Malocclusion and oral health-related quality of life in Brazilian school children

Sardenberg, Fernanda; Martins, Maria Aparecida; Bendo, Cristiane Baccin; Pordeus, Isabela Almeida; Paiva, Saul Martins; Auad, Sheyla Márcia; Vale, Míriam Pimenta

doi:10.2319/010912-20.1

Cited by 98 publications

(147 citation statements)

References 27 publications

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“…28 Malocclusion was used as a confounding variable because anterior segment spacing, a common finding at this stage, is statistically associated with impact on children's OHRQoL. 29 Furthermore, the prevalence of malocclusion (32.2%) was higher than that of dental caries (23.1%) in this sample. Moreover, the DAI was developed for permanent teeth and tends to be oversensitive during the mixed dentition period, possibly biasing the results due to transient developmental conditions.…”

Section: Discussionmentioning

confidence: 98%

Dental caries and social factors: impact on quality of life in Brazilian children

et al. 2015

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The objective of this study was to evaluate the impact of dental caries and social determinants in the Oral Health Related Quality of Life (OHRQoL) of children in Belo Horizonte, Brazil. This is a population-based cross-sectional study with a representative sample of 1,204 children aged 8 to 10 years randomly selected from 19 public and private schools. The children were clinically examined at school by two trained and calibrated examiners (Kappa = 0.78 -1.00). The Decayed, Missing and Filled Teeth Index (DMF-T and dmf-t) was used for the diagnosis of dental caries. The social factors were determined by parents' /caregivers' schooling, household income, number of people in the household, type of school, and by the Social Vulnerability Index. The Brazilian version of the Child Perceptions Questionnaire for ages 8 to 10 years was used to assess the impact on quality of life. A total of 278 (23.1%) out of 1,204 children had at least one cavitated carious lesion and 47.0% presented a negative impact on OHRQoL. In the final multivariate Poisson's regression model, household income and presence of untreated dental caries were statistically associated with a negative impact on OHRQoL (p < 0.001). Children with dental caries and from low-income families had a higher negative impact on OHRQoL.

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Section: Discussionmentioning

confidence: 98%

Dental caries and social factors: impact on quality of life in Brazilian children

et al. 2015

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“…However, the Child Oral Health Quality of Life Instrument (COHQoL) (17) was developed to measure the impact of oral health problems on the quality of life of children with dental and craniofacial disorders in the age range of 8 to 14 years old. The Child Perception Questionnaire (CPQ) is part of the COHQoL and has been widely used by researchers to evaluate the effects of malocclusion on the quality of life of children and adolescents, especially due to the good psychometric properties of the tool (14,25). In addition, was used the DAI index in a predominantly mixed dentition sample, and the tool was originally developed to be used in the permanent dentition (13).…”

Section: Discussionmentioning

confidence: 99%

“…Occlusal changes may occur in the mixed dentition, affecting children's self-image, as their feelings about dental appearance occur early, around 8 years of age (14). Therefore, it is important to evaluate the occlusion in the mixed dentition and early permanent dentition in order to avoid further functional and psychological harm.…”

Section: Introductionmentioning

confidence: 99%

Impact of Malocclusion on Oral Health-Related Quality of Life of 8-12 Years Old Schoolchildren in Southern Brazil

et al. 2017

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The aim of this study was to estimate the impact of malocclusion on the oral healthrelated quality of life (OHRQoL) of schoolchildren aged 8-12 years old in Southern Brazil. A two-stage cluster procedure was used to select 1,199 children in 20 public and private schools in Pelotas/Brazil. Cross-sectional data was collected, consisting of a socioeconomic questionnaire to parents, children's interview and clinical oral examination. The clinical variables were obtained from clinical examination, and the Child Perceptions Questionnaire (CPQ) was assessed during children's interview. To measure malocclusion and orthodontic treatment need the Dental Aesthetic Index was used. For data analysis multiple Poisson regression models estimating the rate ratios (RR) and their respective confidence intervals (95%CI) were used. Among 1,206 participants, 789 were aged 8-10 years and 417 between 11-12 years. The orthodontic treatment need was higher among the younger children (44.6%) than in the older ones (35.0%) (p value ≤0.05). There was a significant association in the CPQ social and emotional domains with malocclusion in the older schoolchildren. In the adjusted analysis (for socioeconomics and clinical variables) the effect of very severe malocclusion on OHRQoL was confirmed in both 8-10 and 11-12 age groups (RR(95%CI) of 1.24(1.02;1.51) and 1.28(1.01;1.62), respectively). The findings demonstrated that children with very severe malocclusion experienced greater negative impact on OHRQoL compared to those with mild or no malocclusion. The results suggest that malocclusion impacts the quality of life. The higher impact occurs in the social and emotional well-being domains.

