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Chisini LA, Boeira GF, Corrêa MB, Salas MMS, Maciel FV, Passos D, Gigante D, Opdam N, Demarco FF. Effect of weight satisfaction on adolescent facial and dental satisfaction. Eur Arch Paediatr Dent 2024:10.1007/s40368-024-00888-5. [PMID: 38609709 DOI: 10.1007/s40368-024-00888-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 03/04/2024] [Indexed: 04/14/2024]
Abstract
PURPOSE To investigate if facial and dental satisfaction is related to body fat percentage and body weight satisfaction. METHODS A self-administered questionnaire was applied to adolescents from a Private School in Southern Brazil containing sociodemographic (sex and age) and self-perception variables. Adolescents were asked about their perceptions concerning dental problems. Body fat percentage was collected using bioelectrical impedance analysis. RESULTS A total of 372 adolescents were examined. Most adolescents were satisfied with their dental (81.7%) and facial appearance (87.6%), while 39% of adolescents were satisfied with their body weight. Poisson regression model showed that adolescents who expressed satisfaction with their body weight (PR = 1.12, 95%CI 1.06-1.19) and were satisfied with their dental appearance (PR = 1.24, 95% CI 1.08-1.41) exhibited a positive association with facial satisfaction. Adolescents dissatisfied with dental color (PR = 0.88, 95%CI 0.80-0.97), those reporting dental pain (PR = 0.88, 95%CI 0.80-0.97), and individuals with obesity (PR = 0.91, 95%CI 0.83-0.99) demonstrated a decrease in facial satisfaction. Adolescents aged 16 to 19 years (PR = 1.08, 95% CI 1.01-1.15) and those satisfied with their facial appearance (PR = 1.20, 95%CI 1.01-1.43) exhibited a higher prevalence of dental satisfaction. Conversely, adolescents dissatisfied with dental color (PR = 0.74, 95% CI 0.66-0.82) and those with misaligned teeth (PR = 0.63, 95%CI 0.55-0.73) reported lower levels of dental satisfaction. Parametric g-formula analysis found that the association between body fat and facial satisfaction was mediated by body weight satisfaction (p = 0.001). CONCLUSIONS While dental satisfaction was not influenced by corporeal characteristics, facial satisfaction was influenced by dental and body weight satisfaction. Obese adolescents had low facial satisfaction.
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Affiliation(s)
- L A Chisini
- School of Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St. 5th Floor, Room 502., Pelotas, Rio Grande do Sul, 96015-560, Brazil.
| | - G F Boeira
- School of Dentistry, Catholic University of Pelotas, Pelotas, Brazil
| | - M B Corrêa
- School of Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St. 5th Floor, Room 502., Pelotas, Rio Grande do Sul, 96015-560, Brazil
| | - M M S Salas
- Federal University of Juiz de Fora, Governador Valadares, Brazil
| | - F V Maciel
- Federal University of Pelotas, Gomes Carneiro St, Pelotas, RS, 96075-630, Brazil
| | - D Passos
- Federal University of Pelotas, Gomes Carneiro St, Pelotas, RS, 96075-630, Brazil
| | - D Gigante
- Federal University of Pelotas, Gomes Carneiro St, Pelotas, RS, 96075-630, Brazil
| | - N Opdam
- Radboud Institute for Health Sciences, Radboud University Nijmegen Medical Center, 21, Geert Grooteplein Zuid, 6525 EZ, Nijmegen, Netherlands
| | - F F Demarco
- School of Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St. 5th Floor, Room 502., Pelotas, Rio Grande do Sul, 96015-560, Brazil
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de Magalhães Bandeira C, Cascaes AM, Camargo MBJ, Santos IS, de Castilhos ED, Corrêa MB, Matijasevich A, Silva AER. Parental stress and dental caries experience in adolescents: analysis of data from a birth cohort study in Pelotas, Southern Brazil. Eur Arch Paediatr Dent 2023:10.1007/s40368-023-00797-z. [PMID: 37052793 DOI: 10.1007/s40368-023-00797-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 03/27/2023] [Indexed: 04/14/2023]
Abstract
