scholarly journals Oral Clinical Factors Affecting Self-Perception of Oral Health

2015 ◽  
Vol 62 (3) ◽  
pp. 137-142 ◽  
Author(s):  
Dajana Nogo-Živanović ◽  
Ljiljana Kulić ◽  
Aleksandra Žuža ◽  
Brankica Davidović ◽  
Igor Radović

Abstract Introduction Self- assessment of oral health is simple, non-invasive and cost-effective method of collecting data that takes into account psychosocial aspects of oral health. The aim of this study was to investigate the effect of clinical factors on the self-perception of oral health in middle-aged patients in Republika Srpska (Bosnia and Herzegovina). Material and Methods The study included 126 subjects of both genders (34.1% male and 65.9% female) aged 24-54 years. Data were collected through questionnaires and clinical examination. Anonymous questionnaire contained questions related to socio-demographic characteristics of respondents. Clinical examination included teeth condition and the presence of prosthetic restorations. Self-perception of oral health was determined by one question. Results Bivariate analysis indicated significant effect of carious (p<0.001), missing (p<0.001) and filled teeth (p=0.022) but not the prosthetic status on self-perception of oral health. Correlation between the number of carious and missing teeth with self-perception of oral health was significant in regression analysis. Conclusion The number of carious and missing teeth had significant impact on self-assessment of oral health in studied population. Knowledge of effects of oral clinical variables on self-perception of oral health is very important to obtain clearer insight into the association between objectively and subjectively assessed oral health.

2020 ◽  
Vol 77 (6) ◽  
pp. 575-581
Author(s):  
Margareta Lekic ◽  
Zoran Lazic ◽  
Paulina Pandjaitan-Donfrid ◽  
Dubravko Bokonjic ◽  
Tatjana Lemic ◽  
...  

Background/Aim. Oral health is an integral part of general health. The state of oral health greatly affects the psychological and physical condition of patients. The aim of study was to determine oral health among the Serbian Armed Forces members. Methods. This prospective crosssectional pilot study was conducted on 648 examinees at the mean age of 34.47 ? 8.14 years who had dental check-ups. All the categories of military personnel aged 18?64 years were divided into five groups. Assessment of oral health was obtained by clinical examination and the personal perception of oral health obtained by fulfilling the questionnaire ?Oral Health Questionnaire for Adults? of the World Health Organization. The results obtained by processing questions from the questionnaire were compared with the data of clinical examination. Results. The average value of the the Decayed, Missing and Filled Teeth (DMFT) index was 10.55 ? 4.79; the mean value of decayed teeth per participant was 2.00 ? 2.55, and on average, each respondent was missing 3.21 ? 3.35 teeth. Based on data obtained from the questionnaire, 39.4% of the participants smoked cigarettes. The majority of subjects (58.3%) brushed their teeth regularly two or more times a day. Oral health as poor was assessed by 18.9% of the participants. Participants who brush their teeth less than twice a day evaluated their oral health as poor 3.08 times more often compared to those who brush their teeth more than twice a day. Conclusion. The self-assessment of poor oral health significantly failed when compared with a high value of DMFT which means that only a small percentage of participants evaluated their oral health objectively.


2017 ◽  
Vol 65 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Fabio RODRIGUES ◽  
Adriana Gama REBOUÇAS ◽  
Flávia Martão FLÓRIO

ABSTRACT Objective: The association between self-perception in oral health, history of caries and sex was evaluated in students from São Gabriel da Cachoeira, in the Brazilian state of Amazonas. Methods: The sample was composed of 509 students enrolled in six public schools of the municipal and state education system. The epidemiological study was performed by a calibrated examiner (Kappa=0.98) using the DMF-T and dmf-t indices. Self-perception in oral health was measured using the CPQ8-10 Child Perceptions Questionnaire for children aged between 8 and 10 and the CPQ11-14 for children aged between 11 and 14, in which the domains were oral symptoms, functional limitation, emotional well-being and social well-being. Results: The significance of the associations between the variables was tested using bivariate analysis, and the associations that presented p-values lower than 0.20 (p<0.20) were tested using multiple logistic regression models, the intention being to keep those with p≤0.05. The group aged between 8 and 10 years showed a mean DMF-T of 0.82 (± 1.33) and dmf-t of 2.54 (± 2.59), whilst the group aged between 11 and 14 had a DMF-T of 2.08 (± 2.41) and dmf-t of 1.5 (± 1.77). Conclusion: Sex was the variable that most influenced the dimensions evaluated, followed by the oral condition. The presence of decayed teeth did not influence the children's self-perception about their oral health.


