regarding the effects of malocclusion on oral health and the impact of orthodontic treatment on oral health.
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Kavaliauskienė A, Šidlauskas A, Žemaitienė M, Slabšinskienė E, Zaborskis A. Relationships of Dental Caries and Malocclusion with Oral Health-Related Quality of Life in Lithuanian Adolescents Aged 15 to 18 Years: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17114072. [PMID: 32521600 PMCID: PMC7311969 DOI: 10.3390/ijerph17114072] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Revised: 06/01/2020] [Accepted: 06/02/2020] [Indexed: 11/16/2022]
Abstract
There is a lack of evidence of the moderating effects of caries lesions and malocclusions on oral health-related quality of life (OHRQoL) among older adolescents. This study aimed to evaluate the relationship of dental caries and malocclusion with OHRQoL among Lithuanian adolescents aged 15 to 18 years. A survey in a representative sample of adolescents included a clinical examination to assess dental health status using the DMFT (Decayed, Missing, and Filled Permanent Teeth) index, and malocclusion using the Index of Complexity, Outcome, and Need (ICON). The Child Perceptions Questionnaire (CPQ) was used to evaluate respondents’ OHRQoL. Negative binomial regression was fitted to associate the clinical variables with the CPQ scores. A total of 600 adolescents were examined. The overall mean DMFT score was 2.7. A need for orthodontic treatment was detected among 27.7% of adolescents. Subjects with caries lesions (DMFT > 3) had higher CPQ scores in the domains of functional limitations and social wellbeing (relative risks were 1.35 (95% confidence interval: 1.09–1.67) and 1.30 (1.03–1.64), respectively), while subjects with a need for orthodontic treatment (ICON > 43) had higher CPQ scores in the domains of emotional wellbeing and social wellbeing (relative risks were 1.81 (1.40–2.22), and 1.69 (1.34–2.14), respectively). It was concluded that both dental caries and malocclusion have negative relationships with OHRQoL in adolescents above 15 years, but their effects occur differently in each OHRQoL domain.
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Affiliation(s)
- Aistė Kavaliauskienė
- Department of Orthodontics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, Lithuania; (A.K.); (A.Š.)
| | - Antanas Šidlauskas
- Department of Orthodontics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, Lithuania; (A.K.); (A.Š.)
| | - Miglė Žemaitienė
- Department of Oral Health and Paediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, Lithuania; (M.Ž.); (E.S.)
| | - Eglė Slabšinskienė
- Department of Oral Health and Paediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, Lithuania; (M.Ž.); (E.S.)
| | - Apolinaras Zaborskis
- Department of Preventive Medicine & Health Research Institute, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, A.Mickevičiaus 9, LT-44307 Kaunas, Lithuania
- Correspondence: ; Tel.: +370-3724-2920
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Vinayagamoorthy K, Pentapati KC, Urala A, Acharya S. Validation of an Indian (Kannada) translation of the Family Impact Scale questionnaire and the impact of malocclusion on the families of adolescent school children. Int Dent J 2020; 70:259-265. [PMID: 32266725 DOI: 10.1111/idj.12564] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Revised: 10/23/2019] [Accepted: 01/26/2020] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES The objectives of this study were to validate an Indian translation of the Family Impact Scale (FIS) questionnaire and assess the impact of malocclusion on the families of adolescent school children between 12 and 15 years old across socio-economic strata (SES). MATERIALS AND METHODS The sample consisted of 768 school children aged between 12 and 15 years from randomly selected schools in Udupi district. The FIS and informed consent forms were sent through the children to be completed by their parents. Information was collected on socio-demographic details, past dental visit in the last year, type of school and SES. Clinical examination for malocclusion using the Dental Aesthetic Index was conducted by a single trained and calibrated examiner. RESULTS The prevalence of malocclusion was 59.9%. The intra-class correlation for the total FIS score of 0.95 and Cronbach's alpha value of 0.88 demonstrated internal consistency. There was a significant difference in the overall and subscale scores of FIS between parents of children with and without malocclusion (P < 0.001). Parents of children who had malocclusion had significantly higher FIS scores across all SES (P < 0.001). Parents of children with malocclusion had 1.86 (P < 0.001, 95% CI = 1.60-2.17) times higher FIS scores than parents of children without malocclusion after adjusting for age, gender, SES, and past dental visits in the last year. CONCLUSION The psychometric properties of the FIS were found satisfactory for assessing the effect of a child's oral condition on his/her family. Malocclusion in children had a significant negative influence on the family impact scores.
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Affiliation(s)
- Kalaiselvi Vinayagamoorthy
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Kalyana Chakravarthy Pentapati
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Arun Urala
- Department of Orthodontics and Dentofacial Orthopaedics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Shashidhar Acharya
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India
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Campos LA, Marôco J, John MT, Santos-Pinto A, Campos JADB. Development and psychometric properties of the Portuguese version of the Orofacial Esthetic Scale: OES-Pt. PeerJ 2020; 8:e8814. [PMID: 32211245 PMCID: PMC7083155 DOI: 10.7717/peerj.8814] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Accepted: 02/27/2020] [Indexed: 11/20/2022] Open
Abstract
Background The Orofacial Esthetic Scale (OES) is an instrument to assess an individual’s perception of their Orofacial Appearance (OA). However, its translation and evaluation of psychometric properties is necessary for its use in Brazilian individuals. Objectives To develop the Portuguese version of OES (OES-Pt), estimate its psychometric properties (validity, measurement invariance and reliability) when applied to Brazilian individuals aged 18–40 years, and estimate the relationship between sociodemographic characteristics and OA. Methods This was a cross‐sectional study using a convenience sample. The sample consisted of 1,072 Brazilian individuals (70.1% female, 25.1% dental patients; mean ± SD age: 25.7 ± 5.7 years). After cross-cultural adaptation of OES-Pt, factorial validity was evaluated by confirmatory factor analysis. Convergent validity (average variance extracted (AVE)) and reliability (Cronbach’s alpha coefficient (α) and Composite Reliability (CR)) were also estimated. Concurrent validity was assessed (Pearson’s correlational analysis (r) between OES-Pt total score and item eight of the OES which refers to global assessment of OA). Measurement invariance of the factorial model (multigroup analysis using ΔCFI) was evaluated for independent samples (sample randomly split into two: “Test Sample” and “Validation Sample” and according to sex: male and female, age range: 18–30 and 31–40 years, and whether the individual is undergoing dental treatment or not). A Structural Equation Model estimated the relationship between sociodemographic characteristics and OA. Results OES-Pt presented adequate fit to the sample. Convergent validity (AVE ≥ 0.56) and reliability (α and CR ≥ 0.89) were adequate. Concurrent validity was adequate (r = 0.88; p-value < 0.001). OES-Pt presented strict invariance for independent samples. Age, sex, and socioeconomic status (SES) were related to OA, indicated by standardized beta coefficients (standardized β) of 0.036 (standard error: 0.007), 0.001 (0.094) and 0.196 (0.061), respectively on OA. These three relationships were either weak or not statistically significant. Conclusions When measuring OA in Brazilian individuals, the OES-Pt was valid, reliable and invariant for independent samples. Age, sex and SES were weak or not statistically significantly related to OA.
