Oral Health Status Of Adolescents Research Articles

Prevalence of tobacco habits and oral health status of adolescents in Lucknow district: A cross-sectional descriptive study

Prevalence of tobacco habits and oral health status of adolescents in Lucknow district: A cross-sectional descriptive study

Oral Health Status of Adolescents and Young Adults Living in Out-of-Home Care (OoHC) in Incheon Metropolitan City compared with the 7th Korean National Health and Nutrition Examination Survey

Oral Health Status of Adolescents and Young Adults Living in Out-of-Home Care (OoHC) in Incheon Metropolitan City compared with the 7th Korean National Health and Nutrition Examination Survey

Oral health and caries/gingivitis-associated factors of adolescents aged 12\u201315 in Shandong province, China: a cross-sectional Oral Health Survey

BackgroundWe aimed to analyse the oral health status of adolescents in Shandong province, including dental caries and gingivitis, and their associated factors.MethodsAdolescents aged 12–15-years in Shandong province were recruited. Caries and gingival status were assessed following the World Health Organisation diagnostic criteria. Information including the sociodemographic, oral hygiene knowledge, attitudes and practices were collected through the questionnaire. Chi-square test and multivariate logistic regression analysis were used to investigate the oral diseases associated factors.ResultsIn total, 3868 students (50.2% males) were enrolled. Of these, 39.9% of the participants experienced caries, and 81.7% and 31.3% had calculus and bleeding gingival, respectively. Multivariate logistic regression analysis revealed that there was an association between dental caries and toothaches, dental visits and sleeping troubles caused by oral problems (P < 0.024). A low-frequency of brushing, high sugar consumption and no flossing were more associated with calculus formation and gingival bleeding (P < 0.008).ConclusionCompared to caries, worse gingival condition was more prevalent among adolescents in Shandong province. Brushing behaviour is associated with gingivitis, while dental visits and toothaches are associated with caries. Hence, prevention-oriented dental visits and oral hygiene training are strongly recommended to improve oral health status.

Impact of School-Based Oral Health Education on Vietnamese Adolescents: A 6-Month Study.

We have evaluated the impact of a school-based intervention on oral health knowledge, behaviours, and oral health status of adolescents in Vietnam. This 6-month study included 462 adolescents aged 12 years from four selected schools in Hue City, Vietnam. The intervention group received a 15-min lecture by a dentist and hands-on session on mouth observation and toothbrushing skills. The control group did not engage in any educational activities during the follow-up period. Data were collected at baseline and 6 months through a survey questionnaire and clinical examination. The Debris Index was used for dental plaque; the Papillary, Marginal, Attached gingiva index for gingivitis; and the Decayed, Missing, and Filled Teeth index (World Health Organization modification) for dental caries. Difference-in-difference analysis was used to compare changes between the groups. After 6 months, the control tended to show decreased toothbrushing frequency and increased dental plaque accumulation. The participants in the intervention group showed improved oral health knowledge (p < 0.01), behavior (p < 0.05), and hygiene (p < 0.001) compared to the control group. However, the intervention did not improve dental caries and gingivitis. A single school-based oral health education program can help adolescents improve oral health knowledge and prevent the deterioration of short-term oral health behavior and hygiene.

The Adverse Impact of Thalassemia Major on Adolescents' Oral Health-related Quality of Life.

Adolescents with beta-thalassemia major (βTM) had unfavorable quality of life (QOL). To assess oral health status of adolescents with βTM and its impact on their oral health-related QOL (OHRQoL). Forty adolescents with βTM were recruited and compared with 40 age-matched and sex-matched healthy adolescents. Intraoral examination including dental caries assessment, oral hygiene index simplified (OHI-S), and Angle classification were performed. OHRQoL questionnaires were filled-out using child perception questionnaire-short form16. Although the majority of adolescents with βTM had dental problems and convinced by their need for dental treatment, nearly half of them never brushed their teeth nor visited dental office. Patients showed higher frequency of class II malocclusion (P=0.017) and higher percentage of poor simplified debris index (DI-S) and OHI-S grade (P=0.008, 0.037, respectively). The median of DI-S and OHI-S were significantly higher in adolescents with βTM (P=0.009, 0.037, respectively). Adolescents with βTM had worse emotional well-being total score (P=0.049) than controls. Patients with poor oral hygiene had the worse total OHRQoL score (P=0.03). The total OHRQoL score showed significant positive correlation with oral hygiene; DI-S, calculus index-S, and OHI-S (P=0.028, 0.038, and 0.045, respectively). βTM had a negative impact on the emotional well-being aspect.

