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Tankova HI, Lazarova ZB, Mitova NG. Dynamics of Gingival Indices and Microbiological Findings During Treatment of Plaque-Induced Gingivitis in Children Aged 10-14 Years. Niger J Clin Pract 2024; 27:361-367. [PMID: 38528357 DOI: 10.4103/njcp.njcp_757_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 02/07/2024] [Indexed: 03/27/2024]
Abstract
BACKGROUND The study analyzed the dynamics of the clinical periodontal status during the treatment of adolescents with generalized plaque-induced gingivitis. AIM Assessment of the predominant subgingival microflora in the case of a diagnosed inflammatory process in the gingiva in childhood. METHODS Full-mouth periodontal assessment of plaque accumulation and bleeding on probing with an electronic periodontal probe was performed during the treatment of 34 adolescents with generalized plaque-induced gingivitis. The treatment protocol includes five visits (1, 3, 7, 14, and 30 days). Subgingival biofilm sampling was performed by real-time PCR testing to identify, follow-up in dynamics, and determine the quantities of main subgingival periodontopathogens during treatment. Three samples per child were taken from five teeth with the most severe inflammation. RESULTS For children aged 10-14 years with generalized plaque-induced gingivitis, two weeks after the start of treatment, the index values for bleeding on probing decreased twice from 53 to 27%. C. gingivalis was isolated before the start of treatment in all children, followed by P. intermedia, P. micros (70,4%) and T. denticola, T. forsythia (52,9%). Representatives of the red complex according to Socransky showing greater resistance to the therapy performed in terms of frequency and amount. CONCLUSION The predominant subgingival microflora in adolescents with generalized plaque-induced gingivitis is representative of the orange and red Socransky complex, with index values decreasing smoothly at each subsequent visit during treatment.
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Affiliation(s)
- H I Tankova
- Department of Pediatric Dental Medicine, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria
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2
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Zemolin NAM, Rauber ED, Brondani B, Knorst JK, Mendes FM, Ardenghi TM. Impact of licit and illicit substances on the oral health-related quality of life in adolescents. Oral Dis 2024; 30:688-696. [PMID: 36740896 DOI: 10.1111/odi.14528] [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: 09/27/2022] [Revised: 12/13/2022] [Accepted: 02/02/2023] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To assess the impact of the consumption of licit and illicit substances on the oral health-related quality of life (OHRQoL) of adolescents from public schools in the south of Brazil. METHODS This cross-sectional study was carried out with a random sample of adolescents aged between 17 and 18 years old from Santa Maria, Brazil. The consumption of licit and illicit substances was measured through a self-administered questionnaire with questions from the National Survey of Scholar Health. The OHRQoL was collected using the Brazilian short version of Child Perceptions Questionnaire 11-14 (CPQ11-14). Multilevel Poisson regression models were used to estimate the association between the outcome and the explanatory variables where the adolescents (first level) were nested in their schools (second level). RESULTS A total of 768 adolescents were evaluated. Of these, about 15.6% have already used illegal substances. Adolescents who reported the use of illicit substances had 28% higher CPQ11-14 scores when compared to their counterparts. Alcohol use was also related to worse levels of OHRQoL, while the consumption of cigarettes acted as a protective factor. CONCLUSIONS This study found an association between the use of alcohol and illicit drugs with worse levels of OHRQoL.
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Affiliation(s)
| | - Everton Daniel Rauber
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, Brazil
| | - Bruna Brondani
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade de São Paulo, São Paulo, Brazil
| | - Jessica Klöckner Knorst
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, Brazil
| | - Fausto Medeiros Mendes
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade de São Paulo, São Paulo, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, Brazil
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3
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Medina-Vega M, Ibarra MCB, Quezada-Conde MDC, Reis INRD, Frias AC, Raggio DP, Michel-Crosato E, Mendes FM, Pannuti CM, Romito GA. Periodontal status among 12-year-old schoolchildren: a population-based cross-sectional study in Quito, Ecuador. Braz Oral Res 2024; 38:e002. [PMID: 38198302 PMCID: PMC11376603 DOI: 10.1590/1807-3107bor-2024.vol38.0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 06/15/2023] [Indexed: 01/12/2024] Open
Abstract
This study aimed to estimate the prevalence and extent of bleeding on probing and calculus in 12-year-old schoolchildren of Quito, Ecuador, and evaluate the associated factors. We conducted an epidemiological survey with a representative sample of 1,100 12-year-old schoolchildren from public schools in the urban area of Quito, Ecuador. We assessed the periodontal health using the Community Periodontal Index (CPI). The prevalence and extent of the periodontal condition was based on the presence of at least one site with bleeding on probing (BOP), and the presence of dental calculus was also evaluated. We used univariate and multiple multilevel Poisson regression analyses to verify the association between the independent variables and the number of sextants with BOP and calculus. The prevalence of BOP and calculus was 92% and 69.9%, respectively. The adjusted mean of the affected sextants was 4.3 and 2.2 for BOP and calculus, respectively. The mother's schooling and malocclusion were associated with the number of sextants with bleeding. The mother's schooling and dental caries experience were associated with calculus. Gingival bleeding and the presence of dental calculus are highly prevalent in 12-year-old schoolchildren from Quito. Gingival bleeding is associated with maternal education and malocclusion, and dental calculus is associated with maternal education and dental caries.
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Affiliation(s)
| | | | | | | | - Antonio Carlos Frias
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Daniela Prócida Raggio
- Universidade de São Paulo - USP, School of Dentistry, Department of Pediatric Dentistry, São Paulo, SP, Brazil
| | - Edgard Michel-Crosato
- Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil
| | - Fausto Medeiros Mendes
- Universidade de São Paulo - USP, School of Dentistry, Department of Pediatric Dentistry, São Paulo, SP, Brazil
| | - Claudio Mendes Pannuti
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Giuseppe Alexandre Romito
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
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4
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Sami W, Ahmad MS, Shaik RA, Miraj M, Ahmad S, Molla MH. Oral Health Statuses of Children and Young Adults with Autism Spectrum Disorder: An Umbrella Review. J Clin Med 2023; 13:59. [PMID: 38202066 PMCID: PMC10780292 DOI: 10.3390/jcm13010059] [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: 09/24/2023] [Revised: 10/17/2023] [Accepted: 11/01/2023] [Indexed: 01/12/2024] Open
Abstract
This study aimed to comprehensively evaluate the oral health statuses of children and adults within the autism spectrum disorder (ASD) population through an umbrella review approach. The prevalence of dental caries, periodontal disease, and associated variables were investigated across selected studies. A systematic search was conducted across databases including PubMed, Scopus, EMBASE, Science Citation Index, Science Direct, Web of Science, MEDLINE, and Wiley Online Library to identify relevant studies. The assessed variables included dental caries prevalence, periodontal disease prevalence, oral hygiene indicators, and the necessity of dental treatment. The pooled prevalence rates, odds ratios, and standardized mean differences were calculated where applicable. The pooled prevalence of dental caries among ASD individuals ranged from 60.6% to 67.3%, while the periodontal disease prevalence ranged from 59.8% to 69.4%. High rates of dental treatment under general anesthesia were reported. Heterogeneous dental caries and periodontal disease prevalence rates were identified, highlighting the need for collaboration and preventive care. Several studies also reported higher prevalence rates of dental trauma and self-inflicted oral injuries among individuals with ASD. However, the review also identified significant methodological limitations in the included studies, including inconsistency in oral health assessment methods and potential bias. The necessity for targeted policies due to high prevalence rates and the requirement for integrated care systems in high DMFT regions were also observed. The umbrella review synthesized diverse findings, revealing variations in dental caries and periodontal disease prevalence among ASD individuals. This review underscores the need for tailored interventions and policies to address oral health disparities. It highlights the necessity of integrated care systems, methodological improvements, and longitudinal studies to comprehensively address the multifaceted oral health challenges within the ASD population.
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Affiliation(s)
- Waqas Sami
- Department of Pre-Clinical Affairs, College of Nursing, QU-Health, Qatar University, Doha P.O. Box 2713, Qatar;
| | - Mohammad Shakil Ahmad
- Department of Family and Community Medicine, College of Medicine, Majmaah University, Majmaah 11952, Saudi Arabia; (M.S.A.); (R.A.S.)
| | - Riyaz Ahamed Shaik
- Department of Family and Community Medicine, College of Medicine, Majmaah University, Majmaah 11952, Saudi Arabia; (M.S.A.); (R.A.S.)
| | - Mohammad Miraj
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Majmaah 11952, Saudi Arabia;
| | - Sadiya Ahmad
- Department of Psychology, University of Windsor, Windsor, ON N9B 3P4, Canada;
| | - Muhammed Hamza Molla
- College of Dental Medicine, QU-Health, Qatar University, Doha P.O. Box 2713, Qatar
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5
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Sfreddo CS, Oliveira LM, Gomes BZ, Ardenghi TM. Discriminant validity of the current gingivitis classification in adolescents: a cohort study. Clin Oral Investig 2023; 27:6513-6521. [PMID: 37725169 DOI: 10.1007/s00784-023-05256-z] [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: 03/16/2023] [Accepted: 09/09/2023] [Indexed: 09/21/2023]
Abstract
OBJECTIVES To compare the prevalence of gingivitis estimated by the 2018 European Federation of Periodontology/American Academy of Periodontology (EFP/AAP) classification with the other case definitions and assess the ability of this classification system in discriminating sociodemographic and clinical factors associated with the presence of gingivitis in a cohort study. MATERIALS AND METHODS A multistage random sample of 1134 12-year-old adolescents was submitted to a full-mouth examination according to the Community Periodontal Index. Socioeconomic and clinical variables were collected at baseline. Gingivitis was considered according to the following criteria: (a) ≥ 10% of bleeding sites (the 2018 EFP/AAP criteria); (b) ≥ 15% of bleeding sites; and (c) the mean full-mouth bleeding sites. Adjusted multilevel Poisson regression assessed the association between independent variables at baseline and each definition of gingivitis at 2-year follow-up. RESULTS Seven hundred forty-two 14-year-old adolescents were re-revaluated at follow-up. The prevalence of gingivitis was 28.7% according to 10% of bleeding threshold. The 2018 EFP/AAP criteria and other definitions showed higher prevalence and mean of gingivitis for low-household income adolescents and for those with higher levels of dental plaque and untreated dental caries. Nonetheless, the highest strengths of association were observed for the threshold of ≥ 15% of bleeding sites. CONCLUSION The 2018 EFP/AAP case definition of gingivitis showed a similar discriminant validity compared to the 15% threshold and the mean full-mouth bleeding sites. CLINICAL RELEVANCE The 2018 EFP/AAP classification allows the discrimination of important risk factors and should be used for the establishment of priorities for large-scale therapeutic programs.