PURPOSE Analyze the association between parental stress and dental caries experience in adolescents in southern Brazil using data from the Pelotas 2004 Birth Cohort. METHODS Interviews and oral health examinations for the determination of the main exposure and outcome of the study were performed in the homes of the adolescents. The outcome was dental caries experience in the permanent dentition analyzed using the Decayed, Missing and Filling Surfaces (DMFS) index. The main exposure was parental stress measured using the Parenting Stress Index-Short Form administered to the parents of the adolescents. Demographic/socioeconomic characteristics, oral health characteristics and oral health-related quality of life were considered potential confounding factors. Negative binomial regressions estimated mean ratios (MR) and 95% confidence intervals (CI). RESULTS Nine hundred ninety-six adolescents were evaluated at 12 and 13 years of age. The prevalence of dental caries experience in the adolescents was 36.9% (95% CI: 33.8-40.0) and 15.1% (95% CI: 12.8-17.3) of the parents had parental stress. After adjusting for confounding factors, parental stress was associated with a higher mean number of decayed, missing and filling surfaces in the adolescents (MR = 1.10; 95% CI: 1.01-1.26; p = 0.045). CONCLUSION Adolescents of parents with parental stress have more dental caries experience compared to those whose parents do not have parental stress.
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Affiliation(s)
- C de Magalhães Bandeira
- School of Dentistry, Universidade Federal de Pelotas, 457 Gonçalves Chaves Street, 5th Floor, Pelotas, RS, Brazil
| | - A M Cascaes
- Department of Public Health, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | - M B J Camargo
- School of Dentistry, Universidade Federal de Pelotas, 457 Gonçalves Chaves Street, 5th Floor, Pelotas, RS, Brazil
| | - I S Santos
- Epidemiology, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - E D de Castilhos
- School of Dentistry, Universidade Federal de Pelotas, 457 Gonçalves Chaves Street, 5th Floor, Pelotas, RS, Brazil
| | - M B Corrêa
- School of Dentistry, Universidade Federal de Pelotas, 457 Gonçalves Chaves Street, 5th Floor, Pelotas, RS, Brazil
| | - A Matijasevich
- Department of Preventive Medicine, Faculty of Medicine, University de São Paulo, São Paulo, SP, Brazil
| | - A E R Silva
- School of Dentistry, Universidade Federal de Pelotas, 457 Gonçalves Chaves Street, 5th Floor, Pelotas, RS, Brazil.
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Fonseca A, Guimarães VBDS, Rodrigues-Junior SA, Fonseca AAR, de Azevedo RA, Corrêa MB, Lund RG. Effect of Dental Course Cycle on Anatomical Knowledge and Dental Carving Ability of Dental Students. Anat Sci Educ 2022; 15:352-359. [PMID: 33783136 DOI: 10.1002/ase.2078] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 12/29/2020] [Accepted: 03/26/2021] [Indexed: 06/12/2023]
Abstract
This study assessed the effect of the course cycle on theoretical knowledge of dental morphology and the dental carving ability of dental students. Thirty-two dental students from the third semester (initial cycle) and 30 students from the eighth and tenth semesters of the dental course (end cycle) had their theoretical knowledge on dental morphology assessed using a questionnaire with ten closed questions. Their dental carving ability was also assessed using wax carvings in macro models of plaster (for the third [S3] and eight [S8] semesters) and natural-sized artificial teeth (for the tenth [S10] semester). The teeth chosen for the dental carving activity were #16 and #47. The scores were statistically analyzed using the t-test, Kruskal-Wallis test, and Mann-Whitney test (α = 0.05). Students from the initial cycle presented better theoretical knowledge than the other groups did (P < 0.007). No significant differences in carving score were found between the initial and end cycles (P > 0.05), although S10 students obtained a higher score for teeth #16 and #47 (P < 0.05). Natural-sized artificial teeth received a higher evaluation score in dental carvings than the macro models (P < 0.001). Within the limits of this study, it was possible to conclude that students from the initial cycle (S3) presented higher theoretical knowledge, whereas no difference in carving ability was observed between the initial and end cycles. The tenth semester (S10) students performed dental carvings with better quality. Furthermore, carvings in natural-sized artificial teeth presented better quality compared with the macro models.
