Prevalence of malocclusion in adolescents according to sex, caries experience, gingival bleeding and smile dissatisfaction
Prevalência de má oclusão em adolescentes de acordo com sexo, experiência com cáries, sangramento gengival e insatisfação com o sorriso
DOI:
https://doi.org/10.46551/ruc.v26n1a5Palavras-chave:
Adolescents, Bleeding, Malocclusion, Dental cariesResumo
Objective: The propose of this study was to estimate the prevalence of malocclusion
among adolescents and to assess the differences of this prevalence according to sex, experience
of caries, gingival bleeding, and smile dissatisfaction. Methods: A cross-sectional study was
conducted with 600 adolescents from 10 to 16 years old, who were identified and selected from
public schools’ records. Intraoral and extraoral examinations were performed following World
Health Organization recommendations and included: number of decayed, missing and filled
teeth, presence of gingival bleeding, and occlusal condition. The latter was assessed based on
information of Dental Aesthetic Index, and Foster and Hamilton Index, in addition to the
evaluation of dental midline, facial and smile pleasantness according to Capelozza Filho
classification. Smile dissatisfaction was also evaluated. Bivariate Poisson regression with robust variance was used to compare prevalence rates. Results: The prevalence of
malocclusion, caries experience, gingival bleeding and smile dissatisfaction were 96.0%,
52.3%, 55.8%, and 49.4%, respectively. The prevalence of malocclusion was higher among
adolescents with gingival bleeding. Statistically significant associations were noticed between
crowding of the upper and lower anterior teeth and gingival bleeding, as well as among Class
III molar relationship, deviation of the dental midline, anterior open bite, anterior crossbite, and
caries experience. Smiles classified as acceptable or unpleasant were associated with
dissatisfaction. Conclusion: These findings have evidenced a higher prevalence of
malocclusion among adolescents and its association with caries experience, gingival bleeding,
and smile dissatisfaction.
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Referências
COSTA, Rodrigo Norremose et al. Validity of two occlusal indices for determining orthodontic treatment needs of patients treated in a public university in Belo Horizonte, Minas Gerais State, Brazil. Cadernos de Saúde Pública, v. 27, n. 3, p. 581–90, 2011.
TAK, Mridula et al. Prevalence of malocclusion and orthodontic treatment needs among 12-15 years old school children of Udaipur, India. European Journal of Dentistry, v. 7, n. Suppl 1, p. S045–S053, 2013.
SHEN, Lu et al. Prevalence of malocclusion in primary dentition in mainland China, 1988-2017: A systematic review and meta-Analysis. Scientific Reports, v. 8, n. 1, p. 2–11, 2018.
PINTO, Edvaldo de Melo; GONDIM, Pedro Paulo da Costa; LIMA, Niedje Siqueira De. Análise crítica dos diversos métodos de avaliação e registro das más oclusões. Revista Dental Press de Ortodontia e Ortopedia Facial, v. 13, n. 1, p. 82–91, 2008.
MARQUES, Leandro Silva et al. Prevalência da maloclusão e necessidade de tratamento ortodôntico em escolares de 10 a 14 anos de idade em Belo Horizonte, Minas Gerais, Brasil: enfoque psicossocial. Cadernos de Saúde Pública, v. 21, n. 4, p. 1099–1106, 2005.
BENTELE, Mark J. et al. Efficacy of training dental students in the index of orthodontic treatment need. American journal of orthodontics and dentofacial orthopedics, v. 122, n. 5, p. 456–62, nov. 2002.
SILVA FILHO, Omar Gabriel Da; GARIB, Daniela Gamba; LARA, Túlio Silva. Ortodontia Interceptativa: Protocolo de tratamento em duas fases. São Paulo: Artes Médicas; 2013.
BORGES, Carolina Marques; PERES, Marco Aurélio; PERES, Karen Glazer. Association between malocclusion and dissatisfaction with dental and gingival appearance: study with Brazilian adolescents. Brazilian Journal of Epidemiology, v. 13, n. 4, p. 713–23, 2010.
MTAYA, Matilda; BRUDVIK, Pongsri; ASTRØM, Anne Nordrehaug. Prevalence of malocclusion and its relationship with socio-demographic factors, dental caries, and oral hygiene in 12- to 14-year-old Tanzanian schoolchildren. European Journal of Orthodontics, v. 31, n. 5, p. 467–76, 2009.
