Severity of malocclusion in adolescents: populational-based study in the north of minas gerais, brazil

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dc.contributor.authorSilveira, Marise Fagundes
dc.contributor.authorFreire, Rafael Silveira
dc.contributor.authorNepomuceno, Marcela Oliveira
dc.contributor.authorde Barros Lima Martins, Andrea Maria Eleuterio
dc.contributor.authorMarcopito, Luiz Francisco [UNIFESP]
dc.date.accessioned2019-01-21T10:29:53Z
dc.date.available2019-01-21T10:29:53Z
dc.date.issued2016
dc.description.abstractOBJECTIVE: To identify the factors associated with severity of malocclusion in a population of adolescents. METHODS: In this cross-sectional population-based study, the sample size (n = 761) was calculated considering a prevalence of malocclusion of 50.0%, with a 95% confidence level and a 5.0% precision level. The study adopted correction for the effect of delineation (deff = 2), and a 20.0% increase to offset losses and refusals. Multistage probability cluster sampling was adopted. Trained and calibrated professionals performed the intraoral examinations and interviews in households. The dependent variable (severity of malocclusion) was assessed using the Dental Aesthetic Index (DAI). The independent variables were grouped into five blocks: demographic characteristics, socioeconomic condition, use of dental services, health-related behavior and oral health subjective conditions. The ordinal logistic regression model was used to identify the factors associated with severity of malocclusion. RESULTS: We interviewed and examined 736 adolescents (91.5% response rate), 69.9% of whom showed no abnormalities or slight malocclusion. Defined malocclusion was observed in 17.8% of the adolescents, being severe or very severe in 12.6%, with pressing or essential need of orthodontic treatment. The probabilities of greater severity of malocclusion were higher among adolescents who self-reported as black, indigenous, pardo or yellow, with lower per capita income, having harmful oral habits, negative perception of their appearance and perception of social relationship affected by oral health. CONCLUSIONS: Severe or very severe malocclusion was more prevalent among socially disadvantaged adolescents, with reported harmful habits and perception of compromised esthetics and social relationships. Given that malocclusion can interfere with the self-esteem of adolescents, it is essential to improve public policy for the inclusion of orthodontic treatment among health care provided to this segment of the population, particularly among those of lower socioeconomic status.en
dc.description.affiliationDepartamento de Ciências Exatas. Universidade Estadual de Montes Claros. Montes Claros, MG, Brasil
dc.description.affiliationPós-Graduação em Ciências da Saúde. Universidade Estadual de Montes Claros. Montes Claros, MG, Brasil
dc.description.affiliationPrograma de Iniciação Científica em Medicina. Faculdades Integradas Pitágoras de Montes Claros. Montes Claros, MG, Brasil
dc.description.affiliationDepartamento de Odontologia. Universidade Estadual de Montes Claros. Montes Claros, MG, Brasil
dc.description.affiliationDepartamento de Medicina Preventiva. Escola Paulista de Medicina. Universidade Federal de São Paulo. São Paulo, SP, Brasil [Silveira, Marise Fagundes] Univ Estadual Montes Claros, Dept Ciencias Exatas, Montes Claros, MG, Brazil
dc.description.affiliation[Freire, Rafael Silveira] Univ Estadual Montes Claros, Posgrad Ciencias Saude, Montes Claros, MG, Brazil
dc.description.affiliation[Nepomuceno, Marcela Oliveira] Fac Integradas Pitagoras Montes Claros, Programa Iniciacao Cient Med, Montes Claros, MG, Brazil
dc.description.affiliation[de Barros Lima Martins, Andrea Maria Eleuterio] Univ Estadual Montes Claros, Dept Odontol, Montes Claros, MG, Brazil
dc.description.affiliation[Marcopito, Luiz Francisco] Univ Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespDepartamento de Medicina Preventiva. Escola Paulista de Medicina. Universidade Federal de São Paulo. São Paulo, SP, Brasil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Minas Gerais (FAPEMIG) [BIP-0792-501/2007]
dc.description.sponsorshipIDFAPEMIG: 0792-501/2007
dc.format.extent11
dc.identifierhttp://dx.doi.org/10.1590/S1518-8787.2016050005861
dc.identifier.citationRevista De Saude Publica. Sao paulo, v. 50, p. 11, 2016.
dc.identifier.doi10.1590/S1518-8787.2016050005861
dc.identifier.fileS0034-89102016000100208.pdf
dc.identifier.issn0034-8910
dc.identifier.scieloS0034-89102016000100208
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/49452
dc.identifier.wosWOS:000380728000014
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofRevista De Saude Publica
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAdolescenten
dc.subjectMalocclusion, Epidemiologyen
dc.subjectRisk Factorsen
dc.subjectSocioeconomic Factorsen
dc.subjectSelf Concepten
dc.subjectCross-Sectional StudiesDental Aesthetic Indexen
dc.subjectPrevalenceen
dc.subjectCariesen
dc.titleSeverity of malocclusion in adolescents: populational-based study in the north of minas gerais, brazilen
dc.titleGravidade da maloclusão em adolescentes: estudo de base populacional no norte de Minas Gerais, Brasilpt
dc.typeinfo:eu-repo/semantics/article
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