Concern of adolescents in conflict with the Law about their oral health
Main Article Content
Abstract
Objective: To assess the self-perception of adolescents in conflict with the law about their concern with oral health, in addition to tracing their relationship with other related variables. Methods: A cross-sectional study involving male institutionalized adolescents in a city in southern Brazil who underwent clinical examination and interviews to understand their concern for their oral health and the relationship between this outcome and associated factors. Concern about oral health was obtained through a validated questionnaire. Two fitted models were performed using Poisson regression (α < 0.05). One of them used the decayed, missing, and filled teeth index (DMF-D), and another considered the components of this index as exploratory variables. Results: Sixty-eight adolescents were included, and a high occurrence (75%) of concern about their oral health was observed. In the final multivariate analysis that included DMFT, this index (prevalence ratio [PR]: 1.033; 95% confidence interval [95%CI]: 1.004 – 1.063) and concern about tooth color (PR: 2.208; 95%CI: 1.028 – 4.740) were significantly associated with oral health concerns. When the various index components were included in the multivariate model, only the number of decayed teeth (PR: 1.073; 95%CI: 1.007 – 1.144) and concerns about tooth color (PR: 2.250; 95%CI: 1.057 – 4.793) were associated with the outcome. Conclusion: Institutionalized adolescents are highly concerned about their oral health, being associated with a DMF index, especially the decayed component, and a concern with the color of their teeth.
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References
Ashky RT, Althagafi NM, Alsaati BH, Alharbi RA, Kassim SA, Alsharif AT. Self-perception of malocclusion and barriers to orthodontic care: a cross-sectional study in Al-Madinah, Saudi Arabia. Patient Prefer Adherence. 2019;13:1723-32. https://doi.org/10.2147/PPA.S219564 DOI: https://doi.org/10.2147/PPA.S219564
Bittencourt JM, Martins LP, Paiva SM, Pordeus IA, Martins-Júnior PA, Bendo CB. Early childhood caries and oral health-related quality of life of Brazilian children: Does parents' resilience act as moderator? Int J Paediatr Dent. 2021;31(3):383-93. https://doi.org/10.1111/ipd.12727 DOI: https://doi.org/10.1111/ipd.12727
Nascimento M, Cunha Soares F, Dahllöf G, Burgos Souto Maior G, Kvist T, Colares V. Determinants of self-perceived oral health in adolescents: A cross-sectional study. Int J Paediatr Dent. 2021;31(2):254-61. https://doi.org/10.1111/ipd.12664 DOI: https://doi.org/10.1111/ipd.12664
Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010;8:126. https://doi.org/10.1186/1477-7525-8-126 DOI: https://doi.org/10.1186/1477-7525-8-126
Colussi PR, Hugo FN, Muniz FW, Rösing CK. Oral health-related quality of life and associated factors in Brazilian adolescents. Braz Dent J. 2017;28(1):113-20. https://doi.org/10.1590/0103-6440201701098 DOI: https://doi.org/10.1590/0103-6440201701098
Kavand G, Broffitt B, Levy SM, Warren JJ. Comparison of dental esthetic perceptions of young adolescents and their parents. J Public Health Dent. 2012;72(2):164-71. https://doi.org/10.1111/j.1752-7325.2011.00306.x DOI: https://doi.org/10.1111/j.1752-7325.2011.00306.x
Costa NDR, Silva PRFD. Mental health care for Brazilian juvenile offenders. Cien Saude Colet. 2017;22(5):1467-78. https://doi.org/10.1590/1413-81232017225.33562016 DOI: https://doi.org/10.1590/1413-81232017225.33562016
Brasil. Secretaria Geral da Presidência da República. Mapa do Encarceramento: os jovens do Brasil. Brasília: Presidência Presidência da República; 2015 [cited 2022 Feb 27]. Avaiable from: https://www.conjur.com.br/dl/mapa-prisao.pdf
Forum Brasileiro de Segurança Pública. Anuário Brasileiro de Segurança Pública 2020. [cited 2022 Feb 27] Avaiable from: https://bit.ly/3vnmH7z
Forum Brasileiro de Segurança Pública. Anuário Brasileiro de Segurança Pública 2017. [cited 2022 Feb 27] Avaiable from: https://bit.ly/3tb3ByV
Borrell LN, Baquero MC. Self-rated general and oral health in New York City adults: assessing the effect of individual and neighborhood social factors. Community Dent Oral Epidemiol. 2011;39(4):361-71. https://doi.org/10.1111/j.1600-0528.2010.00603.x DOI: https://doi.org/10.1111/j.1600-0528.2010.00603.x
Oliveira DC, Ferreira FM, Morosini IeA, Torres-Pereira CC, Martins Paiva S, Fraiz FC. Impact of oral health status on the oral health-related quality of life of Brazilian male incarcerated adolescents. Oral Health Prev Dent. 2015;13(5):417-25. https://doi.org/10.3290/j.ohpd.a33922
Locker D. Does dental care improve the oral health of older adults? Community Dent Health. 2001;18(1):7-15.
