scholarly journals Association between the need for normative and self-perceived dental treatment in young Brazilian students

2019 ◽  
Author(s):  
Fernanda Crestina Leitenski Delela ◽  
Aline Blaya Martins ◽  
Helenita Correa Ely ◽  
Claides Abegg

Abstract Purpose: To assess the level of agreement and association between clinical and self-perceived need for dental treatment in adolescents. Methods: A cross-sectional study was conducted with 1470 adolescents aged 15-19 years in 36 cities in southern Brazil. The data were collected in 2011 from a questionnaire and clinical oral examination. The clinical criteria used to determine the need for dental treatment were the positive result of clinical examination for one or more variables of presence of caries, gingival bleeding, trauma, need for restorative treatment and need for aesthetic treatment. The question: "Do you think you currently need dental treatment?" was used to assess the self-perceived need for treatment. Results: Of the adolescents, 55.9% were female and 47.1% had an average family income of 1-3 minimum wages. The majority (87.40%) presented normative needs. Regarding self-perception, 74.60% reported a need for dental treatment. There was significant positive agreement between positive self-perceived assessment of dental treatment needs and normative assessment. The sensitivity value was 76.90%, and specificity was 40.90%. The positive predictive value was 90%, whereas the negative predictive value was 20.30%. Adolescents presenting dental caries had a 24% higher prevalence of self-perceived need for dental treatment. The results of this study showed strong agreement between the need for self-perceived treatment and the need for clinical treatment. Conclusions: The positive self-perception of the need for dental treatment in young people can be used as an instrument to evaluate oral health conditions, since it can be used to meet their normative needs.

Biology ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 608
Author(s):  
Itzhak Abramovitz ◽  
Avraham Zini ◽  
Pablo Pribluda ◽  
Ron Kedem ◽  
Dorit Zur ◽  
...  

There are conflicting results existing regarding the association between dental status and metabolic syndrome (MetS). The present research analyzed the associations of the sum of the standard dental unit (SDU) scores of planned (SDU-P) and delivered (SDU-D) dental procedures per patient with MetS components, consequences, and related conditions. The SDU score of each dental procedure represents the time and complexity of the executed procedure. This cross-sectional study analyzed data from the Dental, Oral, Medical Epidemiological (DOME) repository, which includes comprehensive socio-demographic, medical, and dental databases of a nationally representative sample of 132,529 military personnel. Univariate analyses revealed that SDU-P had statistically significant positive associations with all systemic morbidities related to MetS, while the SDU-D exhibited positive associations with some of the systemic morbidities and with lower ORs. SDU-P and SDU-D were associated with worse scores of auxiliary examinations used in the assessment of MetS components. SDU-P retained significant positive associations in the multivariate analysis with impaired glucose tolerance (IGT) (OR = 7.40 (1.91–28.57)), deep vein thrombosis (DVT) (OR = 5.61 (1.53–20.83)), obstructive sleep apnea (OSA) (OR = 5.05 (2.40–10.63)), and fatty liver (OR = 1.82 (1.17–2.84)). In contrast, obesity was the only systemic parameter retaining a significant association with SDU-D following multivariate analysis (OR = 1.47 (1.23–1.76)). It can be concluded that SDU-P, but not SDU-D, is a better predictor of systemic morbidities related to MetS. In other words, MetS is associated with a higher dental treatment needs burden, rather than with dental treatments performed de facto. Dental and general health authorities should collaborate and share information and focus on reducing common health-related risk factors, such as smoking and sugar consumption, in particular among high-risk populations, such as immigrants and those with lower SES and rural locality.