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Affiliation(s)
- Lucas A Campos
- Department of Pediatric Dentistry and Orthodontics/School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil
| | - João Marôco
- William James Center for Research (WJCR), University Institute of Psychological, Social, and Life Sciences (ISPA), Lisbon, Portugal
| | - Mike T John
- Department of Diagnostic and Biological Sciences/School of Dentistry, University of Minnesota, Minneapolis, MN, USA
| | - Ary Santos-Pinto
- Department of Pediatric Dentistry and Orthodontics/School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil
| | - Juliana A D B Campos
- Department of Food Science and Nutrition/School of Pharmaceutical Sciences, São Paulo State University, Araraquara, São Paulo, Brazil
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Buldur B, Güvendi ON. Conceptual modelling of the factors affecting oral health-related quality of life in children: A path analysis. Int J Paediatr Dent 2020; 30:181-192. [PMID: 31622504 DOI: 10.1111/ipd.12583] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2019] [Revised: 09/16/2019] [Accepted: 10/15/2019] [Indexed: 12/24/2022]
Abstract
BACKGROUND It is important to understand the interaction of various predictors with oral health-related quality of life (OHRQoL) to better design effective interventions to improve OHRQoL. AIM The aim of this study was to develop and validate a conceptual model evaluating the factors affecting the OHRQoL in children. DESIGN The study group consisted of 754 parent-child dyads. The data collection tools were a socio-demographic data form, the Early Childhood Oral Health Impact Scale (ECOHIS), Corah Dental Anxiety Scale (C-DAS), Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and an oral and dental health examination form. A conceptual model was developed to examine the factors affecting OHRQoL in children consisting of four endogenous and four exogenous variables. Path analysis was used to test the compatibility of the conceptual model. RESULTS OHRQoL was associated with parental socio-economic status (β = -0.12; P < .001), dental anxiety (β = -0.15; P < .001), and oral health behaviours (β = -0.13; P < .001). Although parental dental anxiety had the strongest direct effect on OHRQoL, children's oral health behaviours had the strongest indirect effect. CONCLUSIONS This study revealed a valid demonstrable path of association between parental socio-economic status, dental anxiety, childhood dental anxiety, oral health behaviours, and OHRQoL.
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Affiliation(s)
- Burak Buldur
- Department of Pediatric Dentistry, Faculty of Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
| | - Ozge Nur Güvendi
- Department of Pediatric Dentistry, Faculty of Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
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Antunes LAA, Lemos HM, Milani AJ, Guimarães LS, Küchler EC, Antunes LS. Does traumatic dental injury impact oral health‐related to quality of life of children and adolescents? Systematic review and meta‐analysis. Int J Dent Hyg 2020; 18:142-162. [DOI: 10.1111/idh.12425] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Revised: 09/10/2019] [Accepted: 12/08/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Lívia Azeredo Alves Antunes
- Department of Specific Formation Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
- Dental Trauma Care Program (DTCP) Nova Friburgo Health InstituteFluminense Federal University Nova Friburgo Brazil
- Posgraduate Program in Dentistry Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
- Posgraduate Program in Dentistry School of Dentistry Fluminense Federal University Niterói Brazil
| | - Helena Marins Lemos
- Department of Specific Formation Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
- Dental Trauma Care Program (DTCP) Nova Friburgo Health InstituteFluminense Federal University Nova Friburgo Brazil
| | - Ana Júlia Milani
- Dental Trauma Care Program (DTCP) Nova Friburgo Health InstituteFluminense Federal University Nova Friburgo Brazil
- Posgraduate Program in Dentistry Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
| | - Ludmila Silva Guimarães
- Posgraduate Program in Dentistry School of Dentistry Fluminense Federal University Niterói Brazil
| | - Erika Calvano Küchler
- Department of Pediatric Dentistry School of Dentistry of Ribeirão Preto University of São Paulo Ribeirão Preto Brazil
| | - Leonardo Santos Antunes
- Department of Specific Formation Nova Friburgo Health Institute Fluminense Federal University Nova Friburgo Brazil
- Dental Trauma Care Program (DTCP) Nova Friburgo Health InstituteFluminense Federal University Nova Friburgo Brazil
- Posgraduate Program in Dentistry School of Dentistry Fluminense Federal University Niterói Brazil
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Elevating Oral Health Interprofessional Practice Among Pediatricians Through a Statewide Quality Improvement Learning Collaborative. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2019; 24:e19-e24. [PMID: 28832432 DOI: 10.1097/phh.0000000000000622] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
CONTEXT Because of persistent effects of early childhood caries and impacts of dental health professional shortages areas, the integration of oral health in primary care settings is a public health priority. In this study, we explored oral health interprofessional practice (OHIP) as an integrative pathway to reduce oral health disparities. OHIP can include performing oral health risk assessments, describing the importance of fluoride in the drinking water, implementing fluoride varnish application, and referring patients to a dental home. OBJECTIVE To conduct a formative evaluation of how 15 pediatric primary care practices implemented the adoption of OHIP in their clinical settings. DESIGN Using an ecological framework, we conducted a qualitative process evaluation to measure the factors that inhibited and facilitated OHIP adoption into pediatric settings. Document review analysis and qualitative interviews were conducted with pediatric practices to contextualize challenges and facilitators to OHIP adoption. SETTING AND PARTICIPANTS A total of 15 Children's Health Insurance Program Reauthorization Act pediatric practices located in 13 South Carolina counties participated in this study. MAIN OUTCOME MEASURES Outcomes of interest were the facilitators and challenges of OHIP adoption into pediatric primary care practices. RESULTS Thematic analysis revealed challenges for OHIP adoption including limited resources and capacity, role delineation for clinical and administrative staff, communication, and family receptiveness. OHIP training for clinical practitioners and staff and responsiveness from clinical staff and local dentists were facilitators of OHIP adoption. Twelve key recommendations emerged on the basis of participant experiences within OHIP, with developing an active dental referral network and encouraging buy-in from clinical staff for OHIP adoption as primary recommendations. CONCLUSION We demonstrated the effectiveness of a learning collaborative meeting among pediatric primary care providers to adopt OHIPs. This work reveals an actionable pathway to support oral health equity advancement for children through an additional access point of preventive oral care, reinforcement of positive oral health behaviors, and interaction between parent and child for overall health and wellness of the family.
