Relationships of Dental Caries and Malocclusion with Oral Health-Related Quality of Life in Lithuanian Adolescents Aged 15 to 18 Years: A Cross-Sectional Study

Kavaliauskienė, Aistė; Šidlauskas, Antanas; Žemaitienė, Miglė; Slabšinskienė, Eglė; Zaborskis, Apolinaras

doi:10.3390/ijerph17114072

Cited by 8 publications

(9 citation statements)

References 70 publications

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“…Testing has shown that it has no significant relationship with dental fear scores. Our previous study found that malocclusion, as well as caries experience, negatively affects OHRQoL [59]. The results of the present study show that a worse level of OHRQoL is associated with higher dental fear scores.…”

Section: Discussionsupporting

confidence: 55%

Dental Fear and Associated Factors among Children and Adolescents: A School-Based Study in Lithuania

Slabšinskienė

Kavaliauskienė

Žemaitienė

et al. 2021

IJERPH

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Dental fear is a challenging problem in dentistry and many contributing factors have been identified. Although this problem among children and adolescents has been studied in the literature for a long time, few such studies have been conducted in Lithuania. This study aimed to evaluate the prevalence of dental fear and examine its association with gender, age and several psychological and social factors among children and adolescents in Lithuania. The cross-sectional survey included a randomly selected sample (n = 1590) of children aged 11–14 and adolescents aged 15–18. The data were supplemented by interviewing the parents of these subjects (n = 1399). Dental fear was measured with a single five-score question. The data collection also included questions on oral health, socioeconomic status, oral health-related quality of life and self-esteem. Poisson regression analysis was used to assess the association between perception of dental fear and potential predictor variables. It was found that 32.2% (95% CI: 29.9–34.4%) of children and adolescents reported no fear of dental treatment, 12.5% (10.8–14.2%) of their peers were highly afraid of dental treatment, and other subjects assessed their dental fear gradually. Girls reported greater dental fear scores than boys, but the level of dental fear did not depend on the age. We identified the groups of subjects by gender and age, and a higher level of dental fear was significantly associated with untreated caries experience, a delay in the age of the subject’s first visit to the dentist, low self-esteem, low oral health-related quality of life, low overall life satisfaction and low family affluence. The results also suggested that dental fear could originate from previous toothache, dentists’ actions, high sensitivity in the child and poor psychological readiness for treatment. It was concluded that dental fear among Lithuanian children and adolescents is a common problem that is associated with gender and several dental, psychological and social factors. The findings indicate that school-based health policies, paediatric dentists and parents should be encouraged to focus on the psychosocial factors associated with dental fear because most of them can be prevented.

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Section: Discussionsupporting

confidence: 55%

Dental Fear and Associated Factors among Children and Adolescents: A School-Based Study in Lithuania

Slabšinskienė

Kavaliauskienė

Žemaitienė

et al. 2021

IJERPH

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“…Eight of the studies were conducted in Brazil ( 20 , 36–42 ). Eight studies were conducted in school settings ( 20 , 37–43 ), three studies at schools’ dental or medical offices ( 35 , 44 , 45 ), one study at dental clinics ( 46 ), and one study in the patients’ home environments ( 36 ) ( Table 1 ). The study conducted at dental clinics ( 46 ) was the only one mentioning having access to dental radiographs for malocclusion and caries diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies used the Child Perceptions Questionnaire (CPQ) to assess OHRQoL ( 20 , 35 , 37–39 , 41 , 42 , 44–46 ). Different versions of the CPQ were used: CPQ 11-14-ISF:16 ( 20 , 38 , 39 , 41 , 42 , 44 , 46 ), CPQ 11-14-ISF:8 and RSF:8 ( 35 ), and the original CPQ 11-14 37 item questionnaire ( 37 , 45 ). One study used the Generic and Condition–Specific Child Oral Impact on Daily Performances index (Child-OIDP) ( 43 ), one the Generic OIDP ( 36 ), and one the Oral Health Impact Profile-14 (OHIP-14) ( 40 ) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Malocclusions and quality of life among adolescents: a systematic review and meta-analysis

