Impact of oral health on the quality of life of young people in confinement, Córdoba, Argentina: a mixed methods study

Introduction: quality of life can be understood as the perception subjects have of their position in life in relation to their goals, expectations and concerns. Measuring and understanding the impact of oral health on the quality of life of people may contribute to the promotion of health and prevention of disease. The aim of this study was to evaluate the impact of oral health on the quality of life of young people in confinement. Methodology: Cross-sectional study with mixed approach. Adolescents between 14 and 18 years of age, confined in socio-educational juvenile detention centers in the Province of Córdoba, Argentina, were included in the study. After signing of informed consent, the OHIP-49 questionnaire was applied to 70 youngsters and 32 semi-structured interviews were conducted. Results: The OHIP-49 had a mean of 53.37 +/- 28.77, the dimensions with more impact were: functional limitation, physical pain and psychological discomfort. Confinement emerges as an amplifier of sensations and as a barrier for accessing palliative care. Regarding aesthetic aspects, subjects reported specific discomfort that does not always interfere with their self-esteem or relationship with peers. Conclusions: Young people perceive the impact of oral health on their quality of life from episodes of suffering, although not only because of pain, but also for aesthetic reasons. Confinement creates a particular context for sensations and resolutions on health-disease-care processes regarding oral health.

Oral health of youth housed in socio-educational centers of the Juvenile Penal Area of the Province of Cordoba, Argentina

The purpose of this research was to analyze the oral health status of youth housed in socioeducational centers of the Juvenile Penal Area of the Province of Córdoba, Argentina of corrections by considering clinical evaluation and the main sociodemographic data. Sociodemographics, healthy and unhealthy habits of selfcare, and dental clinical profile were assessed for this purpose. An exploratory crosssectional study was carried out on 70 14to 18yearolds who had been institutionalized for at least six months. A clinical examination was conducted and the WHO Oral Health Survey was applied. Centralization and dispersion measurements, relative frequency, multiple correspondence analysis and generalized linear models were used to describe the data. The results showed: males 94%, mean age 16.91 ± 1.11, complete primary schooling 34%, from Córdoba City 69% and belonging to nuclear families 29%. Regarding healthy habits, 71% had frequent sugar intake, and 46% brushed teeth daily; while among unhealthy habits, 80% smoked tobacco, 63% drankalcohol and 73% used psychoactive substances. Sixtythree percent had visited a dentist once, and in 80% of the cases reason for the visit was pain. Clinical examination showed high prevalence of deterioration of the oral health component (DMFT = 8.94 ± 4.75, SiC = 14.26 ± 2.15, IPC3 = 56%, MO = 53%). Clinical profile showed marked prevalence of a very high level of caries severity, gingival disease and malocclusion, but not of initial stages of caries, alterations of enamel or temporo mandibular dysfunction. The sociodemographic characteristics revealed conditions of social, educational and health vulnerability, a situation which interferes with the inclusion of these youths in the productive system and their access to better living conditions (AU)

El propósito de esta investigación fue analizar la situación de salud bucal de jóvenes alojados en centros socioeducativos del Área Penal Juvenil de la Provincia de Córdoba, a través de la evaluación clínica teniendo en cuenta los principales datos sociodemográficos. Para tal fin se valoraron las características sociodemográfica; los hábitos saludables, no saludables, de autocuidado y el perfil clínico odontológico. Se desarrolló un estudio transversal exploratorio en 70 jóvenes, de 14 a 18 años de edad, alojados por un período no menor a seis meses. Se realizó examen clínico y se aplicó la Encuesta de Salud Bucal de la OMS. Para la descripción de los datos se aplicaron medidas de centralización y de dispersión, frecuencia relativa, análisis de correspondencia múltiples y modelos lineales generalizados. Los resultados mostraron el siguiente perfil sociodemográfico: 94% son varones con una edad media de 16,91 ±1.11 que tienen primario completo 34%, son procedentes de la Ciudad de Córdoba 69% y pertenecen a familias nucleares 29%. Respecto a los hábitos saludables el 71% de los jóvenes tienen una alta frecuencia de consumo de azucares, el 46% presenta frecuencia diaria de cepillado dental; entre los hábitos no saludables el 80% consume tabaco, 63% bebidas alcohólicas, y 73% SPA, el 63% concurrió al odontólogo alguna vez por dolor (80%). El exámen clínico mostró una alta prevalencia del deterioro del componente bucal de la salud (CPOD= 8,94 ± 4,75; SIC=14,26 ± 2,15; IPC3 56%; MO 53). El perfil clínico mostró una marcada prevalencia del nivel muy alto de severidad de caries, enfermedad gingival y maloclusión, no así de los estadios iniciales de caries, alteraciones de esmalte y disfunción temporomandibular. Las características sociode mo gráficas halladas ponen de manifiesto condiciones de vulnerabilidad social, educativa y sanitaria, las cuales inter fieren en su incorporación al sistema de producción y acceso a mejores condiciones de vida (AU)

Experiencia de caries y calidad de vida de jóvenes en situación de encierro / Caries experience and quality of life of confined teenagers

RESUMEN Objetivo Evaluar el impacto de la experiencia de caries en la calidad de vida de jóvenes institucionalizados del Área correccional de Córdoba, Argentina. Método Se realizó examen clínico a 70 jóvenes, se determinó el índice de experiencia de caries CPOD y tipo de tratamiento necesario. Y se aplicó el cuestionario del perfil de impacto de salud oral OHIP 49. Resultados El estudio de los 70 jóvenes de la muestra presentó la media de elementos presentes en boca fue 28,1 ± 1,53; índice CPOD fue de 8,9±4.75; Cariados: 7,4±4,26; Perdidos: 0,6 ± 0,91 y Obturados: 0,9±1,97; y el 67,14 % necesita tratamiento de rehabilitación. El OHIP49 mostró mayor impacto en las dimensiones de: disconfort psicológico 52,86 %, limitación funcional 47,14 %, dolor físico 40 %, incapacidad física 41,43 %. Menor impacto tuvieron las dimensiones incapacidad psicológica 28,57 %, incapacidad social 21,43 %; y en desventaja 22,86 %. Conclusión La experiencia de caries produce un impacto medio en la calidad de vida de estos jóvenes, siendo el dolor físico su principal responsable.(AU)

ABSTRACT Objective To evaluate the impact of caries on the quality of life of teenagers confined in the Correctional Center of Córdoba, Argentina. Method A clinical examination was conducted to 70 teenagers in order to determine DMFT and the necessary treatment. The Oral Health Impact Profile (OHIP-49) was used. Results The study conducted on a sample of 70 teenagers reported that the average of elements found in the mouth was 28.1±1.53, the DMFT index was 8.9±4.75, decayed teeth were 7.4±4.26, missed teeth were 0.6±0.91, filled teeth were 0,9 ± 1.97, and that 67.14 % of patients needed rehabilitation treatment. OHIP-49 showed greater impact on psychological discomfort (52.86 %), functional limitation (47.14 %), physical pain (40 %), physical disability (41.43 %), and less impact on psychological disability (28.57 %), social disability (21.43 %), and disadvantage (22.86 %). Conclusion Dental caries experience produces an average impact on the quality of life of these teenagers, being physical pain the most critical factor.(AU)