Associations between perceived needs for dental treatment, oral health‐related quality of life and oral diseases in school‐aged <scp>T</scp>hai children

Krisdapong, Sudaduang; Prasertsom, Piyada; Rattanarangsima, Khanit; Sheiham, Aubrey

doi:10.1111/cdoe.12092

Cited by 18 publications

(24 citation statements)

References 25 publications

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“…The following question was used to collect data: ‘Do you think you need dental treatment?’ The question had three possible answers: yes, no or do not know/did not answer. Only the first two responses were considered for the analysis, as in previous studies …”

Section: Methodsmentioning

confidence: 99%

“…As far as treatment need is concerned, the few studies published to date evaluating the outcome of the self‐perceived need for oral treatment have been focused either on adult or elderly populations . Furthermore, few studies have sought to analyse this outcome in large samples of adolescents – increasing the external validity of the study – and used a conceptual model to evaluate the related factors …”

Section: Introductionmentioning

confidence: 99%

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Self‐perceived dental treatment need among adolescents: A hierarchical analysis

Cunha

Mialhe

Pereira

et al. 2019

Comm Dent Oral Epid

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Objectives The aim of the present study was to analyse the factors associated with self‐perceived need for dental treatment among adolescents. Methods A representative sample in the state of São Paulo, Brazil, comprising 5558 adolescents, was evaluated in 2015. The adolescents were selected by probabilistic sampling by conglomerates in two stages. The outcome evaluated was self‐perceived treatment need measured via a validated questionnaire. Independent variables included sociodemographic factors, type, frequency and reason for last dental visit, and examination of oral conditions. Statistical analysis was based on the multiple hierarchical logistic regression model. Results Of the total sample, 3340 (62.6%) adolescents reported needing dental treatment. After fitting the model, the self‐perceived need for treatment was associated with adolescents with family income of up to $1,500 BRL (OR 1.39; [95% CI = 1.20‐1.60]; P < .001), who sought dental services solely for curative treatment (OR 1.58; [95% CI = 1.46‐1.72]; P < .001), reported toothaches in the previous six months (OR 2.88; [95% CI = 2.53‐3.28]; P < .001), were dissatisfied with the appearance of their teeth and mouth (OR 5.94; [95% CI = 5.03‐7.01]; P < .001), had caries in the posterior teeth only (OR 3.04; [95% CI = 2.77‐3.33]; P < .001) or had caries in the anterior teeth (OR 4.75; [95% CI = 4.05‐5.56]; P < .001). Conclusions The self‐perceived need for dental treatment among Brazilian adolescents was associated with normative and subjective needs, and sociodemographic context factors. This finding provides important evidence for collective health planning.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self‐perceived dental treatment need among adolescents: A hierarchical analysis

Cunha

Mialhe

Pereira

et al. 2019

Comm Dent Oral Epid

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“…Krisdapong from Thailand has published extensively on the subject or oral diseases and their association with OHRQol using a representative sample of Thai children (Krisdapong et al , ,b, , ). Whilst these studies involved children, they did not include a subset of HIV positive individuals but rather focused on the associations of oral diseases in the general population and OHRQoL and perceived dental need (Krisdapong et al , ,b) using the Child‐Oral Impacts on Daily Performances (Child‐OIDP) for 12‐year‐olds ( n = 1063) and Oral Impacts on Daily Performances (OIDP) indexes for 15‐year‐olds ( n = 811).…”

Section: Oral Lesions and Quality Of Lifementioning

confidence: 99%

“…Condition specific impacts were significantly positively associated with number of decayed teeth, and strongly associated with severe decay. For recurrent aphthous ulcers (Krisdapong et al , ,b, , ), impacts on OHRQoL were reported in 24.7% of 12 and 36.2% of 15‐year‐olds. Girls were more likely than boys to report RAS‐related impacts.…”

