Factors associated to quality of life of orthodontists graduated from a public university (1993-2016): A mixed-methods approach.

INTRODUCTION: For dental professionals, including orthodontists, Quality of life (QOL) is a topic of growing concern and could be determined by objective and subjective complex factors. OBJECTIVE: This study analyzed the factors that influence the QOL of orthodontists graduated between 1993 and 2016 of a public university (Medellín, Colombia). METHODS: A mixed-methods study was conducted (cross-sectional survey; 88 participants; 3 focus groups, 21 participants). Quantitative analysis: the research included sociodemographic, labor and health characteristics as independent variables and the WHOQOL-BREF questionnaire as main outcome for QOL. Frequencies were calculated and the association between QOL and independent variables was estimated by bivariate analysis (Chi square tests) and a linear multivariate regression. Qualitative analysis: Narrative content analysis according to thematic categories. Mixed methods: a conceptual framework for QOL using the triangulation was developed. RESULTS: All the scores surpassed 55 points on the 4 domains of WHOQOL-BREF. A lower value was found in the physical dimension (57.1±10.7) and a greater value in the psychological dimension (70.8±8.3). The variables associated positively to QOL were permanent contract, teaching/research activities, monthly income, resting days per week and sex. Factors associated negatively were low social support, mental health and rent housing. Discourses of participants allowed to identify the concept of QOL and the contextual and social determinants and satisfiers. CONCLUSION: QOL of orthodontists is influenced by sociodemographic, employment, working and health factors. Therefore, QOL is a multidimensional concept that recognizes the political and socio-economic context and personal and professional experiences.

Factors associated to quality of life of orthodontists graduated from a public university (1993-2016): A mixed-methods approach

ABSTRACT Introduction: For dental professionals, including orthodontists, Quality of life (QOL) is a topic of growing concern and could be determined by objective and subjective complex factors. Objective: This study analyzed the factors that influence the QOL of orthodontists graduated between 1993 and 2016 of a public university (Medellín, Colombia). Methods: A mixed-methods study was conducted (cross-sectional survey; 88 participants; 3 focus groups, 21 participants). Quantitative analysis: the research included sociodemographic, labor and health characteristics as independent variables and the WHOQOL-BREF questionnaire as main outcome for QOL. Frequencies were calculated and the association between QOL and independent variables was estimated by bivariate analysis (Chi square tests) and a linear multivariate regression. Qualitative analysis: Narrative content analysis according to thematic categories. Mixed methods: a conceptual framework for QOL using the triangulation was developed. Results: All the scores surpassed 55 points on the 4 domains of WHOQOL-BREF. A lower value was found in the physical dimension (57.1±10.7) and a greater value in the psychological dimension (70.8±8.3). The variables associated positively to QOL were permanent contract, teaching/research activities, monthly income, resting days per week and sex. Factors associated negatively were low social support, mental health and rent housing. Discourses of participants allowed to identify the concept of QOL and the contextual and social determinants and satisfiers. Conclusion: QOL of orthodontists is influenced by sociodemographic, employment, working and health factors. Therefore, QOL is a multidimensional concept that recognizes the political and socio-economic context and personal and professional experiences.

RESUMO Introdução: Entre os profissionais da área odontológica, incluindo os ortodontistas, a Qualidade de Vida (QOL) é um tópico de interesse crescente, podendo ser determinada por meio de complexos fatores objetivos e subjetivos. Objetivo: O presente estudo analisou fatores que influenciam a QOL dos ortodontistas graduados entre 1993 e 2016 em uma universidade pública (Medelín, Colômbia). Método: Foi conduzido um estudo de metodologia mista (pesquisa transversal; 88 participantes; 3 grupos focais, 21 participantes). Análise quantitativa: foram incluídas características sociodemográficas, ocupacionais e de saúde como variáveis independentes e o questionário WHOQOL-BREF como resultado principal para QOL. As frequências foram calculadas e a associação entre QOL e as variáveis independentes foram estimadas por uma análise bivariada (teste qui-quadrado) e uma regressão linear multivariada. Análise qualitativa: análise do conteúdo narrativo de acordo com as categorias temáticas. Metodologia mista: foi desenvolvida uma estrutura conceitual para QOL utilizando a triangulação. Resultados: Todas as pontuações ultrapassaram 55 pontos nos 4 domínios do WHOQOL-BREF. Um valor mais baixo foi encontrado na dimensão física (57,1±10,7) e um valor mais alto, na dimensão psicológica (70,8±8,3). As variáveis associadas positivamente à QOL foram as seguintes: contrato permanente, atividades ensino/pesquisa, renda mensal, dias de descanso por semana e sexo. Os fatores associados negativamente foram baixo suporte social, saúde mental e morar de aluguel. O discurso dos participantes permitiu a identificação do conceito de QOL, dos determinantes contextuais e sociais, e os fatores motivacionais. Conclusão: A QOL dos ortodontistas é influenciada por fatores sociodemográficos, ocupacionais, ligados ao trabalho e à saúde. Dessa maneira, a QOL se apresenta como um conceito multidimensional, que reconhece o contexto político e socioeconômico, assim como as experiências pessoais e profissionais.

