Dental caries experience was the only normative criteria with a negative impact on OHRQoL. Families with low income and younger parents reported a greater impact on quality of life. According to parents' perceptions, a poor general health status rating was related to poorer quality of life among the children.
The presence of TDI in Brazilian preschool children has no impact on quality of life of the children or their families. However, tooth avulsion is associated with a negative impact on OHRQoL in both groups, and tooth discolouration is associated with a negative impact on family OHRQoL.
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.
IntroduçãoOs dados dos censos demográficos do ibge mostram que o Brasil está passando por uma grande transformação na sua moldura de filiações religiosas. A aceleração das mudanças econômicas, sociais e demográficas, passando de uma conformação rural--agrária para uma configuração urbano-industrial, provocou descontinuidades entre uma época marcada pelo baixo ritmo de mudança e uma nova era, de ritmo acelerado, em que o tempo e o espaço são mutáveis e constantemente desestabelecidos. Na segunda modernidade, como mostrou Giddens (1991), a reflexividade passa a ser uma característica fundamental das ações humanas, havendo diferentes "mecanismos de desencaixe" que deslocam as relações sociais dos seus contextos locais de interação. A ordem social tradicional tem sofrido sucessivos abalos e liberado forças reprimidas e concentradas que explodem em novas formas de relacionamento, gerando uma dinâmica de ondas consecutivas de mudanças e inovações que se difundem pelo território nacional, em diferentes ritmos, às vezes superpostas, mas ainda sem encontrar uma nova acomodação. As novas gerações vivem em um mundo diferente daquele dos seus antepassados e são mais sucetíveis à migração religiosa, às novas formas de pertencimento e às diferentes experiências religiosas, não necessariamente institucionalizadas.
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