Дисертації: "Oral health impact"

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John, Mike Torsten. "Oral health-related quality of life in Germany /." Thesis, Connect to this title online; UW restricted, 2002. http://hdl.handle.net/1773/10866.

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Andiappan, Manoharan. "Methodological issues in oral health related quality of life research using the Oral Health Impact Profile (OHIP-14)." Thesis, King's College London (University of London), 2018. https://kclpure.kcl.ac.uk/portal/en/theses/methodological-issues-in-oral-health-related-quality-of-life-research-using-the-oral-health-impact-profile-ohip14(019a1b37-865d-42eb-aab6-c79b05b63ff5).html.

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This study aims to identify and address the methodological issues that may occur in the analysis of data for assessing Oral Health Related Quality of Life using the OHIP-14 instrument. The four main methodological issues addressed in this work are the handling of missing data, presence and management of floor and ceiling effects, number of dimensions in OHIP-14 and the responsiveness of OHIP items to change. A total of 360 participants who came for dental treatment at King’s College London Dental Hospital, Denmark Hill, London participated in this study. Baseline data were collected from participants at the time of treatment. Data were also collected at two follow-ups, two and four months after baseline. At baseline, data were collected from all the 360 participants whereas in the first and second follow-ups, 89 and 75 patients respectively provided data. Different techniques for managing missing data, namely completed case, Item mean, subject mean, interpolation, regression, trend, EM algorithm and multiple imputation were tested. The floor and ceiling effects were handled using the Tobit model. Structural Equation Modelling was used to test the existence of one, three, six and seven factor models and these models were compared. The missing data in OHIP items followed a missing completely at random (MCAR) pattern. The mean values obtained from different missing data handling techniques were similar. No significant difference in mean OHIP scores was observed between dropout and non dropout cases and the dropouts followed a Missing At Random (MAR) pattern. Education, Profession and treatment needs significantly predicted (p < 0.05) the change in OHIP scores. There was a greater floor effect than the ceiling effect. Use of the Tobit model, to adjust for floor and ceiling effects showed improved estimates for the effect of predictors. The comparison of Ordinary Least Squares (OLS) and Tobit model revealed that the Tobit model fitted the data well. OHIP-14 has good psychometric properties with the Cronbach’s alpha value of 0.93 for measuring the OHRQoL. None of the four models identified from the literature (one, three, six and seven factor models) fitted the data well. OHIP-14 was responsive to change and the individuals were classified as “Improved”, “No Change” and “Worsened” groups. The results were tested with national data from the Adult Dental Health Survey 2009, UK which showed similar results. In conclusion, the missing data in OHIP items can be handled either by multiple imputation or EM algorithm and OHIP-14 items suffer from floor and ceiling effects which can be handled with the Tobit model. As none of the four models reported in the literature fitted the data well, further research is required to explore the dimensions of OHIP-14. OHIP-14 is responsive to change and can be used to measure the treatment effect over a period of time.

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MoyseÌs, Simone Tetu. "The impact of health promotion policies in schools on oral health in Curitiba, Brazil." Thesis, University College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313826.

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4

Ralstrom, Elizabeth Frances. "The Impact of Oral Health in Adolescent Patients with Sickle Cell Disease." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1274754100.

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5

Zou, Jingyi. "A comparison across cultures of the impact of oral health problems in children." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=19430.

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I started this project work in November 2001. After all the laborious work of literature review, data collection, data analysis and text writing, this thesis is completed. I am so appreciative ofall the people who have helped me making this possible. First and foremost, I acknowledge the supervision of Dr. Paul Allison, who is always a source of advice and assistance whenever needed. He dedicated so much time and effort to organize the step-by-step procedures ofthis project, to give valuable advices for each step, and to make sure that all the details have been taken care of. When writing this thesis, he helped to make sure that the text is complete and easy to understand. Even when I was content, he was not, and I am appreciative of his devotion to making this a better writing. The financial support for this project was from Canadian Institute of Health Research. A special thanks to the two dental clinics (dental clinic of Montreal Children's Hospital and orthodontic clinic of Dr. Go) for the permission and help they provided in data collection, and to Jennifer Golfman, who helped with part of the data collecting work. Also I want to thank all the participating children and their parents for taking time to have the short interviews and complete the questionnaires. Last, I thank my parents for their continued support from the other side of the globe. They gave me the strength for going through all this and going on.

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Ayo-Yusuf, Imade Joan. "Socio-economic position, oral pain and oral health-related quality of life among South African adults." Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/3857.

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Philosophiae Doctor - PhD
Validation of the OHIP-14 for a South African adult population using CFA resulted in a 12-item scale (OHIP-12) with excellent reliability (α =0.94), but the structural pathway varied across the socio-economic groups. The prevalence of oral pain was 19.4%, and varied significantly only across area-level SEP. Cost of care over the six months was estimated at about one billion Rand. Of those residing in the lowest SEP areas, 20.8% reported that they “did nothing” to relieve their last pain episode. Oral pain resulted in an average of two days lost per person from work/school over a six months period. The prevalence of OHIP was 16.2%. Those who had never visited a dental clinic had significantly better OHRQoL and less pain experience compared to those who previously visited a dental clinic. Both individual-level and area-level SEP were associated with OHRQoL in the bi-variate analysis, but these effects did not remain significant in multivariable-adjusted analysis. In particular, the respondents‟ race completely attenuated the effect of individual-level SEP on OHRQoL, while the experience of oral pain in the past six months completely attenuated the effect of area-level SEP on OHRQoL. Both absolute and relative inequality in oral health among the South African adult population was greater in the highest SEP areas than in the areas of lowest SEP

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Guzzi, Johnna M. "Impact of early childhood perceptions and experiences on oral health practices in later life." Morgantown, W. Va. : [West Virginia University Libraries], 2002. http://etd.wvu.edu/templates/showETD.cfm?recnum=2651.

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Thesis (M.S.)--West Virginia University, 2002.
Title from document title page. Document formatted into pages; contains ix, 83 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 64-66).

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Lewis, Renee. "The Impact of Spatial and Economic Inequality on the Oral Health of Children in Appalachia." Ohio University Honors Tutorial College / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ouhonors1338950496.

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9

Hirleman, Christa Elizabeth. "The impact of dental caries on the oral health-related quality of life in children." Thesis, University of Iowa, 2018. https://ir.uiowa.edu/etd/6134.

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Objectives: The purpose of this study was to explore the level to which dental caries and socio-demographic factors impact the oral health-related quality of life (OHRQoL) in a sample of Amish children. Methods: This cross-sectional study was embedded within a pilot study of medical management of caries in the primary dentition using silver nitrate. Parents were asked to complete a baseline questionnaire which included questions regarding socio-demographics and an OHRQoL questionnaire- a 16-item Parent Perception Questionnaire (PPQ). Parents were also asked to make a global rating of their child’s oral health status and its impact on the child’s overall wellbeing. Oral examinations were completed by two previously trained and calibrated dentists for the assessment of dental caries experience. Descriptive and bivariate analyses were performed including the Spearman Correlation and Wilcoxon rank sum test. Multivariable linear modeling was used to model the covariate effects on OHRQoL. Results: 77 children were analyzed. OHRQoL was negatively impacted by caries as per the Oral Domain of the PPQ (p < .02) and the global oral health status rating (p < 0.0001). There was no significant difference between males and females in the OHRQoL outcome measures (p > 0.05). The effect of income on OHRQoL was tenuous as the results were inconsistent. Conclusions: According to parents’ perceptions, a higher caries experience was associated with a poorer oral health status rating and had a negative impact on oral symptoms as they related to the OHRQoL of the children. Finally, there may be cultural differences regarding the value and/or expectations of oral health.

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Vieira, Leonardo Caldas [UNIFESP]. "Tradução, adaptação cultural e validação de face e conteúdo do Psychosocial Impact of Dental Aesthetics Questionnaire para uso no Brasil." Universidade Federal de São Paulo (UNIFESP), 2010. http://repositorio.unifesp.br/handle/11600/10124.

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A estética dental é um conceito de percepção subjetiva e varia de indivíduo para indivíduo, sendo difícil de ser avaliada apenas clinicamente. O Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) é um questionário específico para avaliação da estética dental composto por 23 itens abrangendo quatro dimensões, autoconfiança dental, impacto social, impacto psicológico e impacto estético. Objetivo: Traduzir para o português, adaptar culturalmente e validar psicometricamente o PIDAQ para uso no Brasil. Métodos: Os métodos utilizados foram propostos por GUILLEMIN, BOMBARDIER, BEATON em 1993, e dividem-se em três etapas: tradução, adaptação cultural e validação psicométrica. Resultados: Uma mudança foi realizada em uma questão ainda durante a tradução. Nenhum item foi alterado durante a adaptação cultural. A reprodutibilidade foi comprovada com coeficientes de correlação linear de Pearson entre r=0,936* e r=0,982* e coeficientes de correlação intraclasse entre ICC=0,935* e ICC=0,982*. Os valores psicométricos obtiveram resultados do coeficiente de correlação linear de Pearson de r=0,949*, do coeficiente de correlação intraclasse de ICC=0,946* e do alfa de Cronbach de =0,972*. Conclusão: O PIDAQ foi traduzido, adaptado culturalmente e validado para uso no Brasil.
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BV UNIFESP: Teses e dissertações

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11

Javdan, Nazafarin. "Silver Diamine Fluoride and Oral Health-Related Quality of Life." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4698.

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Purpose: The purpose of this study was to study the association between Silver Diamine Fluoride (SDF) and Oral Health-Related Quality of Life as assessed by “The Early Childhood Oral Health Impact Scale” questionnaire. Methods: Parents of healthy children (ASA I and II) ages 1-5 with early childhood caries with reversible pulpitis who had application of SDF filled out a questionnaire at baseline and again after one month. The questionnaire was designed to evaluate the child’s behavior, physical abilities, pain, temperament, and how well the child gets along with others. Results: Wilcoxon Signed Rank Test was used to determine if responses to various ECOHIS items and the total scores were different between the two time points. Conclusion: Children with dental caries who had application of SDF reported less dental pain, less eating problems, higher quality of sleep and overall higher quality of life at one-month follow up compared with the baseline.

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Bittencourt, Vanessa. "Prevalência do impacto odontológico no desempenho diário de indivíduos de 50 a 74 anos em três distritos sanitários de Porto Alegre/RS." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/77134.

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Estudo transversal de base populacional cujo objetivo é investigar a prevalência do impacto odontológico no desempenho diário e sua relação com variáveis demográficas e sociais em indivíduos com 50 anos a 74 anos (n= 720), em três Distritos Sanitários de Porto Alegre-RS. Utilizou-se uma amostragem por múltiplos estágios. Foram realizadas entrevistas domiciliares utilizando um questionário contendo informações sobre aspectos sociais e demográficas e o indicador sócio-dental: “Oral impact on daily performances” (OIDP). Mais da metade dos sujeitos, (57,8%), relataram pelo menos um desempenho diário afetado por problemas bucais. Comer, (36,8%), sorrir, dar risada e mostrar os dentes sem ficar envergonhado (30,7%) e falar claramente (19,6%) foram os desempenhos diários de maior impacto odontológico. Não se observou relação estatisticamente significativa entre o impacto e as variáveis sociais e demográficas. Os principais problemas bucais causadores de impactos foram dentadura mal-ajustada e perda de dentes. A alta prevalência de impacto encontrada demonstra a influência dos problemas bucais no desempenho das atividades diárias dos indivíduos.
Cross-sectional study of population base whose main objective is to investigate the prevalence of dental impacts on daily performance and its relationship with demographic and social variables in individuals aged 50 to 74 years (n = 720) from 3 Health Districts in Porto Alegre-RS. A sample for multiple stages was used. Data were collected through interviews using a questionnaire containing information on social and demographic aspects and the socio-dental pointer: "Oral impact on daily performances” (OIDP). More than half of the subjects (57,8%), reported at least one daily performances affected by oral health problems in this population. Eating (36.8%), smiling , laughing and showing teeth without being ashamed (30,7%) and speaking clearly (19,6%) were the daily performances of the greatest dentistry impact. There was no statistical significant relation between oral impact and socio-demographic variables. The main oral problems causing impacts were ill-fitting dentures and tooth loss. The high prevalence of oral impact which was reported demonstrates the influence of oral problems in the performance of daily activities of the individuals.

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Erler, Antje. "Bias in retrospective assessment of perceived dental treatment effects when using the Oral Health Impact Profile." Springer International Publishing AG, 2018. https://ul.qucosa.de/id/qucosa%3A35213.

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Abstract Purpose Aim of this exploratory study was to investigate whether a retrospective assessment of oral health-related quality of life (OHRQoL) using the Oral Health Impact Profile (OHIP) is susceptible to bias such as implicit theory of change and cognitive dissonance. Methods In this prospective clinical study, a sample of 126 adult patients (age 17–83 years, 49% women) requiring prosthodontic treatment was consecutively recruited. The OHRQoL was assessed using the 49-item OHIP at baseline and at follow-up. Additionally, patients were asked at followup to retrospectively rate their oral health status at baseline (retrospective pretest or then-test) and the change in oral health status using a global transition question. Furthermore, patients’ ratings of overall oral health and general health were used as validity criteria for the OHRQoL assessments. Response shift was calculated as the difference between the initial and retrospective baseline assessments. Results Baseline and retrospective pretest did not differ substantially in terms of internal consistency and convergent validity. Response shift was more pronounced when patients perceived a large change in OHRQoL during treatment. Retrospective pretests were more highly correlated with the baseline than with the follow-up assessment. Conclusion Findings suggest that retrospective assessments of OHRQoL using the OHIP-49 are susceptible to bias. Cognitive dissonance is more likely to appear as a source of bias than implicit theory of change.:Inhaltsverzeichnis 1. Einführung in die Thematik…………………………………………………2 2. Formatierte Publikation……………………………………………………..11 3. Zusammenfassung…………………………………………………………. 19 4. Literaturverzeichnis……………………………………………………….... 24 5. Anlagen 5.1. Darstellung des eigenen Beitrags……………………………………. 27 5.2. Selbstständigkeitserklärung…………………………………………... 28 5.3. Lebenslauf……………………………………………………………… 29 5.4. Publikationen…………………………………………………………… 30 5.5. Danksagung……………………………………………………………. 31

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Parenti, Filho Antonio [UNIFESP]. "Escala de Auto-Estima Rosenberg-UNIFESP/EPM, Oral Health Impact Profile em idosos com overdentures mandibulares." Universidade Federal de São Paulo (UNIFESP), 2010. http://repositorio.unifesp.br/handle/11600/9469.