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Affiliation(s)
- Camila S Sfreddo
- Department of Semiology and Clinic, Faculty of Dentistry, Graduate Program in Dentistry, Federal University of Pelotas, Gonçalves Chaves Street, 457, 509 Room, Centro, Pelotas, RS, 96015-560, Brazil.
| | - Leandro M Oliveira
- Post-Graduate Program in Oral Science, Federal University of Santa Maria, Roraima Avenue, 1000, 26F Building, Santa Maria, Camobi, RS, 97105-900, Brazil
| | - Bruna Z Gomes
- Faculty of Dentistry, Federal University of Pelotas, Gonçalves Chaves Street, 457, Centro, Pelotas, RS, 96015-560, Brazil
| | - Thiago M Ardenghi
- Post-Graduate Program in Oral Science, Federal University of Santa Maria, Roraima Avenue, 1000, 26F Building, Santa Maria, Camobi, RS, 97105-900, Brazil
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6
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Brondani B, Knorst JK, Agostini BA, Ramadan YH, Mendes FM, Ardenghi TM. Does bullying due to oral conditions influence cigarette smoking in adolescents? A structural equation modeling. Braz Oral Res 2023; 37:e100. [PMID: 38055518 DOI: 10.1590/1807-3107bor-2023.vol37.0100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 10/07/2022] [Indexed: 12/08/2023] Open
Abstract
This study aimed to explore the pathways that can influence cigarette smoking among adolescents. This population-based cohort followed a random sample of 12-year-old adolescents from southern Brazil for 6 years. Regular cigarette smoking was assessed through a self-reported question, previously used in the Brazilian National Survey of Scholar Health. We also gathered data on bullying, dental caries at baseline, incidence of caries, sex, friend network, and Sense of Coherence (SOC). Socioeconomic and demographic characteristics were also collected. Structural equation modeling was used to evaluate the pathways. Of the 1,134 adolescents examined at baseline, 768 were re-evaluated (67.7% retention rate). The prevalence of smoking was 37.6%. This prevalence was directly affected by low SOC (SC: -0.14, p < 0.01), low household income (SC: -0.12, p < 0.01), and male sex (SC: 0.15, p < 0.01). Presence of dental caries at baseline indirectly influenced the occurrence of dental bullying at follow-up via the incidence of dental caries (SC: 0.01, p < 0.05). Dental bullying indirectly influenced cigarettes consumption via SOC (SC: 0.62, p < 0.05). Friend network also indirectly influenced the consumption of cigarettes via SOC (SC: 0.32, p < 0.05). Psychosocial factors influence adolescent cigarette consumption through its higher direct and indirect effects (via bullying). In addition, behavioral, sociodemographic, and clinical factors also influence the occurrence of smoking.
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Affiliation(s)
- Bruna Brondani
- Universidade de São Paulo - USP, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, São Paulo, SP, Brazil
| | - Jessica Klöckner Knorst
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology, Santa Maria, RS, Brazil
| | | | - Yassmín Hêllwaht Ramadan
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology, Santa Maria, RS, Brazil
| | - Fausto Medeiros Mendes
- Universidade de São Paulo - USP, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, São Paulo, SP, Brazil
| | - Thiago Machado Ardenghi
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology, Santa Maria, RS, Brazil
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Dos Santos de Oliveira J, da Silva Gasque KC, Pereira AA, Fernandes LA, Honório HM, de Sousa Gomes H, de Lima DC. Impact of parental attributes on the oral health-related quality of life of Brazilian preschool children. Eur Arch Paediatr Dent 2023; 24:631-641. [PMID: 37584892 DOI: 10.1007/s40368-023-00828-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 07/20/2023] [Indexed: 08/17/2023]
Abstract
PURPOSE Considering the importance of parental attitudes and their influence on children's oral health, it is important to know which characteristics may impact it. The aim of this population study was to evaluate the impact of the parental sociodemographic characteristics on the oral health-related quality of life (OHRQoL) of preschool children from southeastern Brazil. METHODS A population-based study was conducted with a sample of 321 children aged 2 to 5 years old who underwent a calibrated clinical oral examination to assess oral health status and their parents were asked to answer the two following questionnaires: (1) sociodemographic conditions and (2) Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). Descriptive analysis, Mann-Whitney and Kruskal-Wallis tests and adjusted Poisson regression models were used. RESULTS Younger mothers (RP: 1.47; 95% CI: 1.11-1.95), lower household income (RP: 1.47; 95% CI: 1.11-1.96) and the presence of dental caries (RP: 2.28; 95% CI: 1.74-3.0) were more likely to have a negative impact on the OHRQoL B-ECOHIS total scores (P < 0.01). CONCLUSION The characteristics of mothers, such as age, schooling and salary, influenced the mean B-ECOHIS total score; however, paternal attributes were not associated with a negative impact on the children's quality of life. Also, dental caries and household income influenced the children's oral health-related quality of life.
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Affiliation(s)
| | - K C da Silva Gasque
- Regional Board of Brasília, Fundação Oswaldo Cruz (FIOCRUZ), Brasília, DF, Brazil
| | - A A Pereira
- School of Dentistry, Universidade Federal de Alfenas (UNIFAL), Alfenas, MG, Brazil
| | - L A Fernandes
- School of Dentistry, Universidade Federal de Alfenas (UNIFAL), Alfenas, MG, Brazil
| | - H M Honório
- Bauru Dental School, Universidade de São Paulo (USP), Bauru, SP, Brazil
| | - H de Sousa Gomes
- Faculdade de Odontologia, School of Dentistry, Universidade Federal de Alfenas (UNIFAL), CEP Rua Gabriel Monteiro da Silva, 700, Centro, Alfenas, MG, 37130-001, Brazil.
| | - D C de Lima
- Faculdade de Odontologia, School of Dentistry, Universidade Federal de Alfenas (UNIFAL), CEP Rua Gabriel Monteiro da Silva, 700, Centro, Alfenas, MG, 37130-001, Brazil
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8
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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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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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10
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Broomhead T, Gibson B, Parkinson CR, Vettore MV, Baker SR. Gum health and quality of life—subjective experiences from across the gum health-disease continuum in adults. BMC Oral Health 2022; 22:512. [PMCID: PMC9675234 DOI: 10.1186/s12903-022-02507-5] [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: 05/06/2022] [Accepted: 09/26/2022] [Indexed: 11/21/2022] Open
Abstract
Background There has been a lack of qualitative work investigating the effects of the wide range of gum-related symptoms, and the perceived everyday impacts associated with these including on quality of life. While periodontal disease has been shown to have significant effects on quality of life, fewer studies have researched the perceived impacts of gingivitis and symptoms from across the entire gum health-disease continuum, despite evidence that these can also negatively affect quality of life. The aim of this study was to investigate perceived everyday impacts and explore the subjective experiences of adults with a variety of symptoms from across the self-reported gum health-disease continuum, and how these may affect quality of life. Methods Participants were recruited at a large UK University using purposive sampling, for self-reported symptoms ranging from mild gingivitis to severe periodontal disease. Semi-structured interviews gathered details on symptom history, changes occurring over time and associated beliefs, as well as perceived impacts on everyday life, and links between these experiences and identity. Interviews were analysed using framework analysis based on the Wilson and Cleary health-related quality of life model. Results Twenty-seven participants were recruited − 15 with symptoms of gingivitis, 12 with more severe periodontal symptoms. Prominent themes included description of symptoms, changes in daily life, social impacts, psychological impacts, identity, and overall impacts and quality of life. Differences were noted in severity, extent and frequency of symptoms and participant experiences, with greater perceived impacts often felt by those with periodontal disease. However, participants from across the gum health-disease continuum often expressed similar experiences and concerns. Conclusion Findings demonstrate the range of experiences from participants with a variety of gum-related symptoms; notably, gingivitis was reported to have a range of perceived impacts on quality of life alongside those reported by periodontal disease sufferers. Future work should look to include symptoms from across the entire gum health-disease continuum when considering quality of life, as well as considering a more patient-centred approach which could be valuable in both clinical and research settings. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-022-02507-5.
