scholarly journals Impact of malocclusion on oral health related quality of life of 11-14-year-old children

2020 ◽  
Author(s):  
Amrita Geevarghese ◽  
Jagan Baskaradoss ◽  
Waad Alsaadi ◽  
Hoda Alemam ◽  
Amjad Alghaihab ◽  
...  

Abstract Background This study investigates the impact of malocclusion on the oral health-related quality of life (OHRQoL) of 11-14-year-old children.Methods This cross-sectional study was conducted among 250 caregiver/child (11-14-year-olds) dyads seeking orthodontic consultation at the orthodontic center at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. Oral health related quality of life (OHRQoL) was assessed using child perception questionnaire 11-14 (CPQ 11–14 ) and the Dental Aesthetic Index (DAI) was used to assess severity of malocclusion. CPQ 11–14 scores ranged from 0 to 64, with lower scores representing a better quality of life. Multivariate analysis of variance (MANOVA) was used to assess differences between domain and total CPQ 11–14 scores with the co-variates. Results The mean CPQ 11–14 score was 19.89±9.8. Mean scores for the global rating, oral symptoms, functional limitations, emotional well-being, and social well-being domains were 4.91±2.15, 5.26±3.22, 3.67±3.58, 3.98±3.89 and 2.08±2.98, respectively. The distribution of subjects across the four severity categories was minor/none – 37%, definite – 22%, severe – 15% and very severe 24%. The overall and domain-specific scores of CPQ 11–14 varied across the different categories of malocclusion. In the comparisons by pairs, it was found that children with very severe malocclusion had significantly higher scores for the social well-being domain and global rating of oral health as compared to children with no/minor malocclusion (p<0.05). Conclusion Substantial variability in the well-being domain of CPQ 11–14 was observed among children with no/minor malocclusions as compared to children with severe malocclusions.

2017 ◽  
Vol 6 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Shanti Chhetri ◽  
Muhammad Waseem Ullah Khan ◽  
Nazia Yazdanie

Background: Hypodontia is the developmental absence of one or more teeth from the dentition whereas acquired missing teeth are those lost due to carries, periodontal problem or dental trauma. Patients with congenitally missing teeth suffer aesthetic, functional and psychological morbidity to various degree through childhood, adolescence and adulthood. Greater understanding of the impact of hypodontia on patient’s quality of life is very important. Oral health related quality of life (OHRQoL) is considered as an outcome measure to evaluate the consequences of edentulism and the available treatment options.Material and Methods: A cross-sectional comparative survey was carried out in the department of Prosthodontics, de’Montmorency College of Dentistry/Punjab Dental Hospital Lahore from 02/03/2010 to 01/09/2010. Total 80 partially dentate patients were studied which included 40 hypodontia patients and 40 patients with acquired missing teeth. All patients were given OHIP-14 questionnaire and responses were recorded on 5-point Likert scale. The mean scores of the two groups were calculated and compared using chi square test.Results: The total OHIP scores in hypodontia patients was more compared to that in patients with acquired missing teeth and difference was significant in the patient group with 4-5 missing teeth.Conclusion: As the missing teeth number increased, it was found that the OHRQoL in hypodontia patients was more impaired compared to the OHRQoL in patients with acquired missing teeth. Journal of Nobel Medical CollegeVolume 6, Number 1, Issue 10 (January-June, 2017), Page: 77-82


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Omid Fakheran ◽  
Mahmoud Keyvanara ◽  
Zahra Saied-Moallemi ◽  
Abbasali Khademi

Abstract Background Complex psychological and physiological changes occur in women’s body during pregnancy. These changes affect both oral health status and oral health-related quality of life (OHRQoL). In almost all of the previous cross-sectional design studies on pregnant women, generic OHRQoL instruments have been used to measure OHRQoL. While such instruments may be reliable, they may not be appropriate to evaluate the OHRQoL in special populations like pregnant women. The purpose of this study was to investigate the self-perceived factors affecting the OHRQoL among pregnant women. Methods In this qualitative descriptive study, twenty- seven pregnant women were recruited from four healthcare centers located in Isfahan city, Iran. The interpretative phenomenological analysis was used to collect and analyze the data. Four criteria of credibility, dependability, transferability, and confirmability were implemented through established procedures to confirm the study rigor. Results Three major themes and six sub-themes capturing the impacts of pregnancy on women’s OHRQoL were identified. They covered all areas of life, including daily life, psychological well-being, social life, physical impact, and also barriers to utilization of dental care services. Some new domains such as “dentists’ refusal to treat pregnant women”, “negative feelings about pregnancy” and “concerns about fetal health” were found as important factors which could influence the OHRQoL during pregnancy. Conclusion The findings help to better understand the oral health issues impacting women during pregnancy and to achieve person-centered care and improved oral health outcomes in pregnant women. The conceptual framework created based on the results of this study may help health care workers and policy makers for improving the health of pregnant women.


2020 ◽  
Vol 90 (4) ◽  
pp. 564-570
Author(s):  
Silvia A.S. Vedovello ◽  
Ana Letícia Mello de Carvalho ◽  
Larissa C. de Azevedo ◽  
Patrícia R. dos Santos ◽  
Mario Vedovello-Filho ◽  
...  

