Setting oral health goals that include oral health-related quality of life measures: a study carried out among adolescents in Thailand

Abstract

The aim of this study was to assess the association between oral diseases and condition-specific oral health-related quality of life (CS-OHRQoL) as a basis for proposing OHRQoL-based goals for the population of 15-year-olds in Thailand. Oral examinations and OHRQoL interviews were conducted with 871 15-year-olds as part of the Sixth Thailand National Oral Health Survey. The severity of oral impacts was categorized using "intensity". Associations between oral diseases and CS-OHRQoL were analyzed using chi-square and logistic regression. Thirty-nine percent of 15-year-olds experienced moderate/higher levels oral impacts on quality of life. Compared to those individuals with no tooth decay, adolescents with one or four or more decaying teeth were three and seven times more likely to experience moderate/higher impacts, respectively. Adolescents with extensive gingivitis in 3 or more mouth sextants were twice as likely to experience moderate/higher CS-impacts. Based on these findings, it is proposed that goals should focus on untreated decaying teeth and extensive gingivitis. Oral health goals for 15-year-olds should include specific OHRQoL measures.

Which aspects of an oral health–related quality of life measure are mainly associated with global ratings of oral health in children?

“…Although intensity and extent are both direct constructs that children are asked to respond to, the stronger correlation between intensity and global ratings implies that children give more importance to the severity of impacts on any daily performance, rather the number of performances affected. As intensity better reflects self‐perceived oral health than aggregate scores and extent, our findings support using ‘intensity’ of impacts as used in the OIDP/Child‐OIDP indices, for classifying degrees of oral impacts .…”

“…The study by Krisdapong et al. and recent studies maintained that ‘intensity’ better reflected the degree of oral impacts than the extent and aggregate score. Consequently, only the intensity was used for classifying levels of oral impacts, instead of arbitrary cut‐off points of total scores.…”

“…Extent and intensity have been used to provide a more comprehensive understanding of the pattern of oral impacts on children's quality of life (15)(16)(17)(18). The study by Krisdapong et al (19) and recent studies (20)(21)(22) maintained that 'intensity' better reflected the degree of oral impacts than the extent and aggregate score. Consequently, only the intensity was used for classifying levels of oral impacts, instead of arbitrary cut-off points of total scores.…”

Influência da saúde bucal sobre a qualidade de vida de adolescentes escolares

“…Estudos comprovam que adolescentes com maiores índices de dentes cariados ou problemas periodontais apresentam maior impacto negativo no desenvolvimento de suas atividades diárias. Por outro lado, esses estudos demonstraram correlação inversa entre as maiores médias de dentes hígidos com o impacto (13,24) . No presente estudo, observou-se uma média de idade dos indivíduos de 15,8 anos (±1,02).…”

Do Oral Health Conditions Adversely Impact Young Adults?

“…Currently, this approach is considered limited due to a growing recognition that patient-reported outcome such as the oral health-related quality of life (OHRQoL) is an important measure of an individual's oral health, daily functioning and well-being [Sheiham and Steele, 2001;Locker, 2004;Locker and Allen, 2007;Oscarson et al, 2007;Montero-Martín et al, 2009;Krisdapong et al, 2012].…”