NALCACI, Ruhi et al. The relationship of orthodontic treatment need with periodontal status, dental caries, and sociodemographic factors. The Scientific World Journal, v. 2012, p. 498012, 2012.
WORLD HEALTH ORGANIZATION. Oral health surveys: basic methods. 4 ed. Geneva: World Health Organization; 1997.
CAPELOZZA FILHO, Leopoldino. Diagnóstico em Ortodontia. Maringá: Dental Press Editora; 2004.
REIS, Sílvia Augusta Braga et al. Análise Facial Subjetiva. Revista Dental Press de Ortodontia e Ortopedia Facial, v. 11, n. 5, p. 159–172, 2006.
BRASIL. MINISTÉRIO DA SAÚDE. SECRETARIA DE ATENÇÃO À SAÚDE. SECRETARIA DE VIGILÂNCIA EM SAÚDE. Projeto SB Brasil 2010: Condições de Saúde Bucal da População Brasileira, Resultados Principais. Brasília: Ministério da Saúde; 2011.
SILVEIRA, Marise Fagundes et al. Severity of malocclusion in adolescents: populational-based study in the north of Minas Gerais, Brazil. Revista de Saúde Pública, v. 50, p. 11, 2016.
SILVA FILHO, Omar Gabriel Da; FREITAS, Simone Fonseca De; CAVASSAN, Arlete de Oliveira. Prevalence of normal occlusion and malocclusion in Bauru (Sao Paulo) students. 1. Sagittal relation. Revista de Odontologia da Universidade de São Paulo, v. 4, n. 2, p. 130–7, 1990.
DIMBERG, Lillemor; ARNRUP, Kristina; BONDEMARK, Lars. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. European journal of orthodontics, v. 37, n. 3, p. 238–47, 2015.
BORZABADI-FARAHANI, Ali; ESLAMIPOUR, Faezeh; ASGARI, Imaneh. Association between orthodontic treatment need and caries experience. Acta odontologica Scandinavica, v. 69, n. 1, p. 2–11, 2011.
NUNES NETO, Theodorico de Almeida et al. Dental spacing problems and associated factors among Brazilian adolescents. Ciência & Saúde Coletiva, v. 19, n. 11, p. 4555–68, 2014.
REIS, Sílvia Augusta Braga; CAPELOZZA FILHO, Leopoldino; MANDETTA, Savério. Prevalência de oclusäo normal e má oclusäo em brasileiros, adultos, leucodermas, caracterizados pela normalidade do perfil facial. Rev. dent. press ortodon. ortop. maxilar, v. 7, n. 5, p. 17–25, 2002.
FELDENS, Carlos Alberto et al. Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents. The Angle orthodontist, v. 85, n. 6, p. 1027–34, 2015.
HAFEZ, Hend Salah et al. Dental crowding as a caries risk factor: a systematic review. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, v. 142, n. 4, p. 443–50, 2012.
VEDOVELLO, Silvia A S et al. Association between malocclusion and the contextual factors of quality of life and socioeconomic status. American journal of orthodontics and dentofacial orthopedics, v. 150, n. 1, p. 58–63, 2016.
ALMEIDA, Anderson Barbosa De et al. Dissatisfaction with dentofacial appearance and the normative need for orthodontic treatment: determinant factors. Dental press journal of orthodontics, v. 19, n. 3, p. 120–6, 2014.
TESSAROLLO, Fábio Rafael; FELDENS, Carlos Alberto; CLOSS, Luciane Q. The impact of malocclusion on adolescents’ dissatisfaction with dental appearance and oral functions. The Angle orthodontist, v. 82, n. 3, p. 403–9, 2012.
SAMSONYANOVÁ, Lusine; BROUKAL, Zdenek. A systematic review of individual motivational factors in orthodontic treatment: facial attractiveness as the main motivational factor in orthodontic treatment. International Journal of Dentistry, v. 2014, p. 938274, 2014.
CAPELOZZA FILHO, Leopoldino. A flexibilização do conceito de normal. In: Capelozza Filho, Leopoldino. Metas Terapêuticas Individualizadas. Maringá: Dental Press Editora; 2011.
WORLD HEALTH ORGANIZATION. Oral Health Surveys: Basic Methods. 5 ed. Geneva: World Health Organization; 2013.
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