Evaluating Severity of Malocclusion and Oral Health Status and Its Correlation with Socioeconomic Status in Population
DOI:
https://doi.org/10.63682/jns.v14i20S.5067Keywords:
Malocclusion severity, Oral health status, Socioeconomic status, DMFT index, Community Periodontal Index, IOTN, Public health dentistry, Health disparitiesAbstract
Background
Malocclusion and poor oral health are prevalent public health concerns, often influenced by socioeconomic status (SES). Socioeconomic disparities can significantly impact access to dental care, awareness, and timely intervention, potentially exacerbating the severity of malocclusion and deteriorating oral health status. This study aimed to evaluate the severity of malocclusion and oral health status in a defined population and analyze its correlation with varying socioeconomic levels.
Materials and Methods
A cross-sectional study was conducted on 500 individuals aged 12–35 years from urban and rural areas. The severity of malocclusion was assessed using the Index of Orthodontic Treatment Need (IOTN), while oral health status was evaluated using the DMFT (Decayed, Missing, Filled Teeth) index and Community Periodontal Index (CPI). Socioeconomic status was determined using a modified Kuppuswamy scale. Data were analyzed using SPSS version 25.0, applying Pearson’s correlation and Chi-square tests to determine associations between SES, malocclusion severity, and oral health parameters.
Results
Out of 500 participants, 45% demonstrated a high need for orthodontic treatment (IOTN Grade 4-5). The mean DMFT score was 4.2 ± 1.6, and 38% showed CPI scores indicating moderate to severe periodontal conditions. A significant negative correlation was observed between socioeconomic status and both malocclusion severity (r = -0.42, p < 0.001) and poor oral health indicators (DMFT: r = -0.35, p = 0.002; CPI: r = -0.39, p = 0.001). Participants from lower socioeconomic groups exhibited higher malocclusion severity and poorer oral health compared to those from higher socioeconomic strata.
Conclusion
The study highlights a strong correlation between lower socioeconomic status and increased severity of malocclusion
alongside deteriorated oral health status. These findings emphasize the need for targeted public health strategies, including accessible orthodontic and preventive dental care programs, particularly for socioeconomically disadvantaged populations
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Jafari AK, Baniasad N, Asadi E, Nadafpour N. Effect of malocclusion severity on oral health and its correlation with socioeconomical status in Iranian adolescents. BMC Oral Health. 2024 Oct 27;24(1):1301. doi: 10.1186/s12903-024-05069-w. PMID: 39465393.
Mohamed S, Vettore MV. Oral clinical status and oral health-related quality of life: is socioeconomic position a mediator or a moderator? Int Dent J. 2019 Apr;69(2):119-129. doi: 10.1111/idj.12420. PMID: 30152041.
Tuchtenhagen S, Bresolin CR, Tomazoni F, da Rosa GN, Del Fabro JP, Mendes FM, et al. The influence of normative and subjective oral health status on schoolchildren's happiness. BMC Oral Health. 2015 Jan 23;15:15. doi: 10.1186/1472-6831-15-15. PMID: 25616978.
de Carvalho RB, Mendes RF, Prado RR Jr, Moita Neto JM. Oral health and oral motor function in children with cerebral palsy. Spec Care Dentist. 2011 Mar-Apr;31(2):58-62. doi: 10.1111/j.1754-4505.2011.00180.x. PMID: 21371066.
Lembacher S, Hofer V, Bekes K. The impact of dental pain on the oral health-related quality of life (OHRQoL) of preschool children in Austria. J Clin Med. 2023 Sep 11;12(18):5906. doi: 10.3390/jcm12185906. PMID: 37762847.
Sweidan AT, El-Beialy AR, El-Mangoury NH, Mostafa YA, Dehis HM. Prevalence and factors influencing bullying among Egyptian schoolchildren. J Orthod. 2024 Sep;51(3):240-250. doi: 10.1177/14653125241229455. PMID: 38323435.
Baiju RMP, Peter E, Varghese NO, Varughese JM, Sivaram R, Narayan V. Development and initial validation of an oral health-related quality of life scale for older adolescents. Indian J Dent Res. 2019 Nov-Dec;30(6):826-833. doi: 10.4103/ijdr.IJDR_742_17. PMID: 31939355.
Feu D, Miguel JA, Celeste RK, Oliveira BH. Effect of orthodontic treatment on oral health-related quality of life. Angle Orthod. 2013 Sep;83(5):892-898. doi: 10.2319/100412-781.1. PMID: 23593976.
Nalcaci R, Demirer S, Ozturk F, Altan BA, Sokucu O, Bostanci V. The relationship of orthodontic treatment need with periodontal status, dental caries, and sociodemographic factors. ScientificWorldJournal. 2012;2012:498012. doi: 10.1100/2012/498012. PMID: 23193381.
Twigge E, Roberts RM, Jamieson L, Dreyer CW, Sampson WJ. The psycho-social impact of malocclusions and treatment expectations of adolescent orthodontic patients. Eur J Orthod. 2016 Dec;38(6):593-601. doi: 10.1093/ejo/cjv093. PMID: 26709143.
Gava EC, Miguel JA, de Araújo AM, de Oliveira BH. Psychometric properties of the Brazilian version of the Orthognathic Quality of Life Questionnaire. J Oral Maxillofac Surg. 2013 Oct;71(10):1762.e1-8. doi: 10.1016/j.joms.2013.05.020. PMID: 24040950.
Marshman Z, Rodd H, Stern M, Mitchell C, Locker D, Jokovic A, et al. An evaluation of the Child Perceptions Questionnaire in the UK. Community Dent Health. 2005 Sep;22(3):151-155. PMID: 16161878.
Ahn YS, Kim HY, Hong SM, Patton LL, Kim JH, Noh HJ. Validation of a Korean version of the Child Oral Health Impact Profile (COHIP) among 8- to 15-year-old school children. Int J Paediatr Dent. 2012 Jul;22(4):292-301. doi: 10.1111/j.1365-263X.2011.01197.x. PMID: 22092665.
Chu CH, Ng A, Chau AM, Lo EC. Dental erosion and caries status of Chinese university students. Oral Health Prev Dent. 2015;13(3):237-244. doi: 10.3290/j.ohpd.a32668. PMID: 25197728.
Khandelwal V, Nayak UA, Nayak PA, Ninawe N. Prevalence of traumatic injuries to the anterior teeth among 3-17-year-old school children of Indore and correlating it with Kuppuswamy SES, occlusal relationship and ascertaining percentage of those seeking the treatment. Int J Adolesc Med Health. 2018 Nov 6;33(1). doi: 10.1515/ijamh-2018-0061. PMID: 30398972.
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