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Affiliation(s)
- Tom Broomhead
- grid.11835.3e0000 0004 1936 9262Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - B Gibson
- grid.11835.3e0000 0004 1936 9262Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | | | - MV Vettore
- grid.23048.3d0000 0004 0417 6230Department of Health and Nursing Sciences, Universitet i Agder, Kristiansand, Norway
| | - SR Baker
- grid.11835.3e0000 0004 1936 9262Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
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11
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Lawal FB, Fagbule OF, Akinloye S, Lawal TA, Oke GA. Impact of oral hygiene habits on oral health-related quality of life of in-school adolescents in Ibadan, Nigeria. FRONTIERS IN ORAL HEALTH 2022; 3:979674. [PMID: 36338573 PMCID: PMC9632948 DOI: 10.3389/froh.2022.979674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 08/22/2022] [Indexed: 11/25/2022] Open
Abstract
Background Recent evidence has shown that the prevalence of periodontal diseases is still high among adolescents and, thus, there is an impetus to promote good oral hygiene habits among them through schools. There is a need to provide baseline data on the oral hygiene habits of adolescents and how it impacts their oral health-related quality of life for appropriate intervention to be instituted. Moreover, oral health-related quality of life describes how oral health affects the daily activities of individuals; thus, it provides a holistic means of involving individuals in making decisions about their oral health including uptake of oral hygiene habits. Aim To assess the impact of oral hygiene habits on adolescents' oral health-related quality of life. Methods A cross-sectional study was conducted among 1,800 adolescents aged 14–18 years attending 36 Senior Secondary Schools in the metropolis of Ibadan, Nigeria. Data were collected using a self-administered questionnaire, which assessed students' sociodemographic characteristics, oral hygiene habits, and oral health-related quality of life with COHIP-SF19. Data obtained was analyzed with SPSS version 25 and the p-value was set at <5%. Results The mean age of the adolescents was 15.16 (±1.16) years. Many 1,094 (60.3%) cleaned their teeth twice or more often daily with 126 (7.0%) cleaning after meals and 1,519 (84.4%) changing their tooth cleaning agent at three months intervals or less. About 1,215 (67.5%) spent three minutes or longer in cleaning their teeth. Only a few 238 (13.2%) cleaned interdentally and 137 (7.6%) used dental floss. The OHRQoL scores of the adolescents ranged from 9–76. A total of 1,612 (93.5%) had at least an impact on their OHRQoL. Those who cleaned their teeth more frequently (twice or more) were more likely to have better OHRQoL (OR = 1.6, 95% CI = 1.1–2.4, p = 0.025) and those who did not clean interdentally were more likely to have better OHRQoL (OR = 2.8, 95% CI = 1.2–6.5, p = 0.014) than others. Conclusion The oral hygiene habits of the adolescents were suboptimal and those who cleaned their teeth twice or more often each day had fewer impacts on their OHRQoL, whereas those who engaged in interdental cleaning had higher impacts on their OHRQoL than others.
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Affiliation(s)
- Folake Barakat Lawal
- Department of Periodontology and Community Dentistry, University of Ibadan and University College Hospital, Ibadan, Oyo State, Nigeria
- Consortium for Advanced Research Training in Africa, African Population and Health Research Center, Nairobi, Kenya
- Correspondence: F.B. Lawal
| | - Omotayo Francis Fagbule
- Department of Periodontology and Community Dentistry, University of Ibadan and University College Hospital, Ibadan, Oyo State, Nigeria
| | - Seyi John Akinloye
- Department of Oral Pathology, University College Hospital, Ibadan, Oyo State, Nigeria
| | - Taiwo Akeem Lawal
- Division of Pediatric Surgery, Department of Surgery, University of Ibadan and University College Hospital, Ibadan, Oyo State, Nigeria
| | - Gbemisola Aderemi Oke
- Department of Periodontology and Community Dentistry, University of Ibadan and University College Hospital, Ibadan, Oyo State, Nigeria
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Perić M, Marhl U, Gennai S, Marruganti C, Graziani F. Treatment of gingivitis is associated with reduction of systemic inflammation and improvement of oral health-related quality of life: A randomized clinical trial. J Clin Periodontol 2022; 49:899-910. [PMID: 35762095 DOI: 10.1111/jcpe.13690] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 06/22/2022] [Accepted: 06/24/2022] [Indexed: 11/29/2022]
Abstract
AIM To compare the level of inflammatory markers, oral health-related quality of life (OHRQoL) and gingival parameters 1 month after introduction of electric toothbrush and intensive oral hygiene maneuvers adaptation (OHI) versus routine habits (no-OHI) in patients affected by generalized gingivitis. METHODS 140 subjects with generalized gingivitis were randomized to receive either OHI or no-OHI. Full-mouth plaque/bleeding scores (FMPS/FMBS), serum high-sensitivity C-reactive protein (hs-CRP), interleukin-6- (IL-6) and an Oral health impact profile-14 questionnaire (OHIP-14) were collected at baseline and at 1-month follow-up visit. RESULTS In the OHI, a significant FMPS and FMPBS reduction (p<0.01), a significant intragroup decrease in hs-CRP and IL-6 (p<0.01) and a significant improvement of OHRQoL (p<0.01) was noted at 1-month. In the no-OHI, lower-magnitude differences were noted only for oral parameters. Resolution of gingivitis varied between OHI and no-OHI (89% versus 7% respectively, p<0.01). A Logistic multivariate regression suggested that FMBS ≤8% was associated with odds ratio of 13 of having both CRP and IL-6 below the selected threshold for healthy young adults (p=0.04). CONCLUSIONS Gingivitis resolution determined important reductions of gingival inflammation and plaque levels, as well as systemic inflammatory markers and an improvement of quality of life (NCT03848351).
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Affiliation(s)
- Marina Perić
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Urska Marhl
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Stefano Gennai
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Crystal Marruganti
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy.,Unit of Periodontology, Endodontology and Restorative dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Filippo Graziani
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
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Is secondhand smoke exposure associated with poor periodontal status in children and adolescents? A systematic review and meta-analysis. Eur Arch Paediatr Dent 2022; 23:513-525. [DOI: 10.1007/s40368-022-00709-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 03/28/2022] [Indexed: 10/18/2022]
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Ortiz FR, Emmanuelli B, de Campos AM, Ardenghi TM. Oral health-related quality of life determinants throughout adolescence: a cohort study in Brazil. Qual Life Res 2022; 31:2307-2317. [PMID: 35357628 DOI: 10.1007/s11136-022-03130-1] [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] [Accepted: 03/19/2022] [Indexed: 11/25/2022]
Abstract
PURPOSE Oral health-related quality of life (OHRQoL) is a complex construct that reflects the interaction among well-being, socioeconomic, oral health status, and also contextual factors. This study aimed to verify the association between poorer socioeconomic background and oral health condition on OHRQoL throughout adolescence. METHODS A cohort study followed a random sample of 1134 participants aged 12 years in 2012 (T1), 770 adolescents with an average age of 14 years in 2014 (T2; retention rate, 67.9%), and 768 adolescents with an average age of 17.5 years in 2018 (T3; retention rate, 67.8%). OHRQoL was collected three times using the Brazilian short version of the Childhood Perception Questionnaire 11-14 (CPQ 11-14). At baseline, the adolescents were clinically assessed by dentists, and their demographic data, socioeconomic status, use of dental services, and toothache were evaluated. The mean income of the neighborhood was used as a proxy of contextual factors. This variable was obtained from an official municipal publication. Poisson multilevel regression analyses were performed using a hierarchical approach to assess the predictors of OHRQoL over time. RESULTS Adolescents living in a neighborhood with low mean income, low household income, low education levels, girls, and nonwhite individuals reported poor OHRQoL. Clinical variables such as gingival bleeding and malocclusion were also associated with higher overall scores on CPQ11-14, indicating poor OHRQoL. CONCLUSION Our results showed that the unfavorable contextual and individual socioeconomic environment, and oral disease negatively influenced OHRQoL during adolescence.
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Vargas AW, Maroneze MC, Ortiz FR, Ardenghi DM, Ardenghi TM. Influence of toothache on oral health-related quality of life during adolescence: a cohort study. Clin Oral Investig 2022; 26:4615-4622. [PMID: 35257249 DOI: 10.1007/s00784-022-04430-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: 10/09/2021] [Accepted: 02/19/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVES This study aims to evaluate the influence of toothache in early adolescence on oral health-related quality of life (OHRQoL) on later adolescence. MATERIALS AND METHODS A longitudinal study was conducted, starting in 2012 within a random sample of 1,134 adolescents of 12-year-olds, in Santa Maria, Brazil. Clinical, socioeconomic, demographic, and subjective variables were obtained. Toothache was collected through the question "In the last 6 months, did you have toothache?" Six years later, the same adolescents answered the short form of the Child Perceptions Questionnaire (CPQ11-14). Multilevel Poisson regression was used to evaluate the association between toothache at baseline (2012) with overall and domain-specific CPQ11-14 scores at follow-up (2018). RESULTS A total of 769 adolescents were revaluated in 2018 (68% rate retention), with a mean age of 17.5 years (SD, 0.64). Adolescents who reported toothache at the baseline presented a had a higher mean score in the overall CPQ questionnaire during follow-up (Incidence rate ratio (IRR) = 1.25; 95% CI 1.20-1.31). Toothache was also associated with all domain-specific CPQ11-14 even after adjusting the other variables. CONCLUSIONS Brazilian adolescents who had toothache in early adolescence, even if only a single episode, have a negative impact on OHRQoL throughout adolescence. CLINICAL RELEVANCE These findings serve as a warning for dental professionals to dedicate their preventive approaches and to promote healthy standards in this age group, in order to avoid episodes of toothache and negative impact on OHRQoL.
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Affiliation(s)
- Andressa Weber Vargas
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Marília Cunha Maroneze
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | - Fernanda Ruffo Ortiz
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | | | - Thiago Machado Ardenghi
- Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil. .,Departament of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Av. Roraima, 1000, Cidade Universitária - 26F, Santa Maria, RS, 97015-372, Brasil.
