Self-perceived Oral Health Status Research Articles

The relationship between dysphagia and frailty among Chinese hospitalized older patients: a serial mediation model through self-perceived oral health and self-reported nutritional status

BackgroundFrailty contributes to adverse outcomes in older adults and places a heavy burden on healthcare resources. Dysphagia is associated with frailty, but the mechanisms by which dysphagia affects frailty in older adults are unclear. This study aimed to investigate a serial mediating effect of self-perceived oral health and self-reported nutritional status in the relationship between dysphagia and frailty among hospitalized older patients in China.MethodsThis cross-sectional study included 1200 patients aged ≥ 65 years in the Department of Geriatrics, Shaanxi Provincial People’s Hospital. A structured face-to-face interview was used to survey the following questionnaires: General Information Questionnaire, Tilburg Frailty Indicators (TFI), Eating Assessment Tool-10 (EAT-10), 30mL Water Swallow Test (WST), Geriatric Oral Health Assessment Index (GOHAI), and Short-Form Mini-Nutritional Assessment (MNA-SF). A total of 980 participants with complete data were included in the analysis. Statistical analysis was performed using SPSS 26.0 and Amos 28.0 software. Spearman’s correlation analysis was used for correlation analysis of study variables. The results of the multivariate linear regression analysis for frailty were used as covariates in the mediation analysis, and the structural equation model (SEM) was used to analyze the mediating effects among the study variables.ResultsDysphagia, self-perceived oral health, self-reported nutritional status, and frailty were significantly correlated (P<0.001). Dysphagia was found to directly affect frailty (β = 0.161, 95%CI = 0.089 to 0.235) and through three significant mediation pathways: (1) the path through self-perceived oral health (β = 0.169, 95%CI = 0.120 to 0.221), accounting for 36.98% of the total effect; (2) the path through self-reported nutritional status (β = 0.050, 95%CI = 0.023 to 0.082), accounting for 10.94% of the total effect; (3) the path through self-perceived oral health and self-reported nutritional status (β = 0.077, 95%CI = 0.058 to 0.102), accounting for 16.85% of the total effect. The total mediation effect was 64.77%.ConclusionsThis study indicated that dysphagia was significantly associated with frailty. Self-perceived oral health and self-reported nutritional status were serial mediators of this relationship. Improving the oral health and nutritional status of hospitalized older patients may prevent or delay the frailty caused by dysphagia.

Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study.

This study examined the dental insurance coverage, dentist visits, self-perceived oral health status, and dental problems among Asian immigrant women of childbearing age in contrast to Canadian women of childbearing age and non-Asian immigrant women of childbearing age. Potential barriers to dental care services among Asian immigrant women were explored. This analysis utilized data from the combined Canadian Community Health Survey from 2011 to 2014. The analytical sample consisted of 5737 females whose age was between 20 and 39 years. Multivariable logistic regression models assessed immigrant status and other factors in relation to the indicators of dental health (i.e., dental visit, self-perceived oral health, acute teeth issue, and teeth removed due to decay). Amongst Asian women immigrants of childbearing age, there was a significantly lower frequency of dentist visits compared to non-immigrant counterparts (OR = 0.53; 95% CI: 0.37-0.76). The most commonly reported reason for not seeking dental care in the last three years was that the "respondent did not think it was necessary". Relative to Canadian born women of same age bracket, Asian women of childbearing age reported fewer acute teeth issues (OR = 0.67; 95% CI: 0.49-0.91) and had a greater risk of tooth extracted due to tooth decay (OR = 3.31; 95% CI: 1.64-6.68). Furthermore, for Asian women immigrants, their major barriers to dental care included low household income (≤$39,999 vs. $40,000-$79,999 OR = 0.26) and a lack of dental insurance (no vs. yes OR = 0.33). Asian immigrant women showed lower utilization of dental services than non-immigrant women. A perceived lack of necessity, lower household income, and dental insurance coverage were major barriers to professional dental usage for most Asian immigrants of childbearing age.

