scholarly journals Malocclusion and oral health-related quality of life in Brazilian school children

2012 ◽  
Vol 83 (1) ◽  
pp. 83-89 ◽  
Author(s):  
Fernanda Sardenberg ◽  
Milene T. Martins ◽  
Cristiane B. Bendo ◽  
Isabela A. Pordeus ◽  
Saul M. Paiva ◽  
...  

Abstract Objective: To test the hypothesis that malocclusion and its impact on quality of life has no effect on 8- to 10-year-old Brazilian schoolchildren as measured by an oral health-related quality of life (OHRQoL) instrument. Materials and Methods: A cross-sectional study was carried out with a population-based sample of 1204 8- to 10-year-old children attending elementary schools in Belo Horizonte, Brazil. Dental examinations were carried out by two calibrated examiners. OHRQoL was assessed using the Brazilian version of the Child Perceptions Questionnaire. The Dental Aesthetic Index was used for the clinical assessment of malocclusion. Dental caries and socioeconomic factors were used as controlling variables. Bivariate analysis involved the chi-square test and the Fisher exact test. A Poisson regression model was employed for the multivariate analysis (P < .05). Results: Anterior segment spacing and anterior mandibular overjet were significantly associated with impact on OHRQoL (P < .05). Schoolchildren with malocclusion were 1.30-fold (95% CI: 1.15–1.46; P < 0.001) more likely to experience a negative impact on OHRQoL than those without malocclusion. Children belonging to families with an income less than or equal to two times the minimum wage were 1.59-fold (95% CI: 1.35–1.88; P < 0.001) more likely to experience a negative impact on OHRQoL than those belonging to families with the highest income. Conclusions: Schoolchildren with malocclusion from lower-income families experience a greater negative impact on OHRQoL.

2014 ◽  
Vol 85 (6) ◽  
pp. 986-991 ◽  
Author(s):  
Mu Chen ◽  
Zhi-Cai Feng ◽  
Xue Liu ◽  
Zheng-Ming Li ◽  
Bin Cai ◽  
...  

ABSTRACT Objective:  To assess oral health–related quality of life (OHRQoL) in young adult patients with malocclusion and to measure the association between orthodontic treatment need and OHRQoL. Materials and Methods:  The study sample comprised 190 young adults aged 18 to 25 years who were attending orthodontic clinics at the Faculty of Dentistry. The Index of Orthodontic Treatment Need-Dental Health Component was used to measure orthodontic treatment need. Each participant was assessed for OHRQoL before and after treatment by using the Oral Health Impact Profile, Chinese version (OHIP-14). Results:  Patients who had little or no, borderline, and actual need for orthodontic treatment represented 21.6%, 50.5%, and 27.9% of the total sample, respectively. OHRQoL (total OHIP-14 score and score for each domain) improved after treatment (P < .05). Significant differences in summary OHIP-14 scores were apparent with respect to orthodontic treatment need. Participants with high treatment need reported a significantly greater negative impact on the overall OHRQoL score. The greatest impact was seen in the psychological discomfort domain and the psychological disability domain. Conclusion:  Malocclusion has a significant negative impact on OHRQoL. This is greatest for the psychological discomfort and psychological disability domains. The orthodontic treatment of malocclusion improves OHRQoL of patients.


2018 ◽  
Vol 52 (6) ◽  
pp. 570-579 ◽  
Author(s):  
Ana Flávia Granville-Garcia ◽  
Monalisa Cesarino Gomes ◽  
Matheus França Perazzo ◽  
Carolina Castro Martins ◽  
Mauro Henrique Nogueira Guimarães Abreu ◽  
...  

The aim of the present study was to evaluate the influence of the severity/activity of dental caries as well as sense of coherence (SOC) and locus of control (LOC) on oral health-related quality of life (OHRQoL) among 5-year-old children. A cross-sectional study was conducted involving 769 children at schools in a city in northeast Brazil. Parents/caregivers answered validated questionnaires addressing SOC and LOC. The children and parents/caregivers answered their respective modules of the Brazilian version of the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5). Data were also collected on sociodemographic characteristics, visits to the dentist, and the occurrence of toothache. Clinical examinations were performed by 2 trained examiners. A directed acyclic graph was used to select covariates for statistical adjustment, and logistic regression for complex samples was used to test associations between the dependent and independent variables (α = 5%). For parents/caregivers, the variables associated with a negative impact on OHRQoL were the occurrence of toothache (odds ratio, OR: 10.53; 95% confidence interval, CI: 6.34–17.51; p < 0.001) and a low SOC (OR: 2.17; 95% CI: 1.37–3.43; p = 0.001). According to the children’s perceptions, the following variables were associated with a negative impact on OHRQoL: toothache (OR: 3.58; 95% CI: 2.30–5.55; p < 0.001), caries activity (OR: 1.97; 95% CI: 1.07–3.62; p = 0.028), and traumatic dental injury (OR: 1.71; 95% CI: 1.15–2.53; p = 0.007). Among parents/caregivers, a low SOC led to poorer OHRQoL. For the children, however, neither psychological aspect affected OHRQoL. In the perception of both the parents/caregivers and children, toothache was the oral condition that exerted a negative impact on OHRQoL.