ABSTRACT Objectives To evaluate the impact of anterior occlusal conditions in the mixed dentition on item-level analysis of oral health–related quality of life (OHRQoL). Materials and Methods A population-based cross-sectional study of 787 children aged 8 to 10 years was conducted. The Child Perceptions Questionnaire (CPQ8-10) was used to evaluate OHRQoL, and the analysis of item levels was performed on CPQ8-10 domains. Anterior occlusal characteristics were diagnosed according to the Dental Aesthetic Index criteria. Individual analyses were performed relating the outcome as independent variables. The variables with P &lt; .20 in the individual analyses were tested in multiple logistic regression models, and those with P &lt; .10 remained in the model. The adjusted odds ratio (OR) was estimated with a 95% confidence interval (CI). Results No associations were found with regard to anterior occlusal characteristics (P &lt; .001) after the variables of the previous determinants were adjusted for multivariate analysis. However, the following variables were significantly associated with negative impact on OHRQoL item levels: sex, in oral symptoms (OR = 1.42; CI, 1.07–1.89) and emotional well-being (OR = 1.34; CI, 1.00–1.79); race, in oral symptoms (OR = 1.48; CI, 1.10–1.98), emotional well-being (OR = 1.54; CI, 1.14–2.06), and social well-being (OR = 1.34; CI, 1.00–1.80); and family income in functional limitation (OR = 1.46; CI, 1.06–2.02), emotional well-being (OR = 1.71; CI, 1.21–2.42), and social well-being (OR = 1.59; CI, 1.14–2.21). Conclusions Anterior occlusal conditions did not affect the levels of OHRQoL items.


Medicina ◽  
2019 ◽  
Vol 55 (11) ◽  
pp. 722
Author(s):  
Najjar ◽  
Nasim ◽  
Al-Nasser ◽  
Masuadi

Background and Objectives: Oral diseases are known to negatively impact physical, functional, and emotional well-being, and thus adversely affect quality of life. The aims of the study were (1) to assess the oral health-related quality of life (OHRQoL) and (2) to explore socio-demographic, -economic, and -environmental factors that are associated with OHRQoL among a sample of children aged 11–14 in Saudi Arabia. Materials and Methods: A cross-sectional design was used. The Child Perceptions Questionnaire (CPQ)—a self-administered, validated, and standardized questionnaire was used to collect data on OHRQoL in four domains: oral symptoms, functional limitations, and emotional and social well-being. In addition, data were collected on home environment, socioeconomic/demographic characteristics, and oral hygiene practices of participants and their parents or adult guardians. Univariate descriptive statistics, Spearman’s correlation, and Kruskal–Wallis H and Mann–Whitney tests were used. Data were analyzed using SPSS 23 Software. Significance was set at α = 0.05. Results: In total, 534 children participated in the study (91% response rate), of which 60% were females. Twenty percent of children described their oral health as “poor” and one in every four children reported that their oral health had at least some effect on their overall well-being. Children who were male, attending public schools, and living with both parents were more likely to report poor OHRQoL. Conclusions: A considerable proportion of children aged 11–14 could discern that their oral health had some effect on their overall well-being. The results identified potential predictors of OHRQoL. Disparities in OHRQoL exist among certain sub-populations. Active efforts and local interventions are necessary to improve OHRQoL.


Author(s):  
Anju Khapung ◽  
G. Nagaraja Rao ◽  
Sujita Shrestha ◽  
Bhageshwar Dhami

Background: In elderly, poor oral health in the form of tooth loss, dental caries, periodontal disease and oral cancer affects physical and psychological aspect of life. Health is not only absence of disease but also psychological and social well-being. Thus, the assessment of disease by clinical examination as well as measurement of psychosocial impacts associated with disease are equally important. Aim: To find the association between periodontal status and oral health-related quality of life among elderly attending Kantipur Dental College. Materials and Methods: A cross-sectional study was carried out among 184 elderly patients attending Kantipur Dental College by convenient sampling method. Oral health-related quality of life was assessed by GOHAI. Periodontal status was assessed by using CPI modified and Loss of attachment. Data was analysed with SPSS version 20. Results: Among 184 total participants (74 men, 110 women), the mean GOHAI score was 46.59+8.70. Of the total, 13% had high GOHAI score whereas 27% had moderate and 60% had low GOHAI score. Periodontal status of elderly population was found to be significantly associated with oral health-related quality of life (p<0.05). Conclusion: The findings of this study suggest a need to improve oral health care and knowledge for elderly group through preventive and curative public health measures.  