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The Impact of Socio-Economic and Home Environmental Factors on Oral Health-Related Quality of Life Among Children Aged 11-14. ACTA ACUST UNITED AC 2019; 55:medicina55110722. [PMID: 31683702 PMCID: PMC6915500 DOI: 10.3390/medicina55110722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Accepted: 10/14/2019] [Indexed: 11/18/2022]
Abstract
Background and Objectives: Oral diseases are known to negatively impact physical, functional, and emotional well-being, and thus adversely affect quality of life. The aims of the study were (1) to assess the oral health-related quality of life (OHRQoL) and (2) to explore socio-demographic, -economic, and -environmental factors that are associated with OHRQoL among a sample of children aged 11–14 in Saudi Arabia. Materials and Methods: A cross-sectional design was used. The Child Perceptions Questionnaire (CPQ)—a self-administered, validated, and standardized questionnaire was used to collect data on OHRQoL in four domains: oral symptoms, functional limitations, and emotional and social well-being. In addition, data were collected on home environment, socioeconomic/demographic characteristics, and oral hygiene practices of participants and their parents or adult guardians. Univariate descriptive statistics, Spearman’s correlation, and Kruskal–Wallis H and Mann–Whitney tests were used. Data were analyzed using SPSS 23 Software. Significance was set at α = 0.05. Results: In total, 534 children participated in the study (91% response rate), of which 60% were females. Twenty percent of children described their oral health as “poor” and one in every four children reported that their oral health had at least some effect on their overall well-being. Children who were male, attending public schools, and living with both parents were more likely to report poor OHRQoL. Conclusions: A considerable proportion of children aged 11–14 could discern that their oral health had some effect on their overall well-being. The results identified potential predictors of OHRQoL. Disparities in OHRQoL exist among certain sub-populations. Active efforts and local interventions are necessary to improve OHRQoL.
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Andrade NS, Dos Santos IT, Lima LMS, Lima CCB, Moura LDFADD, Barros SSLV, Moura MSD, Lima MDDMD. Impact of Developmental enamel defects on quality of life in 5-year-old children. Int J Paediatr Dent 2019; 29:557-565. [PMID: 30912196 DOI: 10.1111/ipd.12498] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Revised: 03/05/2019] [Accepted: 03/15/2019] [Indexed: 12/20/2022]
Abstract
BACKGROUND Developmental enamel defects (DDE) represent one of the prevalent oral problems in childhood; however, few studies have evaluated its impact on quality of life in the children's own perception. AIM To evaluate the DDE impact on quality of life of 5-year-old children. METHODS This cross-sectional observational study assessed 566 children aged 5 years old, in Teresina, Piauí, Brazil, according to their self-perceptions. Children answered the Pediatric Quality of Life Inventory™ Version 4.0 and Oral Health Scale. The dmft index, modified DDE index and Foster and Hamilton criteria were used to diagnose dental caries, DDE and malocclusion, respectively. A single examiner performed the clinical examination. Descriptive analyses and Poisson regression with robust variance were performed. RESULTS The prevalence of DDE was 33.7%. For children's self-reports, the presence of DDE had a negative association with oral health-related quality of life (OHRQoL; PR 1.09, 95% CI 1.02-1.15). Enamel hypoplasia had a negative impact on the physical function (PR 1.05; 95% CI 1.01-1.10) and oral health (PR 1.06, 95% CI 1.01-1.11) domains. Diffuse opacity had a negative impact on the social aspect (PR 1.09, 95% CI 1.02-1.18). CONCLUSIONS Enamel defects had a negative impact on OHRQoL according to the self-reports of the children.
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Affiliation(s)
- Natália Silva Andrade
- Postgraduate Programme in Dentistry, Federal University of Piauí, Teresina, Piauí, Brazil
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Saho H, Ekuni D, Kataoka K, Taniguchi-Tabata A, Toyama N, Sugiura Y, Islam MM, Iwasaki Y, Morita M. Structural equation modeling to detect predictors of oral health-related quality of life among Japanese university students: a prospective cohort study. Qual Life Res 2019; 28:3213-3224. [PMID: 31359239 DOI: 10.1007/s11136-019-02251-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2019] [Indexed: 12/16/2022]
Abstract
PURPOSE This prospective cohort study of Japanese university students aimed to identify factors that might affect oral health-related quality of life (OHRQoL) and longitudinal relationships over a period of 3 years. METHODS Students (n = 487) provided complete data before entering and 3 years later (before university graduation) participated in the present study. Decayed, missing, and filled teeth (DMFT) scores, community periodontal index, ratios (%) of teeth with bleeding on probing, and malocclusion were determined during oral examinations. The questionnaire addressed age, sex, self-rated oral health, oral health behavior, subjective oral symptoms, and OHRQoL determined using the oral health impact profile (OHIP)-14. Associations were analyzed using structural equation modeling (SEM). RESULTS The OHRQoL significantly worsened according to OHIP-14 total score (p = 0.001). The final model in the symptoms of SEM analysis showed that OHRQoL at follow-up positively correlated with OHRQoL at baseline. Self-rated oral health was directly associated with the OHRQoL at baseline (p < 0.05). CONCLUSIONS This study determined that OHRQoL at baseline was a direct predictor, and that self-rated oral health were indirect predictors of OHRQoL at follow-up among Japanese university students.
