Orthodontic Treatment Need, Self-Esteem, and Oral Health-Related Quality of Life Assessment of Primary Schoolchildren: A Cross-Sectional Pilot Study

Objective:The aims of this study were (1) to determine orthodontic treatment need, self-esteem, and oral health-related quality of life (OHRQoL) of primary schoolchildren and (2) to investigate possible influences of orthodontic treatment need on self-esteem and OHRQoL.Methods:The subjects of this cross-sectional study were 219 children aged 13–14 years attending public schools in Bornova, Izmir, Turkey. None of the children were undergoing active orthodontic treatment or had previously received orthodontic treatment. Index of Orthodontic Treatment Need Dental Health Component (IOTN-DHC) was used to determine normative orthodontic treatment need, and scores of 4 and 5 were defined as treatment need. IOTN Aesthetic Component (IOTN-AC) was used for the determination of child perception as well as the orthodontist perception of treatment need, and scores of 8–10 were defined as treatment need. Rosenberg Self-Esteem Scale was applied for self-esteem level determination. OHRQoL was evaluated using Child-Oral Impact on Daily Performance (C-OIDP) questionnaire. Correlations of the obtained data were tested using Spearman rho, and groups presenting correlations were further tested using Kruskal-Wallis and chi-square test. Interoperator and intraoperator reliability of the applied tests was evaluated using weighted kappa scores.Results:Prevalence of dental normative orthodontic treatment need was 37%, with 7.3% of the children presenting no malocclusion. Of the whole population, 5.5% of the children described themselves as having definite treatment need according to IOTN-AC scores. OHRQoL was positively influenced when self-esteem was higher (p=0.01). Presence of normative orthodontic treatment need according to IOTN-DHC did not have an influence on OHRQoL (p=0.745).Conclusion:Orthodontic treatment need derived by the orthodontist might not necessarily influence OHRQoL and self-esteem of primary schoolchildren. Assessment of OHRQoL as an adjunct to conventional diagnostic tools and normative measures may be feasible for the interpretation of treatment need and priority

The effect of a chlorhexidine containing cavity disinfectant on the clinical performance of high-viscosity glass-ionomer cement following ART: 24-month results

WOS: 000253927000009PubMed ID: 18435375Purpose: To evaluate the effect of a chlorhexidine-gluconate-based cavity disinfectant on the clinical performance of high viscosity glass-ionomer cement following the ART approach under field conditions after 24 months. Methods: 126 school children 6-8 years old who had bilateral matched pairs of carious Class I and II primary molars were included. A split mouth design was used in which Ketac Molar was randomly placed with or without the use of chlorhexidine-gluconate-based cavity disinfectant on contralateral sides by three dentists. The restorations were evaluated after 6, 12 and 24 months by two experienced examiners using USPHS-Ryge criteria. Results: The 24-month mean cumulative survival rates of Ketac Molar without the use of disinfectant were 97.7% and 69.4% while in the disinfectant group, the survival rates were 95.2% and 63.9% in Class I and II restorations, respectively with no significant difference between the groups in both class types. In the non-disinfected group, large Class II cavities had significantly better survival rates than did small Class II cavities (P= 0.023). In the disinfected group, the failure rates in mean cumulative survivals from 6 to 12 months and 12 to 24 months significantly increased with time (P= 0.004 and P= 0.016 respectively)

A clinical evaluation of resin-based. composite and glass ionomer cement restorations placed in primary teeth using the ART approach - Results at 24 months

WOS: 000242245100021PubMed ID: 17082278Background. The authors evaluated the 24-month performance of a packable resin-based opposite/dentin bonding system and a high-viscosity glass ionomer cement (GIC) in restorations placed in primary molars with the atraumatic restorative treatment (ART), approach. Methods. Three dentists placed 419 restorations in 219 children aged 6 through 10 years who had bilateral matched pairs of carious posterior Class I and II primary teeth. They used a split-mouth design to place the two materials, which were assigned randomly to contralateral sides. The authors evaluated the restorations, according to U.S. Public Health Service Ryge criteria. Results. After 24 months, 96.7 percent of the Class I GIC restorations and 91 percent of the resin-based composite restorations survived, while the success rates for the Class II restoration were 76.1 percent and 82 percent for the GIC and resin-based composite restorations, respectively. The survival rate of the Class II resin-based composite restorations was 5.9 percent higher than that of the GIC restorations at the 24-month evaluation, but this difference was not statistically significant. However, the study results showed a statistically significant difference in survival rates between Class I and II restorations for both materials. Conclusion and Clinical implications. The two-year clinical performance of both materials was satisfactory for the restoration of Class I and II primary molars using the ART approach

Oral and dental manifestations of young asthmatics related to medication, severity and duration of condition

WOS: 000242237500006PubMed ID: 17168972Background: The aim of this study was to investigate the caries risk of asthmatics in relation to dental plaque indices, salivary flow rate, pH and buffer capacity, saliva composition and salivary levels of Streptococcus mutans compared with healthy subjects and also to evaluate these parameters within different groups of asthmatics according to their medication, duration and severity of the disease. Methods: The study group composed of 106 asthmatics and 100 healthy controls with the same age and social background aged between 6 and 19-years-old. For dental examinations, World Health Organization criteria and for plaque indices the Silness and Loe plaque index was used. All data were analyzed using t-test, chi(2)-test, Spearman rank correlation, Kruskal- Wallis, Mann-Whitney U-tests and Logistic Regression Anaylsis with Forward Stepwise Likelihood ratio method. Results: A statistically significant decrease in the salivary flow rate and pH were found in the asthmatic group. The children in the asthmatic group aged between 6 and 10 years had significantly higher caries prevalence compared with the control group at the same age. There was a negative correlation between the duration of medication and the salivary pH and a positive correlation between duration of illness and the salivary levels of S. mutans in the asthmatics. Conclusions: It was found that asthma, through its disease status and its pharmacotherapy, carries some risk factors including decreased salivary flow rate and pH for caries development. It was also demonstrated that the duration of medication and illness had significant influences on the risk of caries in asthmatics