Association between oral health knowledge, perceived oral health related quality of life, perceived oral health status and emergency department and/or urgent care visit: Results from the multi-site oral health literacy study.

To assess the link between oral health knowledge (OHK), self-perceived oral health, and emergency room (ER)/urgent care utilization for a dental problem. Data were analyzed from a convenience sample of 790 adult participants who presented to two US dental schools and completed an interviewer-administered survey. Key independent variables were OHK assessed with the Comprehensive Measure of Oral Health Knowledge (CMOHK) instrument, self-perceived oral health status and quality of life determined using the General Oral Health Assessment Index (GOHAI) scores. The dependent variable was ER and/or urgent care utilization for a dental problem. Select sociodemographic variables such as age and gender were adjusted for in logistic regression models using SAS. 15.7% of the participants had ever visited an ER and/or urgent care for a dental problem. CMOHK scores were not significantly associated with visits to the ER and/or urgent care. In adjusted analysis, participants with unfavorable GOHAI scores were about three times as likely to have had an ER and/or urgent care visit (OR=2.60, 95% CI: 1.66-4.09). Similarly, participants who were unsatisfied with their oral health were about twice as likely to have had an ER and/or urgent care visit (OR=1.91, 95% CI: 1.21-3.00) as compared to those satisfied with their oral health status. Individuals unsatisfied with their oral health and those with unfavorable perceived oral health related quality of life could benefit from a greater awareness of dental service availability and extended hours including weekend hours at public dental clinics.

Oral Health Disparities Among the 65+ Age Group.

Oral and dental health significantly impacts the quality of life and nutrition of the older population. While government action has been taken in Israel to reduce barriers to using dental care services by welfare recipients among the older adults, there are still disparities associated with socioeconomic status in the older adult population. In 2019, a dental care reform for the older adults was implemented in Israel assuring dental Universal Health Coverage (UCH) for them. This improves accessibility to dental services and reduce cost barriers. To explore the oral health disparities among 65+ age group by their economic situation and their additional barriers to using dental services at the start of the reform. Telephone interviews were conducted with a representative sample of 512 older adults aged 65+ from February to April 2020. The self-perceived oral health status was rated as better in the higher socioeconomic group (73.4% perceived their oral health status as good or very good), compared with the lower socioeconomic group (52.5%). In the lower socioeconomic group, 38.5% were edentulous, compared with 18.1% of the higher socioeconomic group. The latter had 4 more natural teeth, on the average, than the former. Double and triple gaps were also found in the prevalence of dental problems - loose, sore, and sensitive teeth, and difficulty chewing. Oral health behavior - as reflected in tooth brushing patterns and routine preventive check-ups - was found to be better in the higher socioeconomic group than that in the lower socioeconomic group. Dental care costs were found to be a barrier to dental care, primarily in the lower socioeconomic group (18.2%, compared with 4.8% of the higher socioeconomic group, were faced with a financial barrier). At the same time, (66.7% of the higher socioeconomic group were aware of the inclusion of dental care services for the older adult population in the basket of health services provided by the health plans, compared with 27.8% of the lower socioeconomic group. Lack of awareness to proper oral health behavior and to the legal rights are main barriers to dental care in the lower SEG. The dental practitioners have a vital role and an excellent opportunity to lower these barriers. Still existing disparities and barriers should be monitored as vital part of including dental care in UHC.

Assessment of Self-Perceived Oral Health Status, Psychological Well-Being and Life Satisfaction among Geriatric Population

