The Latino population is the fastest growing and the largest minority group in the United States comprising 16% of the population younger than 18 years of age. Yet, little is known about the effect of acculturation in...The Latino population is the fastest growing and the largest minority group in the United States comprising 16% of the population younger than 18 years of age. Yet, little is known about the effect of acculturation in oral health related quality of life in Latino children and their parents. Objective: The objective of this study was to assess the effect of acculturation in parent and child’s perceptions of the child’s oral health status and oral health related quality of life (OHRQoL) as well as the effect in the concordance between children and parents/caregivers. Method: Sixty-three Latino children between the ages of 8 and 15, and their parents were recruited from the waiting room at the University of California, San Francisco Orthodontic and Pediatric Clinics. Parent and children each separately completed the Child Oral Health Impact Profile questionnaire (COHIP) for children and COHIP for parent/caregiver. Results: Of the sixty-three children, fifteen children (23.8%) had a more negative perception of their oral health than their parents whereas twenty-three children (36.5%) had a more positive perception. In terms of agreement between children and parents, questions about oral health showed the lowest level of agreement (34.9%) and self-image questions the highest (55.6%). Conclusion: The study findings indicate that the more acculturated the child, the more negative their perception of their oral health. The level of disagreement between parent and child, underscores the importance of obtaining both the child and parent OHRQoL perceptions.展开更多
Aim: To validate a Vietnamese short version (OHIP- 14VN) for use in epidemiological studies. Methods: The original English-language version was translated into Vietnamese, back translated and after some revisions test...Aim: To validate a Vietnamese short version (OHIP- 14VN) for use in epidemiological studies. Methods: The original English-language version was translated into Vietnamese, back translated and after some revisions tested for psychometric properties. Subjects (n = 724) were asked to self-administer a questionnaire but could ask for assistance. Convergent validity was tested by investigating associations between OHIP domain and total scores, and dichotomized self-reported satisfaction with 1) the dentition in general, 2) chewing function, and 3) esthetics. Groups validity was evaluated by comparing OHIP scores of subjects having ≤6 molars vs. >6 molars and tooth decay vs. no decay. Test-retest reliability was investigated in a convenience sample (n = 54) and expressed in Intraclass Correlation Coefficients (ICCs). Internal consistency was assessed by Cronbach’s alpha and average interitem correlation coefficients. Results: Validity: all associations were in the hypothesized directions. Differences in mean OHIP total were statistically sig-nificant for all discriminative variables. OHIP scores completed with assistance were significantly lower than those from self-administered questionnaires and therefore analyzed separately. For both administration formats differences in mean scores were still significant for “satisfaction” but for having ≤6 molars or decay the differences lost significance for most domain and total scores. Reliability: ICCs ranged from 0.54 - 0.74. Internal consistency: Cronbach’s alphas for OHIP total scores were 0.93 (self-administered) and 0.91 (with assistance). Average interitem correlation coefficients ranged from 0.26 - 0.67 (self-administered) and 0.28 - 0.69 (with assistance). Conclusions: This Vietnamese version of the OHIP-14 demonstrated good construct validity and acceptable reliability for OHIP total scores however OHIP-14VN domain scores should be interpreted with caution.展开更多