Oral Health and Oral Health Service Utilization in Native and Immigrant Population: A Cross-Sectional Analysis from the PELFI Cohort in Spain.

This study analyzes associated factors to self-perceived oral health and use of oral health services in native and immigrant adults from the PELFI cohort in Spain. A cross-sectional analysis was conducted (401 adults ≥ 18 years, from Spain, Ecuador, Colombia and Morocco). Frequencies for sociodemographic, self-perceived general and oral health variables were calculated. The association between oral health/oral health services use and origin country was estimated by logistic regression (adjusted odds ratio-aOR-; 95% confidence intervals -95%CI-). Ecuadorian men were more likely to report dental caries (aPR 2.75; 95%CI 1.30-5.80) and Moroccan women were more likely to report gingival bleeding (aPR 3.61; 95%CI 1.83-7.15) and the use of oral health services ≥ 1 year/never (aPR 1.69; 95%CI 1.06-2.69). Colombian women were less likely to report missing teeth (aPR 0.73; 95%CI 0.56-0.95). Poor self-perceived oral health indicators were observed in immigrants and were modified for sociodemographic and general health variables.

Oral Health-Related Quality of Life in Native and Immigrant Populations in the PELFI Study in Spain.

Quality of life and its relationship to oral health is an important consideration in the determinants of health of vulnerable groups. The aim of this study is to assess oral health-related quality of life (OHRQoL) and its related factors in native and immigrant population families from the Platform of Longitudinal Studies on Immigrant Families (PELFI) study in Spain. A cross-sectional study was conducted in a sample of 401 adults aged 18 years and older from Spain, Ecuador, Colombia, and Morocco. The OHIP-14 instrument was applied, and three summary variables were used (prevalence, extent, and severity). Sociodemographic and self-perceived health variables were included. Bivariate analyzes were carried out to summarize the variables of the OHIP-14 according to sociodemographic and health variables, and bivariate analyzes of the OHIP-14 dimensions was conducted by country of origin. Multivariate linear models were used to investigate predictors for the dimensions of the OHIP-14. Multivariate logistic models were used to estimate the association of OHRQoL with immigration status using crude and adjusted odds ratios with 95% confidence intervals (OR-95% CI). It was found that 14.8% of men and 23.8% of women reported negative impacts in terms of OHRQoL (statistically significant differences: p < 0.05). There were statistically significant differences according to the country of origin in the prevalence and severity outcomes of the OHIP-14 in women (p < 0.05), and severe outcomes were observed in Moroccan women. In women, statistically significant differences (p < 0.05) in OHRQoL were observed according to age and marital status. There were some differences between OHIP-14 summary outcomes according to the health variables. Some sociodemographic and health variables were predictors for the OHIP-14 and their dimensions with differences by sex. Multivariate analysis showed a statistically significant association between OHRQoL and immigration status for Moroccan women. Differences in OHRQoL were found according to sociodemographic and health variables. Further research could clarify the predictors of OHRQoL through epidemiological surveillance and longitudinal studies.

Comparing Oral Health Services Use in the Spanish and Immigrant Working Population.