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Affiliation(s)
- Hikari Saho
- Departments of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Daisuke Ekuni
- Departments of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
| | - Kota Kataoka
- Departments of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Ayano Taniguchi-Tabata
- Departments of Preventive Dentistry, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Naoki Toyama
- Departments of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Yoshio Sugiura
- Departments of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Md Monirul Islam
- Departments of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Yoshiaki Iwasaki
- Health Service Center, Okayama University, 2-1-1, Tsushimanaka, Kita-ku, Okayama, 700-8530, Japan
| | - Manabu Morita
- Departments of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
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Malele-Kolisa Y, Yengopal V, Igumbor J, Nqcobo CB, Ralephenya TRD. Systematic review of factors influencing oral health-related quality of life in children in Africa. Afr J Prim Health Care Fam Med 2019; 11:e1-e12. [PMID: 31368323 PMCID: PMC6676933 DOI: 10.4102/phcfm.v11i1.1943] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 02/07/2019] [Accepted: 03/01/2019] [Indexed: 11/09/2022] Open
Abstract
Background Oral health-related quality of life (OHRQoL) is influenced by cultural and societal context. Existing OHRQoL children measurement tools have been conceptualised in high-income countries. Probing whether the factors influencing OHRQoL are context-reliant in the African setting is necessary and is the purpose of the current review. Aim To investigate if the factors influencing OHRQoL are context-reliant. Methods Seven databases were searched using search terms (‘oral health’; and ‘quality of life’, ‘health-related quality of life’, ‘patient-reported outcomes’, ‘well-being’; and ‘child*’, ‘adolescents’, ‘teen*’, ‘youth’; and ‘determinants’, ‘factors’, ‘predictors’; and ‘oral health quality of life tools/instruments/scales’; and ‘Africa*’). Abstracts identified were exported to a reference software manager. Three of the authors used specific selection criteria to review, firstly, 307 abstracts and, secondly, 30 full papers. Data were extracted from these papers using a pre-designed data extraction form, after which quantitative synthesis of data was performed. Results Key factors influencing OHRQoL followed an existing conceptual framework where environmental and individual factors in the form of socio-economic status (SES), area of residence and children psyche status, and the presence of any oral condition other than dental caries were reported among child populations in Africa. Conclusion There is preliminary evidence to suggest an association between individual factors such as children’s psyche and oral problems, excluding dental caries, and environmental determinants such as area of residence and SES in children’s OHRQoL in African children. The finding that dental caries was not a key factor in child-oral health is unexpected. There seemed to be a contextual viewpoint underpinning the current OHRQoL frameworks and OHRQoL was context-reliant.
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Affiliation(s)
- Yolanda Malele-Kolisa
- Department of Community Dentistry, School of Oral Health Sciences, University of the Witwatersrand, Johannesburg.
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Portella PD, Menoncin BLV, de Souza JF, de Menezes JVNB, Fraiz FC, Assunção LRDS. Impact of molar incisor hypomineralization on quality of life in children with early mixed dentition: A hierarchical approach. Int J Paediatr Dent 2019; 29:496-506. [PMID: 30758096 DOI: 10.1111/ipd.12482] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Revised: 02/05/2019] [Accepted: 02/07/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Molar incisor hypomineralization (MIH) is associated with unfavourable dental conditions such as dental caries and may consequently impact oral health-related quality of life (OHRQoL). OBJECTIVE To assess the impact of MIH on OHRQoL in children with early mixed dentition. METHOD A population-based cross-sectional study of 728 8-year-old children from the public school system in Curitiba, Brazil, was conducted. The Child Perception Questionnaire for 8- to 10-year-olds (CPQ8-10 ) was used to evaluate OHRQoL. MIH was diagnosed according to the European Academy of Paediatric Dentistry (EAPD) criteria. The assessments of MIH, dental caries, and malocclusion were performed by four calibrated examiners (κ ≥ 0.80). Demographic and socioeconomic data (DSE) were obtained from the children's parents/caregivers using a structured questionnaire. The analysis of OHRQoL determinants was performed through a three-level hierarchical approach: mesial (DSE), intermediate (clinical conditions), and distal (child's oral self-perception), using Poisson regression with robust variance (α = 0.05). RESULTS The prevalence of MIH was 12.1% (95% CI: 10-15). An association was found between MIH and OHRQoL in the "oral symptoms" domain of the CPQ8-10 (PR: 1.07, 95% CI: 1.03-1.11, P < 0.001) after adjusting for other clinical variables and DSE. CONCLUSION Molar incisor hypomineralization was associated with a greater impact on OHRQoL in children's oral symptoms.
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Affiliation(s)
- Paula Dresch Portella
- Pediatric Dentistry, Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil
| | | | - Juliana Feltrin de Souza
- Pediatric Dentistry, Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil
| | | | - Fabian Calixto Fraiz
- Pediatric Dentistry, Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil
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Socioeconomic inequalities in oral health-related quality of life in adolescents: a cohort study. Qual Life Res 2019; 28:2491-2500. [PMID: 31203563 DOI: 10.1007/s11136-019-02229-2] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/07/2019] [Indexed: 10/26/2022]
Abstract
PURPOSE Socioeconomic inequalities are recognized as a major problem with people in low socioeconomic groups having worse subjective oral health outcomes, including oral health-related quality of life (OHRQoL). However, only a few longitudinal studies assessed the impact of contextual and individual socioeconomic determinants in adolescents' OHRQoL. We estimate the impact of socioeconomic inequalities on adolescents' OHRQoL over a 2-year period. METHODS This study followed up a random sample of 1134 12-year-old schoolchildren for 2 years in Brazil. OHRQoL was assessed by the Brazilian version of the Child Perceptions Questionnaire for 11- to 14-year-old Children (CPQ11-14) at baseline and follow-up. Participants were clinically examined for dental caries, gingival bleeding, and malocclusion. The schoolchildren's parents answered a questionnaire regarding socioeconomic status, social capital, and adolescents' use of dental service. Socioeconomic contextual variables were collected from official city publications. Multilevel linear regression models fitted the associations between socioeconomic factors and overall CPQ11-14 scores over time. RESULTS A total of 747, 14-year-old adolescents were reassessed for OHRQoL (follow-up rate of 66%). Adolescents with lower mean income school's neighborhood (P < 0.05), household income (P < 0.05), and maternal schooling (P < 0.05) had higher overall CPQ11-14 scores. Female sex, attending a dentist by toothache, dental caries, and malocclusion were also associated with higher overall CPQ11-14 scores. CONCLUSIONS Adolescents from low socioeconomic background reported worse OHRQoL at 2-year follow-up compared to those from high socioeconomic background. Actions toward health inequalities need to address socioeconomic factors in adolescence.