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INTRODUÇÃO: O advento da implantodontia tem possibilitado o sucesso das reabilitações orais, na obtenção de melhor estabilidade, retenção, conforto, estética, fonética, capacidade funcional e do bem-estar, com conseqüente longevidade da saúde bucal. Os questionários validados de qualidade de vida demonstram ser cada vez mais indispensáveis e capazes de mensurar, de forma quantitativa, a qualidade de vida com teor científico, por intermédio de dados estatísticos. OBJETIVO: Avaliar a qualidade de vida e a autoestima, em pacientes idosos que substituíram as próteses totais convencionais por overdentures mandibulares. MÉTODOS: Vinte e sete pacientes (15 grupo estudo e 12 grupo controle) utilizaram overdentures mandibulares e foram avaliados com questionários autoaplicáveis e assistidos: SF-36; OHIP-49; Escala de Auto-Estima Rosenberg-UNIFESP/EPM. RESULTADOS: Nos testes não paramétricos foram observadas diferenças estatísticas: OHIP-49 (Wilcoxon), grupo estudo, nos domínios: limitação funcional (p=0,010), dor física (p=0,020), incapacidade física (p=0,021), e incapacidade psicológica (p=0,040). OHIP-49 (Mann-Whitney), 2ªfase, nos domínios: limitação funcional (p<0,001), dor física (p=0,014), desconforto psicológico (p=0,005), incapacidade física (p=0,022), incapacidade psicológica (p=0,007), incapacidade social (p=0,031), deficiência (p=0,018), e p total (p=0,001). Não foram observadas diferenças estatísticas, na Escala de Auto- Estima Rosenberg-UNIFESP/EPM e SF-36. CONCLUSÃO: Houve impacto positivo na qualidade de vida, exceto da autoestima, de idosos que substituíram as próteses totais convencionais por overdentures mandibulares.
INTRODUCTION: The advent of endosseous dental implants has allowed the success of oral rehabilitation in order to obtain a better stability, retention, comfort, aesthetic, phonetic, functional capacity and well-being, with consequent longevity of oral health. The validated questionnaires about quality of life are proving to be increasingly indispensable and able to measure quantitatively the quality of life, as scientific content, through statistical data. OBJECTIVES: To evaluate the quality of life and self-esteem in elderly patients who have replaced conventional dentures for mandibular overdentures. METHODS: Twenty-seven patients (15 in study group and 12 in control group) were submitted to mandibular overdentures and were evaluated through questionnaires of quality of life in a self-administered attended: SF- 36, OHIP-49 and Rosenberg-UNIFESP/EPM Self-Esteem Scale. RESULTS: In the Wilcoxon test, a non-parametric test, statistical differences were observed, to the OHIP-49, in the study group to the following domains: functional limitation (p=0, 010), physical pain (p=0,020), physical disability (p=0,021), and psychological disability (p=0,040). In the Mann Whitney test, also a nonparametric test, statistical differences were observed, to the OHIP 49, second phase, to the following domains: functional limitation (p<0.001), physical pain (p=0,014), psychological discomfort (p=0,005), disability (p=0,022), psychological disability (p=0,007), social disability (p-0,031), disability (p=0,018), and total p (p=0,001). There were no statistical differences in the Rosenberg-UNIFESP/EPM Self-esteem Scale and SF-36. CONCLUSION: There was a positive impact on quality of life, except in relation to self-esteem, in elderly who have replaced conventional dentures for mandibular overdentures.
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BV UNIFESP: Teses e dissertações

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Singh, Leticia. "An oral health-related quality of life assessment of cleft patients at the Wentworth Foundation Clinic (Kwazulu-Natal)." University of the Western Cape, 2020. http://hdl.handle.net/11394/8131.

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Magister Chirurgiae Dentium (MChD)
An analysis of the oral health related quality of life (OHRQoL) of patients with orofacial clefts at the Wentworth Foundation in Durban, KZN is presented. Objectives: To assess whether the OHRQoL of orofacial cleft patients varies amongst different age groups, genders or cleft types as well as demographic factors. Method: 46 participants, aged 8- 18, completed a self-administered Child Oral Health Impact Profile (COHIP) questionnaire. Results: The most prevalent cleft type was the Unilateral Cleft Left, 45.7%. The COHIP mean score was 84.195 (SD 18.244) ranging from 35 to 110. The age related subscales which were statistically significant included Functional well-being (p value: 0.0456), School Environment (p value: 0.0145) and Treatment Expectancy. The subscale School Environment was statistically significant for: Transport (p value: 0.0267) and Place of accommodation (p value 0.028). The Oral Health subscale and the Educational level were statistically significant (p value 0.043). Conclusion: Statistically significant age-related differences and demographic factors were noted. The OHRQoL of cleft patients was low largely due to socioeconomic factors and difficulty accessing multidisciplinary care. Therefore, our findings highlight the importance of establishing a Cleft lip and palate multidisciplinary facility for these patients in the Wentworth foundation and subsidised transport to the Wentworth Foundation is recommended.

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Krautz, Martin. "Bestimmung von relevanten Veränderungen des Mundgesundheitszustandes." Doctoral thesis, Universitätsbibliothek Leipzig, 2011. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-64218.

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Das Ziel dieser Arbeit war die Bestimmung der kleinsten relevanten Veränderung des wahrgenommenen Mundgesundheitszustandes, der Minimal Important Difference (MID), des Oral Health Impact Profile (OHIP). Die MID sollte für die deutsche Version des OHIP mit 49 Fragen (OHIP-G49), die deutsche Kurzversion mit 14 Fragen (OHIP-G14) sowie für die einzelnen Dimensionen der deutschen und englischen Version des OHIP bestimmt werden. Es handelt sich um eine klinische Fallserie mit 224 konsekutiv rekrutierten, prothe-tischen Patienten. Die mundgesundheitsbezogene Lebensqualität wurde mittels des OHIP- G49 an zwei Terminen vor der Behandlung (Basisuntersuchungen) sowie vier und sechs Wochen nach Behandlungsende (Nachkontrolluntersuchun-gen) bestimmt. Zu den Nachkontrolluntersuchungen schätzten die Patienten zu-sätzlich die Veränderung ihres Mundgesundheitszustandes gegenüber dem Zeit-punkt vor der Therapie anhand einer globalen Frage ein. Anhand der Ergebnisse der Basis- und Nachkontrolluntersuchungen wurde der Median der Differenzen der OHIP-Summenwerte errechnet. Dieser Wert entspricht der MID. Für die deutsche Version des OHIP mit 49 Fragen wurde ein Wert von 6,0 OHIP-Punkten ermittelt. Der Wert für den kurzen Fragebogen OHIP-G14 betrug 2,0 OHIP-Punkte. Für die Dimensionen der deutschen und englischen Sprachversion des OHIP konnten nur teilweise Ergebnisse gefunden werden. Das Studienergebnis lässt den Schluss zu, dass für beide untersuchten Versionen des OHIP ein klar definierter, minimal relevanter Unterschied (MID) der Summen-werte existiert. Die MID unterstützt die Interpretation der klinischen Bedeutung von Veränderungen des vom Patienten wahrgenommenen Mundgesundheitszustan-des. Sie stellt eine wichtige Größe zur Bewertung prothetischer Therapieeffekte dar.

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Adegbembo, Albert Oluwayanmife. "Impact of dental insurance on oral health status of older adults in Durham Homes for the Aged." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ62997.pdf.

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Noronha, Crystal. "Impact on quality of life due to therapy-related oral complications in pediatric cancer patients: a scoping review." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=110749.

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Objectives: To systematically review the research literature on the relationship between Quality of Life (QoL) and cancer therapy-related oral side-effects in a pediatric population. Methods: A scoping review was conducted using 16 databases (research and grey literature), websites, reference lists, and key journals. Inclusion criteria included studies pertaining to children 0-20 years, in English or French, published from 2000 to 2011. Exclusion criteria included mixed population of adults and children and non-discrete disease categories. Data was independently charted by two reviewers. Results: A total of 1270 articles were identified through the initial search. A rigorous review of abstracts and full text reduced the sample to 82 articles, all of which were categorized through a data extraction process. Data analysis resulted in the following findings: Leukemia studies were predominant. The most common side-effect was mucositis; however, side-effects mostly co-occurred. Twenty-one articles dealt directly with the effect on QoL, citing impacts such as changes in taste, eating, drinking, sleep habits, voice and weight loss. Twenty-five articles examined the long-term effect of treatment on pediatric dentition, showing that resultant caries and malformed teeth can affect eating and speech. Conclusions: Preventive oral care before, during and after cancer therapy can decrease the oral side-effects and improve the QoL of the pediatric patient; however, few studies to date advance recommendations for QoL improvement. This study underscores the need for a dental oncology program in pediatric hospitals.
Objectifs : Examiner systématiquement la littérature en recherche sur les liens entre la Qualité de vie (QV) et les effets secondaires des approches thérapeutiques pour traiter le cancer buccal chez une population pédiatrique. Méthodes: Un survol de la littérature été réalisé en utilisant 16 bases de données (recherche et littérature grise), des sites web, des listes de référence et des revues-clés. Critères d'inclusion : études portant sur une population âgée de 0 à 20 ans, publiées en anglais ou en français entre 2000 et 2011 inclusivement. Critères d'exclusion : études concernant une population mixte d'enfants et d'adultes et études d'enfants ayant plus d'un diagnostique. Les données ont été recueillies indépendamment par deux chercheurs; 1270 articles ont été repérés dans un premier survol. Un examen rigoureux des résumés et textes intégraux permit de réduire l'échantillon à 82 articles, par la suite classés à travers un processus d'extraction des données. Résultats d'analyse: Les études sur la leucémie étaient prédominantes. Le plus commun des effets secondaires était la mucosité, mais la plupart des effets secondaires survenaient en cooccurrence. Vingt-et-un articles traitent directement des effets sur la qualité de vie, citant des impacts tels une modification du sens du goût, des changements dans les habitudes alimentaires (e.g. boire et manger) et dans celles du sommeil, des pertes de poids ainsi qu'une modification de la voix. Vingt-cinq articles examinaient l'effet à long terme des traitements sur la dentition pédiatrique et démontrent que la carie et les malformations dentaires qui en résultent peuvent affecter l'alimentation et la parole. Conclusions : Des soins préventifs oraux avant, pendant et après le traitement pour le cancer peuvent diminuer les effets secondaires oraux et améliorer la qualité de vie. Cette étude souligne la nécessité d'un programme d'oncologie dentaire dans les hôpitaux pédiatriques.

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Mani, Simi. "Impact of insurance coverage on dental care utilization of Iowa children." Thesis, University of Iowa, 2015. https://ir.uiowa.edu/etd/1689.

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Objective: To understand the association between dental insurance coverage and dental care utilization in Iowa children. Methods: The 2010 Iowa Child and Family Household Health Survey (IHHS) data was used to assess the association between dental insurance coverage and dental care utilization in Iowa children. Andersen’s model of health services utilization was used as a framework for determining the predictors of dental care utilization. Chi-square test was used for determining bivariate associations and Logistic regression analysis was used to determine factors associated with dental care utilization. Results: The results from the multivariable logistic regression model indicate that children with private dental insurance (p<0.001) and 4-9 years of age (p=0.005) were more likely to have a dental visit. Additionally, respondents who were always able to get dental appointments for their child (p<0.001), had a regular source of dental care for the child (p<0.001) and perceived dental need for their child (p<0.001), were more likely to report having a dental check-up for their child in the past 12 months. Conclusion: Dental insurance was significantly associated with having a dental visit in the past year in Iowa children 4-17 years of age. Some of the other predictors of dental care utilization were: having a regular source of dental care for the child, ease of getting dental appointment for the child, younger child’s age and having perceived dental need for the child.

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20

Batista, Marília Jesus 1974. "Impacto da perda dentária na qualidade de vida de adultos = Impact of tooth loss on oral health quality of life among adults." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288037.

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Orientador: Maria da Luz Rosário de Sousa
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-23T00:06:37Z (GMT). No. of bitstreams: 1 Batista_MariliaJesus_D.pdf: 1458507 bytes, checksum: 08ecbff2e76750f8dab4b68e6096e428 (MD5) Previous issue date: 2013
Resumo: Objetivo: Este estudo avaliou o impacto da perda dentária na qualidade de vida em adultos utilizando índices de mortalidade e verificou os fatores associados. Metodologia: No estudo transversal foi avaliados a experiência de cárie dentária (CPOD), necessidade de tratamento, condição periodontal (CPI), presença de biofilme dental, dados demográficos, socioeconômicos, de autopercepção, uso de serviços odontológicos e qualidade de vida relacionada à saúde bucal (OHIP-14). No capítulo 1, foram utilizados dados secundários de 386 adultos trabalhadores, de 20-64 anos aplicando os índices de mortalidade dentária (P/CPO) (IMD) e índice de mortalidade dentária modificado (IMDM). Realizaram-se modelos de regressão Poisson, sendo o desfecho, o quartil 75% da distribuição de cada índice. Para os capítulos 2 e 3, coletaram-se dados, por amostragem probabilística, de 248 adultos (20-64 anos), em domicílios de Piracicaba. O número de dentes perdidos e a posição que eles ocupavam na arcada foram considerados para verificar o impacto da perda dentária na qualidade de vida. No capítulo 2 os desfechos foram: prevalência de impactos severos (frequentemente/sempre) e severidade do OHIP (escore total. No capítulo 3 o desfecho foi à classificação da perda dentária. Na análise dos dados foram realizados modelos de regressão logística binária, regressão log-binomial negativa e regressão logística multinomial, com abordagem hierárquica utilizando modelos conceituais teóricos. Resultados: O último quartil do IMD foi 50% e do IMDM, 44,1%. Ser mais velho e presença de biofilme dental foram associados à mortalidade dentária. Renda familiar mais baixa (RP=1,58, IC95%=1,02-2,45); e uso irregular de fio dental (RP=1,66, IC95%=1,05-2,63) foi associados ao maior quartil do IMD; baixa escolaridade (RP=1,55, IC95%=1,01-2,39); e procurar o dentista motivado pela dor (RP=1,84, IC95%=1,11-3,04) ao IMDM. A média do OHIP nos adultos foi 10,21 (EP=1,16), e 48,1% (n=115) relataram impactos sempre/frequentemente. Foram indicadores de risco para OHIP severidade perdas até 12 dentes, incluindo um ou mais dentes anteriores (RRP=1,63, IC95%=1,06-2,51), perdas de 13 a 31 dentes (RRP=2,33, IC95%=1,49- 3,63), e os edêntulos (RRP=2,66, IC95%=1,55-4,57). O atendimento odontológico motivado por dor ou necessidade de tratamento e ter dentes cariados foram associados. A prevalência de impactos severos foi associada ao uso dos serviços odontológicos por dor, ter dentes cariados e baixa renda. A média de dentes perdidos foi 10,3 (EP=2,9). Conforme a classificação de perdas dentárias, 28,3% não perdeu dentes, 4,9% perderam 1 a 4 primeiros molares, 18,2 % perderam até 12 dentes posteriores, 25,1% perderam até 12 dentes, incluindo um ou mais anteriores, 18,2% perderam de 13 a 31 dentes, e 5,3%, eram desdentados. A idade foi associada às categorias das perdas dentárias. Perdas até 12 dentes posteriores apresentaram associação com classe social baixa (RP=2,6; IC95%=1,2-5,2); perdas até 12 dentes, incluindo anteriores, com ter bolsa periodontal> 4mm (RP=2,9, IC95%=1,1-7,5); perda >13 dentes, com classe social baixa (RP=3,8, IC95%=1,3-11,4); e procurar dentista por emergência (RP=9,4, IC95%=3,0-28,9). Conclusão: A utilização dos índices de mortalidade dentária foi importante para ampliar a avaliação das perdas dentárias. O impacto da perda dentária na qualidade de vida aumentou de acordo com o número de dentes perdidos e a posição que ocupam na arcada dentária. A classificação da perda dentária diferenciou indicadores de risco de cada condição, a idade e classe social foram comuns às categorias
Abstract: Aim: This research was evaluated the impact of tooth loss on quality of life among adults using tooth mortality indexes and verified associated factors. Methods: This cross-sectional study evaluated caries (DMFT), periodontal disease and dental biofilm (DB) and demographic, socioeconomic, dental care utilization, self-perception and oral health-related quality of life (OHIP-14) data. For chapter 1, we used data from 386 workers 20-64 years old in a company, São Paulo. The tooth mortality index (TMI) was calculated (M/DMF) and a modified index (TMI mod). The outcome was the upper quartile of each index. We performed Poisson Regression. For chapters 2 and 3, 248 (20-64 year-old) residents in Piracicaba-SP, Brazil, through a household probability sample were examined. Position and number of missing teeth, were both considered to evaluate the impact of tooth loss on quality of life. OHIP severity (total score) and OHIP prevalence were outcomes of chapter 2. Tooth loss classification was the outcome for chapter 3. Data analyses were performed through binary logistic regression, negative binomial regression and for multinomial logistic regression. A hierarchical approach was adopted using a conceptual model. Results: The upper quartile for TMI was 50% and 44% for the TMI mod. Being older and visible DB was associated with tooth mortality. Lower family income (PR=1.6, 95%CI=1.0-2.5), and not flossing (PR=1.7, 95%CI=1.1- 2.6) were associated with TMI, and low education (PR=1.6, 95%CI=1.0- 2.4) and seek the dentist motivated by pain (PR=1.8, 95%CI=1.1-3.0) at the TMI mod. OHIP mean was 10.21 (SE=1.16), 48.1% (n=115) reporting one/more impacts fairly/very often. It were associated with OHIP severity those who had lost up to 12 teeth, including anterior teeth (PRR=1.63, 95%CI=1.06-2.51), 13-31 missing teeth (PRR=2.33, 95%CI=1.49-3.63), and the edentulous (PRR=2.66, 95%CI=1.55-4.57), and also for seeking dental care because of pain or dental needs and having caries. For OHIP prevalence: using dental services due to pain, having caries and having low income. The mean number of missing teeth was 10.3 (SE=2.9) and the distribution, according to the tooth loss classification, was 28.3% for those without tooth loss, 4.9% missing 1-4 first molars, 18.2% missing up to 12 posterior teeth, 25.1% missing up to 12 teeth, including anterior(s), 18.2% 13-31 teeth, and 5.3% being edentulous. Age was significant for all categories of tooth loss. Those who had missed up to 12 posterior teeth presented significant PRs for low social class (PR=2.6, 95%CI=1.2-5.2). Who missed up to 12 teeth including anterior, the risk indicators were clinical attachment loss>4mm (PR=2.9, 95%CI=1.1-7.5); for tooth loss >13 teeth, low social class (PR=3.8, 95%CI=1.3-11.4), and visiting a dentist due to emergency (PR=9.4, 95%CI=3.0-28.9). Conclusion: The tooth mortality index utilization was important to evaluate a wider tooth loss. The impact of tooth loss on oral health-related quality of life gradients was consistent with the number and position of missing teeth. The tooth loss classification allowed to differentiating the risk indicators of each condition, age and social class were common to categories
Doutorado
Saude Coletiva
Doutora em Odontologia