Aims: This study aims to find out the association between self-perceived oral health status, psychological well-being and life satisfaction. Settings and Design: A cross-sectional study conducted on 400 geriatric people aged 60 years and above, residing in Tadikonda Mandal of Guntur district, Andhra Pradesh, India. Subjects and Methods: Self-perceived oral health was assessed through self-rating of oral health, speaking ability index, chewing capability index, and psychosocial impact scale oral health impact profile. Life satisfaction was assessed through single-item question, How satisfied with your life as a whole with 4 point Likert scale. Psychological well-being was assessed through two domains: Perceived life stress and general health, i.e., anxiety and depression. People who were mentally retarded, bedridden and who were not interested to participate in the study are excluded. Statistical Analysis Used: Chi-square, t-test, one way ANOVA test, poison regression analysis. Results: A poison regression model with perceived life stress as outcome, depicted that good self-rated oral health subjects had significantly lower perceived life stress scores (prevalence rate ratio [PRR] = 0.762; 0.649–0.894) than poor self-rated oral health subjects which is constant 1. When the outcome was changed to general health in the model, subjects who self-rated oral health as good have lower depression scores (PRR = 0.763; 0.667–0.873) than subjects, who self-rated oral health as poor which is kept constant 1. Conclusions: Poorer psychological well-being and lower life satisfaction are co-existing within the poor self-perceived oral health group of elderly, where poor self-rated oral health was found to be an important mediator of quality of life.

Self-Perceived Halitosis and Related Factors Among the Mask-Wearing Population During the COVID-19 Pandemic in Delhi, India: A Cross-Sectional Study.

Introduction Halitosis (oral malodor) is a common health condition throughout the world. In India, data on self-reported halitosis and related factors is limited. Mouth mask usage has been made compulsory after the coronavirus disease 2019 (COVID-19) pandemic. This could possibly alter oral microflora and environmentand contribute to halitosis. The aim of the study was to determine the prevalence of self-perceived halitosis (SPH) among mask-wearing patients visiting a tertiary care dental hospital in Delhi, India. Methods A cross‑sectional study was conducted among a convenience sample of 300 patients visiting a tertiary care dental hospital in the capital of India. SPH status was measured using a self-designed and structured questionnaire containing socio-demographic factors, mask-related habits, and self-perceived oral health status. Statistical analysis was done using Jamovi software (The jamovi project,Sydney, Australia) version 1.8. Descriptive analysis followed by a chi-square test and a multivariate logistic regression test was applied. Results Bad breath was perceived by 86 study subjects. Of the participants,16.7% felt that they had bad breath before the pandemic, and 38% of the participants had an increased perception or feeling of bad breath since regular mask usage. Of the participants,42.7% felt that they had an increased feeling of dryness in the mouth post-pandemic. SPH status was associated with mask usage frequency (p<0.001), change (p<0.001)and type of mask (p=0.004), increased feeling of dryness (p<0.001), frequency of toothbrushing (p<0.001), self-reported oral disease (p=0.007), and dental treatment in the past 12 months (p=0.005). Conclusion The SPH status of the study population was associated with mask-related habits and self-reported oral health status. The findings highlight the importance of possible amendments in preventive and curative care for patients with halitosis post-COVID-19 pandemic.

Oral health, the patients' perspective during the COVID 19 pandemic.

On March 16, 2020, the state of emergency was established with drastic measures of isolation and quarantine. Among the measures taken in the context of the state of emergency was the closure of dental offices throughout the country. The aim of our questionnaire-based cross-sectional study was to identify the psycho-affective implications of the Romanian citizens induced by the COVID-19 pandemic period as well as their opinion related to the self-perceived oral health status during this period. An original questionnaire was designed consisting of 41 questions, which were distributed to the general population via the Internet. The first part of the questionnaire investigated the respondents' opinion regarding the impact of this COVID-19 pandemic period of isolation on their oral health and the attention paid by the subjects to oral hygiene during restrictions. The second part refers to their addressability to the dental services during this pandemic and the third part interrogates different characteristics, namely the presence of comorbidities, possible anxiety, and stress. A total of 769 participants answered the questionnaire online. According to their responses most of the respondents were not afraid of the possibility of contracting Sars-Cov-2 during dental treatments, but were in certain periods deprived of accessing dental services due to lockdown restrictions. They are aware of their oral health problems and pay more attention to oral hygiene so that they do not get worse during restrictions.

Oral Health and Patterns of Dental Visits Among Diabetic Patients in the Eastern Province of Saudi Arabia.

