Severity of malocclusion in adolescents: populational-based study in the north of Minas Gerais, Brazil
ABSTRACT OBJECTIVE To identify the factors associated with severity of malocclusion in a population of adolescents. METHODS In this cross-sectional population-based study, the sample size (n = 761) was calculated considering a prevalence of malocclusion of 50.0%, with a 95% confidence level and a 5....
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Published in | Revista de saúde pública Vol. 50 |
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Main Authors | , , , , |
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Language | Portuguese |
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Faculdade de Saúde Pública da Universidade de São Paulo
2016
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Abstract | ABSTRACT OBJECTIVE To identify the factors associated with severity of malocclusion in a population of adolescents. METHODS In this cross-sectional population-based study, the sample size (n = 761) was calculated considering a prevalence of malocclusion of 50.0%, with a 95% confidence level and a 5.0% precision level. The study adopted correction for the effect of delineation (deff = 2), and a 20.0% increase to offset losses and refusals. Multistage probability cluster sampling was adopted. Trained and calibrated professionals performed the intraoral examinations and interviews in households. The dependent variable (severity of malocclusion) was assessed using the Dental Aesthetic Index (DAI). The independent variables were grouped into five blocks: demographic characteristics, socioeconomic condition, use of dental services, health-related behavior and oral health subjective conditions. The ordinal logistic regression model was used to identify the factors associated with severity of malocclusion. RESULTS We interviewed and examined 736 adolescents (91.5% response rate), 69.9% of whom showed no abnormalities or slight malocclusion. Defined malocclusion was observed in 17.8% of the adolescents, being severe or very severe in 12.6%, with pressing or essential need of orthodontic treatment. The probabilities of greater severity of malocclusion were higher among adolescents who self-reported as black, indigenous, pardo or yellow, with lower per capita income, having harmful oral habits, negative perception of their appearance and perception of social relationship affected by oral health. CONCLUSIONS Severe or very severe malocclusion was more prevalent among socially disadvantaged adolescents, with reported harmful habits and perception of compromised esthetics and social relationships. Given that malocclusion can interfere with the self-esteem of adolescents, it is essential to improve public policy for the inclusion of orthodontic treatment among health care provided to this segment of the population, particularly among those of lower socioeconomic status. |
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AbstractList | ABSTRACT OBJECTIVE To identify the factors associated with severity of malocclusion in a population of adolescents. METHODS In this cross-sectional population-based study, the sample size (n = 761) was calculated considering a prevalence of malocclusion of 50.0%, with a 95% confidence level and a 5.0% precision level. The study adopted correction for the effect of delineation (deff = 2), and a 20.0% increase to offset losses and refusals. Multistage probability cluster sampling was adopted. Trained and calibrated professionals performed the intraoral examinations and interviews in households. The dependent variable (severity of malocclusion) was assessed using the Dental Aesthetic Index (DAI). The independent variables were grouped into five blocks: demographic characteristics, socioeconomic condition, use of dental services, health-related behavior and oral health subjective conditions. The ordinal logistic regression model was used to identify the factors associated with severity of malocclusion. RESULTS We interviewed and examined 736 adolescents (91.5% response rate), 69.9% of whom showed no abnormalities or slight malocclusion. Defined malocclusion was observed in 17.8% of the adolescents, being severe or very severe in 12.6%, with pressing or essential need of orthodontic treatment. The probabilities of greater severity of malocclusion were higher among adolescents who self-reported as black, indigenous, pardo or yellow, with lower per capita income, having harmful oral habits, negative perception of their appearance and perception of social relationship affected by oral health. CONCLUSIONS Severe or very severe malocclusion was more prevalent among socially disadvantaged adolescents, with reported harmful habits and perception of compromised esthetics and social relationships. Given that malocclusion can interfere with the self-esteem of adolescents, it is essential to improve public policy for the inclusion of orthodontic treatment among health care provided to this segment of the population, particularly among those of lower socioeconomic status. |
Author | Nepomuceno, Marcela Oliveira Martins, Andrea Maria Eleutério de Barros Lima Silveira, Marise Fagundes Freire, Rafael Silveira Marcopito, Luiz Francisco |
AuthorAffiliation | Universidade Estadual de Montes Claros Faculdades Integradas Pitágoras de Montes Claros Universidade Federal de São Paulo |
AuthorAffiliation_xml | – name: Universidade Estadual de Montes Claros – name: Universidade Federal de São Paulo – name: Faculdades Integradas Pitágoras de Montes Claros |