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Affiliation(s)
- Ademar Fonseca
- Postgraduate Program in Dentistry, Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
- Department of Morphology, Institute of Biology, Federal University of Pelotas, Pelotas, Brazil
| | - Victoria B da S Guimarães
- Postgraduate Program in Dentistry, Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Sinval A Rodrigues-Junior
- Health Sciences Post-Graduate Program, Regional Community University of Chapecó - Unochapecó, Chapecó, Brazil
| | - Alisson A R Fonseca
- Department of Morphology, Institute of Biology, Federal University of Pelotas, Pelotas, Brazil
| | - Renato A de Azevedo
- Department of Morphology, Institute of Biology, Federal University of Pelotas, Pelotas, Brazil
| | - Marcos B Corrêa
- Postgraduate Program in Dentistry, Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Rafael G Lund
- Postgraduate Program in Dentistry, Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
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Cademartori MG, Demarco FF, Freitas da Silveira M, Barros FC, Corrêa MB. Dental caries and depression in pregnant women: The role of oral health self-perception as mediator. Oral Dis 2021; 28:1733-1740. [PMID: 33529472 DOI: 10.1111/odi.13789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 01/16/2021] [Accepted: 01/24/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVE This study investigated the role of oral health self-perception as mediator of association between dental caries and depression among pregnant women from the 2015 Pelotas Birth Cohort Study, Brazil. MATERIALS AND METHODS Overall, 2,496 pregnant women participated of this oral health sub-study. Data related to demographic and socioeconomic conditions, lifetime and current depression, and oral health self-perception were collected. Participants were also assessed for dental caries (DMF-T index). Depression was assessed using the Edinburgh Postnatal Depression Scale. For analysis, six outcomes related to dental caries experience were considered. Causal mediation analysis was performed using parametric regression models. RESULTS When it was assumed that all subjects had poor perception about oral health, it was observed that the presence of moderate/severe depressive signals and symptoms was higher in subjects with dental caries experience (OR 1.13; CI 95% 1.06-1.20), with severity of untreated dental caries (OR 2.08; CI 95% 1.16-3.78), untreated dental caries (OR 1.18; 95% CI 1.07-1.29), tooth loss (OR 1.08; 95% CI 1.02-1.14), and filled tooth (OR 1.07; 95% CI 1.02-1.16). CONCLUSIONS Our findings show the effect of dental caries on depression is mediated by self-perception about oral health in pregnant women.
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Affiliation(s)
| | - Flavio F Demarco
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.,Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | | | - Fernando C Barros
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Marcos B Corrêa
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
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Silveira ER, Cademartori MG, Schuch HS, Corrêa MB, Ardenghi TM, Armfield J, Horta BL, Demarco FF. The vicious cycle of dental fear at age 31 in a birth cohort in Southern Brazil. Community Dent Oral Epidemiol 2020; 49:354-361. [PMID: 33283921 DOI: 10.1111/cdoe.12609] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 11/12/2020] [Accepted: 11/18/2020] [Indexed: 12/30/2022]
Abstract
OBJECTIVES This longitudinal study assessed the prevalence of dental fear in adulthood and the association with socio-economic, behavioural and clinical variables. Also, the existence of a vicious cycle of dental fear was tested. METHODS A random sample of adults (n = 535) from the 1982 Pelotas Birth Cohort, Brazil, was selected. Socio-economic data, behavioural characteristics and clinical variables were collected during different cohort waves. Oral health data were collected at ages 15, 24 and 31 years old, using questionnaires and oral examination. Dental fear (the outcome) was assessed by the question: 'Are you afraid of going to the dentist?', with possible responses: dichotomized into 'No' or 'A little/Yes/A lot'. Exposure variables were as follows: dental visit in the last years (at the ages 15 and 31); caries experience (DMFT ≥ mean) at the ages 15 and 31; the trajectory of caries prevalence from 15 to 31 years old; dental pain in the last six months in the two ages evaluated; and self-rated oral health at age 31. Several multivariable Poisson regression models were used to investigate the association between each of the exposure variables and dental fear. RESULTS Dental fear prevalence was 22.1%, and it was more prevalent among non-white individuals and females. After controlling for potential confounders, dental fear was more likely to be reported by those individuals who had dental pain or a higher prevalence of dental caries at the age 15. Dental fear was also associated with a worse trajectory of dental caries, negative self-rated oral health at age 31 and with not having visited the dentist in the last year (at the age 31). Results supported the proposed vicious cycle of dental fear. CONCLUSIONS Dental fear in adulthood was related to exposures occurring across the lifecourse. Also, it was possible to observe the occurrence of the vicious cycle of dental fear in the 1982 Pelotas Birth Cohort. Therefore, preventive measures during different periods of the life course are required to prevent dental fear and adulthood.