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Silva, Monique Ferreira e. "O efeito da implantação do programa saúde da família (PSF) nas taxas de procedimentos odontológicos em municípios do Estado do Rio de Janeiro." Universidade do Estado do Rio de Janeiro, 2012. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=4728.

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O objetivo deste estudo foi comparar as taxas de implantação das Equipes de Saúde Bucal, dos 92 municípios do estado do Rio de Janeiro, com as taxas dos procedimentos odontológicos de primeira consulta, procedimentos preventivos e procedimentos básicos dos mesmos municípios, verificando o período de 1998 a 2010. Os resultados, obtidos através de dados secundários fornecidos pelas fontes de dados do Ministério da Saúde, mostraram que o crescimento nas taxas dos procedimentos odontológicos foi muito mais modesto do que o crescimento verificado nas taxas de cobertura das Equipes de Saúde Bucal no período estudado e que, após a implantação dessas equipes, também não se observou impacto do aumento dessa implantação nas taxas de procedimentos odontológicos. Os únicos procedimentos que parecem ter alguma relação com a implantação dessas equipes são os procedimentos preventivos. Concluiu-se que, pelo menos no estado do Rio de Janeiro, não se pode afirmar que as Equipes de Saúde Bucal tenham melhorado significativamente o acesso aos serviços odontológicos da população em anos recentes e que isso serve de alerta para que, antes de mais investimentos no aumento do número de Equipes de Saúde Bucal, haja esforços no sentido de avaliar por que esse programa não tem proporcionado o aumento no acesso esperado.
The aim of this study was to compare the rates of implementation of Oral Health Teams in the 92 counties of the State of Rio de Janeiro, with the rates of dental procedures including first consultation, preventive procedures and basic procedures in the period 1998 to 2010. The results, obtained through secondary data provided by data sources from the Ministry of Health, showed that the growth in the rates of dental procedures was much more modest than the increase in coverage rates of Oral health teams in the studied period and that, after the implementation of these teams, there was no increase on rates of dental procedures. The only procedures that appear to have had anything to do with the activity of these teams, were the preventive procedures. It was concluded that, at least in the State of Rio de Janeiro, we cannot affirm that these Oral Health Teams (ESBs) have improved significantly the access to oral health care in recent years and that this should serve as a warning; before efforts are made to increase the number of ESBs, there should be an evaluation of why the desired improved access to dental care has not materialized.

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Clarke, Stephen J. "The impact of a community health advisor-based intervention on self-reported frequency of dental visits in a rural, low income African American Alabama community." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. http://www.mhsl.uab.edu/dt/2007p/clarke.pdf.

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Santos, Camila Mello dos. "Avaliação da dimensionalidade e de um modelo conceitual de qualidade de vida relacionada à saúde bucal utilizando a escala oral health impact profile-14." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/71290.

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Poucos estudos têm avaliado a estrutura dimensional do Oral Health Impact Profile-14 (OHIP-14). Análise sobre a dimensionalidade e a adequação do OHIP-14 pode ajudar a melhorar a interpretação deste instrumento. Os objetivos desta tese foram avaliar a dimensionalidade e testar um modelo conceitual de qualidade de vida relacionada à saúde bucal utilizando a escala OHIP-14. A tese foi organizada em 3 manuscritos. O primeiro manuscrito "Comparison of two assessment instruments of the quality of life in older adults" teve como objetivo investigar se existe convergência entre as dimensões da versão abreviada do questionário da Organização Mundial da Saúde sobre Qualidade de vida (WHOQOL-Bref) e do questionário Perfil do Impacto de Saúde Bucal-14 (OHIP-14). Neste estudo, foram avaliados 872 idosos do sul do Brasil. As dimensões dos questionários WHOQOL-Bref e OHIP-14 foram correlacionas por afinidade. Todas as correlações analisadas apresentaram baixa magnitude. Apesar dos questionários WHOQOL-Bref and OHIP-14 apresentarem dimensões relacionadas, eles medem as relações físicas, sociais e psicológicas de maneira diferente. O segundo manuscrito "Oral Health Impact Profile-14: a Unidimensional Scale?" teve como objetivo investigar a estrutura dimensional do OHIP-14. As amostras foram provenientes de dois estudos realizados no Brasil, um no Rio de Janeiro (N=504) e o outro em Carlos Barbosa (N=872). Análises Fatoriais Confirmatória e Exploratória foram realizadas para identificar as dimensões do OHIP-14. As análises fatoriais confirmaram um fator para ambos os estudos. Nossos resultados sugerem que o OHIP-14 é uma escala unidimensional. O terceiro manuscrito "Testing the applicability of a conceptual model of oral health-related quality of life in community-dwelling older people" teve como objetivo testar o modelo conceitual de Wilson e Cleary em relação à qualidade de vida relacionada à saúde bucal. Uma amostra aleatória de 578 idosos do sul do Brasil foi avaliada.O modelo conceitual de Wilson e Cleary foi testado usando a modelagem de equações estruturais, incluindo: edentulismo, sintomas, estado funcional, percepção de saúde bucal, qualidade de vida relacionada à saúde bucal e variáveis sociodemográficas. No modelo final, o edentulismo foi correlacionado com a insatisfação da aparência dos dentes (r = -0,25). O pior estado funcional foi correlacionado com pior percepção de saúde bucal (r = 0,24). A idade teve um efeito direto no OHIP-14 (r = -0,15). Houve um efeito indireto do sexo no OHIP-14 através do estado funcional (r = 0,12).Os resultados apresentados mostram que, para idosos brasileiros, variáveis como sexo e idade desempenham um papel importante para o entendimento conceitual de qualidade de vida relacionada à saúde bucal. Nossos resultados sugerem que o OHIP-14 não avalia o impacto das condições bucais na qualidade de vida numa perspectiva multidimensional, mas em uma única dimensão. A presente tese demonstrou que há caminhos diretos e mediados entre as variáveis clínicas e não clínicas em relação à qualidade de vida relacionada à saúde bucal.
A few studies have evaluated the dimensional structure of Oral Health Impact Profile-14. Further analysis on the dimensionality and the adequacy of OHIP-14 can help improve the interpretation of this instrument. The objectives of this thesis were to assess the dimensionality and testing a conceptual model of oral health-related quality of life using the OHIP-14 scale. The thesis was organized in three manuscripts. The first manuscript "Comparison of two assessment instruments of the quality of life in older adults" aimed to investigate if there is convergent validity between the dimensions of World Health Organization Quality of Life Questionnaire-Brief Version (WHOQOL-Bref) and Oral Health Impact Profile-14 (OHIP-14) questionnaires. In this study, 872 elderly Southern-Brazilians were evaluated. The dimensions of WHOQOL-Bref and OHIP-14 questionnaires were correlated by affinity. All correlations analyzed had a low magnitude. Despite the fact that WHOQOL-Bref and OHIP-14 instruments have related dimensions, they measure physical, psychological and social relations differently. The second manuscript "Oral Health Impact Profile-14: a Unidimensional Scale?" aimed to investigate the dimensional structure of the OHIP-14. Subjects were from Rio de Janeiro (N=504) and Carlos Barbosa (N=872) Studies in Brazil. Exploratory and Confirmatory Factor Analysis were performed to identify the dimensions of OHIP-14. The factor analysis confirmed one factor in both studies. Our findings suggest that the OHIP-14 is a unidimensional scale. The third manuscript "Testing the applicability of a conceptual model of oral health-related quality of life in community-dwelling older people" aimed to test Wilson and Cleary's conceptual model in relation to oral health-related quality of life. A random sample of 578 elderly Southern-Brazilians was evaluated. Wilson and Cleary's conceptual model was tested using structural equations modeling including: edentulism, symptom status, functional health, oral health perceptions, oral health-related quality of life, and sociodemographic variables. In the final model, edentulism was negatively correlated to dissatisfaction of appearance of their dental prostheses (r= -0.25). The worse functional status was correlated with poor oral health perception (r= 0.24). Age had a direct effect on OHIP-14 (r= -0.15). There was an indirect effect of sex on OHIP-14 via functional status (r= 0.12). The results showed that for elderly Brazilians variables such as sex and age are important in the conceptual understanding of oral health-related quality of life. Our findings suggest that the OHIP-14 may not evaluate the oral impact on quality of life on a multidimensional perspective, but in a single dimension. The present thesis demonstrates that there are direct and mediated pathways between clinical and nonclinical variables in relation to oral health-related quality of life.

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Larkin, Shaun Maurice. "Quality-based benefit design in health insurance : the impact of a product benefit design change on the utilisation of oral health services by members of a private health insurance fund in regional and rural New South Wales, Australia." Thesis, Queensland University of Technology, 2008. https://eprints.qut.edu.au/26735/1/Shaun_Larkin_Thesis.pdf.

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Objective: To examine the impact on dental utilisation following the introduction of a participating provider scheme (Regional and Rural Oral Health Program {RROHP)). In this model dentists receive higher third party payments from a private health insurance fund for delivering an agreed range of preventive and diagnostic benefits at no out-ofpocket cost to insured patients. Data source/Study setting: Hospitals Contribution Fund of Australia (HCF) dental claims for all members resident in New South Wales over the six financial years from l99811999 to 200312004. Study design: This cohort study involves before and after analyses of dental claims experience over a six year period for approximately 81,000 individuals in the intervention group (HCF members resident in regional and rural New South Wales, Australia) and 267,000 in the control group (HCF members resident in the Sydney area). Only claims for individuals who were members of HCF at 31 December 1997 were included. The analysis groups claims into the three years prior to the establishment of the RROHP and the three years subsequent to implementation. Data collection/Extraction methods: The analysis is based on all claims submitted by users of services for visits between 1 July 1988 and 30 June 2004. In these data approximately 1,000,000 services were provided to the intervention group and approximately 4,900,000 in the control group. Principal findings: Using Statistical Process Control (SPC) charts, special cause variation was identified in total utilisation rate of private dental services in the intervention group post implementation. No such variation was present in the control group. On average in the three years after implementation of the program the utilisation rate of dental services by regional and rural residents of New South Wales who where members of HCF grew by 12.6%, over eight times the growth rate of 1.5% observed in the control group (HCF members who were Sydney residents). The differences were even more pronounced in the areas of service that were the focus of the program: diagnostic and preventive services. Conclusion: The implementation of a benefit design change, a participating provider scheme, that involved the removal of CO-payments on a defined range of preventive and diagnostic dental services combined with the establishment and promotion of a network of dentists, appears to have had a marked impact on HCF members' utilisation of dental services in regional and rural New South Wales, Australia.

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Larkin, Shaun Maurice. "Quality-based benefit design in health insurance : the impact of a product benefit design change on the utilisation of oral health services by members of a private health insurance fund in regional and rural New South Wales, Australia." Queensland University of Technology, 2008. http://eprints.qut.edu.au/26735/.

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Objective: To examine the impact on dental utilisation following the introduction of a participating provider scheme (Regional and Rural Oral Health Program {RROHP)). In this model dentists receive higher third party payments from a private health insurance fund for delivering an agreed range of preventive and diagnostic benefits at no out-ofpocket cost to insured patients. Data source/Study setting: Hospitals Contribution Fund of Australia (HCF) dental claims for all members resident in New South Wales over the six financial years from l99811999 to 200312004. Study design: This cohort study involves before and after analyses of dental claims experience over a six year period for approximately 81,000 individuals in the intervention group (HCF members resident in regional and rural New South Wales, Australia) and 267,000 in the control group (HCF members resident in the Sydney area). Only claims for individuals who were members of HCF at 31 December 1997 were included. The analysis groups claims into the three years prior to the establishment of the RROHP and the three years subsequent to implementation. Data collection/Extraction methods: The analysis is based on all claims submitted by users of services for visits between 1 July 1988 and 30 June 2004. In these data approximately 1,000,000 services were provided to the intervention group and approximately 4,900,000 in the control group. Principal findings: Using Statistical Process Control (SPC) charts, special cause variation was identified in total utilisation rate of private dental services in the intervention group post implementation. No such variation was present in the control group. On average in the three years after implementation of the program the utilisation rate of dental services by regional and rural residents of New South Wales who where members of HCF grew by 12.6%, over eight times the growth rate of 1.5% observed in the control group (HCF members who were Sydney residents). The differences were even more pronounced in the areas of service that were the focus of the program: diagnostic and preventive services. Conclusion: The implementation of a benefit design change, a participating provider scheme, that involved the removal of CO-payments on a defined range of preventive and diagnostic dental services combined with the establishment and promotion of a network of dentists, appears to have had a marked impact on HCF members' utilisation of dental services in regional and rural New South Wales, Australia.

