Comparing self‐reported and clinically diagnosed unmet dental treatment needs using a nationally representative survey

Farmer, Julie; Ramraj, Chantel; Azarpazhooh, Amir; Dempster, Laura; Ravaghi, Vahid; Quiñonez, Carlos

doi:10.1111/jphd.12205

Cited by 17 publications

(25 citation statements)

References 19 publications

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“…Additional information on the quality of the self-report were obtained by calculating the positive likelihood ratio (+LR) and negative likelihood ratio (-LR), where values ≥ 10 and ≤ 0.10 were respectively considered as strong evidence that self-report is a good indicator of the clinical oral condition 21 . Finally, the agreement level between the Table 1.…”

Section: Discussionmentioning

confidence: 99%

Validity of self-report of oral conditions in older people

et al. 2019

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Aim: To verify if self-report is a valid instrument to study the clinical oral condition in older people without cognitive deficit. Methods: A Cross-sectional study was conducted with 647 older people from the community, without cognitive deficit, living in Campinas, Brazil. A self-report questionnaire assessing the presence or absence of teeth (edentulism) and use of complete denture was applied, identifying the location of the denture, whether in the upper and/or lower arch. In the same session oral clinical exams were performed, considered the gold standard. The self-report validation was performed by calculating sensitivity, specificity, predictive values, odds ratios and Kappa agreement. Results: There were high percentages of sensitivity (95–99%), specificity (84–97%), positive (81–97%) and negative (95–98%) predictive values, obtaining an elevated level of confidence and quality intrinsic value of self-report. Agreement with the clinical examination was excellent for all variables (greater than 0.80). The likelihood ratios showed compelling evidence that with self-report an edentulous individual (+LR 32), non-edentulous (-LR 0.06) and absence of complete denture (-LR 0.01) could be correctly identified, with moderate evidence to identify the presence and location of complete denture use (+LR 6.5 to 6.9). Conclusion: Self-report is a valid instrument to study the clinical oral condition in the older people of the community.

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Section: Discussionmentioning

confidence: 99%

Validity of self-report of oral conditions in older people

et al. 2019

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“…Although self-reported oral health is an acceptable proxy for periodontal disease at the population level and for epidemiological surveys, it may not be of adequate agreement to clinical measures of disease (39). Previous studies have shown that self-reported oral health information is highly specific but not as sensitive (41). In the case of periodontal disease, individuals were able to report that they do not have periodontal disease nor did they need dental treatment, with greater accuracy than those who did in fact have the condition or unmet treatment needs (41).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown that self-reported oral health information is highly specific but not as sensitive (41). In the case of periodontal disease, individuals were able to report that they do not have periodontal disease nor did they need dental treatment, with greater accuracy than those who did in fact have the condition or unmet treatment needs (41). Although clinical measures of periodontal disease, such as gingival probing depths, would provide power to our study, such measures have not been linked to electronic medical records in Canada.…”

Section: Discussionmentioning

confidence: 99%

Risk of complications among diabetics self-reporting oral health status in Canada: A population-based cohort study

Kaura

Rosella

Singhal

et al. 2019

Preprint

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BackgroundPeriodontitis has persistently been associated with diabetes and poor health outcomes. While clear associations have been identified for the diabetes-oral health link, less is known about the implications of poor oral health on incident complications of diabetes. This study sought to investigate the risk of diabetes complications associated with self-reported "poor to fair" and "good to excellent" oral health status among diabetics living in Ontario, Canada. MethodsThis cohort study was undertaken of diabetics from the Canadian Community Health Survey (2003 and 2007-8). Self-reported oral health was linked to electronic health records at the Institute for Clinical Evaluative Sciences. Participants under the age of 40, missing self-reported oral health and those who could not be identified in linked databases were excluded (N=5,183).A series of Cox Proportional hazard models were constructed to determine the risk of diabetes complications. Participants who did not experience any diabetes complication were censored at time of death or at the study termination date (March 31, 2016). Models were adjusted for age and sex, followed by social characteristics and behavioural factors. ResultsDiabetes complications differed by self-reported oral health. For those reporting "poor to fair" oral health, the hazard of a diabetes complication was 30% greater (HR 1.29 95%CI 1.03, 1.61) than those reporting "good to excellent" oral health. ConclusionsOur findings indicate that oral health status is associated with increased risk for complications among diabetics, after adjusting for a wide range of confounders. Examining oral health and the risk for diabetes complications from a broader perspective including socio-behavioural and biological pathways is principal for informing policies and interventions that aim to mitigate the burdens of poor systemic health.

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“…Although self-reported oral health is an acceptable proxy for periodontal disease at the population level and for epidemiological surveys, it may not adequately measure the clinical manifestations of disease [41]. Previous studies have shown that self-reported oral health information is highly specific but not sensitive [43]. In the case of periodontal disease, individuals were able to report that they did not have periodontal disease nor did they need dental treatment with greater accuracy than those who did in fact have the condition or unmet treatment needs [43].…”

Section: Baseline Characteristics �mentioning

confidence: 99%

Risk of complications among diabetics self-reporting oral health status in Canada: A population-based cohort study

et al. 2020

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Background Periodontitis has been associated with diabetes and poor health. While clear associations have been identified for the diabetes-oral health link, less is known about the implications of poor oral health status for incident complications of diabetes. This study investigated the risk of diabetes complications associated with self-reported "poor to fair" and "good to excellent" oral health among diabetics living in Ontario, Canada. Methods This was a cohort study of diabetics who took part in the Canadian Community Health Survey (2003 and 2007-08). Self-reported oral health was linked to electronic health records held at the Institute for Clinical Evaluative Sciences. Participants aged 40 years and over, who self-reported oral health status in linked databases were included (N = 5,183). Cox proportional hazard models were constructed to determine the risk of diabetes complications. Participants who did not experience any complications were censored. Models were adjusted for age and sex, followed by social characteristics and behavioural factors. The population attributable risk of diabetes complications was calculated using fully adjusted hazard ratios. Results Diabetes complications differed by self-reported oral health; 35% of the total sample experienced a complication and 34% of those reporting "good to excellent" oral health (n = 4090) experienced a complication in comparison to 38% of those with "fair to poor" oral health (n = 1093). For those reporting "poor to fair" oral health, the hazard of a diabetes complication was 30% greater (HR 1.29; 95% CI: 1.03, 1.61) than those reporting "good to excellent" oral health. The population level risk of complications attributable to oral health was 5.2% (95% CI: 0.67, 8.74).

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Comparing self‐reported and clinically diagnosed unmet dental treatment needs using a nationally representative survey

Abstract: Our findings suggest that in general, self-reports are poor estimates for normative dental treatment needs but do have some merit in confirming non-needs. Exceptionally, self-reports do have suitable diagnostic accuracy for predicting orthodontic and endodontic needs.

Cited by 17 publications

References 19 publications

Validity of self-report of oral conditions in older people

Validity of self-report of oral conditions in older people

Risk of complications among diabetics self-reporting oral health status in Canada: A population-based cohort study

Risk of complications among diabetics self-reporting oral health status in Canada: A population-based cohort study

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