Validation of self-reported oral health among Indonesian adolescents

Agustanti, Ary; Ramadhani, Atik; Adiatman, Melissa; Rahardjo, Anton; Tantawi, Maha El; Maharani, Diah Ayu

doi:10.1186/s12903-021-01953-x

Cited by 2 publications

(1 citation statement)

References 19 publications

(58 reference statements)

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“…Due to limited resources, the oral health of the participants was assessed with a self-assessment questionnaire and not by clinical examination. A low accuracy of self-reported questionnaires might be considered [ 45 ], although other authors stated that self-reported oral health is associated with normative indices of oral health [ 46 ]. Further, non-probability sampling methods were used.…”

Section: Discussionmentioning

confidence: 99%

Oral health, stress and barriers accessing dental health care among war-affected Ukrainian refugees in Germany

Ponomarenko,

Kaifie

2023

BMC Oral Health

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Background After Russian invasion many Ukrainians fled to European countries including Germany. In this context, the German health care system faced challenges delivering dental care to a displaced population. Recently surfaced obstacles as well as different cultural and medical traits need to be considered in order to deliver appropriate medical care. The aim of this study was to evaluate oral health and hygiene of Ukrainian refugees, identify barriers accessing dental health care and explore the relation to their mental health state. Methods This cross-sectional study was conducted using a self-assessment questionnaire, distributed via non-probability snowball sampling method among war-affected Ukrainians, who fled to Germany. The online form was distributed via web-based platforms, the printed version was hand-delivered across diverse local venues. Chi-Square Tests, T-Tests and Mann-Whitney-U Tests were performed. Analysis of variance and Spearman correlation coefficient analysis were also conducted. Results From 819 completed questionnaires, 724 questionnaires were included in the analysis with 78 males (10.8%) and 640 females (88.6%) and a mean age of 37.5 years (SD = 10.5). The majority of participants rated their state of teeth (77%) and gums (81%) as average or better. The main problems, caused by state of their teeth, were: “Have avoided smiling because of teeth” (23.6%) or “Felt embarrassed due to appearance of teeth” (22.2%). The most frequent limiting factors to access dental care were finances (82.6%), language (82.2%) and complicated health care system (74.1%). 45.8% of the participants scored 10 or more in the Patient Health Questionnaire and 37.4% in the Generalized Anxiety Disorder 7-item scale, respectively. These participants were more likely to report pain, poor state of teeth and gums and to fail a dental consultation. Overall, 59.6% participants reported not consulting a dentist, when needed. Failed consultations were associated with a poorer reported state of teeth and gums. Conclusions Ukrainian refugees reported barriers accessing dental health care in Germany. It is important to improve oral health literacy and dental services for displaced people and provide help and guidance in seeking dental care.

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Section: Discussionmentioning

confidence: 99%

Oral health, stress and barriers accessing dental health care among war-affected Ukrainian refugees in Germany

Ponomarenko,

Kaifie

2023

BMC Oral Health

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Validity of mother-child self-perceived oral health for the assessment of 5 years old children’s oral health in Indonesia

et al. 2023

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Background Early childhood caries (ECC) is a serious condition that has a negative impact on young children’s quality of life. Mothers’ perceived need for oral health care plays an important role in their children’s oral health behavior. This study aimed to compare mother and child self-perceived and dentist-evaluated needs for oral health care. Methods This cross-sectional study included 266 preschool children aged 5 years old and their mothers. A self-administered questionnaire to the mothers and interviews with the children were used to assess the perceived needs of oral health care. The mothers were asked to rate their children’s oral health and determine if they needed dental treatment. The children were also asked how they felt about their oral health and whether they had any tooth decay. Agreement between mother and child regarding the child’s oral health was assessed. The evaluated needs were assessed clinically using the dmft (decayed, missing, and filled teeth [primary dentition]) and pufa (pulpal involvement, ulceration, fistula, and abscess [primary dentition]) indices. The perceived and evaluated needs were compared using spearman analysis to determine their correlations and the validity of the perceived needs compared to the clinical examination was assessed using the area under the curve (AUC), sensitivity (Sn), specificity (Sp), and likelihood ratio (LR). Results The prevalence rate of ECC was 89.4%, with 35% having at least one condition from untreated caries (pufa > 0). Mothers and children have a fair agreement regarding the child’s oral health (ICC = 0.335). When comparisons were conducted between perceived and evaluated conditions, Mother’s rating about their child’s oral health showed the strongest correlation to dmft index (r = 0.372; p < 0.001). Several accuracy parameters done in this study (AUC, Sn, and Sp) did not meet the acceptable threshold. The sensitivity and specificity were the highest when comparing mothers’ perceived need for their child’s dental treatment to the dmft index (Sn = 96.7%) and pufa index (Sp = 88.1%), respectively. Conclusion Compared to the dentist’s assessment, the mother and child self-reported oral health statuses showed lower accuracy in assessing the child’s condition. But, the mothers in this study were better than their 5-year-old children at perceiving their child’s oral health care needs. As a result, these subjective assessments can be used as a complement, but not as a substitute, to the actual clinical evaluation.

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Validation of self-reported oral health among Indonesian adolescents

Cited by 2 publications

References 19 publications

Oral health, stress and barriers accessing dental health care among war-affected Ukrainian refugees in Germany

Oral health, stress and barriers accessing dental health care among war-affected Ukrainian refugees in Germany

Validity of mother-child self-perceived oral health for the assessment of 5 years old children’s oral health in Indonesia

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