PurposeDiabetes is a big public health threat in Saudi Arabia. However, there is limited evidence about dental problems, oral hygiene practices, and dental visits among diabetic patients. The study aimed to evaluate self-perceived oral health status and patterns of dental attendance among diabetic patients in the Eastern province of Saudi Arabia.MethodologyThis cross-sectional study included 486 diabetic patients (mean age 50.14±13.59 years) registered with the Saudi Diabetes Society, Saudi Arabia (October–November 2020). The World Health Organization’s oral health questionnaire for adults was administered to collect information about oral health status, oral hygiene practices, and dental attendance, in addition to sociodemographic data. Descriptive and analytical statistics were performed.ResultsMost participants (66.3%) reported having dental pain or discomfort during the last year. Bad breath (60.50%), tooth cavities (55.10%), difficulty in biting hard food (55.10%), tooth sensitivity (53.30%), and bleeding gums (52.90%) were common oral problems among participants. More than half the sample (55.1%) reported visiting the dental office during the last year. However, pain or trouble with teeth, gums or mouth was the most common (40.5%) reason for the last dental visit. Only 7.8% of participants visited the dentist for a routine dental check-up. Multiple logistic regression analysis showed that Saudi nationality (AOR 2.68, P 0.008), family history of diabetes (AOR 1.88, P 0.022), and having pain during the last year (AOR 4.01, P <0.001) were the significant factors associated with the last dental visit due to pain.ConclusionThis sample of participants demonstrated a high prevalence of dental problems. Few participants performed routine dental visits and most visits were due to pain. Saudis and patients with family history of diabetes and dental pain were more likely to perform pain related dental visits. Multidisciplinary efforts are needed to develop and implement preventive educational and clinical care models for positive oral and general health outcomes.

Socioeconomic inequalities in the use of dental services in Brazil: an analysis of the 2019 National Health Survey.

To describe the prevalence of use of dental services in Brazil according to states and the Federal District and its relationship with socioeconomic variables and types of services, based on the 2019 National Health Survey. This is a cross-sectional population-based study using data from the 2019 National Health Survey, which included 88,531 participants aged 18 or older. We assessed variables related to the use of dental health services according to sociodemographic and behavioral characteristics through multivariate analysis, using a Poisson regression model with robust variance. The use of dental services in the year prior to the interview was higher among adults (53.2%, confidence interval - 95%CI 52.5-53.9) than older adults (34.3%, 95%CI 33.2-34.4). The multivariate analysis revealed that the use of dental services was greater in people with better schooling (prevalence ratio - PR=2.02, 95%CI 1.87-2.18) and higher income (PR=1.54, 95%CI 1.45-1.64). States from the Southeast, Midwest, and South regions presented the highest percentages of individuals who visited a dentist in the previous year - between 49.0 and 57.6% of the population. Inequalities were found in the use of dental health services among the adult and older adult population, with regional differences; the use was higher among women, younger individuals, those with better schooling, higher income, healthier behaviors, better self-perceived oral health status, and who paid for their last dental treatment.

Oral health and depressive symptoms among older adults: longitudinal study

Objective The aim of this study was to describe the prevalence of depressive symptoms and determine the association with oral health variables in older adults belonging to an oral health cohort. Method A prospective longitudinal study was conducted between 2009 and 2015. A standardized questionnaire was administered to collect demographic-socioeconomic variables and self-perceived oral health status. The clinical oral examinations were performed by examiners who had undergone training and calibration exercises. Depressive symptoms (outcome) were measured using the Geriatric Depression Scale (GDS-15), with a score of five points or higher considered indicative of the presence of depressive symptoms. Results A total of 439 and 163 older adults (≥60 years of age) were evaluated in 2009 and 2015, respectively. The prevalence of depressive symptoms was 18.3% in 2009 and 28.5% in 2015. In the adjusted Poisson regression model, older adults who experienced tooth loss between 2009 and 2015 (PR = 1.86; 95% CI: 1.01–3.53) and those with a sensation of dry mouth in 2015 but not in 2009 (PR = 3.25 95% CI: 1.56–6.72) were at greater risk of exhibiting depressive symptoms. Conclusion In this study, the prevalence of depressive symptoms was considerable. Older adults with tooth loss between 2009 and 2015 and those with a perception of dry mouth were at greater risk of exhibiting depressive symptoms, which underscores the importance of including a dentist as part of the health team for the prevention and treatment of mental health problems.