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Gunnarsson, Martina, and Mananchana Chairat. "Unga vuxnas upplevelse och påverkan av tänders utseende : En kvalitativ intervjustudie." Thesis, Jönköping University, HHJ, Avd. för naturvetenskap och biomedicin, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-53593.

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Syfte: Att studera hur unga vuxna upplever och påverkas av tänders utseende. Metod: En kvalitativ studie med semistrukturerade frågor utfördes. Sex studenter från Jönköping University (JU) i åldrarna 19–29 år intervjuades. Insamlat datamaterial analyserades utifrån metoden manifest innehållsanalys. Resultat: Informanterna uttryckte en kluven upplevelse av det ideala tandutseendet då de uttryckte att perfekta tänder är målet, men även uttryckte förståelse för att tänder kan se olika ut. Ytterligare beskrev informanterna att tänders utseende kan ha emotionell påverkan genom påverkad självkänsla och självförtroende. Tandutseendet kan även bidra till fördomar och påverkar förhållningssättet gentemotindividen. Dessutom kan tandutseendet skapa föreställningar om en individs livssituation med avseende på ekonomiska resurser, tandvårdserfarenhet, orala hygienvanor och livsstilsvanor. Slutsats: Tänders utseende framstår tydligt som en del av den psykosociala funktionen av oral hälsa och har därmed påverkan på en individs orala hälsorelaterade livskvalité (OHRQoL). Tandvårdspersonal bör därför alltid beakta samtliga aspekter av den orala hälsan för att kunna tillhandahålla bästa möjliga patientomhändertagande samt bidra till att optimera patientens OHRQoL.
Aim: To study how dental appearance is perceived by young adults and how it impacts them. Method:A qualitative study consisting of semi-structured interviews was conducted. Six students from Jönköping University (JU) aged 19–29 participated in the interviews. The collected data was analyzed by using manifest content analysis. Results: The informants presented a divided perception of the ideal dental appearance. They expressed both a desire for perfect teeth and an understanding of variations in dental appearances. The informants further described that the appearance of teeth can have an emotional impact through affected self-esteem and self-confidence. Dental appearance also contributes to prejudice and affects the attitude towards the individual. Furthermore, dental appearance can create ideas of an individual's life situation regarding financial resources, dental care experience, oral hygiene- and lifestyle habits. Conclusion: Dental appearance clearly appears to be a part of the psychosocial function of oral health and thus has an impact on an individual’s oral health related quality of life (OHRQoL). Dental professionals should therefore consider all aspects of oral health in order to provide best possible patient care and optimize the patients' OHRQoL.

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Vanderberghe-Descamps, Mathilde. "Impact of oral physiology of elderly people on their food consumption; what solutions can be found to maintain nutritional status?" Thesis, Bourgogne Franche-Comté, 2018. http://www.theses.fr/2018UBFCK011/document.

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Contexte. Chez l’homme, la mise en bouche d’un aliment est l’étape ultime de la chaîne alimentaire et le début du processus de dégradation et de digestion. Avec l’âge la santé orale évolue et peut parfois rendre l’acte alimentaire difficile.Objectif. L’objectif de cette étude est de déterminer les facteurs (salivaire, dentaire, musculaire) impactant sur les dimensions physiologiques (faculté à former un bol alimentaire, libération et perception de la flaveur) de l’acte alimentaire et/ou la prise alimentaire et la corpulence des séniors. Ceci permettra de d’identifier des techniques culinaires permettant d’adapter la texture des aliments aux problèmes bucco-dentaires.Matériel et méthode. 108 séniors (>65 ans) vivant à domicile et ne présentant pas de pathologie chronique ont été recrutés et caractérisés sur la base des dimensions suivantes : santé orale (examen clinique), auto-évaluation de la santé orale, perceptions sensorielles, faculté à former un bol alimentaire, comportement alimentaire, état de santé général. En parallèle, des techniques culinaires permettant d’améliorer la texture de la viande ont été testées. Leur efficacité a été évaluée via des mesures rhéologiques et la perception du confort en bouche par les séniors eux-mêmes.Résultats et conclusion. L’analyse multidimensionnelle des données montre que les facteurs de santé orale (dentition, salivation, force musculaire) jouent des rôles différents dans les processus de mastication et de prise alimentaire chez les personnes âgées. De plus, l’étude du confort en bouche a permis de sélectionner des techniques culinaires optimisant la tendreté et la jutosité de la viande. Ces résultats permettront de développer une offre alimentaire adaptée aux troubles oraux survenant avec l’âge
Context. In human, oral food intake is the ultimate stage of food supply chain and the beginning of food disintegration and the digestion process. During aging, the oral health changes and sometimes eating food can be a real challenge as food can be hard to masticate, humidify or swallow.Objective. The aim of the present study is to determine which oral factors (salivary, dental, tongue strength) have an impact on physiological – ability to form a food bolus – and psychological – pleasure to eat – dimensions of food oral processing in order to select culinary techniques and help elderlies maintaining an appropriate protein intake in spite of the occurrence of poor oral health.Material and method. Resting and stimulated salivary flow, oral status, the ability to form a food bolus, the pleasure induced by food consumption and the nutritional status were measured on 108 elderly people (65-92 years old, living at home, with no acute pathology at the time of the study). In parallel, culinary technics that aimed at improving meat texture were developed and evaluated throughout physical measurements and oral comfort assessment by the elderly volunteers.Results and conclusion. Multivariate analysis highlighted the fact that oral factors (salivary, dental, muscular) play different roles in food oral processing and eating behavior in elderly people. Moreover, the assessment of oral comfort on the culinary technics showed that some technics improve significantly meat tenderness and juiciness. Those results will help the development of food offer tailored to elderly people with or without oral health impairments

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Brankovic, Milene Russo [UNIFESP]. "Short-Form 36, Escala de Autoestima Rosenberg-UNIFESP/EPM e Oral Health Impact Profile em pacientes submetidos ao clareamento dental." Universidade Federal de São Paulo (UNIFESP), 2010. http://repositorio.unifesp.br/handle/11600/10082.

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INTRODUÇÃO: Os avanços tecnológicos do clareamento dental têm possibilitado o sucesso no tratamento odontológico, na obtenção de maior efetividade nos benefícios indiretos como a consciência com a higiene, mudanças de hábitos e a preservação da capacidade funcional e do bemestar, com consequente longevidade da saúde bucal. Os instrumentos de qualidade de vida quantificam objetivamente estas mudanças e são capazes de demonstrar o impacto positivo na saúde e na autoestima destes pacientes. OBJETIVO: Avaliar a qualidade de vida e autoestima em pacientes submetidos ao clareamento dental. MÉTODOS: Este estudo foi composto por 45 pacientes (30 grupo estudo e 15 grupo controle) submetidos ao clareamento dental e à aplicação de questionários autoaplicáveis para avaliação de qualidade de vida, autoestima, e saúde bucal (SF-36, Escala de Auto-Estima Rosenberg-UNIFESP/EMP e OHIP-49). RESULTADOS: Nos testes não paramétricos de Wilcoxon foram observadas diferenças de significância estatística no domínio de autoestima do grupo estudo (p=0,002); bem como no SF-36 no domínio vitalidade (p=0,019). No OHIP-49 houve diferença significante no domínio limitação funcional (p=0,015); dor física (p=0,014); desconforto psicológico (p=0,003) e incapacidade psicológica (p-0,016). Nos testes não paramétricos de Mann-Whitney, na análise intergrupos observouse diferença de significância estatística na autoestima (p=0,011), no OHIP- 49 nos domínios desconforto psicológico (p=0,045), incapacidade psicológica (p=0,017) e total (p=0,040). O SF-36 não apresentou diferença significativa em nenhum domínio. CONCLUSÃO: O clareamento dental promoveu impacto positivo na qualidade de vida e autoestima dos pacientes.
INTRODUCTION: Technological advances in dental bleaching have allowed success in dental treatment, with greater effectiveness in indirect benefits such as awareness of oral hygiene, changes in habits and preservation of functional capacity as also well-being and longevity with consequent oral health, which considers the quality of life and self-esteem. OBJECTIVE: To evaluate the quality of life and self-esteem in patients undergoing tooth whitening. METHODS: Forty-five patients (30 patients in study group and 15 in control group) were submitted to dental bleaching and to self-applied questionnaires to assess self-esteem, quality of life and oral health (Rosenberg, SF-36 and OHIP-49). RESULTS: Through the nonparametric Wilcoxon test statistically significant differences were observed in self-esteem of study group (p=0,002), as well as the SF-36 vitality domain (p=0,019). In the OHIP- there was no significant difference in functional limitation domain (p-0.015); physical pain (p-0,014); psychological distress (p=0,003) and psychological disability (p=0,016). In the nonparametric Mann-Whitney test, intergroup analysis showed difference of statistical significance in self-esteem (p=0,011), as also in the OHIP-49 in psychological discomfort (p=0,045), psychological disability (p=0,017) and total domains (p=0,040). The SF3-6 showed no significant difference in any questionnaire. CONCLUSION: Tooth whitening presented a positive impact on selfesteem and quality of life of patients.
TEDE
BV UNIFESP: Teses e dissertações

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Peters, Barrett W. R. "The Impact of Medicaid Reform on Dental Practice Setting." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3099.

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Purpose: To assess the impact of dental Medicaid reform in Virginia on dental practice settings (private practice, corporate practice and safety net clinics). Methods: This retrospective cohort study of 16.2 million dental claims is from the Virginia Department of Medical Assistance Services, which included claims for providers participating in Virginia’s Medicaid program during a 10-year period (2002-2012). The dividing date for the reform was July 1, 2005. The outcome measure was mean claims per participating provider. A Poisson regression model was used to predict the mean number of claims per provider with the following predictors: reform period, practice setting, provider specialty, practice location. Results: The mean number of claims after program reform was significantly higher depending on practice setting and provider specialty, but not practice location. Conclusion: Medicaid reform has resulted in a significant increase in the number of dental claims, providers, and practice settings in Virginia.

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Chi, Donald Leslie. "The impact of chronic condition status, chronic condition severity, and other factors on access to dental care for Medicaid-enrolled children in Iowa." Diss., University of Iowa, 2009. https://ir.uiowa.edu/etd/345.

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Previous studies suggest that Medicaid-enrolled children have difficulties accessing dental care, which can lead to untreated dental disease, poor oral health, and compromised overall health status. While Medicaid-enrolled children with a chronic condition (CC) encounter additional barriers to dental care, most relevant studies on dental utilization fail to adopt risk adjustment methods. As such, the impact of CC status and CC severity on access to dental care for Medicaid-enrolled children is poorly understood. The main objectives of this dissertation were to: 1) compare dental utilization for Medicaid-enrolled children with and without a CC; 2) assess the relationship between CC severity and dental utilization; and 3) identify the other factors associated with dental utilization. The 3M Clinical Risk Grouping (CRG) Methods were applied to enrollee-level data from the Iowa Medicaid Program (2003-2008) to identify children with and without a CC and to classify children with a CC into a CC severity level. Three outcome measures were developed: 1) access to an annual dental visit; 2) use of dental services under general anesthesia (GA); and 3) time to the first dental visit after initial enrollment into the Medicaid program. We used multiple variable logistic regression models and survival analytic techniques to test our study hypotheses. Compared to Medicaid-enrolled children without a CC, those with a CC were more likely to have had an annual dental visit and earlier first dental visits. Having a CC was an important determinant of dental utilization under GA for older but not for younger Medicaid-enrolled children. In terms of CC severity, Medicaid-enrolled children with more severe CCs were less likely to have had an annual dental visit and more likely to have utilized dental services under GA. CC severity was not associated with the rate at which the first dental visit took place. Not residing in a dental Health Professional Shortage Area, previous use of dental care, and previous utilization of primary medical care were all positively associated with dental utilization. Identifying and understanding the determinants of access to dental care is an important first step in developing clinical interventions and policies aimed at improving access to dental care for all Medicaid-enrolled children. Future work should focus on identifying the socio-behavioral determinants of as well as the clinical outcomes associated with access to dental services for vulnerable children.

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Gaio, Doriana Cristina. "Escola especial promotora de saúde e seu impacto na sáude bucal de deficentes mentais = Health promoting schools and their impact on the oral health of mentally disabled people / Doriana Cristina Gaio ; orientadora, Simone Tetu Moysés." reponame:Biblioteca Digital de Teses e Dissertações da PUC_PR, 2008. http://www.biblioteca.pucpr.br/tede/tde_busca/arquivo.php?codArquivo=1339.

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Dissertação (mestrado) - Pontifícia Universidade Católica do Paraná, Curitiba, 2008
Inclui bibliografia
A promoção de saúde visa garantir a melhoria das condições de vida e saúde da população e escolas são ambientes apropriados para este fim. O objetivo deste estudo foi investigar o impacto das ações de promoção de saúde em escolas especiais na saúde bucal
Health promotion aims to ensure that the population has improved living and health conditions, and schools are appropriate environments in which to do this. The purpose of this study was to investigate the impact of health promotion in terms of oral healt

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Alfredsson, Jonas, and Jakob Attin. "Tooth loss: The Impact on the Quality of Life for patients visiting Kantipur Dental College and Hospital, Kathmandu, Nepal." Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19821.

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Syfte Syftet med denna studie var att undersöka hur tandförlust påverkar den orala hälsorelaterade livskvalitén genom ett OHIP-14 fråge-formulär samt ytterligare konstruerade frågor, bland patienter som besöker Kantipur Dental College and Hospital (KDCH) i Katmandu, Nepal. Material och metod Data erhölls från ett frågeformulär baserat på OHIP-14, kompletterande frågor och klinisk undersökning. Studien var av beskrivande karaktär och undersökte konsekutiva patienter (n=249) som besökte KDCH. Data från ifyllda formulär analyserades genom SPSS för att undersöka sambandet mellan tandförlust och påverkan på livskvalitén. Resultat Medelåldern var 47.6 år med en könsfördelning på 48 % (n=119) män och 52 % (n=130) kvinnor. Det genomsnittliga antalet saknade tänder var 5, och den genomsnittliga totala OHIP-poängen var 21.57 (SD 12.55). De mest påverkade dimensionerna för OHIP-14 var "Fysisk smärta" (77 %) och "Psykologiskt obehag" (82.5 %). 96.8 % av den undersökta befolkningen upplevde någon form av påverkan på deras orala hälsorelaterad livskvalitet. Slutsats Resultaten i denna studie visar att en stor majoritet av patienterna som besöker KDCH upplever någon form av påverkan på sin oral-hälsorelaterade livskvalitet relaterad till tandförlust. De saknade tändernas position hade ingen signifikant effekt på den orala hälsorelaterade livskvaliteten medan en större inverkan på livskvalitén kunde observeras vid ökande antal saknade tänder. De OHIP-poäng, utifrån de kriterier som använts i denna studie, visade sig vara högre i jämförelse med andra internationella fynd.
Aim The aim of this study was to investigate how tooth loss affects the oral health related quality of life through an OHIP-14 questionnaire and additional questions among patients visiting the Kantipur Dental College and Hospital (KDCH) in Kathmandu, Nepal. Materials and method Data was obtained from a questionnaire based on the OHIP-14 form, additional questions and a clinical examination. The study was of a descriptive nature and investigated consecutive patients (n=249) visiting the KDCH. Data from completed forms were analysed with SPSS to investigate how tooth loss affects the oral health related quality of life (OHRQoL) Results Mean age was 47.6 years with a gender ratio of 48 % (n=119) male and 52 % (n=130) female. The mean number of missing teeth was 5, and the mean total OHIP-score was 21.57 (SD 12.55). The most frequently impacted dimensions for the OHIP-14 were “Physical pain” (77 %) and “Psychological discomfort” (82.5 %). 96.8 % of the investigated population experiencing some form of impact on their OHRQoL. Conclusion A large majority of the patients visiting the KDCH experienced an impact on their OHRQoL related to missing teeth. The number of missing teeth had an impact on OHRQoL, but the position of missing teeth had not. The OHIP score with the criteria used in this study was found to be higher in comparison to other international findings.

