Why Patients Visit Dentists – A Study in all World Health Organization Regions

John, Mike T.; Sekulić, Stella; Bekes, Katrin; Al-Harthy, Mohammad; Michelotti, Ambra; Reissmann, Daniel R.; Nikolovska, Julijana; Sanivarapu, Sahityaveera; Lawal, Folake Barakat; List, Thomas; Kiršić, Sanja Peršić; Strajnić, Ljiljana; Casassus, Rodrigo; Baba, Kazuyoshi; Schimmel, Martín; Amuasi, Ama; Jayasinghe, Ruwan Duminda; Strujić-Porović, Sanela; Peck, Christopher C.; Xie, Han; Bendixen, Karina Haugaard; Pallares, Miguel Ángel Simancas; Perez-Franco, Eka; Sistani, Mohammad Mehdi Naghibi; Valério, Patrícia; Letunova, Natalia; Nurelhuda, Nazik; Bartlett, David; Oluwafemi, Ikeoluwa A.; Dghoughi, Saloua; Ferreira, João N.; Chantaracherd, Pathamas; Rener‐Sitar, Ksenija

doi:10.1016/j.jebdp.2020.101459

Cited by 38 publications

(32 citation statements)

References 22 publications

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“…In this international survey, 101 dentists from 23 countries who only treated pediatric dental patients were selected from a larger pool of 1580 dentists from 32 countries who participated in a larger web-based project [ 15 ]. Dentists had a mean age (SD) of 41.2 (9.3) years.…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, organized groups such as the World Dental Federation (FDI) regularly use international dentists’ surveys and questionnaires [ 19 ]. Recently, our international study group used data from the same web-based survey project and utilized similar methodological approaches for evaluating the fit of dental patients’ oral health problems within the four OHRQoL dimensions [ 15 , 20 ]. We have found comparable results to this study, i.e., more than 90% of all adult dental patients’ current and future oral health problems coincided with Oral Function, Orofacial Pain and Appearance, and Psychosocial Impact dimensions of the OHRQoL construct.…”

Section: Discussionmentioning

confidence: 99%

“…In instances where dentists responded in the form with "other problems not mentioned above," they were asked to write in a specifically marked field patient's other particular oral health problem or prevention need, which in their opinion does not fit into the four categories related to functional, painful, aesthetic, and psychosocial patients' impairment. A detailed analysis of dentists' responses related to "other problems not mentioned above" has been provided in the manuscript entitled “Why patients visit dentists—A study in all WHO regions.” [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

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Pediatric patients’ reasons for visiting dentists in all WHO regions

Bekes

John

Rener‐Sitar

et al. 2021

Health Qual Life Outcomes

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Background Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the four oral health-related quality of life (OHRQoL) dimensions (4D) or areas in which oral disorders impact pediatric patients. Using their dentists' assessment, the study aimed to evaluate whether pediatric dental patients' oral health concerns fit into the 4D of the Oral Health-Related Quality of Life (OHRQoL) construct. Methods Dentists who treat children from 32 countries and all WHO regions were selected from a web-based survey of 1580 international dentists. Dentists were asked if their pediatric patients with current or future oral health concerns fit into the 4D of the Oral Health-Related Quality of Life (OHRQoL) construct. Proportions of all pediatric patients’ oral health problems and prevention needs were computed. Findings Data from 101 dentists treating children only and 523 dentists treating children and adults were included. For 90% of pediatric patients, their current oral health problems fit well in the four OHRQoL dimensions. For 91% of oral health problems they intended to prevent in the future were related to these dimensions as well. Both numbers increased to at least 96% when experts analyzed dentists´ explanations of why some oral health problems would not fit these four categories. Conclusions The study revealed the four fundamental components of dental patients, i.e., the four OHRQoL dimensions (Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact) are also applicable for pediatric patients, regardless of whether they have current or future oral health concerns, and should be considered when measuring OHRQoL in the pediatric dental patient population.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Pediatric patients’ reasons for visiting dentists in all WHO regions

Bekes

John

Rener‐Sitar

et al. 2021

Health Qual Life Outcomes

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“…According to the content of the items, the dimensions could be: Function, Pain, Comfort and Psychosocial Impact. Due to a lack of questions related to orofacial aesthetics in the OHIP-EDENT questionnaire, the four extracted factors are not in line with the recent four-dimensional oral health model derived from the OHIP-49 questionnaires ( 2 , 5 , 14 , 15 , 16 , 40 , 41 , 42 , 43 ). The confirmatory factor analysis (CFA) was not performed in this study because a new sample was needed for the CFA in both Croatia and Serbia.…”

