scholarly journals The relationship between psychosocial distress and oral health status in patients with facial burns and mediation by oral health behaviour

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Farooq Ahmad Chaudhary ◽  
Basaruddin Ahmad

Abstract Background There is limited discussion on the influence of psychosocial factors on the oral health of patients with a facial burn injury. This report investigated the relationship between oral health and psychosocial distress in patients with facial burns and the role of oral health behaviour in mediating the relationship. Methods The data were part of a cross-sectional study that had systematically and randomly selected patients with > 10% total burn surface area from a burn centre in Pakistan. The oral health status (DMFT, CPI, OHI-S) and severity of facial disfigurement were assessed. Validated instruments in the Urdu language were self-administered and information relating to oral health behaviour (brushing and dental visits), oral health-related quality of life (OHIP-14), satisfaction with appearance, self-esteem, anxiety and depression, resilience, and social support were collected. The statistical analyses included simple linear regression, Pearson correlation, t-test, and ANOVA. Mediation analysis was carried out to examine the indirect effect by oral health behaviour. Results From a total of 271 participants, the majority had moderate to severe facial disfigurement (89%), low self-esteem (74.5%), and moderate to high levels of social support (95%). The level of satisfaction with appearance was low, whereas anxiety and depression were high. Disfigurement and satisfaction with appearance were associated with lower self-esteem and social support (p < 0.05). Greater severity of disfigurement, higher levels of anxiety and dissatisfaction with appearance, and lower levels of self-esteem and social support were associated with greater DMFT and OHIP-14 scores, worse periodontal and oral hygiene conditions, and less frequent tooth brushing and dental visits (p < 0.05). The main barriers to oral healthcare utilization were psychological and social issues (p < 0.05). The indirect effect by oral health behaviour was not significant for anxiety but was significant for disfigurement, satisfaction with appearance, self-esteem, and social support. Conclusion There is an association between the psychosocial factors and oral health of patients with facial burns through a direct effect and mediation by oral health behaviour.

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1069-1076
Author(s):  
Sundar R ◽  
Yuvaraj Babu K ◽  
Gayathri R

Oral health status is directly proportional to a person's oral health behaviour. Oral health of a person can be determined by their regular oral habits like brushing, flossing, smoking and regular dental check-up. Maintenance of poor oral health can lead to severe dental problems. The aim of the study is to create awareness about oral health and behaviour among the dental and engineering undergraduate students. The self-administered questionnaire prepared about oral health behaviour, distributed to 100 dental and engineering graduate students through online google link and data is collected and analysed. From the collected data, 87.18% of dental students brush daily, and 84.62% of engineering students use dental floss to clean the gap between the teeth. This survey helps to bring knowledge on the awareness of oral health behaviour among the dental and engineering students. From this survey, we have concluded that dental students have good oral hygiene when compared to engineering students.


2001 ◽  
Vol 51 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Poul Erik Petersen ◽  
Niels Hoerup ◽  
Nattaporn Poomviset ◽  
Janpim Prommajan ◽  
Achara Watanapa

2000 ◽  
Vol 51 (12) ◽  
pp. 1841-1849 ◽  
Author(s):  
C Källestål ◽  
L Dahlgren ◽  
H Stenlund

1970 ◽  
Vol 19 (4) ◽  
pp. 3146-3153
Author(s):  
Supa Pengpid ◽  
Karl Peltzer

Background: The aims of this study were to estimate the self-rated oral health status and its associated factors in a national community dwelling population in Kenya.Methods: A cross-sectional study based on a stratified cluster random sampling was conducted in 2015. The total sample included 4,459 individuals 18-69 years (M=40.4 years, SD=13.9). Questionnaire interview, blood pressure and anthropometric measurements, and biochemistry tests were conducted, including questions on the oral health status, general health status, oral health behaviour and socio-demographic information.Results: Overall, 13.7% of participants reported poor self-rated oral health. In adjusted logistic regression analysis, older age (Odds Ratio-OR: 1.70, Confidence Interval-CI: 1.07, 2.69), having a lower number lover number of teeth (OR: 0.19, CI: 0.06, 0.62), having dentures (OR: 1.92, CI: 1.22, 3.03), having pain in the mouth or teeth (OR: 5.62, CI: 3.58, 8.90), impaired Oral Health Related Quality of Life (OR: 3.01, CI: 2.03, 4.47) and frequent soft drink consumption (OR: 3.62, CI: 1.89, 6.97) were associated with poor self-rated oral health.Conclusion: High unsatisfied self-rated oral health status was found and several risk factors for poor self-rated oral health were identified that can help in guiding oral health care programming in Kenya. Keywords: Self-rated oral health status, oral conditions, oral health behaviour, general health status, general health behaviour, adults, Kenya.


2000 ◽  
Vol 12 (2) ◽  
pp. 98-101 ◽  
Author(s):  
Hiroko Miura ◽  
Emiko Isogai ◽  
Hiroyuki Mizugai ◽  
Kunihisa Miura

The majority of patients with Behçet's disease (BD) suffers from oral ulcers. The aim of the present study was to survey self-rated oral health status, oral function, and oral health behaviour of patients with BD in eastern Japan. Subjects were 33 BD patients and 101 healthy individuals ranging in age from 20 to 59 years. The survey was conducted using a self-administered questionnaire. The items of oral health in the questionnaire included subjective symptoms, self-rated dental problems and oral health behaviour. We found that compared to the healthy subjects, BD patients experienced more severe physical limitations, mainly involving difficulty in pronouncing words ( p<0.01) and the pain of oral mucosa and gingival tissue caused by oral ulcers ( p<0.01). Based on the results of oral health behaviour, BD patients did not behave positively with regard to maintaining oral health including regular tooth brushing despite relatively higher risk of dental diseases that they face. The present results suggest that oral ulcers due to BD induced dental disorder such as the pain of gingiva, oral mucosa, and difficulty in the pronouncing of words. In spite of this, their oral health behaviour is not positive compared to the healthy subjects. Thus, the need to develop a more active pragramme for oral health education for patients with BD is indicated. Asia Pac J Public Health 2000;12(2): 98-101


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