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Grauer, Dennis W. "Pharmaceutical guideline compliance and its impact on costs and effectiveness : case studies of orders based on Vancomycin use and intravenous to oral switch antimicrobial guidelines at The Ohio State University Medical Center /." The Ohio State University, 2000. http://rave.ohiolink.edu/etdc/view?acc_num=osu1488203552777345.

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Santos, Paula Mottta dos. "Avaliação do impacto da saúde bucal sobre a qualidade de vida em pacientes com asma." Universidade Estadual de Ponta Grossa, 2017. http://tede2.uepg.br/jspui/handle/prefix/2611.

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Submitted by Eunice Novais (enovais@uepg.br) on 2018-08-30T17:06:42Z No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) Santos, Paula Motta.pdf: 910818 bytes, checksum: eb0cd2cf438251930e8234e232d94ab4 (MD5)
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Considerando que a organização mundial da saúde (OMS) define a qualidade de vida (QV) como subjetiva, multidimensional e que inclui aspectos positivos e negativos, destaca-se a influência da saúde bucal neste contexto, em que pesquisas vêm demonstrando que a condição bucal pode afetar a QV em pacientes portadores de doenças crônicas. Neste sentido, a literatura demonstra que, provavelmente, há uma associação entre saúde bucal e asma e que a QV neste grupo de pacientes é prejudicada. O objetivo principal deste estudo foi avaliar o impacto da saúde bucal sobre a QV em pacientes diagnosticados com asma. A seleção de pacientes foi feita no Hospital Universitário Regional dos Campos Gerais - HURCG (Ponta Grossa – PR). Caracterizado como um “Estudo Clínico Transversal” com dois grupos (1- Pacientes portadores de asma e 2- Controle, pacientes sem asma), com 90 voluntários em cada grupo. Os questionários OHIP-14 e SF-36 foram aplicados para os dois grupos e em formulário próprio foram obtidos dados demográficos, de escolaridade, número de dentes, hábitos odontológicos e condição socioeconômica. Os testes estatísticos foram aplicados de acordo com a distribuição dos dados e o valor de significância adotado foi de 5%. Com relação aos resultados participaram do estudo 72 mulheres e 18 homens em cada grupo, a média de idade foi de aproximadamente 49 anos e a média do número de dentes foi de 13,17(±11,96) dentes para o grupo asma e 12,78 (±11,54) para o controle. A confiabilidade interna dos questionários foi avaliada através do alfa Cronbach (α), todos os α tiveram resultados ≥ a 0,79. Os resultados indicam que os pacientes asmáticos apresentam um baixo impacto da saúde bucal sobre a QV e que os pacientes com menor número de dentes apresentam um maior impacto da saúde bucal nos domínios dor física e limitação funcional. Além disso, os resultados mostram que os asmáticos têm uma pior QV geral e que as mulheres asmáticas expressam um maior impacto da saúde bucal sobre a QV.
Considering that the world health organization (WHO) defines quality of life as subjective, multidimensional and includes both positive and negative aspects, the influence of oral health in this context is highlighted, researches has shown that the oral condition may affect QOL in patients with chronic diseases. In this way, the literature demonstrates that there is probably an association between oral health and asthma and that quality of life in this group of patients is impaired. The main objective of this study was to evaluate the impact of oral health on quality of life in patients diagnosed with asthma. The selection of patients was made at the Hospital Universitário Regional dos Campos Gerais - HURCG (Ponta Grossa - PR). It was characterized as a "Cross-Sectional Clinical Study" with two groups (1- Patients with asthma and 2- Control, patients without asthma), with 90 volunteers in each group. The OHIP-14 and SF-36 questionnaires were applied to the both groups and in the own form were obtained demographic data, educational level, number of teeth, dental habits and socioeconomic status. Statistical tests were applied according to the distribution of the data and the significance level adopted was 5%. Regarding the results we had the participation of 72 women and 18 men in each group, the mean age was approximately 49 years and the average number of teeth was 13.17 teeth for the asthma group and 12.78 for the control. The internal reliability of the questionnaires was assessed using the Cronbach alpha (α), all α had results ≥ 0.79. Our results indicate that asthmatic patients have a low impact of oral health on QoL and that patients with fewer teeth present a greater impact of oral health in the areas of physical pain and functional limitation. In addition, our results show that asthmatics have a worse overall QOL and that asthmatic women express a greater impact of oral health on QOL.

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Santos, Paula Motta. "AVALIAÇÃO DO IMPACTO DA SAÚDE BUCAL SOBRE A QUALIDADE DE VIDA EM PACIENTES COM ASMA." Universidade Estadual de Ponta Grossa, 2017. http://tede2.uepg.br/jspui/handle/prefix/2643.

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Submitted by Angela Maria de Oliveira (amolivei@uepg.br) on 2018-10-04T17:24:59Z No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) Paula Motta dos Santos.pdf: 842551 bytes, checksum: 98eee6bda7479451d821482c501393be (MD5)
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Considerando que a organização mundial da saúde (OMS) define a qualidade de vida (QV) como subjetiva, multidimensional e que inclui aspectos positivos e negativos, destaca-se a influência da saúde bucal neste contexto, em que pesquisas vêm demonstrando que a condição bucal pode afetar a QV em pacientes portadores de doenças crônicas. Neste sentido, a literatura demonstra que, provavelmente, há uma associação entre saúde bucal e asma e que a QV neste grupo de pacientes é prejudicada. O objetivo principal deste estudo foi avaliar o impacto da saúde bucal sobre a QV em pacientes diagnosticados com asma. A seleção de pacientes foi feita no Hospital Universitário Regional dos Campos Gerais - HURCG (Ponta Grossa – PR). Caracterizado como um “Estudo Clínico Transversal” com dois grupos (1- Pacientes portadores de asma e 2- Controle, pacientes sem asma), com 90 voluntários em cada grupo. Os questionários OHIP-14 e SF-36 foram aplicados para os dois grupos e em formulário próprio foram obtidos dados demográficos, de escolaridade, número de dentes, hábitos odontológicos e condição socioeconômica. Os testes estatísticos foram aplicados de acordo com a distribuição dos dados e o valor de significância adotado foi de 5%. Com relação aos resultados participaram do estudo 72 mulheres e 18 homens em cada grupo, a média de idade foi de aproximadamente 49 anos e a média do número de dentes foi de 13,17(±11,96) dentes para o grupo asma e 12,78 (±11,54) para o controle. A confiabilidade interna dos questionários foi avaliada através do alfa Cronbach (α), todos os α tiveram resultados ≥ a 0,79. Os resultados indicam que os pacientes asmáticos apresentam um baixo impacto da saúde bucal sobre a QV e que os pacientes com menor número de dentes apresentam um maior impacto da saúde bucal nos domínios dor física e limitação funcional. Além disso, os resultados mostram que os asmáticos têm uma pior QV geral e que as mulheres asmáticas expressam um maior impacto da saúde bucal sobre a QV.
Considering that the world health organization (WHO) defines quality of life as subjective, multidimensional and includes both positive and negative aspects, the influence of oral health in this context is highlighted, researches has shown that the oral condition may affect QOL in patients with chronic diseases. In this way, the literature demonstrates that there is probably an association between oral health and asthma and that quality of life in this group of patients is impaired. The main objective of this study was to evaluate the impact of oral health on quality of life in patients diagnosed with asthma. The selection of patients was made at the Hospital Universitário Regional dos Campos Gerais - HURCG (Ponta Grossa - PR). It was characterized as a "Cross-Sectional Clinical Study" with two groups (1- Patients with asthma and 2- Control, patients without asthma), with 90 volunteers in each group. The OHIP-14 and SF-36 questionnaires were applied to the both groups and in the own form were obtained demographic data, educational level, number of teeth, dental habits and socioeconomic status. Statistical tests were applied according to the distribution of the data and the significance level adopted was 5%. Regarding the results we had the participation of 72 women and 18 men in each group, the mean age was approximately 49 years and the average number of teeth was 13.17 teeth for the asthma group and 12.78 for the control. The internal reliability of the questionnaires was assessed using the Cronbach alpha (α), all α had results ≥ 0.79. Our results indicate that asthmatic patients have a low impact of oral health on QoL and that patients with fewer teeth present a greater impact of oral health in the areas of physical pain and functional limitation. In addition, our results show that asthmatics have a worse overall QOL and that asthmatic women express a greater impact of oral health on QOL.

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Marques, Tais Cristina Nascimento 1990. "Impacto da saúde bucal na qualidade de vida de usuários de substâncias psicoativas em recuperação em cidades do Estado de São Paulo = Impact of oral health on quality of life of drug users in recuperation in cities of São Paulo." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289145.

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Orientador: Gláucia Maria Bovi Ambrosano
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: Este estudo transversal teve como objetivo avaliar o impacto da saúde bucal na qualidade de vida de usuários de substâncias psicoativas atendidos pelos CAPS-AD de três cidades do Estado de São Paulo: Limeira, Piracicaba e Rio Claro. Foram avaliados 262 usuários de substâncias psicoativas. Foram realizadas avaliações de cárie dentária segundo as normas da OMS. Os exames foram feitos por uma única examinadora, ao ar livre, sob luz natural, sendo utilizada para o exame a sonda periodontal IPC, espelho clínico plano n°5 e espátula de madeira. As variáveis socioeconômicas, autopercepção de saúde oral, qualidade de vida foram captadas por meio dos seguintes instrumentos: OHIP-14 (Oral Health Impact Profile), WHOQOL (World Health Organization Qualityof Life), Meneghim et al., 2007. Para triagem do envolvimento com álcool, cigarro e outras substâncias, ASSIST-OMS. Inicialmente foram construídas tabelas de distribuição de frequências e o teste de Qui-quadrado foi utilizado, com nível de significância de 5%, para se avaliar as associações entre a qualidade de vida (WHOQOL) e o impacto da saúde bucal na qualidade de vida (OHIP) (variáveis dependentes) com as demais variáveis investigadas (variáveis independentes). As variáveis que apresentaram p<0,20 nas análises simples estimados para os indicadores que permaneceram no modelo de regressão múltipla, no nível de 5%. O programa estatístico utilizado para a realização de todas as análises foi o SAS (SAS, 12.3). Assim, indivíduos com CPOD > 13 (OR= 2,25; IC 95%= 1,30-3,89); baixa renda (OR= 2,41; IC 95%= 1,15-3,59 1,22-4,77) e usuário de cocaína /crack (OR= 2,02; IC 95%= 1,15-3,59) apresentaram mais chances ter baixa qualidade de vida. Voluntários com higiene bucal boa e regular (OR= 3,63; IC 95%= 1,96- 6,75); que não relataram dor (OR=2,69; IC 95%= 1,67-4,60) têm mais chance de apresentar menor impacto da saúde bucal na qualidade de vida. Conclui-se que a qualidade de vida pode ser afetada pela saúde bucal, portanto políticas públicas para a promoção de saúde nessa população são necessárias
Abstract: This cross-sectional study aimed to assess the impact of oral health on quality of life of drug users attended by CAPS-AD three cities the State of São Paulo: Limeira, Piracicaba and Rio Claro. Were analyzed 262 drug users. Reviews of dental caries were conducted according to WHO standards. The oral examination will be conducted by one trained and calibrated examiner, under natural light at CAPS-AD, using the CPI periodontal probe and dental mirror with previous drying teeth. The socioeconomic variables, self-perceived oral health, quality of life were identified through of the following instruments: OHIP - 14 (Oral Health Impact Profile), WHOQOL (World Health Organization quality of Life), Meneghim et al, 2007. For screening of involvement with alcohol, tobacco and other substances, WHO ¿ ASSIST. Initially the frequency distribution tables and the chi-square test were constructed was used with a significance level of 5 %, to assess the associations between quality of life (WHOQOL) and the impact of oral health on quality of life (OHIP) (dependent variables) and the other study variables (independent variables) . Variables with p < 0.20 in simple analyzes estimated for the indicators that remained in the multiple regression at the 5 % model. The statistical program used to perform all analyzes was SAS (SAS, 12.3). Thus, individuals with DMFT > 13 (OR = 2.25, 95% CI = 1.30 to 3.89), low income (OR = 2.41, 95% CI = 1.15 to 3.59 1.22 -4.77) and user of cocaine / crack (OR = 2.02, 95% CI = 1.15 to 3.59) were more likely to have lower quality of life. Volunteers with good oral hygiene and regular (OR = 3.63, 95% CI = 1.96 to 6.75), who reported no pain (OR = 2.69, 95% CI = 1.67 to 4.60) are more likely to have lower impact of oral health on quality of life. We conclude that quality of life can be affected by oral health , so public policies for health promotion in this population are needed
Mestrado
Saude Coletiva
Mestra em Odontologia

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Melo, Izabela Teixeira. "Comparative study of knowledge and the impact of oral health on quality of life of pregnant women in units of public and private schools in Porto Velho, RO." Universidade de Taubaté, 2010. http://www.bdtd.unitau.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=526.

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Objective: The need to change the reality of the knowledge of pregnant women and their families about oral health, enabling them to create new habits of daily care, making them aware of the importance of the guidelines that direct influence on oral hygiene habits and their own future children, this work was aimed to conduct a comparative study among pregnant women (1-public and 2-private) schools to assess the knowledge of the impact on oral health on quality of life. Method: We interviewed three hundred pregnant women (150 of public and 150 private schools. Data were collected through interviews with a questionnaire for obtaining identification and personal information and dental. And then we made a descriptive analysis. Results: Differences between the two networks, but there was a lack of knowledge, about the care and habits regarding oral health during pregnancy And the perception of their oral health was viewed positively, "good" and the impact related to physical, psychological and social as well. Conclusion: The lack of information and guidance on care and oral health, involving the perception of women regarding their quality of life.
Objetivo: A necessidade de mudar a realidade do conhecimento das gestantes e sua família sobre a saúde bucal, para que eles criem novos hábitos diários de cuidados, conscientizando-os da importância das orientações que influencia direta nos hábitos de higiene bucal próprio e de seus futuros filhos, este trabalho teve como objetivo foi realizar um estudo comparativo entre as gestantes (1-rede pública e 2-rede particular) para avaliar o conhecimento o impacto sobre a saúde bucal sobre a qualidade de vida. Método: Foram entrevistadas trezentas gestantes (150 - rede pública e 150 da rede particular). Os dados foram coletados através de entrevista com de questionário para Identificação e obtenção de informações pessoais e odontológicas e Avaliação do impacto da condição bucal sobre a qualidade de vida (OHQoL (Oral Health Related Quality of Life). As respostas foram tabuladas e submetidas à análise estatística com nível de significância de 95%. Resultados: Diferenças encontradas diferenças entre as duas redes, porém observou-se um déficit de conhecimento, sobre os cuidados e hábitos em relação a saúde bucal durante a gravidez. E a percepção de sua saúde bucal foi vista de forma positiva boa e o impacto relacionados aos aspectos físicos, psicológicos e sociais também. Conclusão : A falta de informações e cuidados e orientações sobre saúde bucal, implicam na percepção das gestantes quanto a sua qualidade de vida.

