Early‐life course factors and oral health among young Norwegian adults

Åstrøm, Anne Nordrehaug; Smith, Otto Robert Frans; Sulo, Gerhard

doi:10.1111/cdoe.12576

Cited by 11 publications

(15 citation statements)

References 39 publications

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“…An easily available alternative is to use self-reported number of teeth, applied in questionnaires or interviews, and hence more suitable in larger epidemiological studies. Several studies have used self-reported measures to explore oral health status at group- or population level [ 10 – 12 ]. Knowing the validity and reliability of self-reported values is therefore crucial.…”

Section: Introductionmentioning

confidence: 99%

The validity of self-reported number of teeth and edentulousness among Norwegian older adults, the HUNT Study

et al. 2022

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Background Number of teeth is an established indicator of oral health and is commonly self-reported in epidemiological studies due to the costly and labor-intensive nature of clinical examinations. Although previous studies have found self-reported number of teeth to be a reasonably accurate measure, its accuracy among older adults ≥ 70 years is less explored. The aim of this study was to assess the validity of self-reported number of teeth and edentulousness in older adults and to investigate factors that may affect the accuracy of self-reports. Methods This study included two different samples of older adults ≥ 70 years drawn from the fourth wave of the Trøndelag Health Study (the HUNT Study), Norway. Sample 1 (n = 586) was used to evaluate the validity of self-reported number of teeth and sample 2 (n = 518) was used to evaluate self-reported edentulousness. Information on number of teeth and background variables (education, smoking, cognitive function, and self-perceived general and oral health) were self-reported in questionnaires, while clinical oral health examinations assessed number of teeth, number of teeth restored or replaced by fixed prosthodontics and edentulousness. Spearman and Pearson correlation coefficients, Bland–Altman plot, chi-square test and kappa statistics were used to assess the agreement between self-reported and clinically recorded number of teeth. Results The mean difference between self-reported and clinically recorded number of teeth was low (− 0.22 teeth), and more than 70% of the participants reported their number of teeth within an error of two teeth. Correlations between self-reports and clinical examinations were high for the total sample (0.86 (Spearman) and 0.91 (Pearson)). However, a lower correlation was found among participants with dementia (0.74 (Spearman) and 0.85 (Pearson)), participants having ≥ 20 teeth (0.76 (Spearman) and 0.67 (Pearson)), and participants with ≥ 5 teeth restored or replaced by fixed prosthodontics (0.75 (Spearman) and 0.77 (Pearson)). Self-reports of having teeth or being edentulous were correct in 96.3% of the cases (kappa value 0.93, p value < 0.001). Conclusions Among older Norwegian adults, self-reported number of teeth agreed closely with clinical tooth counts and nearly all the edentulous participants correctly reported having no teeth.

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Section: Introductionmentioning

confidence: 99%

The validity of self-reported number of teeth and edentulousness among Norwegian older adults, the HUNT Study

et al. 2022

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“…Only one UK study performed a public preference survey that included the WTP of preschool children’s parents and found that parents’ valuation for dental caries prevention was higher if it concerned permanent teeth compared to primary teeth [ 13 ]. With the growing amount and quality of evidence for beneficial effects of starting oral health prevention early in life, preferably around first tooth eruption [ 14 , 15 , 16 ], it is interesting to investigate WTP and WTIT for primary prevention among parents of preschool children. Therefore, this study aims to explore the WTP and WTIT for primary prevention in parents of preschool children and to describe whether these are related to the parents’ demographic and socio-economic characteristics and behavioural attributes.…”

Section: Introductionmentioning

confidence: 99%

Parents’ Willingness to Invest in Primary Oral Health Prevention for Their Preschool Children

Spreuwel

Jerković-Ćosić

Loveren

et al. 2021

IJERPH

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There is growing evidence for the beneficial effects of starting oral health prevention early in life. Preventing dental caries in very young children requires considerable investment from parents. Therefore, this cross-sectional study aimed to explore parents’ willingness to pay (WTP) and willingness to invest in time (WTIT) for primary oral health prevention in preschool children and describe whether these are related to the parents’ demographic, socio-economic and behavioural characteristics. In a convenience sample of parents of preschool children aged six months to four years (n = 142), data were collected with questionnaires. On average, parents were willing to pay EUR15.84 per month, invest time for 1.9 dental visits per year, and spend 2.4 min per day brushing their child’s teeth. A higher education level of the mother and having a child older than two were associated with a higher WTIT in brushing minutes per day (p = 0.03). In addition, parents who brushed their child’s teeth more frequently were also more willing to invest in brushing minutes (p < 0.01) and money (p < 0.01). Findings emphasise the importance of early oral health interventions and the need to increase awareness of primary prevention’s importance in maintaining healthy teeth and reducing possibly oral health inequalities.

