Impact of Malocclusion on the Quality of Life of Brazilian Adolescents: A Population-Based Study
The objective of this study was to evaluate the impact of malocclusion on the quality of life (QOL) of adolescents in Brazil. We carried out a cross-sectional study in a sample population of 1015 schoolchildren aged 12 to 15 years from São Luís, Maranhão, Brazil. The explanatory variable was maloccl...
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creator | Silva, Luciana Freitas Gomes E Thomaz, Erika Bárbara Abreu Fonseca Freitas, Heloiza Viana Pereira, Alex Luiz Pozzobon Ribeiro, Cecília Cláudia Costa Alves, Cláudia Maria Coelho |
description | The objective of this study was to evaluate the impact of malocclusion on the quality of life (QOL) of adolescents in Brazil. We carried out a cross-sectional study in a sample population of 1015 schoolchildren aged 12 to 15 years from São Luís, Maranhão, Brazil. The explanatory variable was malocclusion, evaluated on the basis of the normative need or the adolescent's self-perceived need for dental treatment. Normative need for dental treatment was determined by professional diagnosis, made on the basis of Angle's classification, the Dental Aesthetic Index, and other morphological deviations (e.g., posterior crossbite, posterior open bite, and deep overbite). We analyzed the impact of malocclusion on the QOL using the Portuguese version of the Oral Health Impact Profile-14. Associations were estimated by using the prevalence ratio (PR) in Poisson regression analysis, with hierarchized modeling. An alpha of 5% was adopted as the criterion for statistical significance. The QOL of adolescents was impacted by malocclusion, classified by a normative need for treatment according to the Dental Aesthetic Index (PR = 1.27; 95% confidence interval [CI] = 1.03-1.56) or by the self-perceived need for treatment (PR = 2.54; 95% CI = 1.81-3.56). Certain sociodemographic variables, including the head of the family (PR = 1.52; 95% CI = 1.02-2.23), greater educational level of the head of the family (PR = 0.32; 95% CI = 0.17-0.61), and female sex (PR = 1.40; 95% CI = 1.05-1.89), had negative associations with QOL. We conclude that malocclusion has a negative impact on the QOL of adolescents, associated with socioeconomic conditions and the cosmetic effects of malocclusion. |
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We carried out a cross-sectional study in a sample population of 1015 schoolchildren aged 12 to 15 years from São Luís, Maranhão, Brazil. The explanatory variable was malocclusion, evaluated on the basis of the normative need or the adolescent's self-perceived need for dental treatment. Normative need for dental treatment was determined by professional diagnosis, made on the basis of Angle's classification, the Dental Aesthetic Index, and other morphological deviations (e.g., posterior crossbite, posterior open bite, and deep overbite). We analyzed the impact of malocclusion on the QOL using the Portuguese version of the Oral Health Impact Profile-14. Associations were estimated by using the prevalence ratio (PR) in Poisson regression analysis, with hierarchized modeling. An alpha of 5% was adopted as the criterion for statistical significance. The QOL of adolescents was impacted by malocclusion, classified by a normative need for treatment according to the Dental Aesthetic Index (PR = 1.27; 95% confidence interval [CI] = 1.03-1.56) or by the self-perceived need for treatment (PR = 2.54; 95% CI = 1.81-3.56). Certain sociodemographic variables, including the head of the family (PR = 1.52; 95% CI = 1.02-2.23), greater educational level of the head of the family (PR = 0.32; 95% CI = 0.17-0.61), and female sex (PR = 1.40; 95% CI = 1.05-1.89), had negative associations with QOL. We conclude that malocclusion has a negative impact on the QOL of adolescents, associated with socioeconomic conditions and the cosmetic effects of malocclusion.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0162715</identifier><identifier>PMID: 27690356</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescents ; Biology and Life Sciences ; Children ; Confidence intervals ; Dental occlusion ; Dentistry ; Education ; Elementary school students ; Impact analysis ; Malocclusion ; Medicine and Health Sciences ; Oral hygiene ; Orthodontics ; People and Places ; Perceptions ; Physical Sciences ; Poisson density functions ; Population ; Population (statistical) ; Population studies ; Population-based studies ; Public health ; Quality of life ; Regression analysis ; Research and Analysis Methods ; Schools ; Social Sciences ; Socio-economic aspects ; Socioeconomic factors ; Socioeconomics ; Statistical analysis ; Students ; Studies ; Teenagers ; Youth</subject><ispartof>PloS one, 2016-09, Vol.11 (9), p.e0162715-e0162715</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Silva et al 2016 Silva et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c791t-c12754226ea22764b6876c0ef4e69117eb366b3d2531ddd8b5705a6d5aa105573</citedby><cites>FETCH-LOGICAL-c791t-c12754226ea22764b6876c0ef4e69117eb366b3d2531ddd8b5705a6d5aa105573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045190/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045190/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27690356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Milgrom, Peter M.</contributor><creatorcontrib>Silva, Luciana Freitas Gomes E</creatorcontrib><creatorcontrib>Thomaz, Erika Bárbara Abreu Fonseca</creatorcontrib><creatorcontrib>Freitas, Heloiza Viana</creatorcontrib><creatorcontrib>Pereira, Alex Luiz Pozzobon</creatorcontrib><creatorcontrib>Ribeiro, Cecília Cláudia Costa</creatorcontrib><creatorcontrib>Alves, Cláudia Maria Coelho</creatorcontrib><title>Impact of Malocclusion on the Quality of Life of Brazilian Adolescents: A Population-Based Study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The objective of this study was to evaluate the impact of malocclusion on the quality of life (QOL) of adolescents in Brazil. 