2017 ◽  
Vol 65 (4) ◽  
pp. 326-334
Author(s):  
Gustavo TELLO ◽  
Luciana Butini OLIVEIRA ◽  
Christiana MURAKAMI ◽  
Gabriela Cunha BONINI ◽  
Jenny ABANTO ◽  
...  

ABSTRACT Objective: The aim of this study was to investigate the impact of erosive tooth wear on the Oral Health-Related Quality of life (OHRQoL) of preschool children. Methods: Dental examinations were conducted on 815 children aged 3-4 years during the Children’s Vaccination National Day when their parents were also invited to answer the Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS). ETW prevalence and severity were measured using a modified version of the O’Brien index (1994). Data collected included socioeconomic factors and child's variables. OHRQoL was measured through B-ECOHIS domains and total score. Poisson regression was used to associate ETW to the outcome and this association was adjusted for dental caries and dental trauma. Results: The proportion of children who had at least 1 ETW tooth was 51.2%. Most erosive lesions were confined to enamel (42.7%). The multivariate adjusted model showed that child's age (children aged 4year-old) was associated to a negative impact on the symptom domain (RR=1.70; p=0.010), functional limitation domain (RR=1.85; p=0.005) and total B-ECOHIS score (RR= 1.63; p=0.006). Families with 2 or more children in the house have a negative impact on the self-image/social interaction domain (RR=5.41; p=0.043). ETW was not associated to total B-ECOHIS scores (RR= 0.79; p=0.163) and individual domains. Conclusion: Erosive tooth wear does not affect the OHRQoL in this sample of preschool children.


Author(s):  
Lucas Michaelis ◽  
Markus Ebel ◽  
Katrin Bekes ◽  
Christian Klode ◽  
Christian Hirsch

Abstract Objectives This study was aimed to compare the impact of caries and molar incisor hypomineralization (MIH) on oral health-related quality of life (OHRQoL) in children. Material and methods A total of 528 German children aged 7 to 10 years were recruited, half affected by caries and the other half affected by MIH. Both groups were matched according to age, sex, and social status and divided into 3 categories according to severity. The German version of the Child Perceptions Questionnaire for 8- to 10 years old (CPQ-G8-10) was used to analyze the impact on OHRQoL by applying ANOVA models. Results Patients with MIH showed a mean CPQ score of 10.7 (± 9.3). This was significantly higher compared to the caries group with 8.1 (± 9.8). The score increased linearly from the low severity category to the high severity category in both groups (caries, 4.1 to 13.8; MIH, 5.2 to 17.7, respectively). Conclusion With increasing severity, both clinical conditions showed a greater negative impact on OHRQoL. MIH was associated with more impairments. Clinical relevance Currently, the focus in pediatric dentistry is placed on the prevention and treatment of caries. Both diseases may have a negative influence on OHRQoL. Since children perceive the impairments by MIH as worse and the prevalence is equal to that of caries, which focus might be shifted in the future.


2015 ◽  
Vol 6 (3) ◽  
pp. 123-128
Author(s):  
Roosevelt S Bastos ◽  
TRL Galitesi ◽  
D Foger ◽  
SRM Velasco ◽  
LA Esper ◽  
...  

