Association between underlying dentin shadows (ICDAS 4) and OHRQoL among adolescents from southern Brazil

MARQUEZAN, Patrícia Kolling; COMIM, Letícia Donato; RACKI, Débora Nunes de Oliveira; DALLA NORA, Ângela; ALVES, Luana Severo; ZENKNER, Julio Eduardo do Amaral

MARQUEZAN, Patrícia Kolling; COMIM, Letícia Donato; RACKI, Débora Nunes de Oliveira; DALLA NORA, Ângela; ALVES, Luana Severo; ZENKNER, Julio Eduardo do Amaral.

Afiliação

MARQUEZAN, Patrícia Kolling; Universidade Federal de Santa Maria. Department of Microbiology and Parasitology. Santa Maria. BR
COMIM, Letícia Donato; Universidade Federal de Santa Maria. Department of Restorative Dentistry. Santa Maria. BR
RACKI, Débora Nunes de Oliveira; Universidade Federal de Santa Maria. Department of Restorative Dentistry. Santa Maria. BR
DALLA NORA, Ângela; Universidade Federal de Santa Maria. Department of Stomatology. Santa Maria. BR
ALVES, Luana Severo; Universidade Federal de Santa Maria. Department of Restorative Dentistry. Santa Maria. BR
ZENKNER, Julio Eduardo do Amaral; Universidade Federal de Santa Maria. Department of Stomatology. Santa Maria. BR

Braz. oral res. (Online) ; 38: e046, 2024. tab, graf

Article em En | LILACS-Express | LILACS, BBO | ID: biblio-1564209

Biblioteca responsável: BR1.1

ABSTRACT

ABSTRACT

Abstract This study aimed to assess the association between underlying dentin shadows (UDS) and oral health-related quality of life (OHRQoL) among 15-19-year-old adolescents from southern Brazil. This population-based cross-sectional study included a representative sample of 1,197 15-19-year-old adolescents attending 31 public and private schools from Santa Maria, Brazil. The Oral Health Impact Profile-14 (OHIP-14) was used to evaluate the OHRQoL, and clinical examinations were performed by two calibrated examiners (intra/interexaminer kappa values for caries examination ≥ 0.80) to diagnose UDS (ICDAS code 4 caries lesions). Sociodemographic information and clinical characteristics (overall caries experience, traumatic dental injury, malocclusion, and gingivitis) were also collected as adjusting variables. Multilevel Poisson regression models were used to assess the association between UDS and OHRQoL. Rate ratios (RR) and 95% confidence intervals (CI) were estimated. The UDS prevalence was 8.8% (n = 106 adolescents). In the adjusted models, adolescents with UDS had poorer OHRQoL than those without UDS, and the strength of the association was dependent on the number of lesions per individual. Individuals with 1-2 UDS had a mean OHIP-14 score 8% higher (RR = 1.08; 95%CI 1.01-1.17) than adolescents without UDS, while those with 3-4 UDS had a mean score 35% higher (RR = 1.35; 95%CI 1.12-1.63). This negative association was related to physical disability, psychological disability, social disability, and handicap domains. This study showed that UDS was associated negatively with OHRQoL among 15-19-year-old adolescents from southern Brazil. The negative effect of UDS on OHRQoL emphasizes the importance of addressing issues regarding OHRQoL even in the posterior teeth of adolescents.

Palavras-chave

Adolescent; Cross-Sectional Study; Dental Caries; Epidemiology; Quality of Life

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Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz. oral res. (Online) Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

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