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Brondani B, Sfreddo CS, Knorst JK, Ramadan YH, Ortiz FR, Ardenghi TM. Oral health-related quality of life as a predictor of alcohol and cigarette consumption in adolescents. Braz Oral Res 2022; 36:e025. [DOI: 10.1590/1807-3107bor-2022.vol36.0025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 10/11/2021] [Indexed: 11/22/2022] Open
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Impact of oral diseases on oral health-related quality of life: A systematic review of studies conducted in Latin America and the Caribbean. PLoS One 2021; 16:e0252578. [PMID: 34077473 PMCID: PMC8171960 DOI: 10.1371/journal.pone.0252578] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Accepted: 05/19/2021] [Indexed: 12/23/2022] Open
Abstract
Background We performed a systematic review of studies conducted in Latin America and the Caribbean (LAC) to assess the impact of oral diseases on oral health-related quality of life (OHRQoL). Materials and methods Searches were performed of the following PubMed, EMBASE, CINAHL, Scopus, and LILACS databases. Randomized clinical trials, quasi-experimental studies, cohort studies, case and control studies, and cross-sectional studies which included at least 100 participants evaluating the impact of oral diseases on OHRQoL were included. PROSPERO registry number: CRD42020156098. Results After exclusion of duplicates, 3310 articles were identified, 40 of which were included in this review. 90% of the studies were conducted in Brazil. The most commonly used OHRQoL measuring instruments were CPQ 11–14 (n = 9), ECOHIS (n-8) and B-ECOHIS (n = 8). The study designs included 32 cross-sectional, 2 cohort and 6 case and control studies. Most of the studies were conducted in children (n = 25) and adolescents (n = 9). Most studies identified an impact on OHRQoL in children, adolescents and adults with oral diseases. Moreover, greater oral disease severity had a greater impact on OHRQoL. Conclusions Most studies in LAC report a negative impact of diseases on OHRQoL. More longitudinal studies are required to confirm the results of these studies.
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GÖKTÜRK Ö, UCAN YARKAC F. Oral health-related quality of life in elderly and young patients with periodontal diseases. ACTA ODONTOLOGICA TURCICA 2021. [DOI: 10.17214/gaziaot.777153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Jamali Z, Ghaffari P, Aminabadi NA, Norouzi S, Shirazi S. Oral health status and oral health-related quality of life in children with attention-deficit hyperactivity disorder and oppositional defiant disorder. SPECIAL CARE IN DENTISTRY 2021; 41:178-186. [PMID: 33421188 DOI: 10.1111/scd.12563] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 11/28/2020] [Accepted: 12/29/2020] [Indexed: 11/28/2022]
Abstract
AIMS Oral diseases can affect various aspects of life in patients with attention deficit hyperactivity disorder/oppositional defiant disorder (ADHD/ODD). This study aimed to assess the oral health status and oral health-related quality of life (OHRQOL) in ADHD/ODD children. METHODS Forty ADHD/ODD and 80 control children aged 3-7 years old were included in the study. Gingival index (GI), dmft score, and the pediatric oral health-related quality of life (POQL) questionnaire were used to determine the oral health status and OHRQOL, respectively. RESULTS The mean dmft and GI were significantly higher in the ADHD/ODD group than the control group (P = .002 and P = .001). In the ADHD/ODD children, the total score of OHRQOL and the mean scores of the emotional, physical, role, and social domains were lower than that in the control group (P = .0004, P = .027, P = .002, P = .014, and P = .043, respectively). Poisson's regression showed that there was a significant relationship between OHRQOL and dmft scores (P-value < .001). However, the association between GI and OHRQOL scores was not significant. CONCLUSION Higher dmft and GI scores were found in children with ADHD/ODD than the control children. A lower POQL score was detected in ADHD/ODD patients, which translates to a better level of OHRQOL.
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Affiliation(s)
- Zahra Jamali
- Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Parisa Ghaffari
- Department of Pediatric Dentistry, Faculty of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Naser Asl Aminabadi
- Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sanaz Norouzi
- Department of Psychiatry (Child and Adolescent Ward), Razi Psychiatry Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sajjad Shirazi
- Department of Oral Biology, College of Dentistry, University of Illinois at Chicago, Chicago, Illinois
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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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Meira GF, Knorst JK, Maroneze MC, Ortiz FR, Ardenghi TM. Effect of dental caries and socioeconomic status on social capital throughout adolescence: a 6-year follow-up. Braz Oral Res 2020; 34:e104. [PMID: 32901728 DOI: 10.1590/1807-3107bor-2020.vol34.0104] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 05/18/2020] [Indexed: 12/29/2022] Open
Abstract
The aim of the study was to investigate the influence of clinical and socioeconomic factors on social capital throughout adolescence. A cohort study was performed in 2012 (T1) with a random sample of 1,134 12-year-old adolescents from Santa Maria, Brazil. Questions on socioeconomic factors (maternal education, household income, household crowding) were answered by the parents. Clinicians evaluated their dental caries (decayed, missing, and filled status of permanent teeth) and gingival bleeding (using the Community Periodontal Index). Contextual variables including the mean income of the neighborhood in which the school was located were used (T1). The adolescents were revaluated in 2018 (T2) and answered questions regarding social capital (social trust, social control, empowerment, neighborhood security, and political effectiveness). A path analysis was used to test the relationship between the predictor variables (T1) and social capital (T2). A total of 768 adolescents were reevaluated at a 6-year follow-up (cohort retention rate of 67.7%). Most of the adolescents were girls, with a low household income, about 40% had caries experience (T1), and about 64% had high social capital (T2). The highest neighborhood's mean income was related to a lower household income in T1 (p < 0.01), and this was directly related to a low social capital in T2 (p = 0.04). Furthermore, caries experience at T1 was directly associated with low social capital at T2 (p = 0.03). Socioeconomic factors were also related to caries experience. Individuals who lived in neighborhoods with greater inequality such as families with a low household income and those with untreated dental caries in early adolescence, had a low social capital after follow-up.
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Affiliation(s)
- Gabriela Figueiredo Meira
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology Santa Maria,RS, Brazil
| | - Jessica Klöckner Knorst
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology Santa Maria,RS, Brazil
| | - Marília Cunha Maroneze
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology Santa Maria,RS, Brazil
| | - Fernanda Ruffo Ortiz
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry, Belo Horizonte, MG, Brazil
| | - Thiago Machado Ardenghi
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology Santa Maria,RS, 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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Baldo Moraes R, Knorst JK, Brondani B, Baldo Marques B, de Sousa Reis M, Henriqson D, Ardenghi TM. Relationship between gingival bleeding and associated factors with reports of verbal bullying in adolescents. J Periodontol 2020; 92:225-233. [PMID: 32716571 DOI: 10.1002/jper.19-0745] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Revised: 04/29/2020] [Accepted: 06/06/2020] [Indexed: 11/09/2022]
Abstract
BACKGROUND Dentofacial features are related to increased bullying episodes in young people. The aim of this study was to assess the association between gingival bleeding and reports of verbal bullying among adolescents. METHODS This is a cross-sectional study conducted with a representative sample of 608 12-year-old adolescents from southern Brazil. The occurrence of verbal bullying was verified through adolescents' self-report. Oral health measurements included the presence of gingival bleeding, dental fracture, dental fluorosis, and dental caries experience. Gingival bleeding was assessed through adolescent self-perception by the following question: "Did you notice any bleeding in your gums?" Demographic, socioeconomic, and psychosocial variables were also evaluated. Poisson regression models with robust variance were used to evaluate the influence of gingival bleeding on the occurrence of verbal bullying. Results are presented as prevalence ratio (PR) and 95% confidence interval (95% CI). RESULTS Out of 608 adolescents evaluated, 577 answered bullying questions. The prevalence of self-reported verbal bullying was 12.8%. Adolescents who presented gingival bleeding had an 80% higher prevalence of verbal bullying than their counterparts (PR 1.80; 95% CI 1.01 -3.19). Dental shame, speech difficulties and influence of dental condition on studies also impacted the higher prevalence of bullying. CONCLUSION Our results suggest that the presence of gingival bleeding negatively impacts the social life of adolescents, causing more episodes of verbal bullying. These findings encourage public health policies aimed at reducing oral health inequities, thus reflecting on the well-being and quality of life of this target population.
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Affiliation(s)
- Renita Baldo Moraes
- Department of Nursing and Dentistry, University of Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, Brazil
| | - Jessica Klöckner Knorst
- Department of Stomatology, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Bruna Brondani
- Department of Pediatric Dentistry and Orthodontics, University of São Paulo, São Paulo, São Paulo, Brazil
| | - Beatriz Baldo Marques
- Department of Nursing and Dentistry, University of Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, Brazil
| | - Magda de Sousa Reis
- Department of Nursing and Dentistry, University of Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, Brazil
| | | | - Thiago Machado Ardenghi
- Department of Stomatology, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
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Abstract
Patient-based outcomes complement clinical data with patients' self-evaluation of their physical, psychological, and social well-being, and as such facilitate clinical decision-making, assessing the quality of care provided, and evaluating practices and policies. Some validated generic oral health-related quality of life measures used in recent research indicated a high performance. There is a proportional relationship between the quality of life and periodontitis, ie, the higher the level of periodontitis, the poorer the oral health-related quality of life. This relationship is heightened by the presence of symptoms such as bleeding, halitosis, and mobility. On the other hand, periodontal treatment has demonstrated the capability to improve quality of life substantially. Future research should focus on questionnaires that are able to explain the interlinked pathways between periodontal conditions, approaches to treatment approaches, and patients' well-being. The acquisition of new knowledge in the field is essential for the whole community, as we treat people not millimeters.