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Affiliation(s)
- Ethieli R Silveira
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.,Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | | | - Helena S Schuch
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Marcos B Corrêa
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Thiago M Ardenghi
- Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | - Jason Armfield
- Australian Centre for Precision Health, University of South Australia, Adelaide, South Australia, Australia
| | - Bernardo L Horta
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Flavio F Demarco
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.,Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
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6
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Nascimento GG, Seerig LM, Schuch HS, Horta BL, Peres KG, Peres MA, Corrêa MB, Demarco FF. Income at birth and tooth loss due to dental caries in adulthood: The 1982 Pelotas birth cohort. Oral Dis 2020; 26:1494-1501. [PMID: 32348632 DOI: 10.1111/odi.13373] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 04/20/2020] [Accepted: 04/20/2020] [Indexed: 12/27/2022]
Abstract
OBJECTIVE To estimate the effect of income at birth on adulthood tooth loss due to dental caries in 539 adults from the 1982 Pelotas birth cohort. METHODS Family income was collected at birth. Tooth loss was clinically assessed when individuals were aged 31. Dental visit and oral hygiene at age 25 were considered mediators. Confounders included maternal skin color, and individual's skin color, sex, and income in adulthood. Marginal structural modeling was used to estimate the controlled direct effect of income at birth on tooth loss due to dental caries that was neither mediated by the use of dental service nor oral hygiene. RESULTS Forty-three percent of the individuals of low income at birth lost one/two teeth, and 23% lost three or more; among those non-poor, the prevalence was 30% and 14%, respectively. Poor individuals at birth had a 70% higher risk for missing teeth in adulthood than those non-poor. The risk of losing one/two (risk ratio 1.68) and three or more teeth (risk ratio 3.84) was also higher among those of low income at birth. CONCLUSIONS Economic disadvantage at birth had an effect on tooth loss due to dental caries at age 31 not mediated by individual risk factors.
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Affiliation(s)
- Gustavo G Nascimento
- Section of Periodontology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Lenise M Seerig
- Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Helena S Schuch
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Bernardo L Horta
- Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Karen G Peres
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Qld, Australia.,National Dental Centre Singapore, National Dental Research Institute Singapore, Singapore.,Oral Health ACP, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore
| | - Marco A Peres
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Qld, Australia.,National Dental Centre Singapore, National Dental Research Institute Singapore, Singapore.,Oral Health ACP, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore.,Menzies Health Institute Queensland, Griffith University, Gold Coast, Qld, Australia
| | - Marcos B Corrêa
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Flavio F Demarco
- Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.,Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
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Cademartori MG, Costa VPP, Corrêa MB, Goettems ML. The influence of clinical and psychosocial characteristics on children behaviour during sequential dental visits: a longitudinal prospective assessment. Eur Arch Paediatr Dent 2019; 21:43-52. [PMID: 31066016 DOI: 10.1007/s40368-019-00444-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2018] [Accepted: 04/25/2019] [Indexed: 12/18/2022]
Abstract
PURPOSE This is the first study to adopt a multilevel approach to assess the impact of the order of dental visits on child's behaviour. The aim was to investigate which factors directly interfere with child's behaviour regardless of the order of sequential dental visits. METHODS In this prospective longitudinal study, children aged 7-12 years were invited to participate. Child behaviour was assessed using the Frankl Scale during four sequential dental visits. Chi-square test was used to analyse the effect of dental fear on children's non-cooperative behaviour according to the presence of dental fear. Multilevel mixed logistic regression model was used to assess the association between predictor variables and the outcome (child behaviour) during the sequential dental visits. RESULTS Overall, 111 children participated in this study. Maternal dental anxiety, dental pain and complexity of the treatment were associated with the non-cooperative behaviour in children aged 7-12 years. When stratified by dental fear, the complexity of the treatment remained associated with non-cooperative behaviour. CONCLUSIONS The results provide evidence that, even with the familiarization of child with the dental environment, maternal dental anxiety, dental pain in the last month, and the complexity of dental treatment negatively affect the children's behaviour aged 7-12 years.
