Frequency of four-dimensional oral health problems across dental fields - A comparative survey of Slovenian and international dentists

Objectives: To compare the frequency of patients' oral health problems and prevention needs among Slovenian and international dentists with the aim to validate the four oral health-related quality of life (OHRQoL) dimensions across six clinical dental fields in all World Health Organization (WHO) regions. Methods: An anonymous electronic survey in the English language was designed using Qualtrics software. A probability sampling for Slovenia and a convenience sampling strategy for dentist recruitment was applied for 31 countries. Dentists engaged in six dental fields were asked to categorize their patients' oral health problems and prevention needs into the four OHRQoL dimensions (Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact). Proportions of patients' problems and prevention needs were calculated together with the significance of Slovenian and international dentists' differences based on dental fields and WHO regions. Results: Dentists (n=1,580) from 32 countries completed the survey. There were 223 Slovenian dentists (females: 68%) with a mean age (SD) of 41 (10.6) years and 1,358 international dentists (females: 51%) with a mean age (SD) of 38 (10.4). Pain-related problems and prevention needs were the most prevalent among all six dental fields reported by dentists; Slovenian (37%) and 31 countries (45%). According to Cohen, differences between Slovenia, the broader European Region, and 31 countries were considered non-significant (<0.1). Conclusion: According to the dentists' responses, the frequency of patients' oral health problems and prevention needs are proportionate between Slovenia and 31 countries, regionally and globally. The four OHRQoL dimensions can be considered universal across all dental fields

Pediatric patients’ reasons for visiting dentists in all WHO regions

Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the four oral healthrelated quality of life (OHRQoL) dimensions (4D) or areas in which oral disorders impact pediatric patients. Using their dentists’ assessment, the study aimed to evaluate whether pediatric dental patients’ oral health concerns ft into the 4D of the Oral Health-Related Quality of Life (OHRQoL) construct.Dentists who treat children from 32 countries and all WHO regions were selected from a web-based survey of 1580 international dentists. Dentists were asked if their pediatric patients with current or future oral health concerns ft into the 4D of the Oral Health-Related Quality of Life (OHRQoL) construct. Proportions of all pediatric patients’ oral health problems and prevention needs were computed

Oral & Systemic Health and Treatment Needs of Dental Patients: Clinical Validation of the New Oral Health Model