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Affiliation(s)
- Filippo Graziani
- Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.,Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Georgios Tsakos
- Department of Epidemiology and Public Health, UCL, London, UK
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Oliveira LM, de David SC, Ardenghi TM, Moreira CHC, Zanatta FB. Gingival inflammation influences oral health-related quality of life in individuals living in a rural area of southern Brazil. J Clin Periodontol 2020; 47:1028-1039. [PMID: 32558954 DOI: 10.1111/jcpe.13333] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 06/01/2020] [Accepted: 06/11/2020] [Indexed: 12/25/2022]
Abstract
AIM The aim of the present cross-sectional study was to evaluate whether the extent levels of gingival inflammation (GI) in whole mouth or restricted to the anterior region are independently associated with oral health-related quality of life (OHRQoL) in individuals living in a rural area of southern Brazil. MATERIALS AND METHODS A probability sample of 688 individuals was submitted to a full-mouth periodontal examination at six sites on each tooth. Extent levels of GI in whole mouth and restricted to anterior region were dichotomously considered when bleeding on probing (BoP) occurred at 20% or more of whole-mouth sites and at 10% or more of anterior region sites, respectively, in individuals with probing depths ≤3 mm, totalling 121 individuals analysed, aged 15-82 years. OHRQoL was assessed using the simplified version of the Oral Health Impact Profile (OHIP14 ) questionnaire. Adjusted multilevel Poisson regression analysis was used with a conceptual hierarchical approach to calculate the rate ratio (RR) of OHIP14 scores. RESULTS In the adjusted model, higher extent levels of full-mouth GI (RR = 1.23; 95% confidence interval [CI]: 1.06-1.44; p = .004) and GI restricted to the anterior region (RR = 1.29; 95% CI: 1.11-1.51; p ≤ .001) were significantly associated with poorer OHRQoL. CONCLUSIONS The extent of GI in whole mouth (≥20% of sites with BoP) and in the anterior region (≥10% of sites with BoP) was independently associated with OHRQoL in individuals living in a rural area.
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Affiliation(s)
- Leandro M Oliveira
- Department of Stomatology, Postgraduate Program in Dentistry, Emphasis on Periodontics, Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil
| | - Silvia C de David
- Department of Conservative Dentistry - Periodontology, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Thiago M Ardenghi
- Department of Stomatology, Postgraduate Program in Dentistry, Emphasis on Periodontics, Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil
| | - Carlos H Cunha Moreira
- Department of Stomatology, Postgraduate Program in Dentistry, Emphasis on Periodontics, Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil
| | - Fabrício B Zanatta
- Department of Stomatology, Postgraduate Program in Dentistry, Emphasis on Periodontics, Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil
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26
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Ortiz FR, Sfreddo CS, Coradini AGM, Fagundes MLB, Ardenghi TM. Gingivitis influences oral health-related quality of life in adolescents: findings from a cohort study. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2020; 23:e200051. [PMID: 32520102 DOI: 10.1590/1980-549720200051] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 04/15/2019] [Indexed: 01/22/2023] Open
Abstract
INTRODUCTION Oral health-related quality of life (OHRQoL) is affected by different clinical conditions. The aim of this study was to evaluate the impact of gingivitis on OHRQoL in adolescents. METHODOLOGY This cohort study consisted of a random sample of 1,134 schoolchildren enrolled during 2012, in Santa Maria, Brazil. After two years, 743 adolescents were follow-up (response rate: 65.5%). Clinical, socioeconomic and OHRQoL data were collected. OHRQoL was assessed by the short Brazilian version of the Child Perceptions Questionnaire 11-14 (CPQ11-14), and gingival bleeding through Community Periodontal Index. Gingivitis was considered with the presence of 15% or more bleeding sites. Poisson regression models were used to evaluate the association between gingivitis and overall and domain-specific CPQ11-14 scores. Prevalence of gingivitis at baseline was considered the main predictor for the OHRQoL at follow-up. RESULTS Gingivitis at baseline was associated with higher overall CPQ 11-14 score (RR = 1.07; 95%CI 1.01 - 1.14), and emotional well-being (RR = 1.17; 95%CI 1.04 - 1.31), independently of other oral conditions and socioeconomic variables. CONCLUSIONS The findings indicate that gingivitis negatively impacts the adolescents' OHRQoL. Moreover, gender, maternal schooling and household income were also associated with OHRQoL.
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Affiliation(s)
- Fernanda Ruffo Ortiz
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil
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27
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Singh O, Reddy VK, Sharma L, Pradhan D, Srivastava R. Association of gingivitis with children oral health-related quality of life in Lucknow: A cross-sectional study. J Family Med Prim Care 2020; 9:1177-1181. [PMID: 32318488 PMCID: PMC7114066 DOI: 10.4103/jfmpc.jfmpc_956_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 01/06/2020] [Accepted: 01/21/2020] [Indexed: 12/04/2022] Open
Abstract
Introduction: Gingivitis is codified as the most familiar oral disease in children and teenagers. Several studies reported that most of the children and adolescents have negative impact on quality of life (QoL) due to gingivitis or destructive periodontal disease or poor oral health status. Existing literature in this context on Indian population is sparse. Hence, this study has been shouldered to find out possible coalition between gingivitis and COHRQoL. Objective: This study desires to evaluate the confederation of gingivitis and child oral health-related quality of life (COHRQoL) among school children of Lucknow. Methods: A cross-sectional survey was conducted in school going children with the age group of 11–14 years, with a representative sample of 400 students in Lucknow city. For data on oral health-related quality of life (OHRQoL), a predesigned questionnaire (CPQ11-14) was used for demographic information and questions on oral symptoms, functional limitations, emotional, and social well-being. Gingival status was evaluated by Gingival index (Loe and Silness 1963). Results: QoL was found to be moderately affected in children with severe gingivitis as compared with children with no gingivitis, mild, and moderate gingivitis, but this difference was found to be statistically nonsignificant (P = 0.896). Conclusion: The present findings indicated that the existence of substantial levels of gingivitis might be fatalistically related with how children perceive their oral health and daily life.
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Affiliation(s)
- Omveer Singh
- Department of Public Health Dentistry, King George Medical University, Lucknow, UP, India
| | - Vamsi Krishna Reddy
- Department of Public Health Dentistry, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, UP, India
| | - Lokesh Sharma
- Department of Public Health Dentistry, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, UP, India
| | - Devina Pradhan
- Department of Public Health Dentistry, Rama Dental College Hospital and Research Centre, Kanpur, UP, India
| | - Rahul Srivastava
- Department of Oral Medicine and Radiology, Rama Dental College Hospital and Research Centre, Kanpur, UP, India
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Oliveira LM, Sari D, Schöffer C, Santi SS, Antoniazzi RP, Zanatta FB. Periodontitis is associated with oral health‐related quality of life in individuals with end‐stage renal disease. J Clin Periodontol 2020; 47:319-329. [DOI: 10.1111/jcpe.13233] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 12/04/2019] [Accepted: 12/08/2019] [Indexed: 02/06/2023]
Affiliation(s)
- Leandro M. Oliveira
- Postgraduate Program in Dentistry Emphasis on Periodontics Department of Stomatology Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil
| | - Daniélli Sari
- Postgraduate Program in Dentistry Emphasis on Periodontics Department of Stomatology Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil
| | - Caroline Schöffer
- Postgraduate Program in Dentistry Emphasis on Periodontics Department of Stomatology Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil
| | - Samantha S. Santi
- Postgraduate Program in Dentistry Emphasis on Periodontics Department of Stomatology Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil
| | - Raquel P. Antoniazzi
- Postgraduate Program in Dentistry Emphasis on Periodontics Department of Stomatology Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil
| | - Fabrício B. Zanatta
- Postgraduate Program in Dentistry Emphasis on Periodontics Department of Stomatology Universidade Federal de Santa Maria (UFSM) Santa Maria Brazil
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29
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Ortiz AS, Tomazoni F, Knorst JK, Ardenghi TM. Influence of socioeconomic inequalities on levels of dental caries in adolescents: A cohort study. Int J Paediatr Dent 2020; 30:42-49. [PMID: 31454454 DOI: 10.1111/ipd.12572] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 08/18/2019] [Accepted: 08/22/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND Socioeconomic factors at both contextual and individual levels influence health. AIM Evaluate the influence of socioeconomic inequalities on the incidence of dental caries in adolescents. DESIGN This cohort study was conducted with a multistage random sample of 1134 12-year-old adolescents from Southern Brazil. The experience of dental caries was assessed according to the decayed, missed, or filled surfaces (DMF-S) index. The Basic Education Development Index (IDEB) was collected during baseline as a school-level variable. Individual variables included demographic, socioeconomic, behavior-related, and oral health measures. Multilevel Poisson regression analysis through a hierarchical approach was used to explore the influence of exploratory variables on the mean of decayed surfaces. RESULTS 770 14-year-old adolescents were reevaluated (follow-up rate of 68%) after 2 years. Examiner's Kappa values for the assessment of dental caries ranged from 0.81 to 0.90. Adolescents with low household income and lower school's IDEB had higher mean of decayed surfaces. Non-white adolescents, lower frequency of dental attendance, parents' poor perception of child's oral health, and dental plaque were also associated with the incidence of dental caries. CONCLUSION Adolescents from a lower socioeconomic background and poor school context had higher levels of dental caries over time.
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Affiliation(s)
- Adriana Santos Ortiz
- Post Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | - Fernanda Tomazoni
- Post Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | - Jessica Klöckner Knorst
- Post Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | - Thiago Machado Ardenghi
- Post Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
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30
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Abstract
While clinical indicators, or so-called surrogate outcomes in periodontology, allow us to assess periodontal health and evaluate outcomes of periodontal therapy from a clinician's perspective, they cannot be used to evaluate patients' subjective perceptions of their health status or satisfaction with the received treatment. These can be assessed through patient-based outcomes, such as quality of life. The aim of this paper is to give an overview of the multidimensional concept of oral health-related quality of life (OHRQoL), its measures and association with plaque-induced, inflammatory periodontal diseases. Periodontitis and its clinical consequences, such as tooth loss, have a considerable negative effect on OHRQoL, while periodontal treatment and alleviation of the symptoms can lead to improvement in OHRQoL. Implant rehabilitation of missing teeth also seems to positively influence OHRQoL.