2005 ◽  
Vol 19 (4) ◽  
pp. 249-255 ◽  
Author(s):  
Marcelo Augusto Amaral ◽  
Luiza Nakama ◽  
Carlos Alberto Conrado ◽  
Tiemi Matsuo

The aim of the present study was to determine the prevalence and severity of dental caries as well as the needs for dental treatment in 18-year-old males from Maringá, PR, Brazil. The association of dental caries experience with socioeconomic variables was also tested. A cross sectional study was conducted in a random sample of 241 conscripts of the Brazilian Army. The adopted diagnosis criteria were those proposed by the World Health Organization. A socioeconomic questionnaire was utilized to determine family income and the criterion of the Brazil Economic Classification of the National Association of Research Enterprises. Associations among caries prevalence, DMF-T index, treatment needs and socioeconomic variables were evaluated by means of the Chi-Square, Mann-Whitney and Kruskal-Wallis tests. Caries prevalence was 82.6% and the mean DMF-T index was 4.6. Only a mean of 0.8 tooth per individual presented treatment needs. Significant statistical differences were found in caries prevalence and severity (DMF-T). The worst results were observed in the groups of lower income and purchasing power, indicating a need for the implementation of social policies that address these populations aiming at diminishing the existing differences in the health-disease process indicators. On the other hand, treatment needs were only associated to the Brazil Economic Classification Criterion variable (p < 0.05).


2015 ◽  
Vol 39 (3) ◽  
pp. 272-276 ◽  
Author(s):  
SA Al-Maweri ◽  
S Zimmer

Objectives: The purpose of this study was to assess the oral health status and treatment needs of children with disabilities attending special schools in Sana’a, Yemen. Study design: This cross-sectional study involved 401 children with different disabilities aged between 6 and 14 years. Dental caries was evaluated using DMFT/dmft indices in accordance with WHO criteria. The plaque index (PI) and the gingival index (GI) were used to assess oral hygiene and gingival health, respectively. Results : The mean dmft and DMFT scores of the total population were 4.27 and 1.90 respectively, with no significant differences across gender (p&gt;0.05). According to the type of disability, the physically disabled had the highest mean dmft of 4.68 (SD 3.30) and subjects with compound disabilities had the highest mean DMFT of 2.85 (SD 1.98). Among the disability groups, the blind had the highest PI and GI scores, and the deaf had the lowest. Majority of the children were on need for specific type of dental treatment. Conclusion: This study suggests that children with disabilities have a high prevalence of dental caries and poor oral hygiene.


2021 ◽  
Vol 21 (2) ◽  
pp. 566-575
Author(s):  
Kehinde Adesola Umeizudike ◽  
Babatope Bamidele Osagbemiro ◽  
Opeyemi Oluwayemisi Daramola ◽  
Titilope Adenike Adeyemo

Background: The human immunodeficiency virus infection remains a devastating disease of public health importance. Objectives: To assess the association between oral health and quality of life and the factors affecting the oral health related quality of life among HIV positive patients in Nigeria. Methods: This was a cross sectional study of HIV positive patients attending two HIV outpatient clinics in Nigeria. Impact of oral health on quality of life was assessed using the OHIP-14. Oral health status was assessed by the DMFT and Simpli- fied OHI indices. Level of significance was set at p< 0.05. Results: Three hundred and fifty-two patients were seen, 64.2% being females. Prevalence of impact was 8.5%; and the mean OHIP scores was 8.05±9.54. Highest impact was “painful aching” 67(19.1%) with the domain of physical pain scoring the highest mean impact of 2.32. Most patients (88.6%) were on HAART. Following logistic regression, after controlling for potential confounders, independent factors associated with poor OHRQoL were perceived need for dental treatment, HAART use, and higher DMFT (p<0.05). Conclusion: The domain of physical pain had the highest impact, while perceived need for dental treatment, HAART use and higher caries index were contributory to poor OHRQoL. Keywords: HIV infection; Oral health; OHRQoL.