Joffer J, Flacking R, Bergström E, Randell E, Jerdén L. Self-rated health, subjective social status in school and socioeconomic status in adolescents: a cross-sectional study. BMC Public Health. 2019;19(1):785. https://doi.org/10.1186/s12889-019-7140-3 DOI: https://doi.org/10.1186/s12889-019-7140-3
Brasil. Ministério da Saúde. Manual do Instrumento de Avaliação da Atenção Primária à Saúde: PCATool-Brasil. Brasília, DF: Ministério da Saúde; 2010 [cited 2022 Feb27]. 80 p. Avaiable from: https://bit.ly/3sqDuVF
Furtado GE, Sousa ML, Barbosa TS, Wada RS, Martínez-Mier EA, Almeida ME. Percepção da fluorose dentária e avaliação da concordância entre pais e filhos: validação de um instrumento. Cad Saude Publica. 2012;28(8):1493-505. https://doi.org/10.1590/S0102-311X2012000800008 DOI: https://doi.org/10.1590/S0102-311X2012000800008
Petersen, Poul Erik, Baez, Ramon J , World Health Organization. Oral health surveys: basic methods, 5th ed. Geneva: World Health Organization; 2013 [cited 2022 Feb 27]. Avaiable from: https://apps.who.int/iris/handle/10665/97035
Kahabuka FK, Mbawalla HS. Oral health knowledge and practices among Dar es Salaam institutionalized former street children aged 7-16 years. Int J Dent Hyg. 2006;4(4):174-8. https://doi.org/10.1111/j.1601-5037.2006.00215.x DOI: https://doi.org/10.1111/j.1601-5037.2006.00215.x
Mayze L, Pawlak J, Rogers M, Smith M. Oral health of adolescents in the Colac-Otway Shire. Aust J Rural Health. 2019;27(1):93-8. https://doi.org/10.1111/ajr.12485 DOI: https://doi.org/10.1111/ajr.12485
Mobley CC. Nutrition and dental caries. Dent Clin North Am. 2003;47(2):319-36. https://doi.org/10.1016/S0011-8532(02)00102-7 DOI: https://doi.org/10.1016/S0011-8532(02)00102-7
Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017;3:17038. https://doi.org/10.1038/nrdp.2017.38 DOI: https://doi.org/10.1038/nrdp.2017.38
Pazos CTC, Austregésilo SC, Goes PSA. Self-esteem and oral health behavior in adolescents. Cien Saude Colet. 2019;24(11):4083-92. https://doi.org/10.1590/1413-812320182411.02492018 DOI: https://doi.org/10.1590/1413-812320182411.02492018
Dallé H, Vedovello SAS, Degan VV, de Godoi APT, Custódio W, de Menezes CC. Malocclusion, facial and psychological predictors of quality of life in adolescents. Community Dent Health. 2019:36(4):298-302. https://doi.org/10.1922/CDH_4633Dalle05
Kallunki J, Sollenius O, Paulsson L, Petrén S, Dimberg L, Bondemark L. Oral health-related quality of life among children with excessive overjet or unilateral posterior crossbite with functional shift compared to children with no or mild orthodontic treatment need. Eur J Orthod. 2019;41(2):111-6. https://doi.org/10.1093/ejo/cjy033 DOI: https://doi.org/10.1093/ejo/cjy033
Scapini A, Feldens CA, Ardenghi TM, Kramer PF. Malocclusion impacts adolescents' oral health-related quality of life. Angle Orthod. 2013;83(3):512-8. https://doi.org/10.2319/062012-509.1 DOI: https://doi.org/10.2319/062012-509.1
Marques LS, Ramos-Jorge ML, Paiva SM, Pordeus IA. Malocclusion: esthetic impact and quality of life among Brazilian schoolchildren. Am J Orthod Dentofacial Orthop. 2006;129(3):424-7. https://doi.org/10.1016/j.ajodo.2005.11.003 DOI: https://doi.org/10.1016/j.ajodo.2005.11.003
Agou S, Locker D, Streiner DL, Tompson B. Impact of self-esteem on the oral-health-related quality of life of children with malocclusion. Am J Orthod Dentofacial Orthop. 2008;134(4):484-9. https://doi.org/10.1016/j.ajodo.2006.11.021 DOI: https://doi.org/10.1016/j.ajodo.2006.11.021