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31
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Kolawole KA, Folayan MO. Association between malocclusion, caries and oral hygiene in children 6 to 12 years old resident in suburban Nigeria. BMC Oral Health 2019; 19:262. [PMID: 31775712 PMCID: PMC6882329 DOI: 10.1186/s12903-019-0959-2] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Accepted: 11/14/2019] [Indexed: 12/03/2022] Open
Abstract
Background There are conflicting opinions about the contribution of malocclusions to the development of dental caries and periodontal disease. This study’s aim was to determine the association between specific malocclusion traits, caries, oral hygiene and periodontal health for children 6 to 12 years old. Methods The study was a household survey. The presence of malocclusion traits was assessed in 495 participants. The caries status and severity were assessed with the decayed, missing, and filled teeth (dmft/DMFT) index and the pulpal involvement, ulceration, fistula and abscess (pufa/PUFA) index. The Simplified Oral Hygiene Index (OHI-S) and Gingival Index (GI) were used to assess periodontal health. The association between malocclusion traits, the presence of caries, poor oral hygiene, and poor gingival health were determined with chi square and logistic regression analyses. Statistical significance was inferred at p < 0.05. Results Seventy-four (14.9%) study participants had caries, with mean (SD) dmft/DMFT scores of 0.27 (0.82) and 0.07 (0.39), respectively, and mean (SD) pufa/PUFA index scores of 0.09 (0.43) and 0.02 (0.20), respectively. The mean (SD) OHI-S score was 1.56 (0.74) and mean (SD) GI score was 0.90 (0.43). Dental Aesthetic Index scores ranged from 13 to 48 with a mean (SD) score of 20.7 (4.57). Significantly greater proportions of participants with crowding (p = 0.026) and buccal crossbite (p = 0.009) had caries. Significantly more children with increased overjet (p = 0.003) and anterior open bite (p = 0.008) had moderate to severe gingivitis. Poor oral hygiene (OR: 1.83; CI: 1.05–3.18 p = 0.033), crowding (OR: 1.97; CI: 1.01–3.49; p = 0.021) and buccal crossbite (OR: 6.57; CI: 1.51–28.51 p = 0.012) significantly increased the odds of having caries. Poor oral hygiene (p < 0.001), increased overjet (p = 0.003), and anterior open bite (p = 0.014) were the only significant traits associated with gingivitis. Conclusions Crowding and buccal cross bite were associated with caries, whereas increased overjet and anterior open bite were associated with gingivitis. These findings justify the recommendation of orthodontic treatment to improve oral health.
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Affiliation(s)
- Kikelomo Adebanke Kolawole
- Department of Child Dental Health Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, 220005, Nigeria.
| | - Morenike Oluwatoyin Folayan
- Department of Child Dental Health Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, 220005, Nigeria
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Trombelli L, Farina R, Silva CO, Tatakis DN. Plaque-induced gingivitis: Case definition and diagnostic considerations. J Periodontol 2019; 89 Suppl 1:S46-S73. [PMID: 29926936 DOI: 10.1002/jper.17-0576] [Citation(s) in RCA: 111] [Impact Index Per Article: 22.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Revised: 10/15/2017] [Accepted: 10/21/2017] [Indexed: 12/29/2022]
Abstract
OBJECTIVE Clinical gingival inflammation is a well-defined site-specific condition for which several measurement systems have been proposed and validated, and epidemiological studies consistently indicate its high prevalence globally. However, it is clear that defining and grading a gingival inflammatory condition at a site level (i.e. a "gingivitis site") is completely different from defining and grading a "gingivitis case" (GC) (i.e. a patient affected by gingivitis), and that a "gingivitis site" does not necessarily mean a "GC". The purpose of the present review is to summarize the evidence on clinical, biochemical, microbiologic, genetic markers as well as symptoms associated with plaque-induced gingivitis and to propose a set of criteria to define GC. IMPORTANCE A universally accepted case definition for gingivitis would provide the necessary information to enable oral health professionals to assess the effectiveness of their prevention strategies and treatment regimens; help set priorities for therapeutic actions/programs by health care providers; and undertake surveillance. FINDINGS Based on available methods to assess gingival inflammation, GC could be simply, objectively and accurately identified and graded using bleeding on probing score (BOP%) CONCLUSIONS: A patient with intact periodontium would be diagnosed as a GC according to a BOP score ≥ 10%, further classified as localized (BOP score ≥ 10% and ≤30%) or generalized (BOP score > 30%). The proposed classification may also apply to patients with a reduced periodontium, where a GC would characterize a patient with attachment loss and BOP score ≥ 10%, but without BOP in any site probing ≥4 mm in depth.
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Affiliation(s)
- Leonardo Trombelli
- Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.,Operative Unit of Dentistry, University-Hospital of Ferrara, Ferrara, Italy
| | - Roberto Farina
- Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.,Operative Unit of Dentistry, University-Hospital of Ferrara, Ferrara, Italy
| | - Cléverson O Silva
- Department of Dentistry, State University of Maringá, Maringá, Brazil
| | - Dimitris N Tatakis
- Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH, USA
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Maroneze MC, Ardenghi DM, Brondani M, Unfer B, Ardenghi TM. Dental treatment improves the oral health-related quality of life of adolescents: A mixed-methods approach. Int J Paediatr Dent 2019; 29:765-774. [PMID: 31278821 DOI: 10.1111/ipd.12548] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Revised: 05/21/2019] [Accepted: 06/27/2019] [Indexed: 12/25/2022]
Abstract
AIM To evaluate and understand the impact of dental treatment on oral health-related quality of life (OHRQoL) of adolescents. DESIGN A sequential explanatory mixed-methods design was performed. A sample of 182 adolescents, aged 10 and 15 years old who had finished their dental treatment at adolescent dental clinic of Federal University of Santa Maria from 2010 to 2016, were included. Participants answered the short form of Child Perceptions Questionnaire (CPQ11-14) prior to their dental treatment and 1 month after concluding the treatment. The effect size was calculated to assess magnitude of change. In qualitative phase, semi-structured interviews took place at the end of the dental treatment. Interviews were audio-recorded and analyzed according to thematic analysis following Braun and Clarke. RESULTS The effect sizes ranged from 0.35 to 1.00, and the oral symptom domain presented the greatest effect. Sixteen interviews were conducted and five themes emerged: concept of quality of life, oral health influenced by oral conditions, oral health symptoms influencing seeking care behavior, personal and subjective experiences, and dental educational environment. CONCLUSION Dental treatment has an uncountable meaning for adolescents because it has a psychosocial meaning in this phase of life and it is able to improve their OHRQoL.
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Affiliation(s)
- Marília Cunha Maroneze
- Federal University of Santa Maria, Santa Maria, RS, Brazil.,SOBRESP Faculty of Health Sciences, Santa Maria, RS, Brazil
| | - Diego Machado Ardenghi
- Department of Restorative Dental Sciences, Division of Prosthodontics, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Mario Brondani
- Department of Oral Health Sciences, University of British Columbia, Vancouver, BC, Canada
| | - Beatriz Unfer
- Department of Stomatology, Faculty of Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, Faculty of Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil
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Koga R, Herkrath APCDQ, Vettore MV, Herkrath FJ, Rebelo Vieira JM, Pereira JV, Rebelo MAB, Queiroz ACD. The role of socioeconomic status and psychosocial factors on gingivitis in socially disadvantaged adolescents. J Periodontol 2019; 91:223-231. [DOI: 10.1002/jper.19-0129] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 07/04/2019] [Accepted: 07/26/2019] [Indexed: 11/09/2022]
Affiliation(s)
- Reyce Koga
- School of DentistryFederal University of Amazonas Manaus AM Brazil
| | | | - Mario Vianna Vettore
- Academic Unit of Oral HealthDentistry and SocietySchool of Clinical DentistryUniversity of Sheffield Sheffield UK
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Michel-Crosato E, Raggio DP, Coloma-Valverde ANDJ, Lopez EF, Alvarez-Velasco PL, Medina MV, Balseca MC, Quezada-Conde MDC, de Almeida Carrer FC, Romito GA, Araujo ME, Biazevic MGH, Braga MM, Fratucci MVB, Mendes FM, Frias AC, Pannuti CM. Oral health of 12-year-old children in Quito, Ecuador: a population-based epidemiological survey. BMC Oral Health 2019; 19:184. [PMID: 31412847 PMCID: PMC6694588 DOI: 10.1186/s12903-019-0863-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 07/24/2019] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND There is a paucity of population-based surveys on oral health conditions in Ecuador. Thus, the aim of this study was to conduct an epidemiological survey with a representative sample of children aged 12 years from public schools of Quito, Ecuador. The aim of this initial report was to describe the methodology used in the survey, as well to present results regarding calibration procedures and prevalence of oral-health related outcomes. METHODS We invited 33 public schools' coordinators from the urban area of Quito, and 1100 children (12 years old) to take part in this study. Six trained and calibrated examiners conducted clinical examinations using oral mirrors and ball-ended probes to assess: dental caries, traumatic dental injuries, malocclusion, gingival bleeding, presence of calculus and fluorosis. Children also responded a questionnaire on Oral Health-Related Quality of Life (OHRQoL). Individual sociodemographic data was collected through a questionnaire sent to parents. Moreover, some contextual data on school environment (infrastructure conditions, promotion of health practices and negative episodes) were also evaluated. Prevalence values, crude and weighted by sampling weights, and 95% confidence intervals (95%CI) were calculated. RESULTS Nine hundred and ninety-eight children from 31 schools were examined from March to May 2017. The adjusted prevalence values (95%CI) for the six outcomes evaluated were: dental caries = 60.3% (55.3 to 65.0%); traumatic dental injuries = 20.7% (17.2 to 24.8%); dental fluorosis = 63.7% (58.5 to 68.5%); gingival bleeding = 92.0% (87.1 to 95.2%); presence of calculus = 69.9 (60.5 to 77.9%); and malocclusion = 25.8% (21.8 to 30.3%). Adjusted mean of number of decayed, missed or filled permanent teeth (DMF-T) was 1.61 (1.37 to 1.84). Results on OHRQoL and other contextual variables will be reported in other articles. CONCLUSION The prevalence of the majority of oral health problems in 12-year-old children from public schools in Quito-Ecuador was compatible with those observed in other similar cities. However, periodontal health and fluorosis seem to be highly prevalent in children from Quito.