2009 ◽  
Vol 25 (4) ◽  
pp. 743-750 ◽  
Author(s):  
Michelle Marie T. Oliveira ◽  
Viviane Colares

The aim of this study was to evaluate anxiety and pain related to dental treatment in children under the age of five years. This cross sectional study was carried out with 2,735 children of both sexes. Socioeconomic data, dental anxiety and dental pain experience, as well as the assessment of the child's oral health status, were obtained through a questionnaire answered by the child's parent or guardian. Dental anxiety was measured using the Dental Anxiety Question (DAQ). The prevalence of dental anxiety was 34.7% and that of dental pain was 9.1%. There was an association between these two variables (p < 0.0001). There was also an association between dental pain, age, family income and assessment of oral health status. The poorest rating of the child's oral health and the lowest family income were correlated with the highest percentages of a history of dental pain. Dental anxiety was related to a history of dental pain in children under the age of five years.


2017 ◽  
Vol 135 (2) ◽  
pp. 116-122 ◽  
Author(s):  
Paloma Busato ◽  
Raíssa Rigo Garbín ◽  
Catielma Nascimento Santos ◽  
Luiz Renato Paranhos ◽  
Lilian Rigo

ABSTRACT CONTEXT AND OBJECTIVES: Anxiety is usually classified as a disorder of neurotic nature and is often related to contexts of stress, which may include worries, motor tension and autonomic hyperactivity. The aim of this study was to assess the influence of mothers’ anxiety on their children’s anxiety during dental care. DESIGN AND SETTING: Analytical cross-sectional study conducted at in a private dentistry school in the south of Brazil. METHODS: Convenience sampling was used. All mothers of children undergoing treatment were invited to participate in this study. Data to investigate anxiety related to dental treatment among the children were collected through applying the Venham Picture Test (VPT) scale. For the mothers, the Corah scale was applied. A self-administered sociodemographic questionnaire with questions about demographic, behavioral, oral health and dental service variables was also used. RESULTS: 40 mother-child pairs were included in the study. The results showed that 40% of the children were anxious and 60% of the mothers were slightly anxious. Local anesthesia was the procedure that caused most anxiety among the mothers, making them somewhat uncomfortable and anxious (60%). Family income higher than R$ 1,577.00 had an influence on maternal anxiety (75.6%). Maternal anxiety had an influence on child anxiety (81.3%). CONCLUSION: Most of the children showed the presence of anxiety, which ranged from fear of dental care to panic, inferring that maternal anxiety has an influence on children’s anxiety. Dental procedures did not interfere with the mothers’ anxiety, but caused positive feelings, whereas they affected the children more.


2022 ◽  
Vol 10 (1) ◽  
pp. 8
Author(s):  
Alyssa Weninger ◽  
Erica Seebach ◽  
Jordyn Broz ◽  
Carol Nagle ◽  
Jessica Lieffers ◽  
...  

Background: When compared to national averages in Canada, Saskatchewan has one of the highest rates of dental treatment under general anesthesia (GA) and average costs per child. Thus, the purpose of this cross-sectional study is to explore the risk indicators and treatment needs of children receiving dental treatment under GA in Saskatchewan. Methods: In this cross-sectional study, we recruited caregivers of children between 24 and 71 months of age in Saskatoon, Canada. Caregivers completed a 40-item questionnaire, which was supplemented with clinical data and then subject to statistical analysis (independent t-tests and one-way ANOVA). Results: A total of 90 caregiver/child dyads were enrolled with the mean age for children being 49.5 ± 12.3 months. The mean age of a child’s first dental visit was 34.7 ± 15.3 months with only 37.9% of children having a dental home. The mean deft index was 11.7 ± 3.4, with an average of 10.9 ± 3.5 teeth receiving treatment. Additionally, location of primary residence (p = 0.03), family income (p = 0.04), family size (p = 0.01), parental education (p = 0.03), dental home (p = 0.04), and body mass index (p = 0.04) had a statistically significant association with a higher mean deft. Conclusions: Our cross-sectional study confirms that children who require dental treatment under GA have a high burden of disease. While individual risk indicators such as diet and oral hygiene play a role in the progression of early childhood caries (ECC), we also demonstrate that children who do not have access to early preventive visits or a dental home are at a higher risk. In addition to improving motivation for oral hygiene at home and nutritional education, improving access to oral health care should be addressed in strategies to reduce ECC.


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