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Moleta, Jeanny Franciela Kos. "AVALIAÇÃO DO IMPACTO DA SAÚDE BUCAL SOBRE A QUALIDADE DE VIDA EM PACIENTES COM DOENÇA PULMONAR OBSTRUTIVA CRÔNICA (DPOC)." UNIVERSIDADE ESTADUAL DE PONTA GROSSA, 2017. http://tede2.uepg.br/jspui/handle/prefix/202.

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The World Health Organization (WHO) emphasizes that quality of life (QoL) is subjective, multidimensional, and includes both positive and negative aspects. Considering the multidimensional aspects of QoL, we can highlight the influence of oral health in this context, in which research has shown that the oral condition can affect QoL in patients with chronic diseases. The present study aimed to evaluate the impact of oral health on quality of life in patients diagnosed with chronic obstructive pulmonary disease (COPD). Regarding the methodology, the selection of patients was made at the Hospital Universitário Regional de Campos Gerais - HURCG (Ponta Grossa - PR). The study is characterized as a "Cross-Sectional Clinical Study" with two groups (1- Patients with COPD and 2- Control, patients without COPD), with 100 volunteers were defined in each group. The following questionnaires were applied in both groups: OHIP-14 and SF-36. In the form developed for the research were obtained: smoking, demographic data of schooling and dental habits. The socioeconomic condition was evaluated following the Brazilian Economic Classification Criteria of the Brazilian Association of Research Companies. According to the data distribution, the appropriate statistical tests were applied. The significance level was 5%. Regarding the results, we had the participation of 50 women and 50 men in each group, mean age was approximately 62 years (with about 60% of the population over 60 years) and the mean number of teeth was 5,85 teeth. The internal reliability of the questionnaires was evaluated using the alpha Cronbach (α), all α had results higher than 0.74. The COPD group had a greater impact of oral health on QoL in the total sum of OHIP-14 and in the domains: functional limitation, physical pain, psychological discomfort, psychological incapacity and disability. In all SF-36 domains, the COPD group had lower values, indicating a worse overall QoL. In conclusion, patients with COPD have a higher impact on oral health quality of life (HRQoL) compared to a population without COPD, and also have a lower overall QoL.
A organização mundial da saúde (OMS) destaca que a qualidade de vida (QV) é subjetiva, multidimensional e incluiu aspectos positivos e negativos. Considerando os aspectos multidimensionais da QV podemos destacar a influência da saúde bucal neste contexto, em que pesquisas vêm demonstrando que a condição bucal pode afetar a QV em pacientes portadores de doenças crônicas. O presente estudo objetivou avaliar o impacto da saúde bucal sobre a qualidade de vida em pacientes diagnosticados com doença pulmonar obstrutiva crônica (DPOC). Com relação à metodologia, a seleção de pacientes foi feita no Hospital Universitário Regional dos Campos Gerais - HURCG (Ponta Grossa – PR). O estudo é caracterizado como um “Estudo Clínico Transversal” com dois grupos (1- Pacientes portadores de DPOC e 2- Controle, pacientes não portadores de DPOC), com 100 voluntários em cada grupo. Foram aplicados os seguintes questionários nos dois grupos: OHIP-14 e SF-36. Em formulário próprio elaborado para a pesquisa foram obtidos: hábito de fumar, dados demográficos de escolaridade e hábitos odontológicos. A condição socioeconômica foi avaliada seguindo Critérios de Classificação Econômica Brasil da Associação Brasileira de Empresas de Pesquisas. De acordo com a distribuição dos dados foram aplicados os testes estatísticos apropriados. O valor de significância adotado foi de 5%. Com relação aos resultados tivemos a participação de 50 mulheres e 50 homens em cada grupo, a média de idade foi de aproximadamente 62 anos (com cerca de 60% da população com idade superior a 60 anos) e a média do número de dentes foi de 5,85 dentes. A confiabilidade interna dos questionários foi avaliada através do alfa Cronbach (α), todos os α tiveram resultados superiores a 0,74. O Grupo DPOC obteve maior impacto da saúde bucal na QV na soma total do OHIP-14 e nos domínios: limitação funcional, dor física, desconforto psicológico, incapacidade psicológica e invalidez. Em todos os domínios do SF-36 o grupo DPOC obteve valores mais baixos, indicando pior QV geral. Em conclusão pacientes com DPOC tem um maior impacto da qualidade de vida relacionada à saúde bucal (QVRSB) comparado à uma população sem a DPOC, e também apresentam uma QV geral mais baixa.

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Kaieda, Armando Koichiro 1981. "A má oclusão e sua relação com a aparência dental e impacto nas atividades diárias de adolescentes brasileiros = Malocclusion, dental appearance and impact on daily performance in Brazilian adolescents." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289498.

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Orientador: Karine Laura Cortellazzi Mendes
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: O objetivo deste estudo foi avaliar a relação entre a má oclusão com a aparência dental e o impacto da saúde bucal no desempenho das atividades diárias em adolescentes brasileiros. Trata-se de um estudo transversal analítico em adolescentes de 13 a 19 anos de idade procedentes de 21 escolas estaduais do município de Piracicaba e 34 Unidades de Saúde da Família. As variáveis dependentes foram satisfação com aparência dental e o impacto oral nas atividades diárias (OIDP). As variáveis independentes a nível individual foram, sexo, idade, componentes do Índice de Estética Dental (DAI) e a nível contextual foi utilizado o Índice de Exclusão Social (SEI). A análise estatística utilizada foi o modelo de regressão multinível estimado pelo procedimento PROC GLIMMIX (``Generalized Linear Models-Mixed¿¿), considerando as variáveis individuais como nível 1 e a contextual como nível 2, com nível de significanância de 5%. No capítulo 1, participaram da pesquisa 882 adolescentes, sendo que os participantes do sexo feminino mostraram-se mais satisfeitos com a aparência dos dentes. A insatisfação com a aparência dental foi encontrada no overjet maxilar, diastema, irregularidade anterior maxilar, irregularidade mandibular anterior, mordida aberta anterior e na relação molar. A satisfação com a aparência dental foi influenciada pelo sexo e por componentes do DAI. No capítulo 2, dos 877 entrevistados no presente estudo, a prevalência de impacto sócio dental foi 39,6%. A atividade diária que apresentou maior impacto foi comer (31,7 %). A dor (57,2%) foi o sintoma mais relatado no momento da entrevista quando relacionado com a atividade de comer. Os voluntários do sexo masculino apresentaram maior impacto nas atividades diárias. Houve um aumento no OIDP com uma maior perda de dentes no arco dental superior, overjet maxilar e idade. Existe relação entre as características individuais e o OIDP em adolescentes brasileiros.O SEI avaliado no capítulo 1 e 2 não foram significativos no modelo. Pode-se concluir que a má oclusão apresentou um impacto significativo na avaliação da aparência dental e no OIDP, porém não apresentou significância quando relacionados com a variável do Índice de Exclusão Social
Abstract: The aim of this study was to evaluate the relationship between malocclusion, dental appearance, and impact of oral health on daily performance in Brazilian adolescents. It is an analytical cross-sectional study in 13 to 19 year-old adolescents from 21 state schools and 34 Family Health Units in Piracicaba. The dependent variable was satisfaction about dental appearance and Oral Impact on Daily Performance (OIDP), and the independent variables were classified as individual (gender, age and the components of DAI - Dental Aesthetic Index) and contextual (Social Exclusion Index ¿ SEI). The statistical analysis used was multilevel regression model estimated by PROC GLIMMIX procedure (''Generalized Linear Mixed Models''), considering the individual variables such as level 1 and contextual as Level 2, and the level of significance of 5%. In chapter 1, 882 adolescents participated in the survey, and females showed to be more satisfied with their dental appearance. The dissatisfaction with dental appearance was related to maxillary overjet, diastema, anterior maxillary irregularity, anterior mandibular irregularity, anterior open bite, and molar relationship. Satisfaction with dental appearance was influenced by gender and by DAI components. In Chapter 2, the prevalence of OIDP was 39.6% in the 877 subjects of the study. Among the daily performance activities, eating was the one with the greatest impact (31.7%). Pain was the symptom most reported to be related with the activity of eating (57.2%). The male volunteers presented greater impact on their daily performance. There was an increase in the OIDP as the increase of missing teeth in the upper jaw, jaw overjet and age. There is a relationship between individual characteristics and the OIDP in Brazilian adolescents. The SEI assessed in Chapter 1 and 2 were not significant in the model. In this context, the general conclusion of this study is that malocclusion has a significant impact on dental appearance and on OIDP, but not in Social Exclusion Index
Doutorado
Saude Coletiva
Doutor em Odontologia
141654/2013-9
CNPQ

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Meza, Cisternas Camilo Alexander. "Análisis comparativo de las encuestas de calidad de vida relacionada con salud oral: Scale of oral outcomes for five year old children (SOHO-5) versión en español y The early childhood oral health impact scale (ECOHIS) versión en español, en niños prescolares de la Zona Norte de la Región Metropolitana." Tesis, Universidad de Chile, 2017. http://repositorio.uchile.cl/handle/2250/146632.

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Trabajo de Investigación Requisito para optar al Título de Cirujano Dentista
Introducción: La Calidad de Vida relacionada con Salud Oral (CVRSO) se refiere al impacto que las condiciones orales tienen en las actividades diarias de los individuos. Para recopilar esta información en niños, existen instrumentos específicos que pueden ser contestados por ellos mismos o por sus apoderados. ECOHIS y SOHO-5 son instrumentos para evaluar CVRSO. La diferencia que existe entre ambos es que SOHO-5 no solo aborda la visión de padres o tutores, sino que también el relato directo del niño. El objetivo de esta investigación es establecer si existe una correlación entre los resultados de SOHO-5 y ECOHIS en padres y sus niños de 5 años que asisten a colegios municipales del área norte de la región metropolitana. Materiales y Métodos: Este es un estudio observacional de corte transversal, que evaluó a 52 niños utilizando la encuesta ECOHIS y SOHO-5, todos pertenecientes a 5 colegios del área norte de Santiago. Las encuestas fueron realizadas por distintos grupos de alumnos de Odontología de la Universidad de Chile. Los apoderados firmaron un consentimiento informado y respondieron el cuestionario ECOHIS y SOHO-5, tipo entrevista. La CVRSO fue determinada según puntaje ECOHIS y SOHO-5. La correlación se cuantificó utilizando el coeficiente de Spearman. Resultados: De acuerdo a los resultados provistos por ECOHIS, el 90,5% de los padres no perciben un impacto en la CVRSO. El ítem de mayor prevalencia es “dolor” seguido de “la dificultad para comer”. En cuanto a los resultados de SOHO-5, un 93% de los encuestados muestra un bajo impacto de los problemas orales en la CVRSO. El ítem de mayor prevalencia reportado es “la dificultad para comer” seguido de “la dificultad para hablar”. Cuando se comparó ECOHIS con SOHO-5 total y SOHO-5 versión para padres se encontró una correlación moderada, directa y estadísticamente significativa. Mientras que, cuando se comparó SOHO-5 sección niños con ECOHIS y SOHO-5 versión para padres se observó una correlación débil, directa y no significativa para la primera. Conclusiones: SOHO-5 y ECOHIS se correlacionan directamente el uno con el otro. La distribución de respuestas de padres o tutores y el puntaje de calidad de vida obtenido comparativamente es similar para los dos instrumentos aplicados. Sin embargo, el reporte de niños difiere de las respuestas de sus padres o tutores, no existiendo una correlación evidente al comparar los resultados de SOHO-5 hijos con ECOHIS y con SOHO-5 padres.
Adscrito a Proyecto FONIS SA15 /20015

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Guerra, Maria Júlia Campos. "Impacto das condições de saúde bucal na qualidade de vida de trabalhadores de uma universidade pública." Universidade Federal de Juiz de Fora (UFJF), 2013. https://repositorio.ufjf.br/jspui/handle/ufjf/5539.

