Association Between Periodontal Health Knowledge and Oral Hygiene in Brazilian Adolescents
Keywords:
Health Knowledge, Attitudes, Practice, Oral Health, Dental Plaque, AdolescentAbstract
Objective: To evaluate the influence of oral health knowledge in adolescents’ oral hygiene pattern. Material and Methods: Cross-sectional study involving 291 participants aged between 14 and 19 years old enrolled in a public school in Curitiba, Brazil. A self-administered questionnaire containing five affirmations about periodontal diseases and their forms of prevention was arranged on a three-point Likert scale. Correct answers were given a weight=1 and incorrect ones, weight=0. The knowledge score (KS) was determined by the sum. Socioeconomic and demographic data were obtained by a questionnaire sent to those responsible. The oral hygiene pattern was evaluated through the simplified oral hygiene index (OHI-S) by a calibrated researcher (K=0.89). Mann-Whitney U test and univariate and multivariate Poisson regression with robust variance were used for data analysis (α=0.05). Results: There was an inversely proportional association between KS and OHI-S (p=0.018). The multiple model showed that adolescents with a lower KS (PR = 0.93, CI95%: 0.88-0.99), male gender (PR = 1.17, CI95%: 1.01-1.37) and whose caregivers presented a lower level of education (PR=1.30, CI95%: 1.03-1.64) showed a higher index of dental plaque. Conclusion: The level of oral health knowledge, the gender and the caregivers’ level of education influences the adolescents’ oral hygiene pattern.
References
Al-Jewair TS, Suri S, Thompson BD. Predictors of adolescent compliance with oral hygiene instructions during two- arch multibracket fixed orthodontic treatment. Angle Orthod 2011; 81(3):525-31. https://doi.org/10.2319/092010-547.1
Wu L, Gao X, Lo ECM, Ho SMY, McGrath C, Wong MCM. Motivational interviewing to promote oral health in adolescents. J Adolesc Health 2017; 61(3):378-84. https://doi.org/10.1016/j.jadohealth.2017.03.010
Muniz FWMG, da Silva LH, Rösing CK, Martins RS, Moreira MMSM, Carvalho RS. Efficacy of an unwaxed dental floss impregnated with 2% chlorhexidine on control of supragingival biofilm: a randomized, clinical trial. J Investig Clin Dent 2018; 9(1):52-61. https://doi.org/10.1111/jicd.12280
World Health Organization. Periodontal Country Profiles, 2016. Available from: http://www.dent.niigata- u.ac.jp/prevent/perio/perio.html. [Accessed on February 26, 2017].
Shizuma Y, Zaitsu T, Ueno M, Ohnuki M, Kawaguchi Y. Relationship between self-assessment and clinical evaluation of dental plaque and gingival condition in Japanese adolescents. Int J Dent Hyg 2018; 16(1):144-50. https://doi.org/10.1111/idh.12281
Chambrone L, Macedo SB, Ramalho FC, Trevizani Filho E, Chambrone LA. Prevalência e severidade de gengivite em escolares de 7 a 14 anos: condições locais associadas ao sangramento à sondagem. Cien Saúde Coletiva 2010; 15(2):337-43. https://doi.org/10.1590/S1413-81232010000200008
Projeto SB Brasil 2010. Pesquisa Nacional de Saúde Bucal. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf. [Accessed on February 26, 2017]. [In Portuguese]
Haleem A, Siddiqui MI, Khan AA. School-based strategies for oral health education of adolescents - a cluster randomized controlled trial. BMC Oral Health 2012; 18(12):54-66. https://doi.org/10.1186/1472-6831-12-54
Jordão LMR, Malta DC, Freire MDCM. Simultaneous oral health risk behaviors among adolescents: evidence from the National School-based Student Health Survey. Rev Bras Epidemiol 2018; 29(21):e180019. https://doi.org/10.1590/1980-549720180019.supl.1
Marchetti G, Fraiz FC, Nascimento WMD, Soares GMS, Assunção LRDS. Improving adolescents' periodontal health: evaluation of a mobile oral health app associated with conventional educational methods: a cluster randomized trial. Int J Pediatric Dent 2018; 28(4):410-9. https://doi.org/10.1111/ipd.12371
Jain S, Bhat N, Asawa K, Tak M, Singh A, Shinde K, et al. Effect of training school teachers on oral hygiene status of 8-10 years old government school children of Udaipur city, India. J Clin Diagn Res 2016; 10(8):95-9. https://doi.org/10.7860/JCDR/2016/18576.8330
Gonçalves LFF, Faria DSA, Batista ES, Ferreira SR, Assis SM. Health promotion with teenagers in the school environment: experience report. Sanare 2016; 15(2):160-7.
World Health Organization. Global school-based student health survey 2013. Available from: http://www.who.int/chp/gshs/GSHS_Core_Modules_2013_Spanish.pdf. [Accessed on February 26, 2017].
Associação Brasileira de Empresas de Pesquisa. Critérios de Classificação Econômica Brasil, Brazilian Association of Research Companies. Brazil Economic Classification Criteria 2015. Available fom: http://www.abep.org/criterio- brasil. [Accessed on August 27, 2016].
Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc 1964; 68(1):7-13. https://doi.org/10.14219/jada.archive.1964.0034
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977; 33(1):159-74. https://doi.org/10.2307/2529310
Wahengbam PP, Kshetrimayum N, Wahengbam BS, Nandkeoliar T, Lyngdoh D. Assessment of oral health knowledge, attitude and self-care practice among adolescents - a state wise cross-sectional study in Manipur, North Eastern India. J Clin Diagn Res 2016; 10(3):65-70. https://doi.org/10.7860/JCDR/2016/20693.8002
Mattos-Silveira J, Matos-Lima BB, Oliveira TA, Jarroug K, Rego RV, Reyes A, et al. Why do children and adolescents neglect dental flossing?. Eur Arch Pediatric Dent 2017; 18(1):45-50. https://doi.org/10.1007/s40368-016-0266-4
Al Subait AA, Alousaimi M, Geeverghese A, Ali A, Metwally AE. Oral health knowledge, attitude and behavior among students of age 10–18 years old attending Jenadriyah festival Riyadh: a cross-sectional study. Saudi J Dent Res 2016; 7(1):45-50. https://doi.org/10.1016/j.sjdr.2015.05.001
American Dental Association. Federal Government, ADA emphasizes importance of flossing and interdental cleaners, 2016. Available from: http://www.ada.org/en/pressroom/news-releases/2016. [Accessed on March 20, 2020].
Australian Dental Association. Flossing, 2017. Available from: https://www.ada.org.au/Dental-Health-Week- 2017/Oral-Health-for-Busy-Lives/Flossing. [Accessed on March 20, 2020].
Levin L, Margvelashvili V, Bilder L, Kalandadze M, Tsintsadze N, Machtei EE. Periodontal status among adolescents in Georgia. A pathfinder study. Peer J 2013; 17(1):e137. https://doi.org/10.7717/peerj.137
Jain M, Namdev R, Bodh M, Dutta S, Singhal P, Kumar A. Social and behavioral determinants for early childhood caries among preschool children in India. J Dent Res Dent Clin Dent Prospects 2015; 9(2):115-20. https://doi.org/10.15171/joddd.2014.023
Kateeb E. Gender-specific oral health attitudes and behavior among dental students in Palestine. East Mediterr Health J 2010; 16(3):329-33.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Pesquisa Brasileira em Odontopediatria e Clínica Integrada
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.