2017 ◽  
Vol 28 (1) ◽  
pp. 113-120 ◽  
Author(s):  
Paulo Roberto Grafitti Colussi ◽  
Fernando Neves Hugo ◽  
Francisco Wilker Mustafa Gomes Muniz ◽  
Cassiano Kuchenbecker Rösing

Abstract This study aimed to assess the impact of oral health on the quality of life of adolescents. A cross-sectional study was performed with students from public and private schools from Passo Fundo, Brazil. All students were aged between 15 and 19 years old. The proportional random sample consisted of 736 adolescents from 20 schools. A structured questionnaire was applied, and an oral examination was performed, counting the number of teeth. Oral health-related quality of life was assessed by OHIP-14. Associations between quality of life and associated factors were analyzed. The mean OHIP-14 score was 7.25. Age, ethnicity and studying in a public school were associated to the OHIP-14 score. Tooth loss (p=0.79) was not associated with quality of life. Additionally, questions related to appearance, such as whether teeth appearance bothers the adolescent (p=0.68) were not associated with quality of life. Attending a public school (OR=1.63; CI95%: 0.98-2.70) and self-reported halitosis (OR=1.48; CI95%: 1.01-2.16) were strongly associated to higher impact on quality of life. It was concluded that socioeconomic conditions and halitosis were associated to higher impact on quality of life of adolescents


2021 ◽  
Vol 6 (2) ◽  
pp. 208-218
Author(s):  
Onyinye O. Umeh ◽  
Adaku L. Ben Okoye ◽  
Ikenna G. Isiekwe ◽  
Oluwatosin O. Sanu ◽  
Ifeoma L. Utomi ◽  
...  

Objective: To investigate the impact of malocclusion on the Oral Health Related Quality of Life (OHRQoL) of school children. Methods: This was a cross-sectional study among four hundred and twenty five (425) 8-10 years school pupils in Lagos Nigeria. Malocclusion was assessed using the Dental Aesthetic Index while OHRQoL was assessed using the Child Perception Questionnaire (CPQ 8-10). Data entry and analyses was done with SPSS Version 23.0. Data were subjected to descriptive statistical analysis and Chi-square test and one-way ANOVA were used for comparison between variables. Level of significance was set at 0.05. Results: Gender distribution of the study population was; 48.8% (208) males and 51.2% (217) females. The mean age of the participants was 9.23±0.83 and their median age was 9 years. The prevalence of malocclusion according to DAI was 25.9%. Over 70% of the children were found to have no/ or slight need for orthodontic treatment (DAI score < 25), elective treatment was needed in 19.1% of subjects (DAI score 25-30), while in 6.8% of the surveyed population; treatment was highly desirable/mandatory. The differences in the prevalence of malocclusion among the different age groups was observed to be statistically significant (P = 0.038). The overall mean CPQ 8-10 was 19.51±17.1. There was no statistically significant difference in mean CPQ scores between gender (P=0.565), age (P=0.524) and severity of malocclusion (P=0.296) Conclusion: The prevalence of malocclusion in this study was 25.9% with an overall mean CPQ of 19.51±17.1. Higher mean CPQ values were observed with females, older age group and subjects with DAI 31- 35; however, it was not statistically significant.


Author(s):  
Apolinaras Zaborskis ◽  
Aistė Kavaliauskienė ◽  
Antanas Šidlauskas

Background: The social inequalities in oral health have had increasing attention in recent years. The present study aimed to explore the impact of family affluence on Oral Health-Related Quality of Life (OHRQoL) among Lithuanian adolescents aged 11–18 years. Methods: The cross-sectional, population-based study included a representative sample of 881 adolescents aged 11–18 years (mean = 15.55; SD = 1.51) randomly selected from 20 schools in Lithuania. The schoolchildren completed questionnaires to evaluate their OHRQoL using a Lithuanian version of the Child Perceptions Questionnaire (CPQ). The adolescents’ family affluence was indirectly assessed by inquiring whether they possessed various modern life items. In dental examination, the severity of malocclusion was predetermined by the Index of Complexity, Outcome, and Need (ICON). The relationship among variables was examined employing the negative binomial regression and the path analysis. Results: The sum score of CPQ as a whole and the sum scores of all four domains were significantly associated with family affluence, indicating higher OHRQoL among adolescents from more affluent families. The severity of malocclusion had a significant association with emotional and social well-being domains of OHRQoL only. Conclusion: This study evidences the family affluence based inequality in OHRQoL among Lithuanian adolescents.


2002 ◽  
Vol 81 (7) ◽  
pp. 459-463 ◽  
Author(s):  
A. Jokovic ◽  
D. Locker ◽  
M. Stephens ◽  
D. Kenny ◽  
B. Tompson ◽  
...  

Oral-health-related quality of life measures that exist are designed for adults. This study aimed to develop and evaluate the CPQ11-14, a self-report measure of the impact of oral and oro-facial conditions on 11- to 14-year-old children. An item pool was generated with the use of a literature review and interviews with health professionals, parents, and child patients. The 36 items rated the most frequent and bothersome by 83 children were selected for the CPQ11-14. Validity testing involved a new sample of 123 children. Test-retest reliability was assessed in a subgroup of these children (n = 65). Mean CPQ11-14 scores were highest for oro-facial (31.4), lower for orthodontic (24.3), and lowest for pedodontic (23.3) patients. There were significant associations between the CPQ11-14 score and global ratings of oral health (p < 0.05) and overall well-being (p < 0.01). The Cronbach's alpha and intraclass correlation coefficient for the CPQ11-14 were 0.91 and 0.90, respectively. These results suggest that the CPQ11-14 is valid and reliable.


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