Community Dental Health

cover art

Cover Date:
March 2019
Print ISSN:
0265 539X
Electronic ISSN:
2515-1746
Vol:
36
Issue:
1

Socioeconomic Variation in the association between Malocclusion and Oral Health Related Quality of Life

doi:10.1922/CDH_4388Ravaghi05

Objectives: Oral health related quality of life (OHRQoL) has been linked to malocclusion. We aimed (a) to investigate the association
between malocclusion and OHRQoL among children, and (b) to examine whether this association varied by socioeconomic status. Methods: Cross-sectional analysis of data for 4,217 children aged 12 & 15 years, who participated in the 2013 Children Dental Health Survey
(CDHS); a nationally representative survey of children in England, Wales, and Northern Ireland. Malocclusion was determined using the
modified Index of Orthodontic Treatment Need (IOTN). OHRQoL was measured using the Child Oral Impacts on  Daily  Performance
(Child-OIDP). For socioeconomic status, we used the pupils’ eligibility for free school meals (FSM) and Index of Multiple Deprivation
(IMD). Adjusted marginal effects were estimated controlling for confounding variables. Separate analyses were carried out for the two age
groups. Results: Malocclusion was associated with 6% and 15% increases in the probability of reporting negative impact of OHRQoL
for 12- and 15-year olds respectively, which was significant for 15-year olds (marginal effect=0.15, 95% CI=0.08-0.22). Malocclusion was
associated with the prevalence of oral impacts for 12 year olds (marginal effect=0.1, 95% CI=0.02-0.17) and 15-year olds (marginal effect=0.2, 95% CI 95%=0.13-0.28) not eligible for FSM and for 15-year olds in the most (marginal effect=0.2, 95% CI=0.1-0.29) and least
(marginal effect=0.26, 95% CI=0.13-0.4) deprived IMD quintiles. Conclusions: Malocclusion was associated with impacts on OHRQoL
for 15-year olds. There was evidence of a relationship between SES, malocclusion and OHRQoL.

Keywords: Impact, malocclusion, oral health related quality of life, orthodontics, socioeconomic status, children

Article Price
£15.00
Institution Article Price
£
Page Start
17
Page End
21
Authors
Vahid Ravaghi, Sarah R Baker, Philip E Benson, Zoe Marshman, Alexander J Morris

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  1. Editorial:‘No simple solutions, no single ingredient’: Systemsorientated approaches for addressing Wicked Problems in population oral health
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  1. Dental Public Health in Action: The use of the NICE ten step model to conduct an oral health needs assessment in South Yorkshire and Bassetlaw
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  1. Caries-preventive efficacy of a supervised school toothbrushing programme in Northland, New Zealand
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  1. Socioeconomic Variation in the association between Malocclusion and Oral Health Related Quality of Life
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  1. Low rates of dental attendance by the age of one and inequality between local government administrative areas in England
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  1. The relationship between body mass index and oral health status among Saudi adults: a cross-sectional study
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  1. The acceptability of fluoride varnish and fissure sealant treatments in children aged 6-9 delivered in a school setting
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  1. Interventions to reduce socio-economic inequalities in dental service utilisation – a systematic review
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  1. Embarrassing realities: The portrayal of dentistry in reality tv ‘dentertainment’
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  1. Systems science and oral health: Implications for Dental Public Health?
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  1. The Boundaries between Caries and Periodontal Diseases. What are the Implications for Education in Dental Public Health? Proceedings of EADPH/SESPO Pre-Congress Workshop held on Wednesday, 17 October 2018 at The Centro Cultural Sa Nostra Congress Cen
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