Background:Although oral health-related quality of life(OHRQoL)in orthodontic patients has been assessed in the past,to date,no study has compared the OHRQoL between two nations.We aimed to compare the OHRQoL between ...Background:Although oral health-related quality of life(OHRQoL)in orthodontic patients has been assessed in the past,to date,no study has compared the OHRQoL between two nations.We aimed to compare the OHRQoL between Chinese and American orthodontic patients.Methods:We conducted a two-center questionnaire-based cross-sectional study among patients who underwent orthodontic treatments at the Chinese PLA General Hospital(PLAGH)in Beijing,China and Massachusetts General Hospital(MGH)in Boston,Massachusetts,United States.Candidate variables included the participating center,patients’age,sex,Angle’s classification of malocclusion,evaluation stage,and appliances used.The primary outcome was patients’OHRQoL assessed with the Oral Health Impact Profile-14(OHIP-14).Descriptive statistics,stratification,and univariate and multivariate analyses were performed.Results:The average age was lower for PLAGH patients than for MGH patients(21.1±7.9 vs.33.1±14.6 years,P<0.001).The most common type of malocclusion was Angle’s Class III malocclusion at PLAGH(39%)and Class I malocclusion at MGH(59.5%).Clear aligners were used in 34.1%and 2.7%of the patients at MGH and PLAGH,respectively.OHIP-14 scores were lower for PLAGH patients than for MGH patients(18.4±4.7 vs.22.3±7.4,P<0.001),particularly in functional limitation,psychological discomfort/disability,and handicap.Univariate regression analysis demonstrated that participating center,age,Class I malocclusion,and the use of clear aligners were significantly associated with overall OHIP-14 scores.Multivariate regression analysis demonstrated that patients at PLAGH were associated with lower OHIP-14 scores(coefficient:-3;95%CI:-5,-1.3;P=0.001),and age was positively associated with OHIP-14 scores(coefficient:0.1;95%CI:0.004,0.13;P=0.038).Conclusion:Chinese orthodontic patients had lower OHIP-14 scores,indicating a higher OHRQoL than American patients.In addition to the younger age,this difference may be attributed to the different ethical,cultural,educational,and socioeconomic background of Chinese and American orthodontic patients.展开更多
目的探讨牙周内窥镜(periodontal endoscope,PE)辅助龈下刮治和根面平整术(scaling and root plan⁃ning,SRP)的临床疗效及对牙周炎患者心理和生活质量的影响,为临床应用牙周内窥镜提供参考。方法本研究已通过单位伦理委员会审查批准,并...目的探讨牙周内窥镜(periodontal endoscope,PE)辅助龈下刮治和根面平整术(scaling and root plan⁃ning,SRP)的临床疗效及对牙周炎患者心理和生活质量的影响,为临床应用牙周内窥镜提供参考。方法本研究已通过单位伦理委员会审查批准,并获得患者知情同意。收集2018年4月—2022年12月于南京大学医学院附属口腔医院牙周病科就诊的,传统SRP治疗6周后复查仍有残留牙周袋探诊深度(probing depth,PD)≥5 mm的牙周炎患者,进一步行PE辅助SRP(PE+SRP)。在传统SRP治疗后6周,PE+SRP治疗3个月后分别测量牙周临床指标包括菌斑指数(plaque index,PLI)、PD、临床附着丧失(clinical attachment loss,CAL)及探诊出血(bleeding on probing,BOP);同时分别收集传统SRP和PE辅助SRP治疗即刻视觉模拟评分量表(visual analogue scale,VAS);在传统SRP治疗和PE辅助SRP治疗3个月后分别收集牙周组织自我认知表、口腔健康影响程度量表⁃14(oral health impact profile⁃14,OHIP⁃14)以及牙科畏惧调查量表(dental fear scale,DFS)。结果共纳入牙周炎患者23例,患牙486颗,832个位点纳入临床研究。PE+SRP治疗后3个月,各项牙周临床指标:PLI(t=9.254,P<0.001)、PD(t=50.724,P<0.001)、CAL(t=22.407,P<0.001)以及BOP(t=9.217,P<0.001)均显著改善;与传统SRP(VAS:2.48±1.70)相比,PE+SRP(VAS:2.57±1.80)给患者带来的疼痛感无显著差异(t=0.192,P=0.850);两组牙周组织自我认知表得分无显著性差异(t=1.485,P=0.152);同时传统SRP完成后OHIP⁃14的得分为(12.13±7.63)分,PE+SRP完成后OHIP⁃14得分为(10.26±5.25)分,两者无显著差异(t=-1.589,P=0.126);传统SRP完成后DFS量表得分为(40.70±12.63)分,PE+SRP完成后DFS量表得分为(41.57±12.61)分,两者无显著差异(t=0.404,P=0.690)。结论PE辅助SRP治疗牙周炎患者残留牙周袋后各项牙周临床指标均显著改善,且与传统SRP相比,PE辅助SRP对牙周炎患者的生活质量和心理状况没有负面影响,可以临床广泛推广。展开更多
