ABSTRACT
OBJECTIVE: The purpose of this systematic review was to assess the impact of third molar removal on patient's quality of life. METHODS: To address the study purpose, investigators designed and implemented a systematic review. The primary outcome variable was the quality of life after third molar extraction. An electronic search was conducted through March, 2017, on the PUBMED, Virtual Health Library (VHL), Web of Science, and OVID, to identify relevant literatures. Research studies (randomized or non-randomized clinical trials) were included that evaluated the quality of life in individuals before and after third molar extraction, using validated measures of oral health-related quality of life with quantitative approach, besides procedures performed under local anesthesia. The R software was used to measure the mean difference on the quality of life between the preoperative period and follow-up days. RESULTS: A total of 1141 studies were identified. Of this total, 13 articles were selected in the present systematic review, of which six studies were included in the meta-analysis. All of these 13 articles used the OHIP-14, and 4 of this 13 used OHQoLUK-16 to evaluate the quality of life. Regarding quality assessment, four of the 13 included studies in this review received a maximum score of 9 points, according to the Newcastle-Ottawa (NOS). The OHIP-14 mean score on the first postoperative day was 17.57 (95% CI 11.84-23.30, I2 = 96%) higher than the preoperative period. On the seventh postoperative day, the quality of life assessed by OHIP-14 got worse again. CONCLUSION: This systematic review revealed that the highest negative impact on quality of life of individuals submitted to third molar surgery was observed on the first postoperative day, decreasing over the follow-up period.
Subject(s)
Molar, Third/surgery , Quality of Life/psychology , Tooth Extraction/methods , Adult , Female , Humans , Young AdultABSTRACT
This study sought to investigate factors associated with the lack of access to information on oral health among adults. It is a cross-sectional study, carried out among 831 adults (35-44 years of age). The dependent variable was access to information on how to avoid oral problems, and the independent variables were gathered into subgroups according to the theoretical model for literacy in health. Binary logistic regression was carried out, and results were corrected by the design effect. It was observed that 37.5% had no access to information about dental problems. The lack of access was higher among adults who had lower per capita income, were dissatisfied with the dental services provided, did not use dental floss, had unsatisfactory physical control of the quality of life, and self-perceived their oral health as fair/poor/very poor. The likelihood of not having access to information about dental problems among those dissatisfied with the dental services used was 3.28 times higher than for those satisfied with the dental services used. Thus, decreased access to information was related to unfavorable conditions among adults. Health services should ensure appropriate information to their users in order to increase health literacy levels and improve satisfaction and equity.
Objetivou-se investigar os fatores associados à falta de acesso à informação em saúde bucal entre adultos. Trata-se de um estudo transversal, conduzido entre 831 adultos (35-44 anos). A variável dependente foi o acesso a informações sobre como evitar problemas bucais e as independentes foram reunidas em subgrupos conforme modelo teórico de Alfabetização em saúde. Conduziu-se Regressão Logística Binária com correção pelo efeito de desenho. Observou-se que 37,5% não tiveram acesso a informações sobre problemas bucais. A falta de acesso foi maior entre os adultos que possuíam renda per capita menor, estavam insatisfeitos com os serviços odontológicos utilizados, não utilizavam fio dental, apresentavam o domínio físico da qualidade de vida insatisfatório e que autopercebiam a saúde bucal como regular/ruim/péssima. A chance de não ter recebido informações sobre com evitar problemas bucais entre os insatisfeitos com os serviços odontológicos utilizados foi 3,28 vezes aquela observada entre os satisfeitos com os serviços odontológicos utilizados. Assim, o menor acesso esteve relacionado a condições desfavoráveis entre adultos. Os serviços de saúde devem garantir informações adequadas a seus usuários, a fim de aumentar os níveis de Alfabetização em saúde, maior satisfação e equidade.
Subject(s)
Access to Information , Health Literacy , Models, Theoretical , Oral Health , Adult , Cross-Sectional Studies , Dental Care/statistics & numerical data , Female , Humans , Income , Logistic Models , Male , Patient Satisfaction , Quality of Life , Surveys and QuestionnairesABSTRACT
Resumo Objetivou-se investigar os fatores associados à falta de acesso à informação em saúde bucal entre adultos. Trata-se de um estudo transversal, conduzido entre 831 adultos (35-44 anos). A variável dependente foi o acesso a informações sobre como evitar problemas bucais e as independentes foram reunidas em subgrupos conforme modelo teórico de Alfabetização em saúde. Conduziu-se Regressão Logística Binária com correção pelo efeito de desenho. Observou-se que 37,5% não tiveram acesso a informações sobre problemas bucais. A falta de acesso foi maior entre os adultos que possuíam renda per capita menor, estavam insatisfeitos com os serviços odontológicos utilizados, não utilizavam fio dental, apresentavam o domínio físico da qualidade de vida insatisfatório e que autopercebiam a saúde bucal como regular/ruim/péssima. A chance de não ter recebido informações sobre com evitar problemas bucais entre os insatisfeitos com os serviços odontológicos utilizados foi 3,28 vezes aquela observada entre os satisfeitos com os serviços odontológicos utilizados. Assim, o menor acesso esteve relacionado a condições desfavoráveis entre adultos. Os serviços de saúde devem garantir informações adequadas a seus usuários, a fim de aumentar os níveis de Alfabetização em saúde, maior satisfação e equidade.
Abstract This study sought to investigate factors associated with the lack of access to information on oral health among adults. It is a cross-sectional study, carried out among 831 adults (35-44 years of age). The dependent variable was access to information on how to avoid oral problems, and the independent variables were gathered into subgroups according to the theoretical model for literacy in health. Binary logistic regression was carried out, and results were corrected by the design effect. It was observed that 37.5% had no access to information about dental problems. The lack of access was higher among adults who had lower per capita income, were dissatisfied with the dental services provided, did not use dental floss, had unsatisfactory physical control of the quality of life, and self-perceived their oral health as fair/poor/very poor. The likelihood of not having access to information about dental problems among those dissatisfied with the dental services used was 3.28 times higher than for those satisfied with the dental services used. Thus, decreased access to information was related to unfavorable conditions among adults. Health services should ensure appropriate information to their users in order to increase health literacy levels and improve satisfaction and equity.
