Condition-specific sociodental impacts attributed to different anterior occlusal traits in Brazilian adolescents.

Unidad de Investigación en Salud Pública Dental, Departamento de Odontología Social, Universidad Peruana Cayetano Heredia, Lima, Perú.
European Journal Of Oral Sciences (Impact Factor: 1.42). 01/2008; 115(6):473-8. DOI: 10.1111/j.1600-0722.2007.00486.x
Source: PubMed

ABSTRACT The aim of this study was to assess the association between different anterior occlusal traits and the presence of condition-specific sociodental impacts on the quality of life attributed to malocclusion. For that, 1,318 15-16-yr-old adolescents were randomly selected from children attending all secondary schools in Bauru, Brazil. Participants were first interviewed and then dentally examined. Condition-specific impacts (CSI) attributed to malocclusion were calculated using the Oral Impacts on Daily Performances (OIDP index). Nine anterior occlusal traits were evaluated: maxillary and mandibular overjet; openbite and overbite; centreline deviation; dental crowding and spacing; and maxillary and mandibular irregularity. Statistical associations were tested using binary logistic regression analysis. The prevalence of CSI attributed to malocclusions was 21.2%. Of the nine occlusal traits evaluated, maxillary and mandibular overjet, centreline deviation, dental spacing, openbite, and maxillary irregularity were, in that order, directly associated with the presence of CSI attributed to malocclusion. No interaction term was identified. This study, designed to overcome the limitations found in the existing literature, supports the idea that malocclusion can affect social interaction and psychosocial wellbeing. Different anterior occlusal traits affected the quality of life differently.

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    ABSTRACT: Abstract Objective: To test the hypothesis that malocclusion does not have an independent and negative effect on quality of life of adolescents. Materials and Methods: The cross-sectional design study comprised a sample of 519 children, aged 11 to 14 years, attending public schools in Osorio, a city in southern Brazil. One calibrated examiner carried out clinical examinations and recorded dental caries (decayed/missing/filled teeth), malocclusion (Dental Aesthetic Index), and dental trauma. Participants completed the Brazilian version of the Child Perceptions Questionnaire (CPQ(11-14)), Impact Short Form, and their parents or guardians answered questions about socioeconomic status. Simple and multivariate linear regressions were performed to assess covariates for the overall CPQ(11-14) scores. Results: Greater impacts on oral health-related quality of life were observed for girls (P  =  .007), children with a lower household income (P  =  .016), those living in nonnuclear families (P < .001), and those with more decayed/missing/filled teeth (P  =  .001). Malocclusion was also associated with oral health-related quality of life: the severity of malocclusion was significantly related to higher scores of CPQ(11-14) even after scores were adjusted for control variables. CPQ(11-14) increased by approximately 1 point for each increase in the severity of malocclusion. Conclusions: Malocclusion has a negative effect on adolescents' quality of life, independent of dental caries or traumatic dental injuries. Socioeconomic inequalities and clinical conditions are important features in adolescents' quality of life.
    The Angle Orthodontist 12/2012; · 1.18 Impact Factor
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    ABSTRACT: OBJETIVO: estimar a associação entre fatores socioeconômicos e más oclusões do tipo overbite e overjet em escolares em fase de dentição permanente jovem. MÉTODO: trata-se de um estudo transversal realizado em 251 escolares de sete a 15 anos, de ambos os sexos, regularmente matriculadas no ensino fundamental de escolas públicas e privadas do município de São Luís, Maranhão, Brasil. Todos os sujeitos da amostra realizaram fotografias extrabucais padronizadas de face (frontal em repouso, frontal sorrindo e perfil) e intrabucais (frontal, lateral direita e lateral esquerda em oclusão, oclusal superior e oclusal inferior), para o diagnóstico das alterações. As fotografias foram avaliadas por três examinadores em regime cego e as discordâncias foram discutidas até a obtenção de consenso. Overbite e overjet foram diagnosticados segundo critérios de Angle. RESULTADOS: constatou-se que 35,4% das crianças apresentaram overbite e 18,3%, overjet. Houve associação estatisticamente significante entre a renda familiar com overbite (p=0.003) e com overjet (p=0.029), observando-se que a maioria das crianças que não possuíam overbite (69,4%) era de famílias com baixa renda (até 2 salários mínimos). De modo semelhante, a maioria dos portadores de overjet era de famílias com renda mais elevada, ao passo que a maioria daqueles sem overjet tinha renda familiar baixa. Para as demais variáveis não houve diferenças estatisticamente significante na distribuição de frequência de overjet e overbite. CONCLUSÃO: a prevalência de overbite e overjet nos escolares estudados é alta, especialmente entre aqueles com maior renda familiar.
    Revista CEFAC 08/2013; 15(4):967-975.
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    ABSTRACT: Objective: To assess the relationship between malocclusion severity and quality of life in children. Materials and Method: Two hundred and seventy-eight children aged 11 to 14 years were recruited voluntarily from the Dental and Maxillofacial Centre of the Almana General Hospital in Alkhobar, Saudi Arabia. The children were asked to fill out the Arabic version of the Child Perception Questionnaire for 11- to 14-year-old children (CPQ11-14) and were then clinically examined to determine the severity of their malocclusion using the Dental Aesthetic Index (DAI). Multivariate analysis of variance was used to compare the four domains and the total CPQ11-14 scores between the four DAI severity groups. Results: Significant differences were found between DAI severity groups for the four domains and the total CPQ11-14 scores. Although children with very severe (handicapping) malocclusion had significantly higher domain and total CPQ11-14 scores than all the other groups (differences of up to 6 and 22 units, respectively, compared to children with no/minor malocclusion), there were no differences between those with no/minor, definite, and severe malocclusion. Conclusion: These findings suggest that only very severe malocclusion had an impact on the quality of life of the participants. Orthodontists should focus not only on clinical measures of malocclusion but should also consider the impact of severe malocclusion on patients' quality of life.
    The Angle Orthodontist 04/2013; · 1.18 Impact Factor


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Jun 6, 2014