ABSTRACT Background Dental caries is a chronic disease caused by a set of biological and social factors. The aim of this study was to conduct a study of dental caries and oral health related quality of life (QoL) in Brazilian patients with cleft lip and palate. Materials and methods A cross-sectional study was conducted with cleft lip and palate patients with 12 years of age. Participants were examined for dental caries decayed, missing and filled teeth-World Health Organization (DMFT-WHO criteria). The dental impact on daily living (DIDL) instrument was used to collect data of oral health-related QoL. The Mann- Whitney test was used to present the differences between gender and the Spearman correlation was used with DIDL and DMFT. Results The 30 (30%) of the 50 children with cleft lip and palate were caries-free, and the DMFT was 1.70 (1.62), with 53.91% for the care index. The dimensions 'speak’ (34%) and ‘Hygiene’ (46%) represented the largest negative impact on QoL. The DIDL instrument correlated only among the missing component and dimensions 'stress’ (r = 0.35, p < 0.01) and 'study’ (r = 0.52, p < 0.01). Conclusion The presence of cleft lip and palate in subjects 12 years of age had a negative impact on QoL and this impact was also significant for tooth loss caused by dental caries. How to cite this article Galitesi TRL, Foger D, Velasco SRM, Esper LA, Honório HM, Almeida ALPF, Soares S, Carrara C Oliveira TM, Bastos JRM, Machado MAAM, Bastos RS. Dental Caries and Oral Health-related Quality of Life in Cleft Lip and Palate Patients: A Pilot Study. World J Dent 2015;6(3):123-128.


2021 ◽  
Author(s):  
Katarzyna Skośkiewicz-Malinowska ◽  
Urszula Kaczmarek ◽  
Barbara Malicka

Abstract BackgroundThe process of human body ageing is an inevitable phenomenon affecting all organs. Hence, the concept of Oral Health-Related Quality of Life (OHRQoL) was introduced, based on the definition of health developed by WHO. The study aimed to evaluate the impact of selected oral health parameters on oral health-related quality of life in elderly residents of South-West Poland.MethodsThe study involved 500 participants who were the citizens of South-West Poland aged 65 and more. There was an oral examination performed, including the assessment of coronal and root caries, periodontal disease, dental prosthetic status and xerostomia. The impact of oral health-related quality of life was measured using the Oral Health Impact Profile-14 (OHIP-14). Furthermore, socio-demographic questionnaires were obtained from participants. Logistic bivariate and multivariate regression analyses of dependent variables and independent variables were carried out as part of the study. ResultsThe mean value of DMFT was 27.5 ± 5.0. A higher number of DMF and extracted teeth resulted in increased values in all seven domains and exhibited a significant negative impact on the quality of life. Moreover, it enabled predicting values in individual domains of the OHIP-14 scale.ConclusionsThe number of missing teeth and teeth with caries constituted the predictors of poorer Oral Health-Related Quality of Life in all domains of the OHIP-14 scale. The impact of gingival bleeding on the quality of life was demonstrated. There was a decrease in the oral health-related quality of life in single individuals with several comorbidities and medications taken.


2013 ◽  
Vol 24 (6) ◽  
pp. 655-661 ◽  
Author(s):  
Anita Cruz Carvalho ◽  
Saul Martins Paiva ◽  
Claudia Marina Viegas ◽  
Ana Carolina Scarpelli ◽  
Fernanda Morais Ferreira ◽  
...  

The purpose of the present study was to evaluate the impact of malocclusion on Oral Health-Related Quality of Life (OHRQoL) of children and their families. A population-based cross-sectional study was carried out in Belo Horizonte, MG, Brazil. A representative sample of 1069 male and female preschoolers aged 60 to 71 months was randomly selected from public and private preschools and daycare centers. Data were collected using the B-ECOHIS. In addition, a questionnaire addressing socioeconomic and demographic data was self-administered by the parents/guardians. The criteria used to diagnose malocclusion were based on Foster and Hamilton (1969), Graboswki et al. (2007) and Oliveira et al. (2008). Descriptive, univariate and multiple Poison logistic regression analyses were carried out. The prevalence of malocclusion was observed in 46.2% of the children and deep overbite was the most prevalent type of malocclusion (19.7%), followed by posterior crossbite (13.1%), accentuated overjet (10.5%), anterior open bite (7.9%) and anterior crossbite (6.7%). The impact of malocclusion on OHRQoL was 32.7% among the children and 27.1% among the families. In Poisson multiple regression model adjusted for socioeconomic status, no significant association was found between malocclusion and OHRQoL of the children (PR=1.09, 95% CI: 0.96-1.24) and their families (PR=1.11, 95% CI: 0.94-1.31). It is concluded that children with malocclusion in this sample did not have a negative impact on their OHRQoL and of their families.