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A Saúde do Trabalhador tem sido objeto de inúmeros estudos, principalmente devido à preocupação de que ele tenha uma qualidade de vida (QV) e de trabalho satisfatória. Neste contexto, o campo da saúde bucal do trabalhador tem como objeto a relação entre saúde bucal e trabalho, tratando de promover, preservar e recuperar a saúde bucal de populações inseridas nos diversos processos de trabalho. Reconhecendo a importância de aspectos sociais e psicológicos na determinação de alterações que comprometem a saúde bucal, instrumentos de aferição capazes de abordar aspectos psicológicos e sociais, por meio da autopercepção e do levantamento dos impactos causados na qualidade de vida, têm sido desenvolvidos e validados por vários autores. Considerando a importância da percepção subjetiva do indivíduo em relação à própria saúde bucal, o presente estudo teve como objetivos analisar o impacto das condições de saúde bucal na qualidade de vida de trabalhadores de uma universidade pública através do Oral Health Impact Profile, na sua versão reduzida (OHIP-14) e os fatores associados a esse impacto. Para isso foi realizado um estudo epidemiológico de delineamento transversal com 326 trabalhadores Técnicos Administrativos em Educação (TAEs), com idade de 20 a 67 anos. O instrumento de coleta de dados foi um questionário autopreenchível que continha, além das questões do OHIP-14, questões sobre autopercepção de saúde, morbidade bucal, hábitos de higiene bucal e questões socioeconômicas e demográficas. Os dados foram processados em um banco de dados criado por meio do programa estatístico Statistical Package for the Social Sciences (SPSS), versão 15.0. Após o teste de normalidade Kolmogorov-Smirnov os valores médios do OHIP-14 foram comparados pelo teste não-paramétrico MannWhitney, com nível de significância a 5%. Foi feita a análise de regressão linear múltipla a partir das variáveis que apresentaram associação estatisticamente significativa (p < 0,05) com OHIP-14 total na análise bivariada. Os resultados revelaram que as dimensões do OHIP-14 Dor física e Desconforto psicológico foram as que apresentaram maior impacto. Cerca de 40% do impacto das condições de saúde bucal na QV, medido pelo OHIP-14, nesse grupo de trabalhadores, pode ser explicado pelas variáveis escolaridade, idade, motivo da consulta odontológica, percepção de saúde bucal e satisfação com dentes e boca. A percepção de saúde bucal e a satisfação com dentes e boca foram os preditores mais fortemente associados ao impacto da saúde bucal na QV. Esses dados confirmam que os indicadores subjetivos são importantes na análise das necessidades relatadas pelos indivíduos. Assim, a utilização do OHIP-14 poderia ser útil para o planejamento de programas e ações voltadas para a saúde do trabalhador, priorizando trabalhadores com maiores impactos psicossociais produzidos pelos problemas bucais. Ações voltadas para a educação em saúde, com ênfase na autopercepção, autoproteção e autocuidado deveriam ser mais exploradas, pois possibilitariam um maior empoderamento dos adultos trabalhadores para atuarem com mais autonomia na busca pela melhoria da qualidade de vida e saúde.
The occupational health has been object of numerous studies, mainly because of the concern that the worker has a satisfactory quality of life and work. In this context, the field of worker’s oral health has as objective the relationship between oral health and work, trying to promote, preserve and restore the oral health of populations included in the various work processes. Recognizing the importance of social and psychological aspects in determining changes that compromise oral health, measurement tools capable of addressing psychological and social aspects, through self-perception and a survey of the impacts on quality of life, have been developed and validated by several authors. Considering the importance of the individual's subjective perception regarding their own oral health, this study aim to analyze the impact of oral health on quality of life of workers at a public university through the Oral Health Impact Profile in its reduced version (OHIP-14) and the associated factors that impact. For this, a cross-sectional epidemiological study was made with 326 workers in Administrative Technical Education (TAEs), aged 20 to 67 years. The data collection instrument was a self-completion questionnaire which contained, besides the issues of the OHIP-14, questions about self-rated health, morbidity buccal, oral hygiene habits and socioeconomic and demographic issues. The data were processed in a database created through the program Statistical Package for the Social Sciences (SPSS) version 15.0. After testing for normality KolmogorovSmirnov values mean OHIP-14 were compared by nonparametric Mann-Whitney test, with significance level of 5%. Analysis multiple linear regression was performed based on the variables that were significantly associated (p < 0,05) with OHIP-14 total in the bivariate analysis. The results revealed that the dimensions of the OHIP14 Physical pain and Discomfort psychological showed the greatest impact. About 40% of the impact of oral health on QoL, measured by OHIP-14 in this group of workers, can be explained by the variables education level, age, reason for visiting a dentist, oral health perception and satisfaction with teeth and mouth. The perception of oral health and satisfaction with teeth and mouth were the strongest predictors associated with the impact of oral health on QoL. These data confirm that subjective indicators are importants to analyse the needs reported by individuals. Thus, the use of OHIP-14 could be useful for planning programs and actions for worker health, prioritizing workers with greater psychosocial impacts produced by oral problems. Actions focused on the health education, with an emphasis on self-awareness, selfprotection and self-care should be explored further, as they would allow greater empowerment of working adults to act with more autonomy in the search for improving the quality of life and health.

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Lucena, Luciana Barbosa Sousa de. "O impacto da disfunção temporomandibular na qualidade de vida relacionada à saude bucal." Universidade Federal da Paraíba, 2004. http://tede.biblioteca.ufpb.br:8080/handle/tede/6643.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
This study had two objectives. The main objective was to evaluate the association of the impact of temporomandibular disorders (TMD) on oral health related quality of life to the psychosocial and psychological factors. The specific objective was to validate the Portuguese version of Axis II questionnaire to Research Diagnostic Criteria for TMD (RDC/TMD) as preconized by Dworkin and LeResche at 1992. The sample was compounded by 156 patients, with TMD, who attempted at Orofacial Pain Control Center School of Dentistry of Pernambuco University, from July 2003 to February 2004. Data collection was done by the author using the following instruments: Simplified Anamnesis Index DMF for screening patients with TMD; RDC/TMD Axis I to evaluated clinically and to classify TMD and Axis II to evaluate psychosocial and psychological factors; the specific questionnaires to evaluated oral health related to quality of life, OIDP and OHIP-14. Two different types of studies were conducted: validation study and cross sectional study. The validation study consisted on the evaluation of internal consistence by alpha Crombach reliability test; reliability and reproducibility estimated by Kappa statistics and by Spearman correlation and also concurrent validity (Spearman). For the transversal study, one has used Kruskall Wallis to test OIDP and ANOVA to test OHIP-14. The Portuguese version for Axis II of RDC/TMD was considered consistent (Crombach a=0,72), reliable (Kappa 0,73-0,91; p<0,01) and valid (p<0,01). According to transversal study, among the variables for sample characterization, the impact on oral health related qualify of life was statistical associated to sex and scholarship, this factor exclusively for OHIP-14. On Axis I, using OIDP, the impact was associated to groups I and II, muscle and joint disorders, respectively. While for OHIP-14, only for group I (muscle disorders) the association was detected. On Axis II, psychological factors, as depression and somatization (inespecific organic symptoms with or without pain) and psychosocial factor of disability and pain were statically associated to the impact of oral health related quality of life, according to evaluation with OIDP and OHIP-14. The validity of Axis II of RDC/TMD followed the methodology proposed at the literature and showed reproducbility and validity for brazilian population. Temporomandibular disorders and psychosocial and psychological factors produced an important impact on oral health related quality of life, associated to psychosocial and psychological factors associated and proportional to their intensity.
O presente estudo teve dois objetivos. O objetivo geral foi avaliar a associação entre o impacto da disfunção temporomandibular (DTM) na qualidade de vida relacionada à saúde bucal, e os fatores psicossocial e psicológicos. O objetivo específico foi realizar a validação da versão em português do questionário Eixo II dos Critérios Diagnósticos de Pesquisa em DTM (RDC/TMD), preconizado por Dworkin e LeResche, em 1992. A amostra foi composta por 155 pacientes portadores de DTM que procuraram atendimento no Centro de Controle da Dor Orofacial da Faculdade de Odontologia da Universidade de Pernambuco no período de Julho de 2003 a Fevereiro de 2004. Para a coleta de dados foram utilizados os seguintes instrumentos: Índice Anamnésico Simplificado DMF para a triagem dos pacientes com DTM; RDC/TMD: Eixo I para avaliação clínica e classificação da DTM, e Eixo II para avaliação psicossocial e psicológica e os questionários específicos para avaliação da qualidade de vida relacionada à saúde bucal OIDP e OHIP-14. Foram realizados dois tipos de estudo: estudo de validação e transversal. O estudo de validação constou da avaliação da consistência interna pelo teste de confiabilidade alfa Crombach; confiabilidade e reprodutibilidade, estimada pela estatística Kappa e correlação de Spearman e validação concorrente (Spearman). No estudo transversal, para o OIDP, utilizouse o teste Kruskal-Wallis e para o OHIP-14 o teste ANOVA. Os resultados revelaram que a versão em português Eixo II do RDC/TMD foi considerada consistente (Crombach=0,72); reprodutível (Kappa 0,73-0,91; p<0,01) e válida (p<0,01). No estudo transversal, dentre as variáveis de caracterização amostral, o impacto da qualidade de vida relacionado à saúde bucal foi estatisticamente associado com gênero e escolaridade, sendo este último fator apenas evidenciado quando da utilização do OHIP-14. No Eixo I, usando o OIDP, o impacto teve associação com os grupos I e III, de desordem muscular e articular, respectivamente; com o OHIP-14, teve associação apenas para o grupo I (desordem muscular). No Eixo II, os fatores psicológicos, como depressão e somatização (sintomas físicos não específicos, com e sem itens de dor), e o fator psicossocial de incapacidade e intensidade da dor, foram estatisticamente associados ao impacto da qualidade de vida relacionado à saúde bucal, quando avaliados pelo OIDP e OHIP-14. Conclui-se que a validação do Eixo II do RDC/TMD seguiu metodologia proposta na literatura e mostrou-se reprodutível e válida para a população brasileira. A disfunção temporomandibular e os fatores psicossocial e psicológicos produzem importante impacto nos portadores de DTM, interferindo negativamente na qualidade de vida relacionada à saúde bucal, e este impacto também foi associado ao grau de severidade dos fatores psicossocial e psicológicos.

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Calmon, Marcela Vieira. "Qualidade de vida relacionada com os problemas bucais em mulheres antes e durante o tratamento quimioterápico do câncer de mama." Universidade Federal do Espírito Santo, 2013. http://repositorio.ufes.br/handle/10/5663.

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Objetivos: Avaliar os impactos produzidos por problemas bucais na qualidade de vida; examinar a associação com as variáveis sociodemográficas, clínicas e odontológicas; e avaliar o impacto das manifestações bucais na qualidade de vida em mulheres antes e durante o tratamento quimioterápico do câncer de mama. Metodologia: A pesquisa realizou-se com mulheres com diagnóstico histopatológico de câncer de mama atendidas no Hospital Santa Rita de Cássia (HSRC), de janeiro de 2012 a janeiro de 2013. Foram desenvolvidos dois estudos: o primeiro observacional transversal e o segundo longitudinal. As mulheres foram estudadas em três momentos: antes de qualquer intervenção relacionada ao tratamento; após a realização da primeira sessão de quimioterapia; depois da segunda sessão de quimioterapia. Para o artigo um, foram selecionadas todas as mulheres com diagnóstico histopatológico de câncer de mama atendidas no HSRC, no período de janeiro a dezembro de 2012; para o artigo dois, a amostra foi calculada utilizando-se o programa Bioestat 5.0 e o método de McNemar. Os dados foram organizados no programa Microsoft Office Excel 2007 for Windows e analisados pelo Pacote Estatístico para Ciências Sociais (SPSS), versão 20.0. Utilizaram-se dois roteiros na forma de entrevista, incluindo o indicador subjetivo Oral Health Impact Profile (OHIP). No primeiro artigo, foi realizada análise descritiva dos dados, utilizando-se os testes qui-quadrado ou o exato de Fisher. Calculou-se o odds ratio (OR) com intervalo de confiança de 95% e aplicou-se o método de Mantel-Haenzsel. No segundo artigo, realizou-se análise descritiva dos dados para cada dimensão do OHIP, aplicou-se o teste de McNemar e o teste Kappa. Adotaram-se níveis de significância menores que 5% no estudo. Resultados: Foram estudadas 89 mulheres. O percentual de impactos dos problemas bucais na qualidade de vida foi de 28,1% e esteve associado à menor renda e utilização de serviços odontológicos por urgência. No artigo dois, foram estudadas 41 mulheres. Houve um aumento no percentual de impacto dos problemas bucais na qualidade de vida das mulheres investigadas do primeiro para o segundo momento da pesquisa, e o impacto foi significante nas dimensões limitação funcional, dor física e incapacidade física, interferindo em condições essenciais das mulheres. Conclusão: As mulheres em terapia antineoplásica já possuem um alto impacto antes do início do tratamento e essa condição é agravada após o tratamento quimioterápico. É extremamente importante a integração do cirurgião-dentista com a equipe de oncologia no cuidado do paciente em todos os estágios da doença. Esses pacientes requerem cuidados bucais específicos, necessitando de acompanhamento antes, durante e após o tratamento oncológico, na tentativa de minimizar os efeitos deletérios da quimioterapia, melhorando, assim, a sua qualidade de vida
Objectives: To assess the prevalence of impacts produced by oral problems on quality of life and its possible association with sociodemographic variables, need for dental prosthesis, dental service utilization and clinical staging, and assess the impact of oral manifestations on quality of life in women before and during chemotherapy for breast cancer. Methodology: The survey was conducted in women with a histopathologic diagnosis of breast cancer at the Hospital Santa Rita de Cassia (HSRC), from January 2012 to January 2013. There were two studies: the first was observational cross and the second was longitudinal, the women were studied on three occasions. To order one, we selected all women with histological diagnosis of breast cancer treated at the HSRC between January and December 2012. To order two, the sample was calculated using the BioStat 5.0 and using the McNemar test. Data were organized using Microsoft Office Excel 2007 for Windows and analyzed using Statistical Package for Social Sciences (SPSS) version 20.0. For objective one, performed descriptive analysis of data by means of frequency tables with numbers and percentages for each of the items of the survey instrument. It was used qui-quadrado square or Fisher exact test. Was calculated odds ratio (OR) with a confidence interval of 95%, and used the method of Mantel-Haenzsel. For objective two, was performed descriptive analysis of data by means of frequency tables with numbers and percentages for each dimension OHIP in three stages of the research. It was applied the McNemar test, and the Kappa test. Adopted were significance levels below 5%. Results: Were studied 89 women who fulfilled the criteria for inclusion during the study period. The prevalence of impact of oral health on quality of life was 28.1% and was associated with lower income and utilization of dental services by urgency. For the second objective, were studied 41 women. There was an increase in the percentage impact of oral manifestations on quality of life of women surveyed from the first to the second stage of the research. The impact is significant on the dimensions functional limitation, physical pain and physical disability, interfering with essential conditions of women, such as speech and feeding. Conclusion: The antineoplastic therapy in women already have a high impact before the treatment and this condition is aggravated after chemotherapy. It is extremely important the integration of the dentist with the oncology team in patient care at all stages of the disease. These patients requiring oral care specific, need of monitoring before, during and after treatment cancer in an attempt to minimize the deleterious effects of chemotherapy, thus improving its quality of life

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Patr?cio, Alberto Allan Rodrigues. "Impacto do Programa de Sa?de da Fam?lia sobre indicadores de sa?de bucal na popula??o de Natal -RN." Universidade Federal do Rio Grande do Norte, 2007. http://repositorio.ufrn.br:8080/jspui/handle/123456789/17096.