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Affiliation(s)
- Edgard Michel-Crosato
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Daniela Prócida Raggio
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Alba Narcisa de Jesus Coloma-Valverde
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Edisson Fernando Lopez
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Patricia Lourdes Alvarez-Velasco
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Marco Vinicio Medina
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Mariela Cumanda Balseca
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Maritza Del Carmen Quezada-Conde
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.,School of Dentistry, Universidad Central del Ecuador, Quito, Ecuador
| | - Fernanda Campos de Almeida Carrer
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Giuseppe Alexandre Romito
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Maria Ercilia Araujo
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Maria Gabriela Haye Biazevic
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Mariana Minatel Braga
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Maristela Vilas Boas Fratucci
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Fausto Medeiros Mendes
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil.
| | - Antonio Carlos Frias
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil
| | - Claudio Mendes Pannuti
- Graduate Program in Dental Sciences, School of Dentistry, University of Sao Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, 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: 33] [Impact Index Per Article: 6.6] [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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De Stefani A, Bruno G, Irlandese G, Barone M, Costa G, Gracco A. Oral health-related quality of life in children using the child perception questionnaire CPQ11-14: a review. Eur Arch Paediatr Dent 2019; 20:425-430. [PMID: 30762210 DOI: 10.1007/s40368-019-00418-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Accepted: 02/08/2019] [Indexed: 11/25/2022]
Abstract
OBJECTIVES The Child Perceptions Questionnaire 11-14 (CPQ11-14) is the most common and effective indicator of paediatric oral health-related quality of life. The aim of this review was to verify if CPQ11-14 can be considered a valid instrument for assessing the impact of oral health on the quality of life of adolescents for the paediatric population aged between 11 and 14 years old and which dental conditions mainly affect it. STUDY DESIGN A literature research from Pubmed Medline database was adopted to identify the eligible studies among the published articles related to CPQ 11-14 using keyword search strategy. From 170 initial articles, a total of 128 articles were included for the full text reading. RESULTS Conditions that mainly interest the oral health-related quality of life are untreated dental caries, dental trauma, increased dental protrusion, wearing orthodontic appliances, and severe periodontal disease. CONCLUSION CPQ 11-14 seems to be a solid and valid indicator to measure oral health-related quality of life, because it has been widely tested and validated in several states including developed, developing and underdeveloped countries.
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Affiliation(s)
- A De Stefani
- Department of Neuroscience, School of Dentistry, University of Padua, Via Giustiniani 2, 35136, Padua, Italy.
| | - G Bruno
- Department of Neuroscience, School of Dentistry, University of Padua, Via Giustiniani 2, 35136, Padua, Italy
| | - G Irlandese
- Department of Neuroscience, School of Dentistry, University of Padua, Via Giustiniani 2, 35136, Padua, Italy
| | - M Barone
- Department of Neuroscience, School of Dentistry, University of Padua, Via Giustiniani 2, 35136, Padua, Italy
| | - G Costa
- Department of Neuroscience, School of Dentistry, University of Padua, Via Giustiniani 2, 35136, Padua, Italy
| | - A Gracco
- Department of Neuroscience, School of Dentistry, University of Padua, Via Giustiniani 2, 35136, Padua, Italy
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Stenberg WV. Periodontal Problems in Children and Adolescents. Pediatr Dent 2019. [DOI: 10.1016/b978-0-323-60826-8.00025-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sfreddo CS, Moreira CHC, Celeste RK, Nicolau B, Ardenghi TM. Pathways of socioeconomic inequalities in gingival bleeding among adolescents. Community Dent Oral Epidemiol 2018; 47:177-184. [DOI: 10.1111/cdoe.12441] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Revised: 11/05/2018] [Accepted: 11/14/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Camila S. Sfreddo
- Department of Stomatology; Faculty of Dentistry; Federal University of Santa Maria; Santa Maria RS Brazil
- School of Dentistry; Franciscan University; Santa Maria RS Brazil
| | - Carlos Heitor C. Moreira
- Department of Stomatology; Faculty of Dentistry; Federal University of Santa Maria; Santa Maria RS Brazil
| | - Roger K. Celeste
- Department of Preventive and Social Dentistry; Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Belinda Nicolau
- Division of Oral Health and Society; Faculty of Dentistry; McGill University; Montreal Canada
| | - Thiago M. Ardenghi
- Department of Stomatology; Faculty of Dentistry; Federal University of Santa Maria; Santa Maria RS Brazil
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MARONEZE MC, GOERGEN LM, SOUZA RCLD, ROCHA JMD, ARDENGHI TM. Edema and gingival bleeding in anterior region have a negative influence on quality of life of adolescents. Braz Oral Res 2018; 32:e112. [DOI: 10.1590/1807-3107bor-2018.vol32.0112] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Accepted: 08/21/2018] [Indexed: 11/21/2022] Open
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Menegazzo GR, Sfreddo CS, Marquezan PK, Ramadan YH, Ardenghi TM. Family Religiosity and Oral Health Related Quality of Life: a Multilevel Analysis in Brazilian Schoolchildren. Braz Dent J 2018; 29:381-387. [DOI: 10.1590/0103-6440201801965] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2017] [Accepted: 05/05/2018] [Indexed: 11/22/2022] Open
Abstract
Abstract Religiosity has been associated with a better dental condition and positive self-perception of health, but there are no studies on the relationship between religious practice and oral health-related quality of life (OHRQoL), especially among schoolchildren. Thus, the aim of this study was to evaluate the association between family religiosity and OHRQoL in 12-year-old schoolchildren. We conducted a cross-sectional study in a representative sample of 12-year-old schoolchildren from Santa Maria, a city in southern Brazil. A total of 1,134 schoolchildren were assessed in a randomly selected in 20 public schools in the city. Participants were examined by 4 calibrated dentists (minimum Kappa-value for intra and inter-examiner agreement were 0.79 and 0.77, respectively) according to dental caries (Decayed, Missed, Filled Teeth Index), and gingival bleeding (Community Periodontal Index criteria). OHRQoL was assessed by the Brazilian short version of Child Perceptions for Questionnaire (CPQ11-14). Parents or guardians answered a structured questionnaire regarding their socioeconomic status and religious practice. Data were analyzed using multilevel Poisson regression analysis to assess the association of religiosity and overall and domain-specific CPQ 11-14 scores. Religious practice less than once a week was associated with higher mean symptoms domain scores and higher mean CPQ 11-14 overall scores in schoolchildren. In conclusion, our findings demonstrate that family religiosity was positively associated with schoolchildren’s OHRQoL.
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MACHRY RV, KNORST JK, TOMAZONI F, ARDENGHI TM. School environment and individual factors influence oral health related quality of life in Brazilian children. Braz Oral Res 2018; 32:e63. [DOI: 10.1590/1807-3107bor-2018.vol32.0063] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Accepted: 05/25/2018] [Indexed: 11/22/2022] Open
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Trombelli L, Farina R, Silva CO, Tatakis DN. Plaque-induced gingivitis: Case definition and diagnostic considerations. J Clin Periodontol 2018; 45 Suppl 20:S44-S67. [DOI: 10.1111/jcpe.12939] [Citation(s) in RCA: 110] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Revised: 10/15/2017] [Accepted: 10/21/2017] [Indexed: 12/20/2022]
Affiliation(s)
- Leonardo Trombelli
- Research Centre for the Study of Periodontal and Peri-Implant Diseases; University of Ferrara; Ferrara Italy
- Operative Unit of Dentistry; University-Hospital of Ferrara; Ferrara Italy
| | - Roberto Farina
- Research Centre for the Study of Periodontal and Peri-Implant Diseases; University of Ferrara; Ferrara Italy
- Operative Unit of Dentistry; University-Hospital of Ferrara; Ferrara Italy
| | | | - Dimitris N. Tatakis
- Division of Periodontology; College of Dentistry; The Ohio State University; Columbus OH USA
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Correlation between plaque control and gingival health using short and extended oral hygiene intervals. Clin Oral Investig 2018; 22:2593-2597. [DOI: 10.1007/s00784-018-2358-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Accepted: 01/23/2018] [Indexed: 11/26/2022]
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Impact of gingivitis treatment for diabetic patients on quality of life related to periodontal objective parameters: A randomized controlled clinical trial. Arch Oral Biol 2017; 86:80-86. [PMID: 29197785 DOI: 10.1016/j.archoralbio.2017.11.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Revised: 11/20/2017] [Accepted: 11/26/2017] [Indexed: 11/21/2022]
Abstract
OBJECTIVES Patients with diabetes have a poor oral health-related quality of life (OHRQoL). It is not clear if this situation could be changed with effective periodontal treatment. This study examined both patients with diabetes and systemically healthy individuals to discover the impact of a gingivitis treatment protocol on OHRQoL and its relation to objective periodontal parameters. DESIGN After ultrasonic debridement, patients were randomly assigned to an essential-oils (EO) or placebo mouthwash group. At baseline and 3 months, OHRQoL was assessed with the Oral Health and Quality of Life-United Kingdom questionnaire (OHQoL-UK) along with clinical, halitometric, microbiological and inflammatory objective parameters. The primary outcome was a change in OHQoL-UK scores. A factor analysis was performed and the impact of the extracted quality of life factor (QLF) and its interactions with diabetes, treatment, and time on the objective parameters, were tested by multiple linear regression models (p < 0.05). Chi-Square test compared questionnaire-answering profiles (p<0.05). RESULTS Combined treatment with EO provided OHQoL improvements in both systemic conditions. Positive effect of oral health status on quality of life increased in EO groups but not in placebo groups. Question I (self-confidence) showed the greatest factorial weight, while Question A (food intake) showed the lowest factorial weight. All patients who showed OHRQoL improvements and used the EO rinse showed the lowest plaque and gingival indices and lower levels of bacteria and volatile sulfur compounds. CONCLUSIONS OHRQoL positively changed overtime. Most effective treatment protocols would provide better improvements in OHRQoL which is related to periodontal objective measures.