2016 ◽  
Vol 64 (3) ◽  
pp. 256-262 ◽  
Author(s):  
Fernanda Ruffo ORTIZ ◽  
Yassmín Hêllwaht RAMADAN ◽  
Rubén Alberto BAYARDO GONZÁLEZ ◽  
Thiago Machado ARDENGHI

ABSTRACT Objective: The aim of this study was to assess the impact of socioeconomic factors and clinical conditions on the child oral health-related quality of life (COHRQoL) of preschool children. Methods: A cross-sectional study was conducted with a representative sample of 547 children of 0-5-years-old from Santa Maria, RS, Brazil, in 2013. Data were collect in the National Children's Vaccination Day Program by calibrated dentists. Clinical examinations assessed the prevalence of dental caries and dental trauma. Information about children's socioeconomic status was collected through a structured questionnaire answered by parents/caregivers. The COHRQoL was measured using the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). Multivariable Poisson regression models were performed to assess the association between clinical conditions, socioeconomic status and COHRQoL. Results: The prevalence of dental caries and dental trauma were 16.42 % and 22.49%, respectively. Higher means of the ECOHIS were found in older children, those with toothache and those whose mother had lower level of formal education. The clinical conditions that have been associated with negative impact on oral health related quality of life were experience caries (RR 4.12; 95% CI 3.10-5.46) and dental trauma (RR 1.37; 95% CI 1.01-1.86). Conclusion: Poor socioeconomic and clinical conditions had a negative impact on the COHRQoL, indicating the need of preventive strategies and policies aiming at improving the quality of life of this sample.


2018 ◽  
Vol 12 (01) ◽  
pp. 129-135 ◽  
Author(s):  
Kazem Dalaie ◽  
Mohammad Behnaz ◽  
Zahra Khodabakhshi ◽  
Sepanta Hosseinpour

ABSTRACT Objective: This study aimed to assess the relationship between malocclusion severity and oral health-related quality of life (QoL) of 18 to 25-year-old Iranians who sought orthodontic treatment. Materials and Methods: A total of 126 patients between 18 and 25 years attending some private orthodontic clinics answered the oral health impact profile-14 (OHIP-14) and a demographic questionnaire. Two calibrated orthodontists recorded the Index of Orthodontic Treatment Need-Dental Health Component (IOTN-DHC) determining the severity of malocclusion (Kappa = 0.8). The IOTN-Aesthetic Component (IOTN-AC) was reported by patients for assessing the perception of their esthetic severity of malocclusion. Logistic regression analysis was used. Level of significance was set at ⍺ = 0.05. Results: The mean score of OHIP-14 was 20.87 ± 8.6. The frequency of patients with no/slight, borderline, and definite need for orthodontic treatment was determined as 13.4%, 23.8%, and 62.7%, respectively, by IOTN-DHC. There were significant correlations between borderline or definite need treatment and OHIP-14 overall score (P < 0.05). Patients with borderline and definite need for orthodontic treatment had 5 and 21 times lower QoL, respectively, than those with a slight need for orthodontic treatment. Based on IOTN-AC, 50.8% of the patients mentioned slight or no need based on IOTN-AC. No significant association was noted between IOTN-AC and OHIP-14 overall scores. Conclusions: The results showed negative impact of malocclusion severity on the QoL. This study highlighted the importance of individual assessment of orthodontic patients.


Author(s):  
Marcel Hanisch ◽  
Sonja Sielker ◽  
Susanne Jung ◽  
Johannes Kleinheinz ◽  
Lauren Bohner

Background: Ectodermal dysplasia describes a heterogeneous group of hereditary, congenital malformations involving developmental dystrophies of ectodermal structures. The aim of this study was to analyse the oral health-related quality of life (OHRQoL) in people with ectodermal dysplasia and to evaluate the influence of different variables. Methods: The study was designed as an anonymous epidemiological survey study among people with ectodermal dysplasia to evaluate oral symptoms, satisfaction with the health system and their respective OHRQoL using the validated German version of the OHIP-14 (Oral Health Impact Profile) questionnaire. Results: When asked about oral symptoms, 110 of the participants provided responses, of which 109 (99.09%) described oral symptoms. The average age of the female participants at the time of diagnosis was 17.02 years (range: 0 to 48 years), the average age of men was 5.19 years (range: 0 to 43 years). The average OHIP-14 overall score for female participants was 12.23 points (SD: 12.39), for male participants an average OHIP score of 11.79 points was recorded (SD: 11.08 points). Difficulty in finding a dentist (p = 0.001), and the dissatisfaction with the health system (p = 0.007) showed a negative impact on the OHRQoL. Conclusion: People with ectodermal dysplasia rate their OHRQoL worse than is usually prevalent in the normal German population (4.09 points); women are diagnosed with “ectodermal dysplasia” later than men. Participants who reported difficulties in finding a dentist for treatment exhibited higher OHIP values. Likewise, dissatisfaction with the health system demonstrated a negative impact on the oral health-related quality of life.


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