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Family Affluence Based Inequality in Oral Health-Related Quality of Life in a Population of Lithuanian Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16122106. [PMID: 31197104 PMCID: PMC6616952 DOI: 10.3390/ijerph16122106] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Revised: 06/10/2019] [Accepted: 06/12/2019] [Indexed: 12/22/2022]
Abstract
Background: The social inequalities in oral health have had increasing attention in recent years. The present study aimed to explore the impact of family affluence on Oral Health-Related Quality of Life (OHRQoL) among Lithuanian adolescents aged 11–18 years. Methods: The cross-sectional, population-based study included a representative sample of 881 adolescents aged 11–18 years (mean = 15.55; SD = 1.51) randomly selected from 20 schools in Lithuania. The schoolchildren completed questionnaires to evaluate their OHRQoL using a Lithuanian version of the Child Perceptions Questionnaire (CPQ). The adolescents’ family affluence was indirectly assessed by inquiring whether they possessed various modern life items. In dental examination, the severity of malocclusion was predetermined by the Index of Complexity, Outcome, and Need (ICON). The relationship among variables was examined employing the negative binomial regression and the path analysis. Results: The sum score of CPQ as a whole and the sum scores of all four domains were significantly associated with family affluence, indicating higher OHRQoL among adolescents from more affluent families. The severity of malocclusion had a significant association with emotional and social well-being domains of OHRQoL only. Conclusion: This study evidences the family affluence based inequality in OHRQoL among Lithuanian adolescents.
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Evaluating an Oral Health Education Intervention in Chinese Undocumented Migrant Mothers of Infants in Northern Ireland. Dent J (Basel) 2019; 7:dj7010008. [PMID: 30669476 PMCID: PMC6473219 DOI: 10.3390/dj7010008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Revised: 01/13/2019] [Accepted: 01/14/2019] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Poor oral health remains a significant dental public health challenge for ethnic minority and immigrant groups living in the UK. This study aimed to evaluate a culturally appropriate community-based home visiting oral health education intervention for Chinese, undocumented migrant mothers to promote their infants' oral health, by focusing on their oral health related knowledge, attitudes, and behaviors. METHODS A convenience sample of 36 Chinese mothers with babies aged less than eight weeks were recruited in South-East region of Belfast. The local Chinese community was consulted to assist with the development of the intervention. The oral health education intervention was provided to 19 intervention group mothers through home visits and telephone calls during mothers' first postpartum year. They were also provided with unlimited social support during the intervention period. Mothers' oral health related knowledge, attitudes, and behaviors regarding baby toothbrushing and sugar snacking were measured at eight weeks, six months, and 12 months. RESULTS A higher proportion of Chinese intervention group mothers had improved knowledge about baby toothbrushing at 12 months compared with control group mothers (χ² = 14.12: p = 0.004). Significantly, more intervention group mothers' oral health related attitudes were enhanced regarding baby toothbrushing and sugar snacking compared with control group mothers. CONCLUSION This community-based oral health education intervention has shown effects in mothers' self-reported knowledge, attitudes, and behaviors in the intervention group when the community based and culturally appropriate home-visiting program improved the mothers' oral health related knowledge, attitudes, and behaviors.
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Geber J, Murphy E. Dental markers of poverty: Biocultural deliberations on oral health of the poor in mid-nineteenth-century Ireland. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2018; 167:840-855. [PMID: 30281788 PMCID: PMC6282970 DOI: 10.1002/ajpa.23717] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 09/09/2018] [Accepted: 09/11/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Despite subsisting on a low-cariogenic diet comprising virtually nothing more than potatoes and dairy products, poor oral health affected the quality of life for the poor of nineteenth-century Ireland. This study investigates potential biocultural reasons that may explain why this was the case. MATERIAL AND METHODS A total of 6,860 teeth and 9,889 alveoli from 363 permanent dentitions from the skeletal remains of impoverished adult Irish males and females who died between 1847 and 1851 in the Kilkenny Union Workhouse were examined for evidence of dental caries, periodontal disease and ante-mortem tooth loss. Caries rates were quantified and assessed by crude prevalence, frequencies, corrected caries rates and a t-health index, and evaluated by sex and age groups. RESULTS A higher rate of caries was present among 18-25-year-old males than females, while the opposite relationship was evident for older age groups. The prevalence rates of periodontal disease and ante-mortem tooth loss increased with age. When assessed by corrected caries rates, tooth decay is observed at a lower rate compared to contemporaneous lower to upper-class population samples from London. DISCUSSION Despite being low cariogenic foods, the potato starch and milk lactose of a nineteenth-century Irish laborer's diet would have lowered oral pH-values thereby increasing the risk of bacterial fermentation in dental plaque resulting in caries. Nutritional features alone cannot explain the high rates of dental caries observed in the Kilkenny workhouse population sample, however, and lifestyle factors, particularly habitual clay-pipe smoking, is considered a significant cause of poor oral health.
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Affiliation(s)
- Jonny Geber
- Department of AnatomyUniversity of OtagoDunedinNew Zealand
| | - Eileen Murphy
- Archaeology and Palaeoecology, School of Natural and Built Environment, Queen's University BelfastBelfastNorthern Ireland
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Gomes MC, Neves ÉTB, Perazzo MF, Martins CC, Paiva SM, Granville-Garcia AF. Association between psychological factors, socio-demographic conditions, oral habits and anterior open bite in five-year-old children. Acta Odontol Scand 2018; 76:553-558. [PMID: 29764280 DOI: 10.1080/00016357.2018.1472294] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The aim of the present study was to evaluate association between psychological factors, socio-demographic conditions, oral habits and anterior open bite in five-year-old preschool children. MATERIALS AND METHODS A cross-sectional study was conducted with 764 pairs of children and parents/caregivers in preschools. The parents/caregivers answered questionnaires addressing oral health-related quality of life (OHRQoL), sense of coherence, locus of control, oral habits and socio-demographic characteristics. The children answered a self-report questionnaire addressing OHRQoL and were submitted to a clinical examination for the anterior open bite by examiners. Descriptive analysis was conducted, followed by Poisson's regression analysis. RESULTS The prevalence of anterior open bite was 15.2%. The following variables remained significantly associated with anterior open bite: pacifier use (PR = 7.09; 95% CI: 4.06-12.39), attending a public preschool (PR = 2.40; 95% CI: 1.68-3.43), digit sucking (PR = 2.15; 95% CI: 1.27-3.62), greater number of residents in the home (PR = 1.67; 95% CI: 1.18-2.36) and impact on OHRQoL according to child's report (PR = 1.56; 95% CI: 1.11-2.20). CONCLUSIONS Anterior open bite was associated with OHRQoL according to the children's reports. Moreover, attending a public preschool, a greater number of residents in the home, digit sucking and pacifier sucking were associated with this type of malocclusion.