We aim to analyze oral health services use and related factors in the immigrant working population compared to the Spanish counterparts. Cross-sectional study of working population (n = 8591) that responded Spanish National Health Survey (SNHS), 2011-2012. The association between oral health services use and migration status was estimated using logistic regression. Immigrant men presented a greater probability of oral health service use a year or more prior (aOR 1.63; 95% CI 1.26-2.02), independently of oral health, sociodemographic and socioeconomic characteristics. In immigrant women, greater probability of use of oral health services one year or more prior disappeared after adjusting for the same variables (aOR 1.15; 95% CI 0.91-1.45). Occupational social class and education level could explain better a high percentage of oral health service use one year or more prior in immigrant women but there is a persistent inequality in oral health service use in immigrant men.

[Periodontal condition and tooth loss in diabetic patients]. / Condición periodontal y pérdida dental en pacientes diabéticos del Hospital Universitario San Vicente de Paúl.

INTRODUCTION: Diabetes is a systemic disease which affects the metabolism of glucose,and it has been associated with the development of periodontal disease. OBJECTIVE: The periodontal condition and tooth loss was evaluated in diabetic subjects. MATERIALS AND METHODS: At the San Vicente de Paúl Hospital (Medellín, Colombia), 117 subjects with type 1 and 2 diabetes mellitus were examined. Patients underwent a comprehensive periodontal evaluation, glycosylated hemoglobin analysis, oral hygiene habits and history of diabetes. A descriptive and comparative analysis between the clinical parameters, tooth loss and type of diabetes was performed. RESULTS: The prevalence of gingivitis was 27.4% and periodontitis 72.6%. The most frequent systemic complication was hypertension (51.3%). The most frequently lost teeth were molars and in general, the subjects had lost an average of 7 teeth and had a poor plaque control (55.4%). No differences were seen in clinical parameters between type 1 and 2 diabetes patients. The mean probing depth was 2.6 mm. The first and second upper and lower molars showed the highest values of PD. The mean clinical attachment loss was 3.3 mm . Maxillary teeth 17, 16, and mandibular 37, 47 showed the highest values of clinical attachment loss. CONCLUSIONS: In conclusion, the periodontal condition in diabetic patients was poor, presenting periodontitis in most cases. This can be a major cause of tooth loss in diabetic subjects and requires special attention by clinicians.

Caries dental y necesidades de tratamiento en los escolares de 12 años de las instituciones oficiales del municipio de Rionegro (Antioquia, Colombia), 2010 / Dental caries and treatment needs in 12-year-old schoolchildren from public institutions of the municipality of Rionegro (Antioquia, Colombia), 2010

Introducción: el análisis de la situación de caries dental en la población de 12 años permite comprobar el cumplimiento de las metas relacionadas con el componente bucal de la salud. El objetivo de este estudio es describir la experiencia y prevalencia de cariesdental y las necesidades de tratamiento en una muestra de escolares de doce años del municipio de Rionegro. Métodos: estudio descriptivotransversal en 808 escolares de 12 años de instituciones educativas públicas del municipio de Rionegro. Se aplicaron criterios del índice de dientes cariados, obturados y perdidos tradicionales y modificados (COPDT-COPDM), y el índice de caries significativo (SiC), y se describieron según sexo, escolaridad, zona de residencia y afiliación a la seguridad social. Resultados: el COPDT en la población fue de 1,70 (± 1,63) y el COPDM de 2,19 (± 1,92). La prevalencia de caries en lesiones cavitacionales fue del 59,9% y para todas las lesiones fue de 70,8%. La experiencia de caries para el COPDT fue del 69,9 y del 77,8% para el COPDM. El SiC tomado a partir del COPDT fue de3,60 y de 4,42 a partir del COPDM. Se presentaron diferencias significativas en la experiencia, prevalencia y necesidades de tratamientoprincipalmente de acuerdo con el sexo y el grado de escolaridad. Conclusión: aunque los indicadores muestran el cumplimiento de las metas propuestas por la OMS y según estudios nacionales, se encuentran algunas situaciones de desigualdad que deben ser tenidas en cuenta para la planificación de estrategias de promoción, prevención y atención para esta población.

