错颌畸形严重程度对伊朗青少年口腔健康的影响及其与社会经济地位的相关性。

Effect of malocclusion severity on oral health and its correlation with socioeconomical status in Iranian adolescents.

机构信息

Department of Orthodontics, Dental School, Islamic Azad University of Medical Sciences, Pasdaran St., Tehran, 1946853314, Iran.

Department of Periodontics, Dental School, Islamic Azad University of Medical Sciences, Pasdaran St., Tehran, 1946853314, Iran.

出版信息

BMC Oral Health. 2024 Oct 27;24(1):1301. doi: 10.1186/s12903-024-05069-w.

DOI:10.1186/s12903-024-05069-w

PMID:39465393

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11514795/

Abstract

BACKGROUND

This study aimed to assess the effect of malocclusion severity according to the Index of Treatment Need (IOTN) on oral health (dental caries and gingivitis), and its correlation with socioeconomic status (SES) in Iranian adolescents.

METHODS

This descriptive cross-sectional study was conducted on adolescents between 10 and 16 years in Tehran city, who underwent clinical dental examination. The Dental Health Component (DHC) of the IOTN was used to assess the severity of malocclusion. The DMFT index was calculated to assess dental caries, and the gingival index (GI) was calculated for gingival health assessment. For oral hygiene assessment, the Oral Hygiene Index-Simplified (OHI-S) was calculated, and a questionnaire was used.

RESULTS

Totally, 306 adolescents participated in this study. The frequency of IOTN grades was 88 (28.8%), 89 (26.1%) ,49 (16%), 60 (19.6%), and 29 (9.5%) for grades 1 to 5, respectively. The multinomial logistic regression showed that by an increase in OHI-S score, the odds of having IOTN grade 4 compared to grade 1 increased. Postgraduate parental level of education decreased the odds of having IOTN grade 4 compared to grade 1. Furthermore, there was an inverse correlation between oral hygiene practice and the odds of having IOTN grade 5 compared to grade 1.

CONCLUSIONS

Malocclusion may hinder oral hygiene practice, and resultantly increase plaque accumulation. This risk may be amplified in children with lower SES, highlighting the need for preventive and educational oral health programs.

摘要

背景

本研究旨在评估根据治疗需求指数（IOTN）评估的错颌畸形严重程度对伊朗青少年口腔健康（龋齿和牙龈炎）的影响及其与社会经济地位（SES）的相关性。

方法

本研究采用描述性横断面研究，对德黑兰市 10 至 16 岁的青少年进行临床口腔检查。采用 IOTN 的口腔健康成分（DHC）评估错颌畸形的严重程度。计算 DMFT 指数评估龋齿，计算牙龈指数（GI）评估牙龈健康状况。为评估口腔卫生状况，计算简化口腔卫生指数（OHI-S），并使用问卷调查。

结果

共有 306 名青少年参与了本研究。IOTN 分级的频率分别为 88（28.8%）、89（26.1%）、49（16%）、60（19.6%）和 29（9.5%），分别为 1 至 5 级。多变量逻辑回归显示，随着 OHI-S 评分的增加，与 IOTN 1 级相比，4 级的优势比增加。父母受教育程度为研究生的青少年与 1 级相比，4 级的优势比降低。此外，口腔卫生习惯与 5 级相比 1 级的优势比呈反比。