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Affiliation(s)
- Monalisa Cesarino Gomes
- Postgraduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Brazil
| | | | - Matheus França Perazzo
- Department of Pediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Carolina Castro Martins
- Department of Pediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
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Mohamed S, Vettore MV. Oral clinical status and oral health-related quality of life: is socioeconomic position a mediator or a moderator? Int Dent J 2018; 69:119-129. [PMID: 30152041 DOI: 10.1111/idj.12420] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
AIM To evaluate whether socioeconomic position exerts a mediating and/or moderating effect on the association between oral clinical measures and oral health-related quality of life (OHRQoL) in adolescents. MATERIALS AND METHODS The study analysed data on 5,445 adolescents aged 15-19 years from the Brazilian Oral Health Survey (SBBrasil Project). The numbers of decayed and missing teeth, number of sextants with gingivitis and malocclusion were assessed through oral clinical examinations. Participant's age, sex, OHRQoL and socioeconomic position were also collected. Monthly family income was used to indicate the participant's socioeconomic position, and OHRQoL was assessed using the Oral Impacts on Daily Performance. Moderation was tested using Poisson regression models. Structural equation modelling and Sobel's test assessed the mediation effects. RESULTS Oral clinical measures, OHRQoL and socioeconomic position were significantly correlated (P < 0.001). The moderator effect of socioeconomic position on the association between all oral clinical measures and OHRQoL was observed. The impact of all oral clinical conditions on adolescents' OHRQoL was lower in the low-family-income groups compared with those with a better income. Socioeconomic position partially mediated the relationship between the four oral clinical measures and OHRQoL. Sobel's test confirmed these findings (P < 0.001). CONCLUSIONS The findings suggest the importance of socioeconomic position as a moderator and mediator factor between oral clinical measures and OHRQoL. Disadvantaged adolescents are likely to experience poor OHRQoL due to oral conditions. The reduction of the impact of oral conditions on quality of life in adolescents may be enhanced by addressing social inequalities related to oral health.
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Affiliation(s)
- Seham Mohamed
- Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.,College of Health Science, University of Bahrain, Manama, Kingdom of Bahrain
| | - Mario V Vettore
- Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
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Marcus M, Maida C, Wang Y, Xiong D, Hays R, Coulter I, Lee S, Spolsky V, Shen J, Crall J, Liu H. Child and Parent Demographic Characteristics and Oral Health Perceptions Associated with Clinically Measured Oral Health. JDR Clin Trans Res 2018; 3:302-313. [PMID: 30938594 PMCID: PMC6794669 DOI: 10.1177/2380084418774549] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To examine child and parent reports about the child's oral health and assess the associations of these reports with clinical assessments of oral health status by dental examiners. METHODS Surveys with 139 items for children and 133 items for parents were administered by Audio Computer-Assisted Self-Interview Software. In addition, the Children's Oral Health Status Index (COHSI) was computed from a dental examination. RESULTS A total of 334 families with children ages 8 to 17 y participated at 12 dental practices in Los Angeles County. Ordinary least squares regression models were estimated separately for child and parent surveys to identify items uniquely associated with the COHSI. Ten of 139 items the children reported regarding their oral health were associated with the COHSI. The strongest associations were found for child's age, aesthetic factors (straight teeth and pleased with teeth), and cognitive factors related to perception of dental appearance (pleased/happy with the look of the child's mouth, teeth, and jaws). Nine of 133 parent items about the child's oral health were associated with the COHSI in the parent model, notably being a single parent, parent's gender, parent born in the United States, pleased or happy with the look of their child's teeth, and accessing the Internet. CONCLUSION These child and parent survey items have potential to be used to assess oral health status for groups of children in programs and practices in lieu of dental screenings. KNOWLEDGE TRANSLATION STATEMENT The paper's results inform the development of a toolkit that can be used by schools, public health agencies, and dental programs to identify children with low oral health status based on parents' and children's responses to survey items across demographic, physical, mental, and social domains. These survey items can be used to inform parents of the desirability of proactively addressing inadequacies in their child's oral health status, enabling them to more rationally address dental needs.
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Affiliation(s)
- M. Marcus
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - C.A. Maida
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
- Division of Oral Biology and Medicine,
School of Dentistry, University of California, Los Angeles, CA, USA
| | - Y. Wang
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
- Department of Biostatistics, Fielding
School of Public Health, University of California, Los Angeles, CA, USA
| | - D. Xiong
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
- Department of Biostatistics, Fielding
School of Public Health, University of California, Los Angeles, CA, USA
| | - R.D. Hays
- Department of Health Policy and
Management, Fielding School of Public Health, University of California, Los Angeles,
CA, USA
- Department of Medicine, Division of
General Internal Medicine and Health Services Research, David Geffen School of
Medicine, University of California, Los Angeles, CA, USA
- RAND Corporation, Santa Monica, CA,
USA
| | - I.D. Coulter
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
- RAND Corporation, Santa Monica, CA,
USA
| | - S.Y. Lee
- Division of Constitutive &
Regenerative Sciences, Section of Restorative Dentistry, School of Dentistry,
University of California, Los Angeles, CA, USA
| | - V.W. Spolsky
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - J. Shen
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - J.J. Crall
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
| | - H. Liu
- Division of Public Health and Community
Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA
- Department of Biostatistics, Fielding
School of Public Health, University of California, Los Angeles, CA, USA
- Department of Medicine, Division of
General Internal Medicine and Health Services Research, David Geffen School of
Medicine, University of California, Los Angeles, CA, USA
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Lee SM, Kim HN, Lee JH, Kim JB. Association between maternal and child oral health and dental caries in Korea. J Public Health (Oxf) 2018. [DOI: 10.1007/s10389-018-0936-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Monteiro AKDAP, Sarmento DJDS, Pinto-Sarmento TCDA, Diniz MB, Granville-Garcia AF, Duarte DA. Normative need for orthodontic treatment and perception of the need for such treatment among Brazilian adolescents. Dental Press J Orthod 2018; 22:41-46. [PMID: 28746486 PMCID: PMC5525444 DOI: 10.1590/2177-6709.22.3.041-046.oar] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2016] [Accepted: 10/26/2016] [Indexed: 11/21/2022] Open
Abstract
Objective: The aim of the present study was to evaluate the normative need for orthodontic treatment and the perception of such need among students aged 11-14 years. Methods: A cross-sectional study was conducted with a sample of 346 students, randomly selected from public and private schools. The Dental Aesthetic Index (DAI) was used to evaluate the normative need for orthodontic treatment (NNOT). The perceived need for treatment among students was assessed by a previously validated questionnaire. Data was analyzed by Pearson’s Chi-squared test (α = 5%). Results: The prevalence of malocclusion and NNOT was 65.6%. Of the sample, 73.7% felt they needed treatment, 66.2% wanted orthodontic treatment and 62.7% were satisfied with their dental aesthetics. A statistically significant association was observed between NNOT and the perception of the need for treatment among the students (p < 0.001). Conclusion: The present study demonstrated a high prevalence of malocclusion, which was reflected in the high normative need for orthodontic treatment. The opinion of patients regarding their expectations of orthodontic treatment should be valued. The students perceived a need for orthodontic treatment.
