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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Veröffentlicht in:PloS one 2016-09, Vol.11 (9), p.e0162715-e0162715
Hauptverfasser: 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
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container_issue 9
container_start_page e0162715
container_title PloS one
container_volume 11
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.
doi_str_mv 10.1371/journal.pone.0162715
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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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