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“…Although we could not determine whether the patients were fearful or had BMP even before the restraint situation, negative experiences are a well-known aetiological cause for the development of DFA (Klingberg and Broberg 2007 ; Klingberg 2008 ; Locker et al 2001 ; Milsom et al 2003 ; Ost and Hugdahl 1985 ; Seligman et al 2017 ; Ten Berge et al 2002 ; Åstrøm et al 2021 ), and there is reason to hypothesise that experiencing restraint during dental treatment is a negative experience which can influence DFA. Painful dental treatment is one of the most frequently mentioned causes of DFA and BMP, especially in combination with a feeling of lack of control (Seligman et al 2017 ).…”

Section: Discussionmentioning

confidence: 99%

“…In the Public Dental Service (PDS) in Hordaland, Norway, 17- and 9-year-old patients with self-reported history of restraint have significantly higher dental fear and anxiety (DFA) compared with patients without self-reported history of restraint (Aarvik et al 2022 ). The strong association between DFA and dental avoidance is well known (Armfield et al 2007 ; Fägerstad et al 2019 ; Skaret et al 1999 ), and the latter has negative consequences for oral health and higher total time use in the PDS (Skaret et al 1998 , 2000 ; Wang and Aspelund 2009 ; Åstrøm et al 2021 ). In 2009, Wang et al suggested that children who do not attend their scheduled dental appointments should be considered as risk patients and be offered customised dental care (Wang and Aspelund 2009 ).…”

Section: Introductionmentioning

confidence: 99%

“…In 2009, Wang et al suggested that children who do not attend their scheduled dental appointments should be considered as risk patients and be offered customised dental care (Wang and Aspelund 2009 ). Negative dental experiences (range from painful dental treatment to lack of control) in childhood are established as risk factors for developing DFA, and especially painful dental treatment is a frequently mentioned cause of DFA (Klingberg and Broberg 2007 ; Klingberg et al 1995 ; Milsom et al 2003 ; Åstrøm et al 2021 ). However, the specific experience of restraint and its relation to DFA, dental avoidance, and oral health have received less attention in research.…”

Section: Introductionmentioning

confidence: 99%

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Patient-self-reported history of restraint among 17-year-olds: a retrospective study of records by non-specialist dentists in the public dental service in Hordaland, Norway

Aarvik

Svendsen

Agdal

2022

Eur Arch Paediatr Dent

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Purpose The primary purposes were to examine dental records of Norwegian adolescents’ with and without self-reported history of restraint for information about oral health (DMFT), total scheduled time in the Public Dental Service (PDS) (dental appointments, cancelled and missed appointments), and reluctant behaviour and/or dental fear and anxiety (DFA). Another purpose was to explore their dental records for information recorded by the dentist concerning the use of restraint. Methods Data on patient-self-reported history of restraint and DFA were collected in a population-based cross-sectional survey of 17-year-olds in the PDS in Hordaland, Norway, 2019. Patients were divided into two groups: self-reported restraint group (N1 = 26) and self-reported non-restraint group (N2 = 200). Data on oral health and dental treatment, total scheduled time of the PDS, reluctant behaviour or DFA, and information on the use of restraint were extracted from the dental records written by non-specialist dentists using a pre-set protocol covering the period from 2002 to 2019. Results A total of 206 dental records were analysed. Adolescents with self-reported history of restraint (n1 = 18) had higher DMFT and greater descriptions of reluctant behaviour and/or DFA, and total scheduled time compared with the self-reported non-restraint group (n2 = 188). The use of restraint was recorded in the dental records of one patient from the self-reported restraint group and in two patients from the self-reported non-restraint group. Conclusions The adolescents with self-reported history of restraint had higher DMFT, higher scheduled time attending the PDS, and had more descriptions of reluctant behaviour and/or signs of DFA compared with the self-reported non-restraint group. The patient records contained limited information concerning restraint, and there were significant discrepancies between patient-self-reported history of restraint and the recording of restraint by the dentist in the patients’ records.

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Early‐life course factors and oral health among young Norwegian adults

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 11 publications

References 39 publications

The validity of self-reported number of teeth and edentulousness among Norwegian older adults, the HUNT Study

The validity of self-reported number of teeth and edentulousness among Norwegian older adults, the HUNT Study

Parents’ Willingness to Invest in Primary Oral Health Prevention for Their Preschool Children

Patient-self-reported history of restraint among 17-year-olds: a retrospective study of records by non-specialist dentists in the public dental service in Hordaland, Norway

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