Correlation between oral health-related quality of life and orthodontic treatment need in children and adolescents—a prospective interdisciplinary multicentre cohort study

Kunz, Felix; Platte, Petra; Keß, Stefan; Geim, Laura; Zeman, Florian; Proff, Peter; Hirschfelder, Ursula; Stellzig‐Eisenhauer, Angelika

doi:10.1007/s00056-018-0142-4

Cited by 23 publications

(30 citation statements)

References 35 publications

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“…It was demonstrated that adolescents without concerning with teeth alignment presented 58% lower PR of being in the groups with high impact of OHRQoL than adolescent with such concern. This has been a common finding in other study of OHRQoL with adolescents 6 . Among the main implications of malocclusions on quality of life, discomfort in social interactions and problems with self-esteem have been highlighted 28 .…”

Section: Resultssupporting

confidence: 80%

“…The presence of caries lesions has been responsible for representing a negative experience regarding quality of life, and it is estimated that the more severe caries lesions, the higher will be the reflection on quality of life in children and adolescents 5 . Regarding malocclusion, it is currently demonstrated that the misaligned teeth and the need for orthodontic correction of the jaws are able to significantly influence quality of life 6 . It is still possible to indicate that this Oral Health-Related Quality of Life and Associated Factors in Institutionalized Adolescents relation turns more intense with increasing age, suggesting that in adolescents this association is more pronounced 6 .…”

Section: Introductionmentioning

confidence: 99%

“…Regarding malocclusion, it is currently demonstrated that the misaligned teeth and the need for orthodontic correction of the jaws are able to significantly influence quality of life 6 . It is still possible to indicate that this Oral Health-Related Quality of Life and Associated Factors in Institutionalized Adolescents relation turns more intense with increasing age, suggesting that in adolescents this association is more pronounced 6 .…”

Section: Introductionmentioning

confidence: 99%

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Oral health-related quality of life and associated factors in institutionalized adolescents: a census study

et al. 2020

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This study aimed to associate oral health-related quality of life (OHRQoL) and related factors in adolescents deprived of freedom. In this cross-sectional observational study, sixty-eight male adolescents deprived of freedom (from the Socio-Educational Assistance Centers from Passo Fundo, Brazil) were included. The sample was dichotomized into those with lower impact (sum scores <16) and higher impact (sum score ≥16) on OHRQoL. Sociodemographic characteristics, medical and dental histories, and a structured questionnaire about dental perception were collected. Clinical examination was performed by using the Decayed, Missing, Filled Index. Associations between the outcome and independent variables were analyzed by uni- and multivariate Poisson regression with robust variation. Overall, a mean score OHIP-14 was 13.15±11.17. In the multivariate analysis, former smokers and current smokers presented a significant higher prevalence ratio (PR) of higher OHIP-14 scores than nonsmokers (PR= 4.70; 95%CI: 1.21–18.22 and 4.83; 95%CI:1.25–18.58, respectively). Additionally, to every decayed tooth, a significant increase in the PR of having higher OHIP-14 was 28% (PR=1.28 – 95%CI: 1.11–1.47). Conversely, adolescents that were not concerned about teeth alignment presented a significantly lower PR of being in the higher impact of OHRQoL (PR=0.42 – 95%CI: 0.19–0.93). Adolescents deprived of freedom present a high impact on OHRQoL. The number of decayed teeth and smoking exposure were associated with higher impact on OHRQoL. However, absence of teeth alignment concern was associated with lower impact on OHRQoL. Keywords: Quality of Life. Adolescent. Institutionalized. Psychometrics. Adolescent Health Services. Resumo Esse estudo objetivou associar a qualidade de vida associada a saúde bucal (QVASB) e fatores relacionados em adolescentes privados de liberdade. Sessenta e oito adolescentes privados de liberdade foram incluídos. QVASB foi avaliada pelo Oral Health Impact Profile-14. A amostra foi dicotomizada em baixo impacto (soma de escores <16) e alto impacto (soma de escores ≥16) na QVASB. Características sociodemográficas, histórico médico e odontológico e um questionário estruturado sobre percepção dental foram coletados. Exame clínico foi realizado utilizando-se o Índice de dentes cariados, perdidos e obturados. Associações entre o desfecho e as variáveis independentes foram analisadas por regressão uni e multivariada de Poisson com variância robusta. Em toda a amostra, a média de escores do OHIP-14 foi de 13,15±11,17. Na análise multivariada, ex-fumantes e fumantes apresentaram significativa maior razão de prevalência (RP) de apresentarem maiores escores do OHIP-14 do que os não fumantes (RP=4,70; IC95%: 1,21 – 18,22 e 4,83; IC95%: 1,25 – 18,58, respectivamente). Além disso, para cada dente cariado, houve aumento significativo de 28% RP de ter maiores escores de OHIP-14 (RP=1,28 – IC95%: 1,11 – 1,47). Por outro lado, adolescentes que não se preocupam com o alinhamento dos seus dentes apresentaram significativo melhor RP de terem maior impacto na QVASB (RP=0,42 – IC95%: 0,19 – 0,93). Adolescentes privados de liberdade apresentaram alto impacto na QVASB. O número de dentes cariados e exposição ao fumo estiveram associados com alto impacto na QVASB. Entretanto, a ausência de preocupação com o alinhamento esteve associada com menor impacto na QVASB. Palavras-chave: Qualidade de Vida. Adolescente Institucionalizado. Psychometria. Serviços de Saúde do Adolescente.