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da Silva SN, Gimenez T, Souza RC, Mello-Moura ACV, Raggio DP, Morimoto S, Lara JS, Soares GC, Tedesco TK. Oral health status of children and young adults with autism spectrum disorders: systematic review and meta-analysis. Int J Paediatr Dent 2017; 27:388-398. [PMID: 27796062 DOI: 10.1111/ipd.12274] [Citation(s) in RCA: 84] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Individuals with special needs are often affected by oral disorders such as dental caries and periodontal disease. Current data regarding prevalence of these conditions in individuals with autism spectrum disorders (ASD) are controversial. AIM To conduct a systematic review and meta-analysis to verify the prevalence of dental caries and periodontal disease in individuals with ASD, especially children and young adults. DESIGN Searches were conducted through MEDLINE/PubMed, Web of Science, and Scopus databases in December 2015. Studies were included if fulfilled the following eligibility criteria: to evaluate the oral health status of individuals with ASD; to be an observational study; and to assess the prevalence of dental caries and/or periodontal disease. Meta-analyses were conducted considering prevalence of dental caries and periodontal disease in individuals as outcome. RESULTS Search strategy identified 928 potentially relevant articles and seven of them were included in this review. All included studies reported dental caries prevalence, and the pooled prevalence was 60.6% (95% CI: 44.0-75.1). Moreover, only three studies showed prevalence of periodontal disease, resulting in pooled prevalence of 69.4% (95% CI: 47.6-85.0). CONCLUSION Prevalence of dental caries and periodontal disease in children and young adults with ASD can be considered as high, pointing to the need for oral health policies focused on these individuals.
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Affiliation(s)
| | - Thais Gimenez
- Graduation Program, School of Dentistry, Ibirapuera University, Sao Paulo, Brazil.,University of São Paulo, Sao Paulo, Brazil
| | - Rafael Celestino Souza
- Pediatric Dentistry for Special Need Patients Course, São Leolpodo Mandic College, Sao Paulo, Brazil
| | | | | | - Susana Morimoto
- Graduation Program, School of Dentistry, Ibirapuera University, Sao Paulo, Brazil
| | | | | | - Tamara Kerber Tedesco
- Graduation Program, School of Dentistry, Ibirapuera University, Sao Paulo, Brazil.,University of São Paulo, Sao Paulo, Brazil
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Baiju R, Peter E, Varghese N, Anju P. Patient Reported Outcome Assessment of Periodontal Therapy: A Systematic Review. J Clin Diagn Res 2017; 11:ZC14-ZC19. [PMID: 28969266 PMCID: PMC5620913 DOI: 10.7860/jcdr/2017/28505.10343] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2017] [Accepted: 07/15/2017] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Patient Reported Outcomes (PROs) are now regarded as a fundamental measure of therapeutic success. Patient's opinion regarding the impact of disease and its treatment is assessed using scales such as Oral Health Related Quality Of Life (OHRQoL) tools. Patient centred outcome assessment is now being considered as a primary outcome measure in clinical trials. AIM To evaluate whether treatment of periodontal disease could influence OHRQoL based on available literature. MATERIALS AND METHODS An electronic search was done in Google, Google Scholar and Pubmed for articles in English language using the terms Quality of Life or ORHQoL or PROs or patient centered outcome and periodontal therapy. The search commenced on 1st September 2016 and ended on 15th December 2016. Studies that employed one or more than one multi-item OHRQoL instrument to assess PROs related to either non-surgical or surgical periodontal therapy were reviewed. RESULTS Initially 423 relevant articles were obtained, from which based on screening titles and abstracts 396 were excluded. Full text of remaining 27 articles were retrieved. Nineteen clinical studies with 1345 participants and 2 systematic reviews were included after the full text review. CONCLUSION Both surgical and Non-surgical Periodontal Therapy (NSPT) significantly influenced the OHRQoL scores. However the change in scores after surgical therapy when compared to nonsurgical therapy was not statistically significant. There is a need for a specific PROs scale that could potentially tap the entire dimension of the change in patients' perception brought about by periodontal therapy.
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Affiliation(s)
- R.M. Baiju
- Associate Professor, Department of Periodontics, Government Dental College Thrissur, Kerala University of Health Sciences, Kerala, India
| | - Elbe Peter
- Associate Professor, Department of Orthodontics, Government Dental College Alleppey, Kerala University of Health Sciences, Kerala, India
| | - N.O. Varghese
- Principal, Department of Conservative Dentistry and Endodontics, Pms College of Dental Sciences, Trivandrum, Kerala, India
| | - P Anju
- Senior Resident, Department of Periodontics, Government Dental College Kottayam, Kerala University of Health Sciences, Kerala, India
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Ediani Machado M, Tomazoni F, Ruffo Ortiz F, Ardenghi TM, Zanatta FB. Impact of Partial-Mouth Periodontal Examination Protocols on the Association Between Gingival Bleeding and Oral Health–Related Quality of Life in Adolescents. J Periodontol 2017; 88:693-701. [DOI: 10.1902/jop.2017.160622] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Michely Ediani Machado
- Department of Stomatology, Faculty of Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Fernanda Tomazoni
- Department of Stomatology, Faculty of Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Fernanda Ruffo Ortiz
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Minas Gerais, Minas Gerais, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, Faculty of Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Fabricio Batistin Zanatta
- Department of Stomatology, Faculty of Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
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Machado ME, Tomazoni F, Casarin M, Ardenghi TM, Zanatta FB. Partial-mouth periodontal examination protocols for the determination of the prevalence and extent of gingival bleeding in adolescents. Community Dent Oral Epidemiol 2017; 45:427-433. [DOI: 10.1111/cdoe.12306] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2017] [Accepted: 04/10/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Michely Ediani Machado
- Department of Stomatology; School of Dentistry; Federal University of Santa Maria; Santa Maria Rio Grande do Sul Brazil
| | - Fernanda Tomazoni
- Department of Stomatology; School of Dentistry; Federal University of Santa Maria; Santa Maria Rio Grande do Sul Brazil
| | - Maísa Casarin
- Department of Stomatology; School of Dentistry; Federal University of Santa Maria; Santa Maria Rio Grande do Sul Brazil
| | - Thiago M. Ardenghi
- Department of Stomatology; School of Dentistry; Federal University of Santa Maria; Santa Maria Rio Grande do Sul Brazil
| | - Fabricio Batistin Zanatta
- Department of Stomatology; School of Dentistry; Federal University of Santa Maria; Santa Maria Rio Grande do Sul Brazil
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Vettore MV, Meira GDF, Rebelo MAB, Rebelo Vieira JM, Machuca C. Multimorbidity patterns of oral clinical conditions, social position, and oral health-related quality of life in a population-based survey of 12-yr-old children. Eur J Oral Sci 2016; 124:580-590. [PMID: 27718526 DOI: 10.1111/eos.12304] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2016] [Indexed: 01/20/2023]
Abstract
The aim of this study was to describe the patterns of multimorbidities of oral clinical conditions in children. The association between social position and number of oral clinical conditions, and the relationship of social position and number of oral clinical conditions with oral health-related quality of life [OHRQoL, measured using the Brazilian Child-Oral Impacts on Daily Performance (Child-OIDP)] were also investigated. The study analysed data on 7,208 children, 12 yr of age, from the Brazilian Oral Health Survey (SBBrasil Project). Cluster analysis based on the observed/expected (O/E) ratios identified six significant clusters of oral clinical conditions: (i) dental caries and missing teeth; (ii) dental caries and dental trauma; (iii) dental trauma and gingivitis; (iv) dental caries, missing teeth, and dental trauma; (v) dental caries, dental trauma, and gingivitis; and (vi) all oral clinical conditions. Ordinal regression showed that poor social position was associated with a large number of oral clinical conditions. Poisson regression demonstrated that low social position and greater number of oral clinical conditions increased the likelihood of poor OHRQoL (Child-OIDP extent). The four oral clinical conditions clustered into six distinct clusters among Brazilian children. Multimorbidity of oral clinical conditions predicted poor OHRQoL. Social position was of high relevance to multimorbidity of oral clinical conditions and children's OHRQoL.
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Affiliation(s)
- Mario V Vettore
- Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | | | - Maria A B Rebelo
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
| | | | - Carolina Machuca
- Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
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