Socio-environmental factors associated with dental occlusion in adolescents

Frazão, Paulo; Narvai, Paulo Capel

doi:10.1016/j.ajodo.2004.10.016

Cited by 41 publications

(65 citation statements)

References 37 publications

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“…According to prevalence of occlusal disorders in this national survey, over 42% of the adolescents had at least one crowded segment or mandibular/maxillary irregularities 10 , confirming findings in the literature 20,21 . However, the presence of other DAI conditions, for example, 60% of adolescents had overjet of 1 to 3 mm and 40% presented at least a half-cusp deviation 10 , did not show sufficient correlation in the analyses.…”

Section: Discussionsupporting

confidence: 75%

“…Additionally, adolescents with more schooling delay had higher mean scores for correlated occlusal disorders. Despite differences among distal factors associated with occlusion conditions, severe malocclusion or the highest prevalence of DAI indicators were associated with lower income or public school education 20,26 . Higher mean scores for the set of oral indicators for both components among adolescents dissatisfied with their oral health were observed.…”

Section: Discussionmentioning

confidence: 99%

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Association of adverse oral health outcomes with socioeconomic inequalities and dental needs in Brazilian adolescents

2017

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This study aimed to explore the relations between adverse oral outcomes and socioeconomic, demographic, and self-rated oral health variables and to describe their distribution. Principal component analysis was conducted on data from adolescents in the Brazilian National Oral Health Survey (N = 5,445). Higher loadings were found for crowding (0.6), maxillary and mandibular irregularities (0.5), and count of communitary periodontal index (CPI) sextants with bleeding and dental calculus (0.5). The mean rates for periodontal and occlusal disorders were at least two times higher in adolescents from lower income families and those reporting the need for dental prostheses, as well as those dissatisfied with their dental and overall oral health. Increased mean rates of occlusal disorders were associated with schooling delay and history of toothache in the previous six months. The mean scores suggested accumulation of at least one of the negative oral health indicators in the lower income strata, among adolescents with schooling delay, and in those reporting dental needs. The results suggest priorities for planning and monitoring as a function of oral health requirements.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Association of adverse oral health outcomes with socioeconomic inequalities and dental needs in Brazilian adolescents

2017

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“…9 Similarly, in Brazil, severe malocclusion was higher among non-whites and public school students. 10 On the other hand, studies undertaken in Peru, 11 Turkey, 12 and India 13 found no significant association between malocclusion or orthodontic treatment need and socioeconomic status.…”

Section: Introductionmentioning

confidence: 99%

Individual and contextual determinants of malocclusion in 12-year-old schoolchildren in a Brazilian city

et al. 2015

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The aim of this study was to describe malocclusion prevalence and its association with individual and contextual factors among Brazilian 12-year-old schoolchildren. This cross-sectional study included data from an oral health survey carried out in Goiânia, Brazil (n = 2,075), and data from the files of the local health authority. The data were collected through oral clinical examinations. The Dental Aesthetic Index (DAI) was used to assess occlusion. The presence of malocclusion (DAI > 25) was used as the dependent variable. The individual independent variables consisted of adolescents' sex and race and their mothers' level of schooling. The clinical variables were caries experience and presence of adverse periodontal condition (calculus and/or gingival bleeding). The contextual variables included type of school and the location of schools in the city's health districts. The Rao-Scott test and multilevel logistic regression were performed. The prevalence of malocclusion was 40.1%. In the final model, significantly higher rates of malocclusion were found among those who attended schools located in less affluent health districts and whose mothers had fewer years of education. Rates were also higher among those presenting calculus and/or gingival bleeding. Malocclusion demonstrated a high prevalence rate and the inequalities in its distribution were determined by individual and contextual factors.

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“…6 This index has good accuracy 5 and is recommended for determining orthodontic treatment needs (OTN) in Brazil. 7 However, the results still show discrepancies, [1][2][3] and the influence of ethnic and sociocultural factors on the occurrence of MO cannot be ruled out. In this respect, the northeastern region of Brazil represents a particularly inter-Braz Oral Res., (São Paulo) 2013 Jan-Feb;27(1):62 -9 esting area for the analysis of oral health conditions and orthodontic needs because of its socioeconomic and ethnic-cultural diversity 8 .…”

Section: Introductionmentioning

confidence: 91%

“…[1][2][3][4] Various studies have investigated the frequency and distribution of MO in young permanent dentition, [3][4][5] but the use of different methods and indicators impairs the comparison of these results. Thus, the World Health Organization (WHO) recommends the use of the Dental Aesthetic Index (DAI) to standardize epidemiological data on MO.…”

Section: Introductionmentioning

confidence: 99%

Malocclusion and deleterious oral habits among adolescents in a developing area in northeastern Brazil

Thomaz¹,

Cangussú²,

Assis³

2013

Braz. oral res.

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Although malocclusions represent a serious public health issue, there is insufficient information about this problem in adolescents in Brazil, especially in poorer areas. The purpose of this cross-sectional study was to estimate the prevalence of facial alterations, dental malocclusions, and deleterious oral habits (DOH) among adolescents in a developing area in northeastern Brazil and to test the hypothesis that the occurrence of DOH in infancy is associated with DOH during adolescence. The study included a probabilistic population-based sample of 2,060 Brazilian students aged 12-15 years. Facial characteristics (type of facial profile, facial symmetry, and passive lip sealing) and malocclusions (Angle and Dental Aesthetic Index, DAI) were evaluated. DOH in infancy and adolescence were evaluated by interviews with the parents and adolescents. Most adolescents presented with normal facial characteristics. The malocclusion prevalence (Angle) was 83%. The DAI ranged from 13 to 69 (mean ± SD: 25.9 ± 7.7). Orthodontic treatment was necessary in 45.1% of the sample. The most prevalent DOH in adolescents were nail biting, object biting, cheek/lip biting, and bruxism, which were associated with finger sucking during infancy (P < 0.05). We conclude that malocclusions and DOH are common among Brazilian adolescents and that finger sucking during infancy may be a good predictor of DOH occurrence during adolescence.

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Socio-environmental factors associated with dental occlusion in adolescents

Cited by 41 publications

References 37 publications

Association of adverse oral health outcomes with socioeconomic inequalities and dental needs in Brazilian adolescents

Association of adverse oral health outcomes with socioeconomic inequalities and dental needs in Brazilian adolescents

Individual and contextual determinants of malocclusion in 12-year-old schoolchildren in a Brazilian city

Malocclusion and deleterious oral habits among adolescents in a developing area in northeastern Brazil

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