目的调查分析患者口腔健康相关生活质量(oral health-related quality of life,OHRQoL)的影响因素,为采取有效的干预措施提供依据。方法随机选择于作者医院口腔门诊或住院患者297例,测评量表应用中文版口腔健康影响程度量表(oral health...目的调查分析患者口腔健康相关生活质量(oral health-related quality of life,OHRQoL)的影响因素,为采取有效的干预措施提供依据。方法随机选择于作者医院口腔门诊或住院患者297例,测评量表应用中文版口腔健康影响程度量表(oral health impact profile,OHIP-49)。结果 OHIP-49量表中生理疼痛、功能限制领域得分最高;不同年龄组患者在功能限制、生理疼痛、生理能力受限领域得分具有统计学差异(P<0.01);已婚患者与未婚患者在功能限制、生理疼痛领域得分具有统计学差异(P<0.05);不同职业类别在功能限制领域得分具有统计学差异(P<0.01)。结论年龄越大,OHRQoL得分越低,口腔问题越严重。加强口腔健康宣教,提高口腔健康水平,有助于提高OHRQoL。展开更多
文摘The Latino population is the fastest growing and the largest minority group in the United States comprising 16% of the population younger than 18 years of age. Yet, little is known about the effect of acculturation in oral health related quality of life in Latino children and their parents. Objective: The objective of this study was to assess the effect of acculturation in parent and child’s perceptions of the child’s oral health status and oral health related quality of life (OHRQoL) as well as the effect in the concordance between children and parents/caregivers. Method: Sixty-three Latino children between the ages of 8 and 15, and their parents were recruited from the waiting room at the University of California, San Francisco Orthodontic and Pediatric Clinics. Parent and children each separately completed the Child Oral Health Impact Profile questionnaire (COHIP) for children and COHIP for parent/caregiver. Results: Of the sixty-three children, fifteen children (23.8%) had a more negative perception of their oral health than their parents whereas twenty-three children (36.5%) had a more positive perception. In terms of agreement between children and parents, questions about oral health showed the lowest level of agreement (34.9%) and self-image questions the highest (55.6%). Conclusion: The study findings indicate that the more acculturated the child, the more negative their perception of their oral health. The level of disagreement between parent and child, underscores the importance of obtaining both the child and parent OHRQoL perceptions.
文摘Aim: To validate a Vietnamese short version (OHIP- 14VN) for use in epidemiological studies. Methods: The original English-language version was translated into Vietnamese, back translated and after some revisions tested for psychometric properties. Subjects (n = 724) were asked to self-administer a questionnaire but could ask for assistance. Convergent validity was tested by investigating associations between OHIP domain and total scores, and dichotomized self-reported satisfaction with 1) the dentition in general, 2) chewing function, and 3) esthetics. Groups validity was evaluated by comparing OHIP scores of subjects having ≤6 molars vs. >6 molars and tooth decay vs. no decay. Test-retest reliability was investigated in a convenience sample (n = 54) and expressed in Intraclass Correlation Coefficients (ICCs). Internal consistency was assessed by Cronbach’s alpha and average interitem correlation coefficients. Results: Validity: all associations were in the hypothesized directions. Differences in mean OHIP total were statistically sig-nificant for all discriminative variables. OHIP scores completed with assistance were significantly lower than those from self-administered questionnaires and therefore analyzed separately. For both administration formats differences in mean scores were still significant for “satisfaction” but for having ≤6 molars or decay the differences lost significance for most domain and total scores. Reliability: ICCs ranged from 0.54 - 0.74. Internal consistency: Cronbach’s alphas for OHIP total scores were 0.93 (self-administered) and 0.91 (with assistance). Average interitem correlation coefficients ranged from 0.26 - 0.67 (self-administered) and 0.28 - 0.69 (with assistance). Conclusions: This Vietnamese version of the OHIP-14 demonstrated good construct validity and acceptable reliability for OHIP total scores however OHIP-14VN domain scores should be interpreted with caution.