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The aim of this study was to assess the impact of the Family Health Program (FHP) on a number of oral health indicators in the population of Natal, Brazil. The study is characterized as a quasi-random community intervention trial. The intervention is represented by the implementation of an Oral Health Team (OHT) in the FHP prior to the study. A total of 15 sectors covered by the FHP with OHT were randomly drawn and paired with another 15 sectors, based on socioeconomic criteria, not covered by the teams. A few sectors were lost over the course of the study, resulting in a final number of 22 sectors, 11 covered and 11 not covered. We divided the non-covered areas into two conditions, one in which we considered areas that had some type of assistance program such as the Community Agents Program (CAP), FHP without OHT, BHU (Basic Health Unit) or no assistance, and the other, in which we considered areas that had only BHU or no assistance. Community Health Agents (CHAs) and Dental Office Assistants (DOAs) applied a questionnaire-interview to the most qualified individual of the household and the data obtained per household were transformed into the individual data of 7186 persons. The results show no statistical difference between the oral health outcomes analyzed in the areas covered by OHT in the FHP and in non-covered areas that have some type of assistance program, with a number of indicators showing better conditions in the non-covered areas. When we considered the association between covered and non-covered areas under the second condition, we found a statistical difference in the coverage indicators. Better conditions were found in covered areas for indicators such as I have not been to the dentist in the last year with p < 0.001 and OR of 1.64 and I had no access to dental care with p < 0.001 and OR of 2.22. However, the results show no impact of FHP with OHT on preventive action indicators under both non-covered conditions. This can be clearly seen when we analyze the toothache variable, which showed no significant difference between covered and non-covered areas. This variable is one of the most sensitive when assessing oral health programs, with p of 0.430 under condition 1 and p of 0.038 under condition 2, with CI = 0.70-0.90. In the analysis of health indicators in children where the proportion of deaths in children under age 1, the rate of hospitalization for ARI (Acute Respiratory Infections) in those under age 5 and the proportion of individuals born underweight were considered, a better condition was found in all the outcomes for areas with FHP. Therefore, we can conclude that oral health in the FHP has little effect on oral health indicators, even though the strategy improves the general health conditions of the population, as, for example child health
O objetivo deste estudo foi avaliar o impacto do Programa de Sa?de da Fam?lia (PSF) sobre alguns indicadores de sa?de bucal na popula??o de Natal-RN, caracterizado como um estudo do tipo ensaio de interven??o comunit?ria em paralelo quase-randomizado. Interven??o representada pela implanta??o da Equipe de Sa?de Bucal (ESB) no PSF ocorrida em um tempo anterior ? realiza??o desse estudo. Foram sorteados 15 setores censit?rios em ?reas cobertas pelo PSF com ESB e emparelhados a outros 15 setores em ?reas n?o cobertas pelas equipes, a partir de crit?rios socioecon?micos. Durante a realiza??o do estudo alguns setores foram perdidos restando ao final 22 setores, sendo 11 cobertos e 11 n?o cobertos. As ?reas n?o cobertas foram divididas em duas condi??es, uma em que foram consideradas ?reas que apresentavam algum tipo de programa assistencial como Programa de Agentes Comunit?rios (PACS), PSF sem ESB, UBS (Unidade B?sica de Sa?de) ou sem assist?ncia, e uma outra em que foram consideradas ?reas que apresentavam apenas UBS ou aus?ncia de assist?ncia. Agentes Comunit?rios de Sa?de (ACSs) e Auxiliares de Consult?rio Dent?rio (ACDs) aplicaram um question?rio-entrevista junto ao informante mais qualificado do domic?lio e os dados obtidos por domic?lio foram transformados em dados por indiv?duos, totalizando 7.186 pessoas. Os resultados apontam para aus?ncia de diferen?a estat?stica entre os desfechos de sa?de bucal analisados na associa??o entre ?reas cobertas por ESB no PSF e ?reas n?o cobertas que apresentam algum tipo de programa assistencial, com alguns indicadores demonstrando melhores condi??es nas ?reas n?o cobertas. Quando se considera na an?lise a associa??o entre ?reas cobertas e ?reas n?o cobertas na segunda condi??o, percebe-se diferen?a estat?stica em indicadores de cobertura, com melhores condi??es para ?reas cobertas, como, por exemplo, nos indicadores N?o foi ao dentista no ?ltimo ano com p (<0,001) e OR de 1,64 e N?o teve acesso ? assist?ncia odontol?gica p (<0,001) e OR de 2,22. Por?m, os resultados demonstram aus?ncia de impacto do PSF com ESB sobre os indicadores de a??es preventivas, nas duas condi??es de n?o coberto. Isso ? percebido muito claramente quando analisamos a vari?vel dor de dente que n?o apresenta diferen?a significativa entre ?reas cobertas e n?o cobertas, vari?vel essa que ? uma das mais sens?veis na avalia??o de programas assistenciais de sa?de bucal, com p (0,430) na condi??o 1 e p (0,038) na condi??o 2, por?m, com IC (0,70-0,99). Na an?lise de indicadores de sa?de da crian?a em que ? considerada a propor??o de ?bitos em crian?as menores de um ano, a taxa de interna??o por IRA (Infec??es Respirat?rias Agudas) em menores de cinco anos e a propor??o de indiv?duos nascidos com baixo peso, verifica-se uma melhor condi??o em todos os desfechos para ?reas com PSF. Portanto, ? poss?vel concluir que a Sa?de Bucal no PSF est? exercendo pouco efeito sobre os indicadores de sa?de bucal, ainda que a estrat?gia melhore as condi??es de sa?de geral da popula??o, como, por exemplo, a sa?de da crian?a

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Esfandiari, Shahrokh. "Oral health technology assessment : study of mandibular 2-implant overdentures." Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=115892.

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There is little evidence that Health Technology Assessment (HTA) is much used in dentistry. Dental implant technology is an example of innovative oral health technology. The objectives of this research were to gather the evidence needed for the assessment of overdenture implant treatment so that both patients and dental practitioners can make informed decisions about this technology. These objectives included 1) investigating what types of dental clinicians adopt and provide dental implants 2) determining the effect of the clinicians' experience in the provision of implant supported prostheses and 3) measuring the patients' preference in provision of mandibular 2-implants overdenture technology.
For the first part, a cross-sectional survey was sent to all licensed Canadian Dentists to measure the adoption and provision of implant technology. For the second part, we used the data on the first 140 edentulous elders who were enrolled in a randomized controlled clinical trial to compare the effects of mandibular conventional (CD) and 2-implant overdentures (IOD) on nutrition. The change in patient ratings of satisfaction after treatment, laboratory costs and the number of unscheduled visits were compared. For the last part, edentulous elders (N=36) who were wearing maxillary dentures and either a mandibular conventional denture (CD, n=13) or a two-implant overdenture (IOD, n=23) participated in this study. Participants' preference was measured during a 20-minute interview.
Multivariate regression analysis on the data from the first part of the study shows that the Dentist's gender, province of practice, specialty, and whether they practice alone or in association with other practitioners, are significantly associated with the adoption of implant technology (p<0.05). It is also shown that there was no difference in satisfaction scores for either prosthesis between the groups treated by experienced specialists or new dentists. Furthermore, it is shown that IOD wearers were willing to pay three times more than the current cost of conventional dentures for implant prostheses (p<0.05).
Overall, the results of this study 1) inform decision makers on what types of clinicians provide implant technology and 2) suggest that, with minimal training, all dental clinicians irrespective of their specialty, can provide successful implant overdenture prostheses that edentulous patients are willing to pay for.

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Chen, Jenny, and Lisa Milton. "Oral Health and the Effect on Quality of Life in a Zambian population." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-9775.

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The aim of this study was to investigate how oral health affects the quality of life among patients attending a dental clinic in Livingstone, and patients attending the Dental training school in Lusaka, Zambia. A total of 160 patients was consecutively selected and participated in the study, between the ages 16-68 (32 ± 11.8; mean ± SD). Interviews were done using a questionnaire “The oral impacts on daily performances” (OIDP). Of all the patients, 80% reported that they were affected by their oral health with at least one problem. Difficulty with “eating and enjoying food” was the most frequently performance affected (54%) and “speaking and pronouncing” was the least performance reported (16%). Overall, 20% of the participants reported that they did not have any problems. When reported having a problem, 3 and 4 number of problems were the most frequently occurring. Two open questions were asked, “What is the reason for your visit” and “What do you think is the problem”. The most common answer to the first question was “pain” (38.8%) and to the second question, “don´t know” (23.1%). This study found that 80% felt that their oral health affected their daily activities and QoL.
Syftet med studien var att undersöka hur den orala hälsan påverkar livskvalitéten bland patienter som besökte en tandklinik i Livingstone samt på kliniken vid Dental training school i Lusaka, Zambia. Sammanlagt 160 patienter valdes konsekutivt ut och var i åldrarna 16-68 år (32 ± 11,8; medel ± SD). Studien utfördes genom intervjuer med hjälp av en enkät, ”The Oral Impacts on Daily Performances” (OIDP). Av patienterna svarade 80% att de blev påverkade av deras orala hälsa med minst ett problem. Svårigheter med att ”äta och njuta av mat” var det vanligaste problemet (54%) medan ”att tala och ha bra uttal” var det problem som var minst rapporterat (16%). Överlag, rapporterade 20% att de inte hade några problem alls. När de rapporterade att de hade problem var det vanligaste 3 och 4 antal problem. Två öppna frågor ställdes, ”Varför kom du till kliniken” och ”Vad tror du är problemet”. Det vanligaste svaret på första frågan var ”smärta” (38.9%) och på andra frågan ”vet inte” (23.1%). Denna studie kom fram till att 80% tyckte att deras orala hälsa påverkade deras liv och livskvalité.

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47

Silva, Bruna Loureiro Oliveira de Sousa e. "Distúrbios alimentares: impacto na saúde oral." Master's thesis, [s.n.], 2012. http://hdl.handle.net/10284/3460.

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Trabalho apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária
Os distúrbios alimentares traduzem-se em comportamentos, quer pela falta, quer pelo excesso da ingestão de alimentos O crescente aumento destes distúrbios, nomeadamente a obsessão pelos corpos magros, relaciona-se com o impacto que os media tem na sociedade, uma vez que a magreza é vista como mecanismo de atração sexual e mecanismo de integração social. Das desordens alimentares fazem parte a anorexia nervosa, a bulimia nervosa e a obesidade. Ao contrário da obesidade, a anorexia nervosa e a bulimia nervosa são muitas vezes omitidas pelos indivíduos, tornando o seu diagnóstico ainda mais complicado, daí a importância dos profissionais de medicina dentária, pois a cavidade oral é um dos principais órgãos afetados pelas alterações dos hábitos alimentares, bem como dos métodos usados para atingir a tão desejada magreza. ABSTRACT Eating disorders result in behaviors, or by the lack or excess of food intake. The increasing of these disorders, particularly the obsession by lean bodies, relates to the impact that the media has on society, since thinness is seen as a mechanism of sexual attraction and social integration. Of eating disorders include anorexia nervosa, bulimia nervosa and obesity. Unlike obesity, anorexia nervosa and bulimia nervosa are often omitted by individuals, making your diagnosis even more complicated, hence the importance of dental professionals, because the oral cavity is one of the major organs are affected by changes in dietary habits, as well as the methods used to achieve the much desired thinness.

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Leit?o, Lidiany Vasconcelos. "Avalia??o longitudinal do impacto da sa?de bucal na estrat?gia sa?de da fam?lia em Natal." Universidade Federal do Rio Grande do Norte, 2012. http://repositorio.ufrn.br:8080/jspui/handle/123456789/17078.

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As a result of the financial incentive provided by the GM / MS 1.444, since 2000, Brazil has experienced a substantial increase in the number of oral health services at the Family Health Strategy. There is, however, evidence that these teams have produced qualitatively different experiences which do not translate necessarily into improved quality of life and health. Thus, evaluative research of great importance. This study aims to assess the impact of the Family Health Strategy in oral health in a longitudinal perspective natalense the years 2006 and 2009. This is an intervention study whose design is a community trial in parallel, nearly randomized. The sample consisted of census tracts covered by oral health teams in the Family Health and the Traditional Model (Basic Health Units and non-FHS Program of Community Health Agents and areas not covered.) The sample was determined by drawing ten census tracts to form the experimental group and ten other sectors for the control group by pairing intentional based on socio-economic and geographic. To check the net effect of the intervention was performed multivariate analysis by Poisson regression. As a result of cross-sectional analysis of year 2009, it was found that the effects of the ESF in Natal were satisfactory only for the variables of injuries and for other purposes without and with negative impact on stock coverage reclaimers. However, the longitudinal analysis revealed that the ESB / ESF improved their performance in dealing with grievances, access and coverage of the type of actions and this fact is independent of age, sex and social and economic conditions. In other employees' words are related to the presence of the Family Health Strategy in the region. However it does not say that both models under study (the Family Health Strategy Model and Traditional) are different in terms of performance and it is pertinent to reflect on the need for further development of evaluation studies that use other approaches able to clarify the dynamics of the process whose results can come to the knowledge of the actors responsible for leading the ESF and encourage them to incorporate the assessment in their routine
Como resultado do incentivo financeiro estabelecido pela Portaria GM/MS n? 1.444, desde 2000, o Brasil tem apresentado um aumento substancial do n?mero de equipes de sa?de bucal na Estrat?gia Sa?de da Fam?lia. H?, no entanto, evid?ncias de que essas equipes v?m produzindo experi?ncias qualitativamente diferentes que n?o se traduzem, necessariamente, em melhorias na qualidade de vida e sa?de da popula??o. Desse modo, pesquisas avaliativas assumem grande relev?ncia. Este estudo se prop?e a avaliar o impacto da Estrat?gia Sa?de da Fam?lia na sa?de bucal da popula??o natalense numa perspectiva longitudinal dos anos 2006 e 2009. Trata-se de um estudo de interven??o cujo desenho ? um ensaio comunit?rio em paralelo, quase randomizado. A amostra constou de setores censit?rios cobertos pelas Equipes de Sa?de Bucal na Estrat?gia Sa?de da Fam?lia e pelo Modelo Tradicional (Unidades B?sicas de Sa?de com e sem ESF, com Programa de Agentes Comunit?rios de Sa?de e ?reas n?o cobertas). A amostra foi definida por sorteio de dez setores censit?rios para compor o grupo experimental e outros dez setores para o grupo controle atrav?s de emparelhamento intencional baseando-se no perfil s?cio-econ?mico e geogr?fico. Para verificar o efeito l?quido da interven??o foi realizada an?lise multivariada atrav?s da Regress?o de Poisson. Como resultado da an?lise transversal do ano 2009, verificou-se que os efeitos da ESF em Natal foram satisfat?rios apenas para as vari?veis de agravos sendo sem efeitos para as demais e com impacto negativo na cobertura de a??es recuperadoras. Contudo a an?lise longitudinal revelou que as ESB/ESF melhoraram seu desempenho nas quest?es relativas aos agravos, acesso e tipo de cobertura das a??es e este fato independe da idade, sexo e condi??es sociais e econ?micas. Em ouras palavras, est?o relacionadas com a presen?a da Estrat?gia Sa?de da Fam?lia na regi?o. Todavia ainda n?o cabe afirmar que ambos os modelos em estudo (Estrat?gia de Sa?de da Fam?lia e Modelo Tradicional) s?o diferentes do ponto de vista da atua??o. Desse modo, ? pertinente a reflex?o sobre a necessidade de elabora??o de mais estudos avaliativos que utilizem outras abordagens capazes de esclarecer as din?micas do processo cujos resultados possam chegar ao conhecimento dos atores respons?veis pela condu??o da ESF e motiv?-los a incorporar a avalia??o no seu cotidiano

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Mahmoud, Hussein. "A description of dental implants placed at Tygerberg Oral Health Centre." University of the Western Cape, 2019. http://hdl.handle.net/11394/7532.

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Magister Scientiae Dentium - MSc(Dent)
Purpose This study analyzed the dental surgical implant therapy in the past 5 years at Tygerberg Oral Health Centre, UWC Dental School, Cape Town, South Africa. The findings of this study serve as a guideline for the estimation of the prevalence in this dental hospital. The importance of this study was to aid in the establishment of the formalized electronic database for dental implant therapy. The data generated will form a foundational basis for future studies that may be conducted in the field of implantology. Methodology A retrospective cross-sectional study was conducted at the Tygerberg Oral Health Centre. The data was collected from the implant dental records for the years 2012-2017. Variables measured included the patient demographics such as age, gender, an implant placed by type, length, width, and anatomical location. Frequencies and means of data were generated using IBM SPSS v20.

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50

Mahmoud, Hussein. "A description of dental implants placed at Tygerberg Oral Health Centre." University of Western Cape, 2020. http://hdl.handle.net/11394/7242.

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Анотація:

Magister Scientiae Dentium - MSc(Dent)
This study analyzed the dental surgical implant therapy in the past 5 years at Tygerberg Oral Health Centre, UWC Dental School, Cape Town, South Africa. The findings of this study serve as a guideline for the estimation of the prevalence in this dental hospital. The importance of this study was to aid in the establishment of the formalized electronic database for dental implant therapy. The data generated will form a foundational basis for future studies that may be conducted in the field of implantology.

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Дисертації з теми "Oral health impact"

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