PERCEIVED ORAL HEALTH NEEDS AND DENTAL CARE UTILIZATION AMONG PREGNANT WOMEN ATTENDING FAMILY HEALTH FACILITIES IN ALEXANDRIA

Introduction: Pregnant women are usually subjected to various hormonal and vascular changes that make them vulnerable to poor oral health. Scientific evidence has shown an association between periodontal health during pregnancy and adverse outcomes of labor such as low birth weight (LBW) and premature births. Hence, assessment of the self-perceived oral health status and needs along with the pattern of utilization of dental care during pregnancy is important. Objectives: The aim was to assess the self-perceived oral health status and needs along with rate of dental care service utilization among pregnant women attending the family health facilities, in Alexandria Governorate. Materials and methods: a cross-sectional analytical survey using a structured interview questionnaire was conducted on a simple random sample of 381 pregnant women attending family health care facilities in Alexandria governorate. Data was collected by a single, trained, examiner who interviewed the participants. A total of 3 facilities in each district were visited, till the required sample size was obtained (a total of 48 women from each district). The collected data were analyzed using IBM SPSS software package version 20.0. Results:More than half of the participants (66.93%) perceived their oral health status as excellent. Individual self-perception was affected by factors mainly; age, health status and number of children. The rate of dental service utilization was 56.96%, with the main influencing factors; age, pregnancy trimester, overall health status and prenatal care payment system, knowledge score and behavior score. Conclusions: Pregnant women lack sufficient knowledge about the importance of oral health and how it may affect their babies. Rate of dental service utilization is influenced by the lack of perceived need.

Association between Perceived Oral Symptoms and Presence of Clinically Diagnosed Oral Diseases in a Sample of Pregnant Women in Malaysia.

The integration of oral health into primary health care denotes the important role of medical counterparts as the front liners in antenatal care to help screen mothers for oral symptoms and refer them to dentists accordingly. However, the validity of self-perceived oral health status is inconclusive. This study determined the association between self-perceived oral symptoms and the presence of clinically diagnosed oral diseases in a sample of pregnant women. A total of 192 pregnant women participated in this cross-sectional study. Clinical oral examinations were performed to record dental caries experience, gingival health and periodontal health. The women were also asked about their oral symptoms. Most women had at least one oral symptom (84.9%): cavitated tooth (62.0%), bad breath (38.5%), bleeding gums (28.6%), and toothache (22.9%). About half of the women had untreated dental caries (58.9%), and the odds were significantly higher in women who complained of having cavitated tooth. About half of the women had moderate to severe gingivitis (53.7%), and the odds were significantly higher in women who complained of bleeding gums. About half had periodontal pockets (46.3%), and the odds were higher in women who complained of bleeding gums and bad breath although lower in women who complained of swollen gums. In conclusion, the prevalence of dental caries and periodontal disease among pregnant women in this study were relatively high. The presence of untreated dental caries, moderate and severe gingivitis, and periodontal pockets were significantly associated with their corresponding oral symptoms.

Factors Related to Oral Healthcare Service Utilization among Korean Adults Aged 25–79 Years

The factors related to oral healthcare service utilization (OHSU) among Korean adults aged 25–79 years were assessed using the Andersen model with the sixth Korean National Health and Nutrition Examination Survey data. The study included 12,937 participants aged 25–79 years who answered questions on the predisposing, enabling, and need factors related to OHSU at dental clinics within the past 1 year. Age, sex, and education level were selected as predisposing factors; household income, residence region, and national and private health insurance status as enabling factors; and self-perceived oral health, dental pain, chewing status, and discomfort while speaking as need factors. These factors were assessed using multivariable complex logistic regression models. OHSU at dental clinics within the past 1 year was lower among less-educated participants, those with low, middle–low, and middle–high household income levels, rural participants, those benefiting from the Medicaid system, and non-insured participants. OHSU was higher among older participants, those who rated their self-perceived oral health status as bad, those with experience of dental pain, and those who experienced discomfort while chewing and speaking. The need factors were the most influential. Thus, interventions to reduce inequalities in OHSU are required to promote oral health for all.