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Affiliation(s)
| | | | | | - Michele Baffi Diniz
- Universidade Cruzeiro do Sul, Department of Dentistry (São Paulo/SP, Brazil)
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Olak J, Nguyen MS, Nguyen TT, Nguyen BBT, Saag M. The influence of mothers' oral health behaviour and perception thereof on the dental health of their children. EPMA J 2018; 9:187-193. [PMID: 29896317 DOI: 10.1007/s13167-018-0134-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Accepted: 04/05/2018] [Indexed: 02/06/2023]
Abstract
Objective The study aims to investigate how mothers' oral health behaviour and perception thereof influence the dental health in their children. Methods A total of 556 Vietnamese mother-child pairs participated in the current study. Mothers self-reported their oral status and oral health behaviour and perception. Dental caries of the children were examined using the index of decayed, missing, and filled teeth. The Dental Anxiety Scale instrument was used to assess the dental anxiety level in mothers and children. Results Among mothers, 41.3% had gingival bleeding, 40% perceived their dentition and gingival status to be at a good level, 68% brushed their teeth more than twice a day, and 17% had never visited a dentist. Mothers' oral health behaviour and their perception thereof were positively correlated with their frequency of dental visits (r = (0.105-0.221), p < 0.001) and negatively correlated with dental anxiety (r = (- 0.149- - 0.105), p < 0.05).Caries-free children were positively correlated with mothers having more than 20 teeth (r = 0.085, p < 0.05). Positive correlations between mothers and children were found in terms of frequency of fresh fruits consumption (r = 0.090, p < 0.05), drinking sweet beverages (r = 0.072, p < 0.05), and dental anxiety (r = 0.183, p < 0.001). Conclusions Maternal oral health was significantly associated with dental health of their children. Not only did maternal dental anxiety influence oral health of mothers but it was also a concomitant factor in the development of children's dental anxiety. The education programme on mothers' oral health-related knowledge can be a target for improvement of the oral health of mothers and children.
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Affiliation(s)
- Jana Olak
- 1Institute of Dentistry, University of Tartu, Raekoja plats 6, 51003 Tartu, Estonia
| | - Minh Son Nguyen
- 1Institute of Dentistry, University of Tartu, Raekoja plats 6, 51003 Tartu, Estonia
- 2Danang University of Medical Technology and Pharmacy, 99 Hung Vuong, Danang, Vietnam
| | - Thuy Trang Nguyen
- 2Danang University of Medical Technology and Pharmacy, 99 Hung Vuong, Danang, Vietnam
| | - Bui Bao Tien Nguyen
- 2Danang University of Medical Technology and Pharmacy, 99 Hung Vuong, Danang, Vietnam
| | - Mare Saag
- 1Institute of Dentistry, University of Tartu, Raekoja plats 6, 51003 Tartu, Estonia
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Longitudinal measurement invariance and explanatory IRT models for adolescents' oral health-related quality of life. Health Qual Life Outcomes 2018; 16:60. [PMID: 29642916 PMCID: PMC5896083 DOI: 10.1186/s12955-018-0879-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Accepted: 03/21/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Longitudinal invariance is a perquisite for a valid comparison of oral health-related quality of life (OHRQoL) scores over time. Item response theory (IRT) models can assess measurement invariance and allow better estimation of the associations between predictors and latent construct. By extending IRT models, this study aimed to investigate the longitudinal invariance of the two 8-item short forms of the Child Perception Questionnaire (CPQ11-14) regression short form (RSF:8) and item-impact short form (ISF:8) and identify factors associated with adolescents' OHRQoL and its change. METHODS All students from S1 and S2 (equivalent to US grades 6 and 7) who were born in April 1997 and May 1997 (at age 12) from 45 randomly selected secondary schools were invited to participate in this study and followed up after 3 years. Data on the CPQ11-14 RSF:8 and CPQ11-14 ISF:8, demographics, oral health behavior and status were collected. Explanatory graded response models were fitted to both short forms of the CPQ11-14 data for assessing longitudinal invariance and factors associated with OHRQoL. The Bayesian estimation method - Monte Carlo Markov Chain (MCMC) with Gibbs sampling was adopted for parameter estimation and the credible intervals were used for inference. RESULTS Data from 649 children at age 12 at baseline and 415 children at age 15 at follow up were analyzed. For the 12 years old children, healthier oral health behavior, better gum status, families with both parents employed and parents' education level were found to be associated with better OHRQoL. Four items among the 2 short forms lacked longitudinal invariance. With statistical adjustment of longitudinal invariance, OHRQoL were found improved in general over the 3 years but no predictor was associated with OHRQoL in follow-up. For those with decreased family income, their OHRQoL had worsened over 3 years. CONCLUSIONS IRT explanatory analysis enables a more valid identification of the factors associated with OHRQoL and its changes over time. It provides important information to oral healthcare researchers and policymakers.