2019 ◽  
Author(s):  
Awoke Seyoum Tegegne

Abstract Background : Currently, around 36.7 million people in the world are living with HIV. Among these, 52% are living in sub-Saharan African. Antiretroviral therapy (ART) has played an important role in improving the prognosis and quality of life of HIV/AIDS patients, and in reducing the rate of disease progression and death. Several previous researches on factors affecting HAART adherence competence had controversies. As far as the author’s knowledge concerned, no research had been conducted on longitudinal HAART adherence competence in the study area. The main objective of this study was to identify Socio-demographic and Clinical factors associated with HAART adherence competence in successive visits among adult HIV patients after commencement of HAART. Methods : A retrospective cohort study on 792 HAART attendants was conducted to analyze the current study for HIV positive adults who had a minimum of two clinical visits. Secondary data were employed to examine Socio-demographic, economic, individual and clinical factors affecting the variable of interest overtime among HAART users. The Structural Equation modeling (SEM) was applied to identify predictors of HAART adherence competence over time. Results : In this longitudinal study, factors affecting long-term HAART adherence competence in successive visits had been identified. Socio-demographic factors (like Marital status, level of disclosure of the disease, residence area, education, economic factors (owner ship of cell phone, household income), individual factors (age, sex, weight) and clinical factors (CD4 cell count, WHO stages), directly associated with retention of HAART medication care. On the other hand, HAART medication care was significantly and independently associated with the longitudinal HAART adherence competence. Conclusion : The HAART adherence competence in successive visits increased with the number of follow-up visits, but the rate of increase was different for different groups such as male & female, urban & rural, and disclosing & hiding the disease to family members. An integrated health related education should be given for poor adherent patients like rural residents, males, patients living without partners, patients with no cell phone and aged patients.


2021 ◽  
Vol 93 (5) ◽  
pp. 1-5
Author(s):  
Paweł Zawadzki ◽  
Anita Nowak ◽  
Lukasz Dzieciuchowicz

Objectives The diagnosis of deep venous thrombosis (DVT) is hampered in patients with primary varicose veins due to similarity of symptoms of DVT and PVV and elevated levels of D-dimers. The purpose of this study was to analyze factors that influence the D-dimer concentration in patients with PVV in order to redefine its diagnostic value. Methods Forty- one patients with non-complicated PVV were enrolled in the study, in whom D-dimer level was determined by immunoturbidimetric assay. The influence of selected clinical factors on the concentration of D-dimers was determined with univariate and bivariate analysis. Besides descriptive statistics the D-dimers levels were compared to the age -adjusted cutoff values. Results The median concentration of D-dimer was 630.0 ng/ml (440.0-1140.0 ng/ml) and was above the age-adjusted level in 21 (52%) of patients. There was a positive correlation between the patient’s age and and D-dimer concentration (p = 0.035, Spearman correlation coefficient rs=0,33. The bivariate analysis showed a significant interaction between age and weight p=0,02. Conclusions In patients with PVV the diagnostic value of D-dimers is limited especially in older and overweight subjects.


2013 ◽  
Vol 59 (5) ◽  
pp. 264-266 ◽  
Author(s):  
Mártha I. Krisztina ◽  
Roșu Sorana ◽  
Gyergyay Réka ◽  
Vikárius Katalin

Abstract Aim: The aim of this study was to evaluate the state of oral health and the self-perception of children regarding their oro-dental status, their knowledge and attitude towards oral health. Methods: A sample of 130 children (11-14 years) and one of their parents were asked to complete a Child Perception Questionnaire (CPQ11-14) in Sfântu Gheorghe, Romania. From these, 69 children were examined and data was recorded about Decayed-Missing-Filled Teeth (DMFT), oral hygiene, dental malposition and malocclusion, Aesthetic Component of Index of Treatment Need (AC-IOTN). Consent of the parents was obtained. Statistical analyses were performed. Results: The optimal score of CPQ evaluation is 96 and the maximum score achieved was 93, the minimum was 43. 78.10 average score can be graded as medium. As the data points out, most of the children and their parents have a medium knowledge and self-perception. The clinical examination underline the main problems: dental caries (62%), occlusal coloration (23%), dental malposition (17%), rooftop deep bite (14%), dental rotation and crowding (12%), dental plaque and tartar (10%). As far as the AC-IOTN is concerned, 48 of 69 children have no need for treatment, 18 have a high need for treatment, and 3 have a moderate need for treatment. Conclusions: Overall, the children and their parents have a poor oral health knowledge, which is reflected in the medium level of the achieved CPQ scores, in the clinical examination and can be associated with high levels of dental caries and malocclusion


2020 ◽  
Vol 9 (6) ◽  
pp. 483-489
Author(s):  
Clarisse Díaz-Reissner ◽  
◽  
Juan Roldán-Merino ◽  
Irma Casas-García ◽  
◽  
...  