Perception of oral health status of adolescents and young adults undergoing substance abuse treatment.

Objective: to determine the oral health status perception of adolescents and young adults in drug dependence treatment. Material and Method: a qualitative research model was proposed. The theoretical sample by saturation consisted of adolescent population and young adults hospitalized in the Portal Amarillo center (the National Drug Information and Reference Center, Montevideo, Uruguay). Inclusion criteria: a) being between 15 and 24 years old. b) being in treatment for drug abuse. Exclusion criteria: a) non-lucid patients. b) non-collaborating patients. Results: participants considered oral health as having clean, white and aligned teeth; and oral disease as the presence of caries, bleeding gums and communicable diseases; chewing, aesthetics and taste were seen as altered functions. Before becoming drug consumers, oral hygiene was regular, after meals and as instructed; once addiction began, hygiene was very irregular at best (if they remember to do it), and without reinforcement of the instruction. Prior to drug consumption, participants were students or held a job; they had a good family life, with a partner or in search of one. After consumption, they report self-marginalization, loss of contact with partners and children, isolation from the family and social discrimination. Addiction makes it difficult for them to access dental care, except in urgent situations. Conclusions: Young people in treatment for drug dependence are aware that addiction damages oral health, deteriorating aesthetics, affecting oral functions, self-esteem and quality of life.

Effect of sesame oil, ozonated sesame oil, and chlorhexidine mouthwash on oral health status of adolescents: A randomized controlled pilot trial.

Oil pulling procedure involves swishing of oil in the mouth for various oral health benefits. The aim of the study was to evaluate the effectiveness of sesame oil (SO), ozonated SO (OSO), and chlorhexidine (CHX) mouthwash on the oral health status of adolescents. Parallel multi-arm double-blinded randomized trial was done in a Government higher secondary school. A total of 75 adolescents aged 12-14 years with decay-missing-filled index ≤3 were randomly assigned to three groups (n = 25): Group I (SO), Group II (OSO), and Group III (CHX mouthwash). Baseline (T1) Debris Index (DI-S), Calculus Index (CI-S), Oral Hygiene Index-Simplified (OHI-S), Plaque Index (PI), and salivary Streptococcus mutans count were recorded. All the groups were subjected to intervention with the respective mouth rinses for 15 days. The index scores and the salivary S. mutans count were reassessed after 15 days (T2) and 1 month (T3), and the results were statistically analyzed. The statistical analysis was done using IBM SPSS Statistics for Windows. The statistical significance was set at P ≤ 0.05. Kolmogorov-Smirnov and Shapiro-Wilk test were used to test the normality of the data. The Friedman test and Wilcoxon-signed rank test were carried out for intragroup comparison. Kruskal-Wallis and Mann-Whitney U-test were employed to analyze inter-group comparison. All the groups showed statistically significant reduction in DI-S, CI-S, OHI-S, PI, and S. mutans count after 15 days. Oil pulling therapy using SO and OSO showed a significant improvement in oral hygiene.

Oral health disparities among adolescents from urban and rural communities of central Chile.

Rural populations may be at increased risk for prevalent oral diseases. The aim of this study was to compare oral health status of adolescents of rural and urban areas from central Chile. A representative sample of 552 and 486 adolescents aged 12 and 15 years, respectively, was examined using WHO methods. Adolescents were chosen from schools belonging to urban and rural districts of the region. Caries status was obtained by decayed, missing, filled teeth (DMFT) and significant caries (SiC) indexes. The gingival exam included the oral hygiene index (OHI) of Silness and L&ouml;e and the gingival index (GI) of L&ouml;e and Silness. Clinical attachment loss and community periodontal index (CPI) were restricted to 15-year-old adolescents. Statistical comparisons of medians and means were performed with the Mann-Whitney U-test. To determine the association between caries experience and oral hygiene and gingival indexes, Spearman&#39;s correlation was used at p<0.05. Twelve-year-old children from rural areas had caries prevalence of 67.50%, which was significantly higher (p<0.05) than children from urban areas, who had 54.04%. Caries experience of 12-year-old rural children was significantly higher (DMFT 3.36; standard deviation (SD) 2.71) than that of urban children (DMFT 2.29; SD 2.17) (p=0.0001). Rural adolescents also showed increased caries severity (SiC 6.21; SD 2.44), whereas urban children showed had a SiC of 4.71 (SD 1.74) (p=0.0001). For periodontal indexes, the average GI for 12-year-olds was 1.51 (SD 0.33), which corresponds to moderate inflammation, but rural subjects (GI 1.55; SD 0.34) had higher values (p=0.002) than their urban counterparts (GI 1.45; SD 0.29). In 15-year-old adolescents, caries prevalence was significantly higher in rural (73.58%) than in urban (64.59%) individuals (p<0.05). Although not significant, caries experience for 15-year-olds in rural areas, like in the other age group, was slightly higher than for urban 15-year-olds (DMFT 5.03; SD 3.61 and DMFT 4.65; SD 3.58, respectively) (p=0.238). The SiC in the rural subjects (9.16; SD 2.26) of this age group was significantly higher than for urban adolescents (8.51; SD 3.00). No significant differences either in the OHI (p=0.418) or in the GI (p=0.624) were observed between rural and urban participants. Adolescents of central Chile show clear disparities in oral health, with rural communities more affected. Gingival health seems to be less impacted by rurality than caries experience. Other social determinants of oral health may also explain these results, and further research appears necessary.