文摘Background:Although oral health-related quality of life(OHRQoL)in orthodontic patients has been assessed in the past,to date,no study has compared the OHRQoL between two nations.We aimed to compare the OHRQoL between Chinese and American orthodontic patients.Methods:We conducted a two-center questionnaire-based cross-sectional study among patients who underwent orthodontic treatments at the Chinese PLA General Hospital(PLAGH)in Beijing,China and Massachusetts General Hospital(MGH)in Boston,Massachusetts,United States.Candidate variables included the participating center,patients’age,sex,Angle’s classification of malocclusion,evaluation stage,and appliances used.The primary outcome was patients’OHRQoL assessed with the Oral Health Impact Profile-14(OHIP-14).Descriptive statistics,stratification,and univariate and multivariate analyses were performed.Results:The average age was lower for PLAGH patients than for MGH patients(21.1±7.9 vs.33.1±14.6 years,P<0.001).The most common type of malocclusion was Angle’s Class III malocclusion at PLAGH(39%)and Class I malocclusion at MGH(59.5%).Clear aligners were used in 34.1%and 2.7%of the patients at MGH and PLAGH,respectively.OHIP-14 scores were lower for PLAGH patients than for MGH patients(18.4±4.7 vs.22.3±7.4,P<0.001),particularly in functional limitation,psychological discomfort/disability,and handicap.Univariate regression analysis demonstrated that participating center,age,Class I malocclusion,and the use of clear aligners were significantly associated with overall OHIP-14 scores.Multivariate regression analysis demonstrated that patients at PLAGH were associated with lower OHIP-14 scores(coefficient:-3;95%CI:-5,-1.3;P=0.001),and age was positively associated with OHIP-14 scores(coefficient:0.1;95%CI:0.004,0.13;P=0.038).Conclusion:Chinese orthodontic patients had lower OHIP-14 scores,indicating a higher OHRQoL than American patients.In addition to the younger age,this difference may be attributed to the different ethical,cultural,educational,and socioeconomic background of Chinese and American orthodontic patients.
文摘目的探讨牙周内窥镜(periodontal endoscope,PE)辅助龈下刮治和根面平整术(scaling and root plan⁃ning,SRP)的临床疗效及对牙周炎患者心理和生活质量的影响,为临床应用牙周内窥镜提供参考。方法本研究已通过单位伦理委员会审查批准,并获得患者知情同意。收集2018年4月—2022年12月于南京大学医学院附属口腔医院牙周病科就诊的,传统SRP治疗6周后复查仍有残留牙周袋探诊深度(probing depth,PD)≥5 mm的牙周炎患者,进一步行PE辅助SRP(PE+SRP)。在传统SRP治疗后6周,PE+SRP治疗3个月后分别测量牙周临床指标包括菌斑指数(plaque index,PLI)、PD、临床附着丧失(clinical attachment loss,CAL)及探诊出血(bleeding on probing,BOP);同时分别收集传统SRP和PE辅助SRP治疗即刻视觉模拟评分量表(visual analogue scale,VAS);在传统SRP治疗和PE辅助SRP治疗3个月后分别收集牙周组织自我认知表、口腔健康影响程度量表⁃14(oral health impact profile⁃14,OHIP⁃14)以及牙科畏惧调查量表(dental fear scale,DFS)。结果共纳入牙周炎患者23例,患牙486颗,832个位点纳入临床研究。PE+SRP治疗后3个月,各项牙周临床指标:PLI(t=9.254,P<0.001)、PD(t=50.724,P<0.001)、CAL(t=22.407,P<0.001)以及BOP(t=9.217,P<0.001)均显著改善;与传统SRP(VAS:2.48±1.70)相比,PE+SRP(VAS:2.57±1.80)给患者带来的疼痛感无显著差异(t=0.192,P=0.850);两组牙周组织自我认知表得分无显著性差异(t=1.485,P=0.152);同时传统SRP完成后OHIP⁃14的得分为(12.13±7.63)分,PE+SRP完成后OHIP⁃14得分为(10.26±5.25)分,两者无显著差异(t=-1.589,P=0.126);传统SRP完成后DFS量表得分为(40.70±12.63)分,PE+SRP完成后DFS量表得分为(41.57±12.61)分,两者无显著差异(t=0.404,P=0.690)。结论PE辅助SRP治疗牙周炎患者残留牙周袋后各项牙周临床指标均显著改善,且与传统SRP相比,PE辅助SRP对牙周炎患者的生活质量和心理状况没有负面影响,可以临床广泛推广。
文摘目的调查分析患者口腔健康相关生活质量(oral health-related quality of life,OHRQoL)的影响因素,为采取有效的干预措施提供依据。方法随机选择于作者医院口腔门诊或住院患者297例,测评量表应用中文版口腔健康影响程度量表(oral health impact profile,OHIP-49)。结果 OHIP-49量表中生理疼痛、功能限制领域得分最高;不同年龄组患者在功能限制、生理疼痛、生理能力受限领域得分具有统计学差异(P<0.01);已婚患者与未婚患者在功能限制、生理疼痛领域得分具有统计学差异(P<0.05);不同职业类别在功能限制领域得分具有统计学差异(P<0.01)。结论年龄越大,OHRQoL得分越低,口腔问题越严重。加强口腔健康宣教,提高口腔健康水平,有助于提高OHRQoL。