Introduction: Oral health can be defined as the absence of pathologies and disorders that affect the stomatognathic system. Objetives: This study aimed to determine the characteristics of self-assessment oral health status, in the clinical experience of dental caries, periodontal status, periodontal fixation loss and to investigate the association between self-reported and clinical oral health status among Paraguayans adults during early 2017. Material and Methods: The design is cross-sectional. Two dentists carried out the oral examinations following the recommendations of the World Health Organization (WHO). Results: There were 333 adult participants with a mean age of 35 ± 13 years. Most (77.2%) of the participants were female. Missing teeth (5.32±6), filled teeth (3.56±4), and decayed teeth (2.55±3) were also detected. Almost half (48.0%) of participants had dental calculus, while 5.8% had a periodontal pocket and 48.6% periodontal fixation loss. The self-perception of oral health was poor in 12.3% of participants, fair in 29.8%, normal in 31.8%, good in 16.2%, and excellent in 9.9%. Oral health self-assessment was positive in 58.0% and negative in 42.0%. A statistically significant difference was found when comparing the DMFT index according to self-perception of oral health, the score being higher in those who had negative self-perception; obtaining similar results in the decayed component. Conclusion: Negative oral health self-perception was associated with a high DMFT index, of this, the decayed component was the only one that presented statistically significant differences.


Author(s):  
Justyna Jończyk ◽  
Jerzy Jankau

AbstractThe presence of postoperative complications may have a significant impact on the outcome of the breast reconstruction. The aim of this study was to investigate early postoperative complications and the risk factors for their occurrence. A prospective analysis was carried out to evaluate surgical outcomes after breast reconstructive surgeries performed over a 2-year period. Procedures included expander/implant (TE/IMP), pedicle transverse rectus abdominis musculocutaneous (pTRAM), and latissimus dorsi (LD) techniques. All adverse events which occurred within 6 weeks of surgery were ranked according to severity based on the contracted Accordion grading system. Outcomes were assessed for their association with surgical, demographic, and clinical variables. Sixty-one consecutive breast reconstruction procedures were analyzed. The overall complication rate was 60.7% (n = 37), and 8 patients (13.1%) required reoperation. The lowest complication rate was observed in implant-based reconstructions (TE/IMP, 18.8%; pTRAM, 72.7%; LD, 78.3%; p = 0.008). Mild complications occurred significantly more often after LD reconstructions (LD, 60.9%; pTRAM, 22.7%; TE/IMP, 12.5%; p = 0.031), while severe complications were significantly more frequent after the pTRAM procedures (pTRAM, 27.3%; TE/IMP, 6.2%; LD, 8.7%; p = 0.047). Severe complications were associated with higher rehospitalization rate (p = 0.010) and longer hospital stay. Study revealed a significant impact of the operative method on the incidence and severity of early complications after breast reconstruction procedures with little effect from other demographic and clinical factors.


Author(s):  
Tasuku Yoshimoto ◽  
Yoko Hasegawa ◽  
Simonne Salazar ◽  
Satsuki Kikuchi ◽  
Kazuhiro Hori ◽  
...  

(1) Background: The degree of satisfaction with dental treatment varies among patients, and the discrepancy may exist between the patient’s subjective evaluation and the objective assessment. Further, the optimal methods for increasing patient satisfaction with mastication remain unclear. This study aimed to identify factors affecting masticatory satisfaction in patients with removable partial dentures. (2) Methods: A total of 132 participants (71.0 ± 9.0 years) were included. Masticatory satisfaction was assessed on a visual analog scale. An oral health survey was conducted to assess the number of functional teeth, missing tooth classification: Kennedy classification, occlusal support: Eichner classification, and removable partial dentures wearing jaw. Objective masticatory performance was assessed using gummy jelly, while subjective masticatory ability was assessed using food acceptance status and oral health-related quality of life. The associations of these factors with masticatory satisfaction were assessed. (3) Results: Masticatory satisfaction among removable partial denture wearers was not significantly associated with gender, age, denture wearing jaw, Kennedy classification, and occlusal support. The degree of masticatory satisfaction was significantly greater with higher levels of masticatory function: masticatory performance, food acceptance score, and OHIP-14 score. The OHIP-14 score was the only significant explanatory variable for masticatory satisfaction in the multiple regression analysis; the strongest associations were with the “psychological discomfort” and “physical disability” subscales (p = 0.02 and p = 0.005, respectively). (4) Conclusions: Masticatory satisfaction among removable partial denture wearers was strongly associated with oral health-related quality of life, in which the ability to eat meals comfortably with removable partial dentures is the most important determinant of masticatory satisfaction.


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