Association between periodontitis and Alzheimer's disease and its impact on the self-perceived oral health status: a case-control study.

To test the hypothesis that periodontitis is associated with AD and search whether periodontal and other variables would negatively impact the oral health-related quality of life (OHRQoL) perception. Oral examinations and interview on self-perceived oral health status (Geriatric Oral Health Assessment Index (GOHAI) questionnaire (higher score corresponds to better perceived oral status)) were carried out and socio-demographic data were collected from outpatients with mild to moderate AD (cases, n = 50) and from their age- and sex-matched family caregivers (controls, n = 52). Full-mouth periodontal examination was performed. Significance of differences between groups was sought by chi-square, Student's t, or the Mann-Whitney test. The association between the variables periodontitis, probing depth (PD) ≥ 5 mm, and clinical attachment loss (CAL) ≥ 5 mm with the variable group was tested in binary logistic regression models (LRMs). LRMs were used to test the association of oral findings, demographics, and group with GOHAI. Cases had fewer teeth and greater CAL than controls. Cases had a superior percentage of sites with plaque, calculus, and bleeding on probing than controls. Cases had greater GOHAI scores than controls. Periodontitis was a variable most likely associated with AD (OR = 11.08, p < 0.001). None of the oral findings or demographics, but group, was associated with GOHAI (OR = 14.45, p < 0.001). Periodontitis is associated with AD, but not with patients' OHRQoL. Health care professionals must be aware that AD patients should have a periodic thorough oral examination and preventive intervention aiming at their welfare and maintenance of a pain-free functional dentition.

Oral health knowledge and practices of antenatal mothers in Hospital Universiti Sains Malaysia

Mothers play a very significant role in influencing the oral health status of the family. Many studies have highlighted the importance of good oral health during pregnancy. This study aimed to assess knowledge, self-perceived oral health status, and practices of antenatal mothers in Hospital Universiti Sains Malaysia, Kelantan, Malaysia. A total of 76 antenatal mothers visiting Obstetrics &amp; Gynaecology specialist clinic at Hospital USM were involved in this cross-sectional survey study. The questionnaires contained items related to oral health knowledge, self-perceived dental problems, barriers to seeking dental care, oral hygiene habits, perceptions of oral health, and access to dental care. Majority (98.7%) agreed that their oral health was important as part of general health. About 58% of them had answered correctly regarding oral health knowledge. Most respondents had self-perceptions of having dental problems during pregnancy, including cavitated teeth (34.4%) and sensitive teeth (20.5%). Regarding practice, only 35.3% visited a dentist in the last six months. Time constraints (52.4%) and safety concerns regarding dental treatment (26.2%) were the main barriers to seek dental care. Many (90%) brushed their teeth at least twice daily with adult fluoridated toothpaste, while some used mouthwash daily (36.8%) and flossed their teeth (11.8%). Antenatal mothers had an average level of knowledge regarding oral health, experienced dental problems during pregnancy and lacked awareness of a regular dental visit. Hence, there is a need for more vigorous oral health promotion, which also include antenatal care providers, to improve oral health awareness among antenatal mothers.

Determining the Association between Oral Health Status and SelfPerceived Oral Health Satisfaction among Residents in the Largest Care Home in East Coast Malaysia