Aims To clinically validate the new four-dimensional oral health model (4DOHM) by analyzing the level of correlation between oral health-related quality of life (OHRQoL) according to the 4DOHM and health-related quality of life (HRQoL), by analyzing the level of correlation between the Psychosocial Impact dimension of the 4DOHM and depression and anxiety, and by analyzing international dentists’ assessments of how their patients’ problems fit the 4DOHM. Methods We analyzed Oral Health Impact Profile, Patient-Reported Outcomes Measurement Information System Global Health, Depression, and Anxiety questionnaires of adult dental patients attending HealthPartners clinics in Minnesota, USA. We performed structural equation modeling confirmatory factor analysis and path analysis, and an international survey among dentists from all World Health Organization regions. Results Data came from 2,076 dental patients with the mean age 54.7±16.2 years (40.3% females). Correlation coefficients between OHRQoL and HRQoL, OHRQoL and Physical Health, OHRQoL and Mental Health, Psychosocial Impact and depression, and Psychosocial Impact and anxiety, were 0.56, 0.55, 0.51, 0.53, and 0.56, respectively, and they were all “large,” according to Cohen. In total, 1,580 (53.4%) of dentists (54% females) with the mean age of 38.6±10.5 years, from 32 countries, participated in the survey and reported that 94.2% of patients\u27 problems could be categorized into the four dimensions. Conclusions The OHRQoL, according to the 4DOHM, is highly correlated to the HRQoL, and the Psychosocial Impact dimension of 4DOHM is highly correlated to depression and anxiety. Dentists categorized almost all their dental patients’ oral health problems according to the 4DOHM. The 4DOHM is clinically valid.Namen Klinična validacija novega štiridimenzionalnega modela oralnega zdravja (4DMOZ), pri čemer smo: 1. analizirali stopnje povezanosti med »z oralnim zdravjem povezano kakovostjo življenja« (angl. oral health-related quality of life, OHRQoL), opredeljeno po 4DMOZ, in »z zdravjem povezano kakovostjo življenja« (angl. health-related quality of life, HRQoL)2. analizirali stopnje povezanosti med psihosocialno dimenzijo 4DMOZ in depresijo oz. anksioznostjo in 3. analizirali ocene zobozdravnikov o tem, kako so težave njihovih pacientov uvrščene v 4DMOZ. Metode Analizirali smo vprašalnike Oral Health Impact Profile, Patient-Reported Outcome Measurement Information System’s Adult Global Health, Depression in Anxiety odraslih zobozdravstvenih pacientov klinike HealthPartners v Minnesoti v ZDA. Izvedli smo konfirmatorno faktorsko analizo in analizo poti. Izvedli smo mednarodno anketiranje zobozdravnikov iz vseh regij, ki jih je določila Svetovna zdravstvena organizacija. Rezultati Analizirali smo podatke 2076 zobozdravstvenih pacientov s povprečno starostjo 54,7±16,2 leta (40,3 % žensk). Korelacijski koeficienti so bili: med OHRQoL in HRQoL 0,56med OHRQoL in telesnim zdravjem 0,55med OHRQoL in duševnim zdravjem 0,51med psihosocialno dimenzijo in depresijo 0,53 ter med psihosocialno dimenzijo in anksioznostjo 0,56. Vse korelacije so bile po Cohenu »visoke«. Spletno anketo je izpolnilo 1580 (53,4 %) zobozdravnikov iz 32 držav (54 % žensk) s povprečno starostjo 38,6±10,5 leta. V 4DMOZ so zobozdravniki uvrstili 94,2 % ustno-obraznih težav svojih pacientov. Zaključek Konstrukt OHRQoL, opredeljen po 4DMOZ, je zelo povezan s konstruktom HRQoL. Psihosocialna dimenzija 4DMOZ je zelo povezana z depresijo oz. anksioznostjo. Zobozdravniki so uvrstili skoraj vse težave svojih pacientov v 4DMOZ. Novi 4DMOZ je klinično veljaven

Association between Oral Health-Related and Health-Related Quality of Life

To investigate the correlation between the four dimensions of Oral Health-Related Quality of Life (OHRQoL) and Health-Related Quality of Life (HRQoL) constructs in a dental patient population

Frequency of Four-dimensional Oral Health Problems across Dental Fields - a Comparative Survey of Slovenian and International Dentists.

Objectives To compare the frequency of patients' oral health problems and prevention needs among Slovenian and international dentists with the aim to validate the four oral health-related quality of life (OHRQoL) dimensions across six clinical dental fields in all World Health Organization (WHO) regions. Methods An anonymous electronic survey in the English language was designed using Qualtrics software. A probability sampling for Slovenia and a convenience sampling strategy for dentist recruitment was applied for 31 countries. Dentists engaged in six dental fields were asked to categorize their patients' oral health problems and prevention needs into the four OHRQoL dimensions (Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact). Proportions of patients' problems and prevention needs were calculated together with the significance of Slovenian and international dentists' differences based on dental fields and WHO regions. Results Dentists (n=1,580) from 32 countries completed the survey. There were 223 Slovenian dentists (females: 68%) with a mean age (SD) of 41 (10.6) years and 1,358 international dentists (females: 51%) with a mean age (SD) of 38 (10.4). Pain-related problems and prevention needs were the most prevalent among all six dental fields reported by dentists; Slovenian (37%) and 31 countries (45%). According to Cohen, differences between Slovenia, the broader European Region, and 31 countries were considered non-significant (<0.1). Conclusion According to the dentists' responses, the frequency of patients' oral health problems and prevention needs are proportionate between Slovenia and 31 countries, regionally and globally. The four OHRQoL dimensions can be considered universal across all dental fields

Why Patients Visit Dentists – A Study in all World Health Organization Regions

The dimensions of oral health-related quality of life (OHRQoL) Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the major areas where patients are impacted by oral diseases and dental interventions. The aim of this study was to evaluate whether dental patients' reasons to visit the dentist fit the 4 OHRQoL dimensions