Oral health-related quality of life among Belgrade adolescents

Background/Aim. Adolescents are vulnerable group in term of acquisition of oral health-related knowledge, habits and attitudes. That is why the aim of this study was to investigate the associations between dental status, dental anxiety and oral health-related behavior and oral healthrelated quality of life as captured by Oral Impacts on Daily Performances (OIDP) index. Methods. This crosssectional survey included representative sample of 404 adolescents (15 years old), randomly recruited from high schools in Belgrade, Serbia. The adolescents were interviewed using Serbian versions of eight-item OIDP index, Hiroshima University Dental Behavior Inventory (HUDBI) and modified Corah?s Dental Anxiety Scale (MDAS). Three previously trained and calibrated dentists examined the subjects in the classrooms to determine the oral health status of adolescents [the Decayed, missing, filled teeth (DMFT) index and visual signs of gingivitis]. Results. At least one oral impact was reported in 49.50% of adolescents. Most frequently, oral health problems affected eating (26.73%), tooth cleaning (27.47%) and sleep and relaxation (16.83%). In comparison with adolescents without oral impacts, the adolescents with at least one oral impact reported, had higher DMFT score, more often reported problems with bleeding gums, usage of hard toothbrush, worries about the color of their teeth and seeing the dentist because of the symptoms. Logistic regression showed that dental anxiety (MDAS score), dental behavior (HUDBI score) and worrying about the color of the teeth significantly affected OIDP score. Conclusion. Oral healthrelated quality of life among adolescents was affected by their behavior and dental anxiety levels. Implementing public health policies that target adolescents with poor oral health or bad habits might be helpful in improving their oral health-related quality of life.

Educational Intervention for Oral Health

IntroductionImplementation and development of promotional and educational oral health programs, it is critical to identify and intervene on the risk factors for oral health in adolescents. Research Question: Does the oral health status of adolescents in particular DMFT index, plaque index, oral health risk and oral hygiene habits, suffer modification after participation in an educational program ProSorriso? Purpose of the Study: Implement a program of oral health education, to evaluate its effectiveness in improving the oral health of adolescents. Methods: Experimental analytical study-before and after the intervention program on the risk factors for oral health. A sample of 200 adolescents attending schools of Portugal, aged 11-16 years (x=13.21±1.014). Material: Risk Quantifiers in Oral Health assessed before and after participation in “ProSorriso” program. This aims at the promotion and education for oral health: oral health, diet and oral hygiene. Results: In the evaluation after the program ProSorriso: adolescents decreased the percentage of decayed teeth 50,5% to 38,5%;improved eating habits (Z=-1,325,p=0,185); had higher percentage of teeth without plaque (Z=-5,465,p=0,000). There were more adolescents to brush their teeth twice a day (Z=-2,562,p=0,010). The assessment of risk classification showed that before the educational program ProSorriso had a higher percentage of adolescents who were at high risk of developing oral problems (p=0,001). Conclusion: The intervention “ProSorriso” shown to produce effect in changing behaviors that promote healthier life styles and to be determinant of oral health status.