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Affiliation(s)
- M G Cademartori
- Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves Street, Pelotas, RS, Brasil.
- School of Dentistry (UFPel), 457, Gonçalves Chaves Street, Pelotas, RS, Brasil.
| | - V P P Costa
- Department of Social and Preventive Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
- School of Dentistry (UFPel), 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
| | - M B Corrêa
- Department of Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
- School of Dentistry (UFPel), 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
| | - M L Goettems
- Department of Social and Preventive Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
- School of Dentistry (UFPel), 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
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8
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Cademartori MG, Corrêa MB, Silva RA, Goettems ML. Childhood social, emotional, and behavioural problems and their association with behaviour in the dental setting. Int J Paediatr Dent 2019; 29:43-49. [PMID: 30381852 DOI: 10.1111/ipd.12436] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Revised: 08/10/2018] [Accepted: 09/26/2018] [Indexed: 12/21/2022]
Abstract
BACKGROUND Mental disorders are among the main causes of global disability in children, with negative impacts on their quality of life. It is possible that mental disorders could be associated with how children react in the dental setting. AIM To test the association between children's psychological attributes and behaviour presented during dental care. DESIGN A questionnaire was given to mothers of children attending a paediatric dental clinic. Psychological attributes were evaluated using the Strengths and Difficulties Questionnaire. For analysis, the Internalizing and Externalizing problems and the Prosocial behaviour subscales were considered. Children's behaviour was assessed using the Frankl Scale. For analysis, Poisson regression models were employed. A significant level of P ≤ 0.05 was adopted. RESULTS Overall, 128 children aged between four and 12 years were included. Total difficulties (PR 5.36; 95%CI 2.2-12.9), Internalizing problems (PR 4.04; 95%CI 1.6-10.0), and externalizing problems (PR 3.36; 1.5-7.7) were associated with uncooperative behaviour. In relation to the strength domain, the Prosocial behaviour subscale (PR 1.21; 95%CI 0.6-2.6) was not associated with child behaviour. CONCLUSIONS This study provides evidence that children aged between four and 12 years with internalizing and externalizing problems tend to have a higher prevalence of negative behaviour during dental treatment.
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Affiliation(s)
| | - Marcos B Corrêa
- Department of Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Ricardo A Silva
- Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | - Marília L Goettems
- Department of Social and Preventive Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
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9
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Nascimento GG, Leite FRM, Peres KG, Demarco FF, Corrêa MB, Peres MA. Metabolic syndrome and periodontitis: A structural equation modeling approach. J Periodontol 2018; 90:655-662. [PMID: 30447085 DOI: 10.1002/jper.18-0483] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 10/10/2018] [Accepted: 11/04/2018] [Indexed: 12/11/2022]
Abstract
BACKGROUND This study aimed to investigate the association between metabolic syndrome (MetS) and periodontitis among young adults, and also to compare results using observed and latent variables for MetS and periodontitis. METHODS Data from the 1982 Pelotas Birth Cohort, Brazil, were used. Metabolic syndrome at the age of 23 years was measured using clinical and biochemical analysis and set as the main exposure. Periodontitis at the age of 31 years was clinically measured and set as the outcome. Confounding variables included sex and maternal education, assessed at birth, family income at 23 years, and smoking status at the age of 23 and 30 years. Factor analyses (exploratory and confirmatory) were performed to define latent variables for MetS and periodontitis. In addition, both conditions were also defined as categorical observed variables. The association between MetS and periodontitis was tested in structural equation models. RESULTS Two latent periodontal variables were identified: "initial" and "advanced" periodontitis, while one latent variable was identified for MetS. Metabolic syndrome is positively associated with "advanced" (coefficient 0.11; P value < 0.01), but not with "initial" (coefficient -0.01; P value = 0.79) periodontitis. When MetS and periodontitis were set as observed variables in the structural equation models, no association was found irrespective of the criteria used for periodontitis classification. CONCLUSIONS There was a positive association between metabolic syndrome and "advanced" periodontitis, when the multiple dimensions of both diseases were accounted in latent variables. Nevertheless, when MetS and periodontitis were treated as observed variables, no association was detected irrespective of the criteria used for periodontitis classification.