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Kacenelenbogen N, Dramaix-Wilmet M, Schetgen M, Roland M, Godin I. Parental separation and behaviours that influence the health of infants aged 28 to 32 months: a cross-sectional study. BMC Pediatr 2018; 18:88. [PMID: 29486742 PMCID: PMC6389054 DOI: 10.1186/s12887-018-1062-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Accepted: 02/14/2018] [Indexed: 11/10/2022] Open
Abstract
Background In Western countries, many children are affected by the separation of their parents. The study’s main objective was to analyse the parental behaviours potentially influential for preschool children’s health by family structure (parents together or separated). Methods We conducted a cross-sectional study based on data collected from examinations as part of free preventive medical consultations in the French Community of Belgium. During the assessment of 30,769 infants aged 28 to 32 months, information was collected on the parents’ use of tobacco, brushing of the infant’s teeth, being monitored by a dentist, and receiving vision screening. The chi2 test was applied and the odds ratios were derived to compare the two groups of children (exposed/not exposed to parental separation). Multivariate logistic regression analyses were used to adjust the effect of exposure. Results Nearly one in ten (9.8%) did not live with both parents under the same roof. Taking into account the social and cultural environment and other potential confounders at our disposal, we found that in the event of parental separation, behaviours differ in comparison with situations where parents live together; the adjusted odds ratios (ORs) (95% confidence interval) for the infant’s exposure to tobacco, absence of teeth brushing, lack of monitoring by a dentist and absence of visual screening, were respectively 1.7 (1.2–2.0), 1.1 (0.9–1.2), 1.3 (1.1–1.6), 1.2 (1.1–1.2), and 1.2 (1.1–1.4). Conclusions This study confirms the suspicion that parental separation is an independent risk factor for parental behaviours that negatively influence the infant’s health. If these results are confirmed, this it could affect the work of the family doctors and paediatricians, especially in terms of family support and information to parents.
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Affiliation(s)
- Nadine Kacenelenbogen
- Université Libre de Bruxelles, General Medicine Department, Campus Facultaire Erasme, Route de Lennik 808/612, 1070, Brussels, Belgium.
| | - Michèle Dramaix-Wilmet
- Université Libre de Bruxelles, Centre for Research in Epidemiology, Biostatistics and Clinical Research, School of Public Health, Campus Erasme CP598, Route de Lennik 808, 1070, Brussels, Belgium
| | - M Schetgen
- Université Libre de Bruxelles, General Medicine Department, Campus Facultaire Erasme, Route de Lennik 808/612, 1070, Brussels, Belgium
| | - M Roland
- Université Libre de Bruxelles, General Medicine Department, Campus Facultaire Erasme, Route de Lennik 808/612, 1070, Brussels, Belgium
| | - Isabelle Godin
- Université Libre de Bruxelles, Department of Health Information Promotion Education (SIPES), School of Public Health, Campus Erasme CP598, Route de Lennik 808, 1070, Brussels, Belgium
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Nichols GAL, Antoun JS, Fowler PV, Al-Ani AH, Farella M. Long-term changes in oral health-related quality of life of standard, cleft, and surgery patients after orthodontic treatment: A longitudinal study. Am J Orthod Dentofacial Orthop 2018; 153:224-231. [PMID: 29407499 DOI: 10.1016/j.ajodo.2017.06.018] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 06/01/2017] [Accepted: 06/01/2017] [Indexed: 10/18/2022]
Abstract
INTRODUCTION The aim of this study was to assess long-term changes and describe the trajectories of oral health-related quality of life (OHRQoL) in a cohort of cleft, surgery, and standard patients who received orthodontic treatment. METHODS Standard (n = 16), cleft (n = 19), and orthognathic surgery (n = 22) patients completed the short-form of the Oral Health Impact Profile (OHIP-14) before treatment, immediately posttreatment, and approximately 5 years posttreatment. RESULTS An overall reduction in OHIP-14 scores (improvement in OHRQoL) occurred after orthodontic treatment; however, this was only significant for the surgery and standard groups (P <0.05). The total OHIP-14 score increased significantly from posttreatment to 5 years follow-up for all 3 study groups (P <0.05). Relative to pretreatment, however, there were significant reductions in total OHIP-14 scores at 5 years posttreatment in the surgery group (-57.4%; P <0.05), but not in the standard sample (-24.2%; P >0.05). By contrast, the OHIP-14 score in the cleft group increased but not significantly (40.2%; P >0.05). Using a mixed model analysis, a significant interaction was detected between patient group and time (ie, study time point) (F = 6.0; P <0.0001), after adjusting for age and sex. CONCLUSIONS Distinct patient groups showed different OHRQoL trajectories after orthodontic treatment. Treatment-related improvements in OHRQoL are maintained over time for surgery patients, but not for those with standard malocclusions and orofacial clefts.
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Affiliation(s)
- Grace A L Nichols
- Hospital Dental Service, Christchurch Hospital, Christchurch, New Zealand
| | - Joseph S Antoun
- Discipline of Orthodontics, Department of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
| | - Peter V Fowler
- Hospital Dental Service, Christchurch Hospital, Christchurch, New Zealand
| | - Azza H Al-Ani
- Discipline of Orthodontics, Department of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Mauro Farella
- Discipline of Orthodontics, Department of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
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Kassis A, El Osta N, Tubert-Jeannin S, Hennequin M, El Osta L, Ghoubril J. Cross-cultural adaptation and validation of the child perceptions questionnaire (CPQ 11-14) among children in Lebanon. BMC Oral Health 2018; 18:18. [PMID: 29409482 PMCID: PMC5801835 DOI: 10.1186/s12903-018-0482-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Accepted: 01/31/2018] [Indexed: 11/10/2022] Open
Affiliation(s)
- Adib Kassis
- Department of Orthodontics, Saint-Joseph University, Beirut, Lebanon
| | - Nada El Osta
- Department of Prosthodontics, Saint-Joseph University, Beirut, Lebanon.,University of Clermont Auvergne, EA 4847, Centre de Recherche en Odontologie Clinique, BP 10448, F-63000, Clermont-Ferrand, France.,Department of Public Health, Saint-Joseph University, Beirut, Lebanon
| | - Stéphanie Tubert-Jeannin
- University of Clermont Auvergne, EA 4847, Centre de Recherche en Odontologie Clinique, BP 10448, F-63000, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Dental department, F-63000, Clermont-Ferrand, France
| | - Martine Hennequin
- University of Clermont Auvergne, EA 4847, Centre de Recherche en Odontologie Clinique, BP 10448, F-63000, Clermont-Ferrand, France. .,CHU Clermont-Ferrand, Dental department, F-63000, Clermont-Ferrand, France.
| | - Lana El Osta
- Department of Public Health, Saint-Joseph University, Beirut, Lebanon
| | - Joseph Ghoubril
- Department of Orthodontics, Saint-Joseph University, Beirut, Lebanon
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