Author_xml | – sequence: 1 givenname: Marise Fagundes surname: Silveira fullname: Silveira, Marise Fagundes organization: Universidade Estadual de Montes Claros – sequence: 2 givenname: Rafael Silveira surname: Freire fullname: Freire, Rafael Silveira organization: Universidade Estadual de Montes Claros – sequence: 3 givenname: Marcela Oliveira surname: Nepomuceno fullname: Nepomuceno, Marcela Oliveira organization: Faculdades Integradas Pitágoras de Montes Claros – sequence: 4 givenname: Andrea Maria Eleutério de Barros Lima surname: Martins fullname: Martins, Andrea Maria Eleutério de Barros Lima organization: Universidade Estadual de Montes Claros – sequence: 5 givenname: Luiz Francisco surname: Marcopito fullname: Marcopito, Luiz Francisco organization: Universidade Federal de São Paulo |
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DocumentTitleAlternate | Gravidade da maloclusão em adolescentes: estudo de base populacional no norte de Minas Gerais, Brasil |
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Keywords | Autoimagem Self Concept Cross-Sectional Studies Fatores Socioeconômicos Estudos Transversais Risk Factors Adolescent Má Oclusão, epidemiologia Malocclusion, epidemiology Socioeconomic Factors Adolescente Fatores de Risco |
Language | Portuguese |
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References | 2009; 14 2002; 36 2004; 20 2013; 47 2009; 43 2010; 13 2006; 76 2006; 28 2008; 36 2007; 9 2008; 13 Luiz, RR; Costa, AJL; Nadanovsky, P 2005 Costa, JFR; Chagas, LD; Silvestre, RM 2006 2008; 42 2011; 47 2012; 14 2007; 22 2007; 24 2005; 34 |
References_xml | – volume: 14 start-page: 52 issue: 3 year: 2009 end-page: 59 article-title: Condição socioeconômica e prevalência de más oclusões em crianças de 5 e 12 anos na USF Castelo Branco III- João Pessoa/Paraíba publication-title: Rev Dental Press Ortodon Ortop Facial – volume: 76 start-page: 417 issue: 3 year: 2006 end-page: 421 article-title: Orthodontic treatment need in Peruvian young adults evaluated though Dental Aesthetic Index publication-title: Angle Orthod – volume: 9 start-page: 194 issue: 2 year: 2007 end-page: 204 article-title: Aleitamento natural, aleitamento artificial, hábitos de sucção e maloclusões em pré-escolares brasileiros publication-title: Rev Saude Publica – volume: 13 start-page: 713 issue: 4 year: 2010 end-page: 723 article-title: Associação entre presença de oclusopatias e insatisfação com a aparência dos dentes e gengivas: estudo com adolescentes brasileiros publication-title: Rev Bras Epidemiol – volume: 36 start-page: 137 issue: 2 year: 2008 end-page: 143 article-title: Does malocclusion influence the adolescent’s satisfaction with appearance? A cross-sectional study nested in a Brazilian birth cohort publication-title: Community Dent Oral Epidemiol – volume: 14 start-page: 3 issue: 1 year: 2012 end-page: 14 article-title: Levantamento epidemiológico das condições de saúde bucal da população de Montes Claros – MG - Projeto SBMOC publication-title: Rev Unimontes Cient – volume: 34 start-page: 3 issue: 1 year: 2005 end-page: 42 article-title: Relação entre maloclusão e impactos nas atividades diárias: um estudo de base populacional publication-title: Rev Odontol – volume: 13 start-page: 2155 year: 2008 end-page: 2162 article-title: Polarização da cárie dentária em adolescentes, na região sudoeste do estado de São Paulo, Brasil publication-title: Cien Saude Coletiva – year: 2006 publication-title: A política nacional de saúde bucal do Brasil: registro de uma conquista histórica contributor: fullname: Costa, JFR; Chagas, LD; Silvestre, RM – volume: 20 start-page: 689 issue: 3 year: 2004 end-page: 697 article-title: Relação entre hábitos bucais, alterações oronasofaringianas e mal-oclusões em pré-escolares de Vitória, Espírito Santo, Brasil publication-title: Cad Saude Publica – volume: 14 start-page: 15 issue: 1 year: 2012 end-page: 29 article-title: Plano amostral e ponderação pelo efeito de desenho de um levantamento epidemiológico de saúde bucal publication-title: Rev Unimontes Cient – volume: 47 start-page: 109 year: 2013 end-page: 117 article-title: Padrão epidemiológico das oclusopatias muito graves em adolescentes brasileiros publication-title: Rev Saude Publica – volume: 28 start-page: 467 issue: 5 year: 2006 end-page: 470 article-title: Prevalence of malocclusions in Hungarian adolescents publication-title: Eur J Orthod – volume: 47 start-page: 196 issue: 4 year: 2011 end-page: 207 article-title: Desafios de um exercício de calibração para estudo epidemiológico envolvendo variáveis quantitativas e categóricas ordinais: um exemplo publication-title: Arq Odontol – volume: 42 start-page: 324 issue: 2 year: 2008 end-page: 334 article-title: Diferenças socioeconômicas entre autoclassificação e heteroclassificação de cor/raça publication-title: Rev Saude Publica – volume: 22 start-page: 279 issue: 4 year: 2007 end-page: 285 article-title: Determinantes individuais e contextuais da prevalência de cárie dentária não tratada no Brasil publication-title: Rev Panam Salud Publica – volume: 24 start-page: 145 issue: 3 year: 2007 end-page: 148 article-title: Assessment of orthodontic treatment needs in Brazilian schoolchildren according to the Dental Aesthetic Index (DAI) publication-title: Community Dental Health – volume: 36 start-page: 230 issue: 2 year: 2002 end-page: 236 article-title: Diferenças entre autopercepção e critérios normativos na identificação das oclusopatias publication-title: Rev Saude Publica – volume: 43 start-page: 183 issue: 1 year: 2009 end-page: 194 article-title: Regressão logística ordinal em estudos epidemiológicos publication-title: Rev Saude Publica – year: 2005 publication-title: Epidemiologia e bioestatística na pesquisa odontológica contributor: fullname: Luiz, RR; Costa, AJL; Nadanovsky, P |
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Title | Severity of malocclusion in adolescents: populational-based study in the north of Minas Gerais, Brazil |
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