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Affiliation(s)
- Gustavo G Nascimento
- Section of Periodontology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Fábio R M Leite
- Section of Periodontology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Karen G Peres
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia
| | - Flávio F Demarco
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.,Graduate Program in Epidemiology, Federal University of Pelotas
| | - Marcos B Corrêa
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Marco A Peres
- School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia.,Menzies Health Institute Queensland, Griffith University
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10
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Nascimento GG, Peres MA, Mittinty MN, Peres KG, Do LG, Horta BL, Gigante DP, Corrêa MB, Demarco FF. Diet-Induced Overweight and Obesity and Periodontitis Risk: An Application of the Parametric G-Formula in the 1982 Pelotas Birth Cohort. Am J Epidemiol 2017; 185:442-451. [PMID: 28174825 DOI: 10.1093/aje/kww187] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Accepted: 07/01/2016] [Indexed: 12/21/2022] Open
Abstract
We aimed to estimate hypothetical effects of habits (smoking, alcohol consumption, and fat and carbohydrates consumption) combined with diet-induced overweight/obesity on the risk of periodontitis. The risk of any periodontitis, moderate/severe periodontitis, and the combination of bleeding on probing (BOP) and clinical attachment loss (CAL) was estimated using the parametric g-formula in adults aged 31 years from the 1982 Pelotas Birth Cohort in Brazil. Individuals in this cohort have been followed since birth. Hypothetical conditions were set independently for each risk factor and in combination for the entire population. A total of 539 participants had oral examinations in 2013. The cumulative 31-year risk under no intervention was 33.3% for any periodontitis, 14.3%, for moderate/severe periodontitis, and 14.7%, for BOP and CAL. According to our statistical approach, diet-induced overweight/obesity increased the risk of all outcomes: 11% (overweight) and 22% (obesity) higher risk of periodontitis; 12% (overweight) and 27% (obesity) higher risk of moderate/severe periodontitis; 21% (overweight) and 57% (obesity) higher risk of CAL and BOP. When overweight/obesity was combined with other unhealthy habits, the risk was even greater. Our findings suggest that the combination of diet-induced obesity with other risk factors may increase the risk of periodontitis. Further research in the field is required to corroborate our study.
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Refosco MZ, Corrêa MB, Ferraz L, Rodrigues Junior SA. School Environment and Dentoalveolar Trauma in Public Schools of Xaxim, Brazil. Pesqui bras odontopediatria clín integr 2016. [DOI: 10.4034/pboci.2016.161.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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12
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Baldissera RA, Corrêa MB, Schuch HS, Collares K, Nascimento GG, Jardim PS, Moraes RR, Opdam NJ, Demarco FF. Are there universal restorative composites for anterior and posterior teeth? J Dent 2013; 41:1027-35. [DOI: 10.1016/j.jdent.2013.08.016] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2013] [Revised: 08/20/2013] [Accepted: 08/22/2013] [Indexed: 10/26/2022] Open
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13
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Demarco FF, Corrêa MB, Cenci MS, Moraes RR, Opdam NJ. Longevity of posterior composite restorations: Not only a matter of materials. Dent Mater 2012; 28:87-101. [DOI: 10.1016/j.dental.2011.09.003] [Citation(s) in RCA: 566] [Impact Index Per Article: 47.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2011] [Revised: 09/12/2011] [Accepted: 09/13/2011] [Indexed: 11/29/2022]
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