Introduction: Little is known about the association between actual and selfperceived oral health status among residents living in a care home. This study aimed to assess their oral health status and to determine its association with their selfperceived oral health satisfaction. Materials and method: A cross-sectional study was conducted from July to August 2018 among 75 residents of Rumah Ehsan, Terengganu (the largest care home in east coast Malaysia). The oral health status and oral hygiene of the participants were examined. Their sociodemographic profile and self-perceived oral health status were collected through structured interviews. Chi-square, Man-Whitney, and multiple logistic regression tests were used to test the factors associated with the self-perceived oral health satisfaction of the participants. Results: Unsurprisingly, the majority of the participants had poor oral health with high median DMF-T score of 29.0 (IQR=12) and majority (86.7%) had poor oral hygiene. It was intriguing to know that the majority of them (64%) perceived they have good oral health status with 68% satisfied with their current oral health status. There was no significant association between their actual oral health status and their perceived satisfaction. However, increasing age, Malay and those eating dependently were less likely to satisfy with their oral health status. Meanwhile, those who were dependent on the staff to brush their teeth were more likely satisfied with their oral health status. Conclusion: There was a wide discrepancy between the actual and self-perceived oral health status among residents in care homes. Hence, it is crucial to improving awareness and knowledge among them in order to improve their oral health. Factors contributed to their oral health satisfaction should be acknowledged by all dental practitioners.

Oral Health Related Quality of Life Among Adult Patients Attending Periodontal Clinic in Kuliyyah of Dentistry IIUM Kuantan

Introduction: There was lack of local study assessing the oral health related quality of life (OHRQOL) of patients with periodontal diseases. Hence, this study aims to assess the OHRQOL and its associated factors in adult patients who were diagnosed with gingivitis and periodontitis. Material and method: This was a cross sectional study conducted from May to December 2018 among 100 participants attended Periodontal Clinic, Kulliyyah of Dentistry of International Islamic University of Malaysia (IIUM) using purposive sampling methods. Clinical parameters of participants were recorded by a single examiner then followed by a selfadministered questionnaire using the validated short version of Oral Health Impact Profile(S-OHIP) (Malay) to assess the OHRQOL and its associated factors. The OHRQOL of participants were reported using mean and standard deviation. The factors associated with OHRQOL were determined using independent t-test and Spearman correlation test. Results: The mean score for S-OHIP was 14.73 ± 9.24. Participants with periodontitis have higher S-OHIP score compared to those with gingivitis. There were significant association between OHRQOL and underlying diabetes mellitus, self-perceived oral health status and self-perceived oral health satisfaction with p value &lt; 0.05. This shows that those with underlying diabetes mellitus have higher S-OHIP score indicated poorer OHRQOL. Meanwhile, those who perceived they have either good or very good oral hygiene and satisfied with their oral health have lower S-OHIP score indicated better OHRQOL. Conclusion: This study found that periodontal diseases have significant association with the OHRQOL. Therefore, reinforcement of oral health education by the dentists is crucial.

Oral health status and self-perceived oral health satisfaction among residents in the largest care home in east coast Malaysia and its associated factors: A cross-sectional study

Aim: To Assess the oral health status among residents living in care home and to determine its association with their self-perceived oral health satisfaction. Materials and Methods: A cross-sectional study was conducted from July to August 2018 among 75 residents of Rumah Ehsan, Terengganu (the largest care home in east coast Malaysia). The oral health status of the residents was examined by one dental specialist based on two domains: the number of decayed, missing, and filled teeth (DMF-T) and the edentulous state. Their sociodemographic profile and self-perceived oral health status were collected through interviews. Multiple logistic regressions were used to determine factors associated with oral health satisfaction. Results: Unsurprisingly, majority of residents had high DMF-T score with median DMF-T score of 29.0 (interquartile range [IQR] = 12). On the contrary, majority of them (64%) perceived that they had good oral health status and 68% were satisfied with their current oral health status. There was no significant association between the actual oral health status and their perceived satisfaction. However, older age, Malay, and those eating dependently were less likely satisfied with their oral health status. Meanwhile, those who were dependent to the staff to brush their teeth were more likely satisfied with their oral health status. Conclusion: There was a discrepancy between actual and self-perceived oral health status among residents in care home. Hence, every effort is necessary to improve the awareness and knowledge among them in order to improve the oral health.

Factors that influence the oral impact on daily performance of older people in Brazil: A cross-sectional population-based study.