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“…Os índices clínicos mais utilizados para avaliar má oclusão na dentição mista ou permanente foram o Índice de Estética Dental (DAI), sendo utilizado em sete artigos (4,2,10,8,3,11,12) e o Índice de Necessidade de Tratamento Ortodôntico (IOTN), utilizado em cinco artigos (13,14,15,16,17). Apenas um estudo utilizou os dois índices juntos (DAI e IOTN) (18).…”

Section: Revisão De Literatura • Indicadores Clínicos De Má Oclusãounclassified

“…Devido à sua elevada prevalência e por apresentar impacto negativo na vida do indivíduo e na sociedade, a má oclusão é considerada um problema de saúde pública (2). No entanto, os efeitos dos agravos oclusais são variáveis e os resultados de uma avaliação clínica podem não refletir aspectos mais subjetivos relacionados à percepção do paciente (2,3). Portanto, a avaliação desse agravo deve ser multidimensional, considerando os aspectos biopsicossociais e auxiliando na atenção à saúde de forma integral.…”

Section: Introductionunclassified

<b>Impacto da má oclusão na dentição decídua e permanente na qualidade de vida de crianças e adolescentes</b>: revisão de literatura

Moreira¹,

Pinto²,

Côrreia³

et al. 2016

Rev. Bras. Odontol.

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ResumoFoi realizada uma revisão de literatura sobre má oclusão nas diferentes dentições e seu impacto na qualidade de vida de crianças e adolescentes. Pesquisou-se no PUBMED, LILACS e SCIELO, utilizando-se os descritores malocclusion e quality of life. Foram selecionados oito artigos sobre má oclusão na dentição decídua e 17 na dentição mista e/ou permanente. Dentre os que avaliaram a dentição decídua, apenas um artigo encontrou impacto negativo na qualidade de vida relacionada à saúde bucal (QVRSB). Quanto aos artigos que avaliaram as dentições mista e/ou permanente, a maioria encontrou associação entre má oclusão e pior QVRSB. Conclui-se que a má oclusão exerce impacto negativo na QVRSB quando presente na dentição mista e/ ou permanente, afetando a autoestima dos indivídu-os que possuem esse agravo.Palavras-chave: má oclusão; qualidade de vida; Odontopediatria; dente decíduo; dentição permanente. AbstRAct Malocclusion impact on primary and permanent dentition in the quality of life of children and adolescents: review of literature IntroduçãoA má oclusão é uma desordem de desenvolvimento do complexo craniofacial que afeta os maxilares, língua e músculos faciais (1). Resulta da interação entre fatores hereditários e ambientais, causando alterações funcionais e estéticas, que muitas vezes trazem consequências psicossociais para o paciente em desenvolvimento. Devido à sua elevada prevalência e por apresentar impacto negativo na vida do indivíduo e na sociedade, a má oclusão é considerada um problema de saúde pública (2). No entanto, os efeitos dos agravos oclusais são variáveis e os resultados de uma avaliação clínica podem não refletir aspectos mais subjetivos relacionados à percepção do paciente (2, 3). Portanto, a avaliação desse agravo deve ser multidimensional, considerando os aspectos biopsicossociais e auxiliando na atenção à saúde de forma integral.Indivíduos com irregularidades oclusais podem apresentar um declínio na qualidade de vida (QV) e impacto negativo sobre as atividades diárias (4, 5). Além disso, há evidências de que crianças com má oclusão aparente sofrem julgamentos negativos perante a sociedade e, consequentemente, dizem--se menos satisfeitas com a sua aparência (6).A qualidade de vida foi definida pela Organização Mundial da Saúde como "a percepção do indivíduo de sua posição na vida, no contexto da cultura e sistema de valores nos quais ele vive e em relação aos seus objetivos, expectativas, padrões e preocupações" (7). Vários estudos têm avaliado a repercussão de agravos bucais na qualidade de vida dos indivíduos em diferentes países, sendo que o impacto da má oclusão na qualidade de vida relacionada à saúde bucal (QVRSB) é mais investigado em adolescentes e adultos (8). Diante da variedade de estudos publicados nos últimos anos, é importante a realização de uma revisão de literatura para auxiliar na síntese desses estudos e na atualização sobre o tema, colaborando para que os profissionais clíni-cos e gestores possam entender o impacto da má oclusão na QVRSB. Outro aspecto positivo da re...

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Malocclusion and oral health-related quality of life in Brazilian school children

Abstract: Schoolchildren with malocclusion from lower-income families experience a greater negative impact on OHRQoL.

Cited by 98 publications

References 27 publications

Dental caries and social factors: impact on quality of life in Brazilian children

Dental caries and social factors: impact on quality of life in Brazilian children

Impact of Malocclusion on Oral Health-Related Quality of Life of 8-12 Years Old Schoolchildren in Southern Brazil

<b>Impacto da má oclusão na dentição decídua e permanente na qualidade de vida de crianças e adolescentes</b>: revisão de literatura

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