Göranson

Sonesson

Naimi‐Akbar

et al. 2023

European Journal of Orthodontics

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Summary Background Malocclusions in adolescents might have a negative impact on oral health-related quality of life (OHRQoL). Potential confounding variables (confounders) such as age, gender, caries, and socioeconomic status may skew the real relationship between malocclusions and OHRQoL. Objectives To analyse the effect of malocclusions in adolescents on OHRQoL, when controlled for potential confounders. Search methods Five databases (PubMed, Cochrane Library, Cinahl, Scopus, and Web of Science) were searched up to 15 June 2022. Selection criteria Studies in which OHRQoL in 10–19-year olds with and without malocclusions were compared. Data collection and analysis Screening, data extraction, and quality assessments were performed by four investigators independently. Risk of bias was assessed according to the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) guidelines. To be included, studies had to control for confounders. Certainty of evidence was assessed with GRADE. Results Thirteen cross-sectional studies with low and moderate risk of bias were included in the qualitative synthesis. Four of these were also included in the quantitative synthesis (meta-analysis). The 13 studies in the qualitative synthesis displayed a large variation among the indices used for malocclusion ratings, as well as in instruments measuring OHRQoL. There was moderate quality of evidence that malocclusions have a negative effect on OHRQoL. The four articles included in the quantitative synthesis (meta-analysis) measured malocclusions with DAI and OHRQoL with CPQ 11–14 short form. There was moderate quality of evidence that malocclusions have a negative effect on OHRQoL (RR/PR 1.15, 95% CI 1.12–1.18, 3672 participants). Conclusions There is moderate quality of evidence that malocclusions in adolescents have a negative impact on OHRQoL, after taking relevant confounders into consideration. Future studies should ideally use standardized measures for malocclusion ratings and OHRQoL. Registration PROSPERO. CRD42020186152.

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“…Generic measures can capture the different quality of life elements since they include domains that are not specific to the disease condition [6] and can also represent different knowledge domains for a bothered understanding of oral health's impact on the quality of life conditions [7]. On the other hand, the specific instruments are geared towards particular health conditions that can detect special situations, such as the impact of oral diseases on children and adolescent's quality of life [8][9][10]. Quality of life measures has been widely used as a patient-reported outcome to assess the impact of health conditions on children's daily lives, providing information about the broad consequences of oral health that normative clinical indicators cannot capture [10,11].…”

Section: Introductionmentioning

confidence: 99%

“…The literature highlights the possible impact on dental caries and malocclusions in the OHRQoL study [2,9,10]. However, the health-related quality of life (HRQoL) assessment must be associated with OHRQoL, comparing the results to achieve more elaborate levels of understanding of the individual's health [6,8].…”

Section: Introductionmentioning

confidence: 99%

What Factors are Associated with Health-Related Quality of Life in Mixed Dentition Children?

Fantini

Carneiro

Venezian

et al. 2022

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To associate the OHRQoL and HRQoL in mixed dentition children with the influence on age range, socioeconomic and clinical variables. Material and Methods: A cross-sectional study was carried out with 1,240 children between 6 and 12 years of age. HRQoL was assessed by the Quality of Life Assessment Scale, considered an outcome variable. OHRQoL was determined using specific questionnaires related to the age group: Oral Health Impact Scale in Early Childhood, Child Perceptions Questionnaire for 8 to 10 years, and 11 to 12 years. Dental caries and malocclusion were diagnosed. The socioeconomic class was evaluated. A multiple negative binomial regression analysis was used to test the relationship between HRQoL, OHRQoL scores and socioeconomic and clinical variables. Correlation analyses were performed between the total HRQoL and OHRQoL, with a significance level of 5%. Results: The HRQoL is inversely related to the impact of OHRQoL (p<0.05), modulated by the age group. There was a significant weak negative correlation between the HRQoL scores and the impact of OHRQoL (p<0.05). Conclusion: The OHRQoL impacts the HRQoL, modulated by the age group and with minor influence from socioeconomic and clinical variables.

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Relationships of Dental Caries and Malocclusion with Oral Health-Related Quality of Life in Lithuanian Adolescents Aged 15 to 18 Years: A Cross-Sectional Study

Cited by 8 publications

References 70 publications

Dental Fear and Associated Factors among Children and Adolescents: A School-Based Study in Lithuania

Dental Fear and Associated Factors among Children and Adolescents: A School-Based Study in Lithuania

Malocclusions and quality of life among adolescents: a systematic review and meta-analysis

What Factors are Associated with Health-Related Quality of Life in Mixed Dentition Children?

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