Section: Discussionmentioning

confidence: 83%

Psychometric characteristics of the Croatian and the Serbian versions of the oral health impact profile for edentulous subjects, with a pilot study on the dimensionality

Čelebić

Stančić

Kovačić

et al. 2020

Slovenian Journal of Public Health

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IntroductionThe aim was to adapt the Croatian and the Serbian versions of the Oral Health Impact Profile for the edentulous population (OHIP-EDENT-CRO and OHIP-EDENT-SRB).MethodsThe translation and cross-cultural adaptation were carried out in accordance with accepted international standards. A total of 95 and 177 removable denture wearers were recruited in Croatia and Serbia respectively. The reliability was evaluated by calculating Cronbach’s alpha coefficient and by test-retest (30 participants in each country). The concurrent validity was determined by calculating the Spearman’s rank coefficient between the OHIP-EDENT summary scores and one question related to removable denture satisfaction. Construct validity was determined by exploratory factor analysis (EFA). Responsiveness was determined by comparison of the OHIP-EDENT summary scores before and after dental implant placement to support mandibular overdentures (23 patients in Croatia, 21 in Serbia).ResultsCronbach’s alpha coefficient was 0.92 in Croatia and 0.87 in Serbia. The intraclass correlation coefficient was 0.98 in Croatia and 0.94 in Serbia. In Croatia the Spearman’s correlation coefficient was -0.71 (p<0.001) and in Serbia -0.74 (p<0.001). Both confirmed concurrent validity. Construct validity was tested by EFA, which extracted four factors in each country, accounting for 66.59% of the variance in Croatia and 59.33% in Serbia. Responsiveness was confirmed in both countries by a significant OHIP-EDENT summary score reduction and a high standardised effect size (3.9 in Croatia, 1.53 in Serbia).ConclusionThe results prove that both instruments, the OHIP-EDENT-CRO and the OHIP-EDENT-SRB, have very good psychometric properties for assessing OHRQoL in the edentulous population.

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“…Orofacial appearance (OA) is increasingly considered to be one of the most important patient-reported outcomes (PROs) in dentistry. It is one of the main reasons for patients to pursue dental treatments [3], especially orthodontic treatments [4,5]. Previous studies have recognized OA as one of the dimensions of oral health-related quality of life (OHRQoL) [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Development of a one-item version of the Orofacial Esthetic Scale

et al. 2021

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Objectives Orofacial appearance is increasingly recognized as an important dental patient-reported outcome making instrument development and refinement efforts to measure the outcome better necessary. The aim of this study was to derive a one-item version of the Orofacial Esthetic Scale (OES). Materials and methods OES data were collected from a consecutive sample of a total of 2113 adult English- or Spanish-speaking dental patients from HealthPartners dental clinic in Minnesota. Participants with missing data were excluded and analysis were performed using data from 2012 participants. Orofacial appearance was assessed with the English and the Spanish language version of the OES. Linear regression analysis was performed, with the OES item 8 (“Overall, how do you feel about the appearance of your face, your mouth, and your teeth?”) as the predictor variable and the OES summary score as the criterion variable, to calculate the adjusted coefficients of determination (R2). Results The value of adjusted R2 was 0.83, indicating that the OES item 8 score explained about 83% of the variance of the OES summary score. The difference in R2 scores between the two language groups was negligible. Conclusion The OES item 8 can be used for the one-item OES (OES-1). It is a psychometrically sound instrument for measuring orofacial appearance. Clinical relevance Due to its easy application and sufficient psychometric properties, the OES-1 can be used effectively as an alternative to longer OES instruments in all areas of dental practice and research.

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Why Patients Visit Dentists – A Study in all World Health Organization Regions

Cited by 38 publications

References 22 publications

Pediatric patients’ reasons for visiting dentists in all WHO regions

Pediatric patients’ reasons for visiting dentists in all WHO regions

Psychometric characteristics of the Croatian and the Serbian versions of the oral health impact profile for edentulous subjects, with a pilot study on the dimensionality

Development of a one-item version of the Orofacial Esthetic Scale

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