To investigate factors that influence the oral health-related quality of life of older people (65years and over) in Brazil. Population-based studies should be conducted to support health-planning interventions. Data from the São Paulo State Survey on Oral Health (SBSP-2015), which consisted of 5951 individuals, were used. A theoretical-conceptual model was built based on the impact of family socio-economic characteristics, individual social-demographic features and self-perceived and clinical oral health status on the oral impact on daily performance (OIDP). Multivariate binary logistic regression analysis was conducted at 5% significance level. Statistically significant variables included within the adjusted logistic regression model entered the multiple correspondence analysis (MCA). Oral health impact on daily activities was observed in 34.6% of older people. Characteristics significantly related to impact on OIDP score were as follows: family income up to R$ 500 (OR=2.73), self-perceived treatment need (OR=1.33), self-perceived toothache (OR=1.52), self-perception of denture replacement need (OR=1.27), dissatisfaction (OR=1.50) or very dissatisfied (OR=2.57) with own oral health, partial lower denture use (OR=1.34) and needing partial lower dentures (OR=1.28). Increased number of people living in the same house (B=0.05, OR=1.06), number of bedrooms in the house (B=-0.10, OR=0.90), age (B=-0.03, OR=0.97) and number of teeth needing treatment (B=0.08, OR=1.08) contributed significantly to OIDP. Prevalence of OIDP of older people in the state of São Paulo was related to factors other than their clinical and self-perceived oral health status.

Factors associated with oral health service utilization among adults and older adults in China, 2015-2016.

To explore the factors associated with utilization of oral health services among Chinese adults and older adults according to the Andersen Behavior Model. Data from the 4th National Oral Health Survey (2015-2016) in China were used. A total of 7206 people (3669 adults aged 35-44years and 3537 older adults aged 65-74years) were included in our analysis. Oral health service utilization in the past 12months was the outcome variable. Explanatory variables were selected according to the Andersen Behavior Model. Descriptive statistics and bivariate associations (chi-square tests) were analysed, followed by hierarchical Poisson regression models, which were conducted to determine the factors associated with oral health service utilization. In total, 21.4% (95% CI: 19.4%-23.7%) of adults (35-44years old) and 20.7% (95% CI: 18.6%-22.9%) of older adults (65-74years old) utilized oral health services in the past 12months. Nearly 80% of adults (78.7%, 95% CI: 74.0%-82.7%) and more than 90% of older adults (93.7%, 95% CI: 91.0%-95.6%) visited a dentist for treatment. Adults aged 35-44years old who were female (IRR: 1.15, 95% CI: 1.00-1.33, P=.047), had good oral health knowledge and attitudes (IRR: 1.30, 95% CI: 1.06-1.59, P=.011), perceived their oral health status as fair (IRR:1.51, 95% CI:1.24-1.85, P<.001) or poor/very poor (IRR:2.52, 95% CI:2.01-3.18, P<.001) and had a decayed, missing and filled teeth (DMFT) index >0 (IRR: 1.52, 95% CI: 1.11-2.09, P=.009) were more likely to report dental visits in the past 12months. Older adults who utilized oral health services tended to be female (IRR: 1.32, 95% CI: 1.09-1.59, P=.004); to be covered by Urban Resident Basic Medical Insurance (URBMI) (IRR: 1.56, 95% CI: 1.18-2.05, P=.002), Urban Employee Basic Medical Insurance (UEBMI) (IRR: 1.69, 95% CI: 1.32-2.16, P<.001) or government medical insurance (GMI) (IRR: 1.03, 95% CI:1.01-2.16, P=.044); to have a high education level (IRR: 1.37, 95% CI: 1.08-1.74, P=.010); to have an income level in the 2nd tertile (IRR: 1.44, 95% CI: 1.13-1.84, P=.003) or 3rd tertile (IRR:1.52, 95% CI:1.18-1.95, P=.001); and to perceive their oral health status as poor or very poor (IRR: 1.53, 95% CI: 1.21-1.95, P=.001). Sex and self-perceived oral health status were associated with oral health utilization among Chinese population. Additionally, for older adults, education level, household income and insurance coverage were determinants of dental service use. These findings can aid in creating more targeted policies to increase the use of dental services by Chinese adults.