Montero J, Gómez-Polo C, Santos JA, Portillo M, Lorenzo MC, Albaladejo A. Contributions of dental colour to the physical attractiveness stereotype. J Oral Rehabil. 2014;41(10):768-82. https://doi.org/10.1111/joor.12194 DOI: https://doi.org/10.1111/joor.12194
Craig SA, Baker SR, Rodd HD. How do children view other children who have visible enamel defects? Int J Paediatr Dent. 2015;25(6):399-408https://doi.org/10.1111/ipd.12146 DOI: https://doi.org/10.1111/ipd.12146
Silva FMFD, Magno MB, Neves AB, Coqueiro RDS, Costa MC, Maia LC, Pithon MM. Aesthetic perceptions and social judgments about different enamel opacities. Braz Oral Res. 2020;34:e049. https://doi.org/10.1590/1807-3107bor-2020.vol34.0049 DOI: https://doi.org/10.1590/1807-3107bor-2020.vol34.0049
Silva ME, Villaça EL, Magalhães CS, Ferreira EF. Impacto da perda dentária na qualidade de vida. Cien Saude Colet. 2010;15(3):841-50. https://doi.org/10.1590/S1413-81232010000300027 DOI: https://doi.org/10.1590/S1413-81232010000300027
Martins MT, Sardenberg F, Bendo CB, Abreu MH, Vale MP, Paiva SM, et al. Dental caries remains as the main oral condition with the greatest impact on children's quality of life. PLoS One. 2017;12(10):e0185365. https://doi.org/10.1371/journal.pone.0185365 DOI: https://doi.org/10.1371/journal.pone.0185365
Alshoraim MA, El-Housseiny AA, Farsi NM, Felemban OM, Alamoudi NM, Alandejani AA. Effects of child characteristics and dental history on dental fear: cross-sectional study. BMC Oral Health. 2018;18(1):33. https://doi.org/10.1186/s12903-018-0496-4 DOI: https://doi.org/10.1186/s12903-018-0496-4
Dahal S, Shrestha A, Bhagat T. Prevalence of dental fear among 6-15 years old school children. JNMA J Nepal Med Assoc. 2020;58(221):33-8. https://doi.org/10.31729/jnma.4791 DOI: https://doi.org/10.31729/jnma.4791
Yazawa A, Takada S, Suzuki H, Fujisawa TX, Tomoda A. Association between parental visitation and depressive symptoms among institutionalized children in Japan: a cross-sectional study. BMC Psychiatry. 2019;19(1):129. https://doi.org/10.1186/s12888-019-2111-x DOI: https://doi.org/10.1186/s12888-019-2111-x
Vinnakota A, Kaur R. A Study of depression, externalizing, and internalizing behaviors among adolescents living in institutional homes. Int J Appl Basic Med Res. 2018;8(2):89-95. https://doi.org/10.4103/ijabmr.IJABMR_333_17 DOI: https://doi.org/10.4103/ijabmr.IJABMR_333_17
McCleary EE, Rainchuso L, Vineyard J, Giblin-Scanlon L. Oral health professionals knowledge, attitudes and practices toward patients with depression. J Dent Hyg. 2020;94(5):6-13. PMID: 33008944
Jnaneswar A, Subramaniya GB, Pathi J, Jha K, Suresan V, Kumar G. Assessment of dental caries and periodontal status in institutionalized hearing impaired children in Khordha District of Odisha. J Indian Soc Pedod Prev Dent. 2017;35(3):203-8. https://doi.org/10.4103/JISPPD.JISPPD_11_17 DOI: https://doi.org/10.4103/JISPPD.JISPPD_11_17
Sano-Asahito T, Suzuki A, Matsuyama J, Mitomi T, Kinoshita-Kawano S, Hayashi-Sakai S, Asahito T. Self-esteem and oral condition of institutionalized abused children in Japan. J Clin Pediatr Dent 2015:39(4):322-5. https://doi.org/10.17796/1053-4628-39.4.322 DOI: https://doi.org/10.17796/1053-4628-39.4.322
Brasil. Ministério da Mulher, da Família e dos Direitos Humanos. Levantamento anual SINASE, 2017. Brasília, DF: Ministério da Mulher, da Família e dos Direitos Humanos; 2019 [cited 2022 Feb 27]. Avaiable from: https://bit.ly/35ixy86