RESUMEN
OBJECTIVE: Evaluate the validity, reliability, and factorial invariance of the complete Portuguese version of the Oral Health Impact Profile (OHIP) and its short version (OHIP-14). METHODS: A total of 1,162 adults enrolled in the Faculty of Dentistry of Araraquara/UNESP participated in the study; 73.1% were women; and the mean age was 40.7 ± 16.3 yr. We conducted a confirmatory factor analysis, where χ(2)/df, comparative fit index, goodness of fit index, and root mean square error of approximation were used as indices of goodness of fit. The convergent validity was judged from the average variance extracted and the composite reliability, and the internal consistency was estimated by Cronbach standardized alpha. The stability of the models was evaluated by multigroup analysis in independent samples (test and validation) and between users and nonusers of dental prosthesis. RESULTS: We found best-fitting models for the OHIP-14 and among dental prosthesis users. The convergent validity was below adequate values for the factors "functional limitation" and "physical pain" for the complete version and for the factors "functional limitation" and "psychological discomfort" for the OHIP-14. Values of composite reliability and internal consistency were below adequate in the OHIP-14 for the factors "functional limitation" and "psychological discomfort." We detected strong invariance between test and validation samples of the full version and weak invariance for OHIP-14. The models for users and nonusers of dental prosthesis were not invariant for both versions. CONCLUSION: The reduced version of the OHIP was parsimonious, reliable, and valid to capture the construct "impact of oral health on quality of life," which was more pronounced in prosthesis users.
Asunto(s)
Salud Bucal/estadística & datos numéricos , Calidad de Vida , Actividades Cotidianas , Adulto , Estudios Transversales , Prótesis Dental/psicología , Dentición , Dentadura Completa/psicología , Dentadura Parcial/psicología , Escolaridad , Femenino , Humanos , Renta , Arcada Parcialmente Edéntula/psicología , Arcada Parcialmente Edéntula/rehabilitación , Masculino , Persona de Mediana Edad , Boca Edéntula/psicología , Boca Edéntula/rehabilitación , Dolor/psicología , Psicometría , Reproducibilidad de los Resultados , Clase Social , Estrés Psicológico/psicología , Adulto JovenRESUMEN
The aim of the study was to explore partially edentulous patients' reasons for choosing or refusing prosthodontic treatment with removable partial dentures (RPD), fixed partial dentures (FPD) and implant partial dentures (IPD). Clinical and oral health-related quality of life measures were collected from 165 partially edentulous patients undergoing treatment. Patients' preferences were recorded and reasons for choosing or refusing treatments were measured with 32 questions using a five-point Likert scale. Descriptive statistics, chi-square and multiple logistic regression were used to compare patients' preferences according to clinical variables. Discriminant analysis was used to examine the impact of each reason for a patient's decision to choose or refuse treatment options. Results showed that older patients (P < 0.001) and with greater oral-related quality of life impacts (P < 0.05) were more likely to choose RPD. IPD were preferred by patients with higher education levels (P < 0.01). Discriminant functions revealed that the desire to have a fixed or removable denture had great impact on preferences. Removal of tooth structure was the main reason for refusing FPD and financial cost had a great impact on refusing IPD. Overall agreement between observed patients' decisions and those predicted by the discriminant function was >90% for all treatments. Reasons vary greatly among patients, and the role of individual perception of potential reasons for treatment selection was the most important determinants of patients' decisions. The main reasons for choosing or refusing treatments focused in this study can be used to guide shared decision-making, providing treatments that better match patients' expectations and desires.
Asunto(s)
Dentadura Parcial/psicología , Arcada Parcialmente Edéntula/psicología , Aceptación de la Atención de Salud/psicología , Calidad de Vida/psicología , Adolescente , Adulto , Anciano , Conducta de Elección , Análisis Discriminante , Femenino , Humanos , Arcada Parcialmente Edéntula/rehabilitación , Masculino , Persona de Mediana Edad , Salud Bucal , Encuestas y Cuestionarios , Adulto JovenRESUMEN
The case of a five-year-old child is reported, who suffered dento-alveolar injury including subluxation of the right upper lateral incisor and avulsion of the upper central incisors and left upper lateral incisor and laceration in the mucosa. The case was followed for 12 years until complete root formation and alignment of the anterior permanent teeth.
Asunto(s)
Incisivo/lesiones , Avulsión de Diente/terapia , Diente Primario , Preescolar , Dentición Permanente , Dentadura Parcial/psicología , Femenino , Humanos , Incisivo/diagnóstico por imagen , Maxilar , Radiografía , Avulsión de Diente/diagnóstico por imagenRESUMEN
The objective of this study was to analyse adults' subjective perception of satisfaction in relation to number, position and condition of natural teeth. Subjective perception of satisfaction was assessed by interview. Dental status was assessed. Two types of survey were carried out in Brazil: a longitudinal and a cross-sectional survey. The longitudinal study commenced in 1990, with 227 dentate people aged 45-54 years, of two social classes. Of the 227 subjects examined in 1990, 126 were re-examined and interviewed 3 years later. The cross-sectional survey used the same methods used for the longitudinal study. Six hundred and fifty-seven dentate males aged from 35 to 54 years were examined and interviewed. There was a positive correlation between satisfaction and position of teeth. Premolar pairs had a higher correlation with satisfaction in both studies. Anterior teeth were the most significant predictors of satisfaction. There was no difference in the percentage of satisfied persons between the baseline and follow-up studies. The results indicate that adults with three premolar pairs and intact anterior sextants were satisfied with their oral status. Keeping a certain number of teeth, depending on their position and condition, gave more satisfaction than having the missing teeth replaced with partial dentures.