Section: Oral Lesions and Quality Of Lifementioning

confidence: 99%

The child and adolescent with HIV in resource poor countries

et al. 2016

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Although sub-Saharan Africa caries the burden of paediatric and adult HIV/AIDS infections, the epidemic is spreading most rapidly in the Middle East and North Africa Region where between 2005 and 2013, AIDSrelated deaths increased by 66% in comparison with a worldwide fall of 35%. For the first time, in 2011, more than half of people in need of antiretroviral drugs were receiving them, with coverage reaching 54%; yet only 28% of children have access to HIV treatment. This review sought to provide an update of paediatric and adolescent oral HIV/AIDS issues in resource poor countries. OBJECTIVES: To review the literature on paediatric & adolescent HIV with a focus on oral lesions as predictors of HIV infection; as markers of the efficacy of HAART and quality of life; caries risk; management of oral lesions; and epidemiological tests for clinical significance of oral lesions. METHODS: A search strategy was developed for PubMed to identify papers on paediatric oral HIV. Publications in English were selected on the basis that their titles and abstracts were relevant to the review objectives. The reference lists of included papers were screened for additional articles. The time-search for publications was limited from 2009 to 15 October 2014. RESULTS: Papers on the prevalence of oral lesions lacked standardization in diagnostic criteria and the introduction of HAART had significantly reduced prevalence; oral lesions remain useful predictors for HIV infection and as markers for the efficacy of HAART.Evidence suggest that caries risk is increased with HIV infection; management of oral lesions is inconsistent with available resources and surprisingly little recent information has been published in the past 5 years. Revised case definitions are proposed for large-scale epidemiologic studies with the development of an oral lesion index showing promise. Oral health quality of life indicators for children and adolescents are becoming important as more of these indicators are being developed and their negative oral impacts in individuals with oral lesions are now well established. CONCLUSIONS: Paediatric and adolescent oral HIV research needs to be prioritized as current studies are few and are characterized by poor quality study designs, small study samples and a lack of multicentre collaborations. There is a lack of high quality evidence for a number of interventions available for management of oral lesions. Oral Diseases (2016) 22, 25-34

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“…Multiple instruments have been validated to assess OHRQoL in children . Studies have consistently reported reduced quality of life in children affected by dental caries in diverse populations . Other oral conditions have also been associated with deleterious impacts on child functioning and well‐being, including malocclusion and traumatic dental injury, albeit not consistently …”

Section: Introductionmentioning

confidence: 99%

Oral health‐related quality‐of‐life scores differ by socioeconomic status and caries experience

Chaffee

Rodrigues

Kramer

et al. 2017

Comm Dent Oral Epid

186

134

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Objectives 1) Quantify the relative association between child dental caries experience and maternal-reported child oral health-related quality of life (OHRQoL); 2) Examine whether that association differed according to family socioeconomic status (SES); and 3) Explore whether absolute OHRQoL varied by family SES at similar levels of child caries experience. Methods Among children in Southern Brazil (N=456, mean age: 38 months), OHRQoL impact was quantified as mean score on the Brazilian Early Childhood Oral Health Impact Scale (ECOHIS) and compared over categories of caries experience (dmft: 0, dmft: 1–4, dmft: ≥5). Adjusted ECOHIS ratios between caries categories were calculated using regression modeling, overall and within socioeconomic strata defined by maternal education, social class, and household income. Results Caries prevalence (dmft >0) was 39.7%, mean ECOHIS score was 2.0 (SD: 3.5), and 44.3% of mothers reported OHRQoL impact (ECOHIS score >0). Increasing child caries experience was associated with worsening child and family quality of life: ECOHIS scores were 3.0 times greater (95% CI: 2.0, 4.4) for children with dmft ≥5 versus dmft=0, a pattern that persisted regardless of family socioeconomic status (P-for-interaction: all >0.3). However, adjusted for dental status and socio-demographics, mean ECOHIS scores were lower when reported by mothers of less educational attainment (ratio: 0.7 ; 95% CI: 0.5, 1.0), lower social class (ratio: 0.7; 95% CI: 0.5, 1.0), or in lower income households (ratio: 0.8; 95% CI: 0.4, 1.2). Conclusion Dental caries was associated with negative child and family experiences, contributing to diminished OHRQoL across all social groups; yet, families facing greater disadvantage may report lesser quality of life impact at the same level of disease experience. Thus, subjective quality of life measures may differ under varying social contexts, with possible implications for service utilization, evaluating oral health interventions, or quantifying disease morbidity in low SES groups.

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Associations between perceived needs for dental treatment, oral health‐related quality of life and oral diseases in school‐aged Thai children

Cited by 18 publications

References 25 publications

Self‐perceived dental treatment need among adolescents: A hierarchical analysis

Self‐perceived dental treatment need among adolescents: A hierarchical analysis

The child and adolescent with HIV in resource poor countries

Oral health‐related quality‐of‐life scores differ by socioeconomic status and caries experience

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