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- Title
Clinical Consequences of Untreated Dental Caries, Individual Characteristics, and Environmental Factors on Self-Reported Oral Health Measures in Adolescents: A Follow-Up Prevalence Study.
- Authors
Silv, Michele Pagliarini; Vettore, Mario Vianna; Bessa Rebelo, Maria Augusta; Rebelo Vieira, Janete Maria; Corrêa de Queiroz Herkrath, Ana Paula; Corrêa de Queiroz, Adriana; José Herkrath, Fernando; Vianna Pereira, Juliana; Silva, Michele Pagliarini; Rebelo, Maria Augusta Bessa; Herkrath, Ana Paula Corrêa de Queiroz; Queiroz, Adriana Corrêa de; Herkrath, Fernando José; Pereira, Juliana Vianna
- Abstract
<bold>Background/aims: </bold>This study evaluated the relationships of clinical consequences of untreated dental caries, individual characteristics, and environmental factors on self-reported oral health measures in adolescents.<bold>Methods: </bold>A follow-up prevalence study was conducted involving 406 twelve-year-old adolescents selected from public schools in the eastern area of the city of Manaus, Brazil. Baseline data included clinical consequences of untreated caries (PUFA/pufa index), DMFT, sociodemographic characteristics (sex, parental schooling, and family income), psychosocial factors (sense of coherence [SOC-13 scale], oral health beliefs and self-esteem [Rosenberg Self-Esteem Scale]), and social support (SSA questionnaire). Oral health-related quality of life (OHRQoL [CPQ11-14]) and self-rated oral health were assessed at the 6-month follow-up. Structural equation modelling was used to explore the relationships between variables according to the Wilson and Cleary model.<bold>Results: </bold>The prevalence of PUFA/pufa was 17.8% and mean DMFT was 1.5. The number of teeth with clinical consequences of untreated caries predicted poor self-rated oral health at the 6-month follow-up. Low parental schooling predicted low family income and clinical consequences of untreated dental caries. Psychosocial factors predicted OHRQoL directly and self-rated oral health indirectly. OHRQoL was linked to self-rated oral health. Clinical consequences of untreated dental caries mediated the relationship of parental schooling with OHRQoL and self-rated oral health. OHRQoL mediated the relationship of psychosocial factors and sex with self-rated oral health. Clinical consequences of untreated dental caries was associated with adolescents' self-rated oral health. Furthermore, the former was an important mediator on the link between low parental education and adolescents' self-reported oral health measures.<bold>Conclusions: </bold>Socioeconomic status, psychosocial factors, and social support were related to OHRQoL and self-rated oral health via direct and indirect pathways.
- Subjects
MANAUS (Brazil); BRAZIL; ORAL health; DENTAL caries; SENSE of coherence; QUALITY of life; RESEARCH; SELF-evaluation; CROSS-sectional method; RESEARCH methodology; EVALUATION research; MEDICAL cooperation; COMPARATIVE studies; DISEASE prevalence; LONGITUDINAL method; SELF-esteem testing
- Publication
Caries Research, 2020, Vol 54, Issue 2, p176
- ISSN
0008-6568
- Publication type
journal article
- DOI
10.1159/000506438