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Section: Resultssupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Oral health-related quality of life and associated factors in institutionalized adolescents: a census study

et al. 2020

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“…Therefore, addressing unmet dental needs is important in terms of public health. Unmet dental needs affect the dental health-associated quality of life in adolescents [74]. Improving dental healthcare services and meeting dental healthcare needs can therefore promote overall quality of life in adolescents; nevertheless, given the high expenditures required for dental healthcare, policy-makers are recommended to more effectively provide households with the financial support they need for this highly expensive care.…”

Section: Discussionmentioning

confidence: 99%

The global prevalence of dental healthcare needs and unmet dental needs among adolescents: a systematic review and meta-analysis

et al. 2019

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OBJECTIVESAccess to dental healthcare services is a major determinant of dental health in communities. This meta-analysis was conducted to estimate the global prevalence of dental needs and of unmet dental needs in adolescents.METHODSPubMed, Web of Science, and Scopus were searched in June 2018. The summary measures included the prevalence of met and unmet dental needs. A meta-analysis was performed using the inverse variance method to obtain pooled summary measures. Out of 41,661 retrieved articles, 57 were ultimately included.RESULTSThe pooled prevalence of orthodontic treatment needs was 46.0% (95% confidence interval [CI], 38.0 to 53.0), that of general treatment needs was 59.0% (95% CI, 42.0 to 75.0), that of periodontal treatment needs was 71.0% (95% CI, 46.0 to 96.0), and that of malocclusion treatment needs was 39.0% (95% CI, 28.0 to 50.0). The pooled prevalence of unmet dental needs was 34.0% (95% CI, 27.0 to 40.0).CONCLUSIONSThe highest and lowest prevalence of unmet dental needs were found in Southeast Asia and Europe, respectively. The prevalence of dental needs was higher in the countries of the Americas and Europe than in other World Health Organization (WHO) regions. The prevalence of unmet dental needs was higher in Southeast Asia and Africa than in other WHO regions.

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“…Both, economic and effectiveness aspects can influence the decision making, but mostly important, this decision have to consider the patient's needs, because dental restorative care and its long-term effects are directly related to children's OHRQoL (11,75,76,98,99). It is known that restorative treatment can impact on children's OHRQoL (27,77,100,101), although we can expect such type of effect for adhesive restorations, few studies have tested this hypothesis systematically (102).…”

Section: Chapter IIImentioning

confidence: 99%

Comportamento clínico das restaurações adesivas em dentes decíduos anteriores e seu impacto em aspectos econômicos e na qualidade de vida relacionada a saúde bucal das crianças

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Correlation between oral health-related quality of life and orthodontic treatment need in children and adolescents—a prospective interdisciplinary multicentre cohort study

Abstract: Objective orthodontic treatment need significantly influences OHRQoL in children and adolescents. Further studies are required to investigate if OHRQoL may be improved by correcting misaligned teeth and jaws.

Cited by 23 publications

References 35 publications

Oral health-related quality of life and associated factors in institutionalized adolescents: a census study

Oral health-related quality of life and associated factors in institutionalized adolescents: a census study

The global prevalence of dental healthcare needs and unmet dental needs among adolescents: a systematic review and meta-analysis

Comportamento clínico das restaurações adesivas em dentes decíduos anteriores e seu impacto em aspectos econômicos e na qualidade de vida relacionada a saúde bucal das crianças

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