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RESUMO Objetivo: Verificar a presença de associação entre a avaliação objetiva e subjetiva da necessidade de tratamento ortodôntico em adolescentes e seu impacto na autoestima. Métodos: Estudo transversal com adolescentes de 10 a 17 anos da cidade de Sri Ganganagar, Rajastão, Índia. Foi utilizado o Índice de Ortodontia de Saúde Dental (IOTN) para avaliar de modo objetivo a necessidade de tratamento (DHC) e o componente estético desse índice (AC) para a avaliação subjetiva. Os estudantes selecionados foram também avaliados quanto a traumatismos dentários, perda dentária e cárie dentária. Aplicou-se a escala de autoestima de Rosenberg para determinar o nível de autoestima dos estudantes. Os dados foram analisados por regressão linear múltipla, testando a associação individual das diferentes variáveis clínicas independentemente da autoestima dos adolescentes, de acordo com o escore da escala de Rosenberg. Resultados: Entre 1.140 adolescentes estudados, a prevalência da necessidade de tratamento ortodôntico avaliado de modo objetivo pelo IOTN-DHC ocorreu em 56,9% dos indivíduos. A avaliação subjetiva do adolescente (IOTN-AC) revelou prevalência de necessidade de tratamento de 53,3%. A análise multivariada mostrou que, além de todos os problemas dentários, o componente objetivo (IOTN-DHC), seguido do componente estético subjetivo (IOTN-AC), teve maior impacto na autoestima dos estudantes analisados. Conclusões: A insatisfação com a aparência dental é um forte preditor de baixa autoestima na adolescência.
ABSTRACT Objective: To investigate the presence of association between objective and subjective evaluation of orthodontic treatment needs in adolescents and their impact on their self-esteem. Methods: Cross-sectional study with adolescents aged 10-17 years old in Sri Ganganagar city, Rajasthan, India. The objective index of orthodontic treatment need (IOTN) dental health component (DHC) and the subjective aesthetic component (AC) were used to determine the normative and the self-perception need for orthodontic treatment, respectively. The selected students were further examined for dental trauma, tooth loss, and dental caries. Rosenberg Self-Esteem Scale was applied for self-esteem level determination. Linear regression analysis was executed to test the individual association of different independent clinical variables with self-esteem scores. Results: Among 1,140 studied adolescents, the prevalence of dental normative orthodontic treatment need was in 56.9% of individuals, whereas 53.3% of individuals considered themselves as needy for the treatment. Multivariate analyses revealed that out of all dental disorders, DHC followed by AC of IOTN had maximum impact on the self-esteem of the adolescence. Conclusions: Dissatisfaction with dental appearance is a strong predictor for low self-esteem in adolescence.
Subject(s)
Humans , Male , Female , Child , Adolescent , Self Concept , Cross-Sectional Studies , Malocclusion/psychology , Index of Orthodontic Treatment Need , Malocclusion/therapyABSTRACT
Background: The present clinical trial was designed to evaluate the effects of bioactive glass in treatment of periodontal intra-bony defects. Methods: 25 patients 23-55 years of age with intra-bony defects completed 1 year study. After completion of initial therapy, defects were randomly assigned to either a test or control procedure. Following flap reflection root planning and removal of chronic inflammatory tissue in both groups test defects were restored with bioactive glass, while open flap debridement was done in control sites. Muco-periosteal flaps were replaced sutured and periodontal dressing was used. Follow up was carried out weekly, 3 months 9 months and 1 year post surgery. Plaque score, sulcus bleeding score probing pocket depth were recorded at baseline, 3 months and 1 year. Standardized radiographs using RVG was taken at baseline, immediately post operatively and at 1 year. Results: Radiographs showed a significant increase in radiographic density and volume between defects treated with bioglass when compared with open flap debridement alone. Probing pocket depth, probing attachment level showed improvement in test and control site with greater trend to improvement in test site. Conclusion: It was concluded that bioglass is effective as an adjunct to conventional surgery in treatment of intra-bony defects.
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Introduction: Dental caries is also one of the major issues which interfere with the healthy life of an individual, especially in children. Due to its high prevalence worldwide, caries in children has often been described as a ‘pandemic’ disease. In preschool age children, this disease is called Early Childhood Caries (ECC), but is commonly known as “baby bottle tooth decay” or maxillary anterior caries. About 90% of school children worldwide experience dental caries with the disease being most prevalent in Asia and Latin American countries and least prevalent in African countries. This study was undertaken with the aim of assessing prevalence of ECC among preschool children of low socioeconomic status in Srinagar city. Material and methods: A cross-sectional study, approved by the institutional Ethical Committee was designed. Children were selected from various Anganwadi centres in Srinagar city, Jammu and Kashmir, India. All children 24–59 months old, attending the selected Anganwadi centres, forming a total of 466 were selected. Clinical examination was carried out at Anganwadi centres or concerned schools by a single calibrated examiner. Data was analysed using SPSS version 16.0 software. Results: Out of the 466 children examined, 229 (49.1%) were boys and 237 (50.9%) were girls. The prevalence of ECC was 39.9% (186 out of 466) out of which 102 (54.8%) were boys and 84 (45.2%)were girls. Whereas prevalence of ECC was significantly higher among 36-47 month months old children as compared with other groups (χ2 = 14.03, P = 0.001). The overall mean deft for ECC was 1.80 ± 3.18 ranging from 0 to 17 teeth. Mean deft was significantly higher in 36-47 months age group as compared with others (F = 10.89,p=0.000). Conclusion: There is an urgent need to implement Preventive and Curative Oral Health Programs for children. As Anganwadis are run by State Government, a public-private partnership between government, Private Dental Colleges, and Non-Government Organizations (NGOs) would prove useful toward providing oral health care to these children.
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In this century, dental colleges will be gauged by their capacity to anticipate the kind of doctors required by evolving health systems. They will need to consider the challenges these systems face as they grapple with critical health concerns in society. The roots of ill health lie in poverty, discrimination, lack of education, misdistribution and misuse of often scarce resources; and in any given country, those who identify health issues, act on health determinants, decide on the use of resources, deliver health services, or train health manpower are usually different groups that may not share the same value system and priorities. Thus, fragmentation is a serious threat to the efficiency and effectiveness of health systems everywhere. Meeting requirements of socia accountability is a real challenge for dental colleges as it is for the dental health professions, health service organizations, health insurance schemes, and health policy leaders. So this article tries to evaluate the need for social accountability in the dental education system.