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The QOL of adolescents was impacted by malocclusion, classified by a normative need for treatment according to the Dental Aesthetic Index (PR = 1.27; 95% confidence interval [CI] = 1.03-1.56) or by the self-perceived need for treatment (PR = 2.54; 95% CI = 1.81-3.56). Certain sociodemographic variables, including the head of the family (PR = 1.52; 95% CI = 1.02-2.23), greater educational level of the head of the family (PR = 0.32; 95% CI = 0.17-0.61), and female sex (PR = 1.40; 95% CI = 1.05-1.89), had negative associations with QOL. We conclude that malocclusion has a negative impact on the QOL of adolescents, associated with socioeconomic conditions and the cosmetic effects of malocclusion.</description><subject>Adolescents</subject><subject>Biology and Life Sciences</subject><subject>Children</subject><subject>Confidence intervals</subject><subject>Dental occlusion</subject><subject>Dentistry</subject><subject>Education</subject><subject>Elementary school students</subject><subject>Impact analysis</subject><subject>Malocclusion</subject><subject>Medicine and Health Sciences</subject><subject>Oral hygiene</subject><subject>Orthodontics</subject><subject>People and Places</subject><subject>Perceptions</subject><subject>Physical Sciences</subject><subject>Poisson density functions</subject><subject>Population</subject><subject>Population (statistical)</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Public health</subject><subject>Quality of 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of Malocclusion on the Quality of Life of Brazilian Adolescents: A Population-Based Study</title><author>Silva, Luciana Freitas Gomes E ; Thomaz, Erika Bárbara Abreu Fonseca ; Freitas, Heloiza Viana ; Pereira, Alex Luiz Pozzobon ; Ribeiro, Cecília Cláudia Costa ; Alves, Cláudia Maria Coelho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c791t-c12754226ea22764b6876c0ef4e69117eb366b3d2531ddd8b5705a6d5aa105573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescents</topic><topic>Biology and Life Sciences</topic><topic>Children</topic><topic>Confidence intervals</topic><topic>Dental occlusion</topic><topic>Dentistry</topic><topic>Education</topic><topic>Elementary school students</topic><topic>Impact analysis</topic><topic>Malocclusion</topic><topic>Medicine and Health Sciences</topic><topic>Oral hygiene</topic><topic>Orthodontics</topic><topic>People and Places</topic><topic>Perceptions</topic><topic>Physical Sciences</topic><topic>Poisson density functions</topic><topic>Population</topic><topic>Population (statistical)</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Public health</topic><topic>Quality of life</topic><topic>Regression analysis</topic><topic>Research and Analysis Methods</topic><topic>Schools</topic><topic>Social Sciences</topic><topic>Socio-economic aspects</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Statistical analysis</topic><topic>Students</topic><topic>Studies</topic><topic>Teenagers</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva, Luciana Freitas Gomes E</creatorcontrib><creatorcontrib>Thomaz, Erika Bárbara Abreu Fonseca</creatorcontrib><creatorcontrib>Freitas, Heloiza Viana</creatorcontrib><creatorcontrib>Pereira, Alex Luiz 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M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Malocclusion on the Quality of Life of Brazilian Adolescents: A Population-Based Study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-09-30</date><risdate>2016</risdate><volume>11</volume><issue>9</issue><spage>e0162715</spage><epage>e0162715</epage><pages>e0162715-e0162715</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The objective of this study was to evaluate the impact of malocclusion on the quality of life (QOL) of adolescents in Brazil. We carried out a cross-sectional study in a sample population of 1015 schoolchildren aged 12 to 15 years from São Luís, Maranhão, Brazil. The explanatory variable was malocclusion, evaluated on the basis of the normative need or the adolescent's self-perceived need for dental treatment. Normative need for dental treatment was determined by professional diagnosis, made on the basis of Angle's classification, the Dental Aesthetic Index, and other morphological deviations (e.g., posterior crossbite, posterior open bite, and deep overbite). We analyzed the impact of malocclusion on the QOL using the Portuguese version of the Oral Health Impact Profile-14. Associations were estimated by using the prevalence ratio (PR) in Poisson regression analysis, with hierarchized modeling. An alpha of 5% was adopted as the criterion for statistical significance. The QOL of adolescents was impacted by malocclusion, classified by a normative need for treatment according to the Dental Aesthetic Index (PR = 1.27; 95% confidence interval [CI] = 1.03-1.56) or by the self-perceived need for treatment (PR = 2.54; 95% CI = 1.81-3.56). Certain sociodemographic variables, including the head of the family (PR = 1.52; 95% CI = 1.02-2.23), greater educational level of the head of the family (PR = 0.32; 95% CI = 0.17-0.61), and female sex (PR = 1.40; 95% CI = 1.05-1.89), had negative associations with QOL. We conclude that malocclusion has a negative impact on the QOL of adolescents, associated with socioeconomic conditions and the cosmetic effects of malocclusion.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27690356</pmid><doi>10.1371/journal.pone.0162715</doi><tpages>e0162715</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescents Biology and Life Sciences Children Confidence intervals Dental occlusion Dentistry Education Elementary school students Impact analysis Malocclusion Medicine and Health Sciences Oral hygiene Orthodontics People and Places Perceptions Physical Sciences Poisson density functions Population Population (statistical) Population studies Population-based studies Public health Quality of life Regression analysis Research and Analysis Methods Schools Social Sciences Socio-economic aspects Socioeconomic factors Socioeconomics Statistical analysis Students Studies Teenagers Youth |
title | Impact of Malocclusion on the Quality of Life of Brazilian Adolescents: A Population-Based Study |
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