Oral health status of male adolescent smokeless tobacco users in Saudi Arabia

Few studies have evaluated the oral effects of smokeless tobacco use in adolescents. This study described the oral health status of adolescents who were daily users of local smokeless tobacco (shamma) in Saudi Arabia. A convenience sample of 270 middle-school male students completed a questionnaire and received an oral examination and a saliva cotinine test. Among the students, 96% had plaque deposits (mean plaque index score 1.66); 41% had gingivitis (mean clinical attachment loss 1.1 mm); 56% had dental caries (mean decayed, missing, filled teeth score 2.1) and 86% had at least I mucosal lesion. The levels of plaque, gingivitis, dental caries and periodontitis among smokeless tobacco users were similar to those of most adolescents regardless of tobacco use. Almost 9/10 students had a mucosal lesion that could be related to smokeless tobacco use. Strong measures should be taken to increase students' awareness of the adverse health effects of tobacco use and to control their access to tobacco.

Influence of oral health related behavior on oral health of adolescents in Belgrade

Introduction. Adolescence is a period of intensive physical, psychological and emotional changes that might affect existing oral health related habits and result in developing risky behaviors. The aim of the present study was to investigate oral health attitudes and behavior and their relation to dental caries experience in the group of adolescents from Belgrade. Material and Methods. This cross-sectional study included 404 high-school students grade one from Belgrade. Two trained and calibrated dentists conducted clinical examination in classrooms to determine oral health status of adolescents (DMFT index and visual signs of gingivitis). Modified Serbian version of Hiroshima University Dental Behavior Inventory (HU-DBI) questionnaire with three additional questions was used to collect data on oral health behavior and attitudes. Results. Mean HU-DBI score was 6.22?1.45 for males and 6.28?1.45 for females (p&lt;0.05). Dental visits at least once in a year reported 67.3% adolescents, more often girls (p&lt;0.05). Only emergency dental visits reported 47.1% of adolescents. Majority of respondents reported brushing teeth twice a day or more (86.2%), girls more often than boys (p&lt;0.001). Only 13.4% reported regular flossing and 30.3% daily use of mouth rinses. Mean DMFT score was 5.84?0.20 with 45% of untreated decayed tooth. Unfavorable oral health related attitudes and behavior were related to poorer oral health status of adolescents. Conclusion. Poor oral health of adolescents is influenced by their inadequate attitudes and habits. Program of oral health promotion for adolescents that would target knowledge, attitudes and skills development should be implemented to enhance adolescents? oral self-care regime and oral health outcome.

Oral health experiences of pregnant and parenting adolescent women: A qualitative descriptive study

BackgroundOral health may plan an important role in the general health of adolescents who are pregnant and parenting. However, little is known about the socio-behavioral and environmental experiences that may affect the adolescent woman's oral health and quality of life. ObjectivesThe purpose of this study was to explore oral health experiences among adolescent women who were pregnant and parenting. DesignThis was a qualitative descriptive study. ParticipantsTwenty-four adolescent women who were pregnant and parenting, 14–18 years of age, who read and spoke English and were enrolled in an alternative school-based program. MethodsManifest and latent content analysis were conducted by hand with data from face-to-face interviews, observations, field notes, and reflective journaling. Member checks confirmed credibility of the qualitative findings. ResultsFour themes emerged from the oral health data: perceptions, knowledge and practices, myths and misconceptions, and values. ConclusionNurses may play a key role in improving the oral health status of adolescents who are pregnant and parenting. Oral health should be a routine part of every general health assessment.

The Oral Health Status of Adolescents in Northern Manhattan

Objectives. This study was designed to describe the oral health status of adolescents residing in northern Manhattan. Methods. Clinical, demographic, and behavioral data were collected from 3,282 youths who ranged in age from 12 to 16 years. Clinical examinations were performed by two trained examiners. Demographic and behavioral data were self-reported. Results. The adolescents were predominantly Hispanic/Latino and Black/African American (94%), with 6% falling into other racial categories. Caries were discovered in a significant proportion of these youths (52% of Hispanics, 54% of Blacks and 54% of others). Despite similar caries experiences, the oral health disease burden was not evenly distributed across groups. In many cases, Hispanic youths demonstrated less disease and more frequent engagement in oral health promoting behaviors than their non-Hispanic peers. Gender differences were less consistent. Conclusions. Economically disadvantaged and minority youths, such as those residing in northern Manhattan, continue to be unduly burdened by untreated dental disease. Further, our data suggest that certain subpopulations may be particularly vulnerable to dental disease. This vulnerability underscores the need for accessible services addressing the oral health needs of these segments of the population. Finally, effective community-based oral disease prevention and health promotion programs are sorely needed to improve these youths' oral health.