Introduction: analyzing dental caries conditions of 12-year-old population allows verifying how much of the oralhealth related goals have been achieved. The objective of this study was to describe the experience and prevalence of dental caries andtreatment needs of 12-year-old school children in the municipality of Rionegro. Methods: this was a cross-sectional descriptive study on 808 schoolchildren aged 12 years from public schools of the municipality of Rionegro. Both traditional (T) and modified (M) decayed, missing and filled teeth indexes (DMFTT and DMFTM) were used, as well as the Significant Caries Index (SiC). The obtained data wereanalyzed according to gender, education level, place of residence, and health insurance status. Results: the DMFTT value among the studied population was 1.70 (± 1.63) and the DMFTM was 2.19 (± 1.92). The prevalence of cavitated caries lesions was 59.9%, and for all the lesions it was 70.8%. Caries experience for the DMFTT was 69.9%, and 77.8% in the case of DMFTM. The SiC measured according to the DMFTT was 3.60, and 4.42 for DMFTM. Significant differences were observed in terms of experience, prevalence andtreatment needs, especially in relation to gender and school grade. Conclusions: these values indicate accomplishment of the goals set by the WHO and by Colombian standards. Nevertheless, they also reveal some inequalities that must be considered when planning promotion, prevention and attention programs aimed at this population.

Condición periodontal y pérdida dental en pacientes diabéticos del Hospital Universitario San Vicente de Paúl / Periodontal condition and tooth loss in diabetic patients

Introducción. La diabetes es una enfermedad sistémica que afecta el metabolismo de la glucosa y se ha relacionado con el desarrollo de enfermedad periodontal. Objetivo. El objetivo de este estudio fue determinar la condición periodontal y la pérdida dental de un grupo de pacientes diabéticos del Hospital Universitario San Vicente de Paúl. Materiales y métodos. A 117 sujetos con diabetes de tipo 1 y 2 se les practicó un examen periodontal completo, determinación de valores de la hemoglobina A1C (glycosilated hemoglobin) y radiografías periapicales, y se les indagó sobre hábitos de higiene oral e historia de diabetes. Los datos se analizaron de forma descriptiva y comparativa entre los parámetros clínicos, pérdida dental y tipo de diabetes. Resultados. La prevalencia de gingivitis fue de 27,4 % y la de periodontitis de 72,6 %. La complicación sistémica más frecuente fue la hipertensión arterial (51,3 %). Los dientes más frecuentemente perdidos fueron los molares y, en promedio, los sujetos habían perdido siete dientes. El control de placa bacteriana fue pobre (55,4 %). No hubo diferencias en los parámetros clínicos entre pacientes diabéticos de tipo 1 y de tipo 2. El promedio de profundidad con sonda fue 2,62 mm, siendo los molares los dientes más afectados. El promedio de pérdida de inserción fue de 3,03 mm. Los dientes 17, 16, 27, 37 y 47 presentaron los valores más altos de pérdida de inserción. Conclusiones. En conclusión, la condición periodontal en pacientes diabéticos fue mala, y presentaban periodontitis en la mayoría de los casos. Esto puede ser una causa importante de pérdida dental en sujetos diabéticos y requiere de especial atención por parte de los odontólogos y médicos.

Introduction. Diabetes is a systemic disease which affects the metabolism of glucose,and it has been associated with the development of periodontal disease. Objective. The periodontal condition and tooth loss was evaluated in diabetic subjects. Materials and methods. At the San Vicente de Paúl Hospital (Medellín, Colombia), 117 subjects with type 1 and 2 diabetes mellitus were examined. Patients underwent a comprehensive periodontal evaluation, glycosylated hemoglobin analysis, oral hygiene habits and history of diabetes. A descriptive and comparative analysis between the clinical parameters, tooth loss and type of diabetes was performed. Results. The prevalence of gingivitis was 27.4% and periodontitis 72.6%. The most frequent systemic complication was hypertension (51.3%). The most frequently lost teeth were molars and in general, the subjects had lost an average of 7 teeth and had a poor plaque control (55.4%). No differences were seen in clinical parameters between type 1 and 2 diabetes patients. The mean probing depth was 2.6 mm. The first and second upper and lower molars showed the highest values of PD. The mean clinical attachment loss was 3.3 mm . Maxillary teeth 17, 16, and mandibular 37, 47 showed the highest values of clinical attachment loss. Conclusions. In conclusion, the periodontal condition in diabetic patients was poor, presenting periodontitis in most cases. This can be a major cause of tooth loss in diabetic subjects and requires special attention by clinicians.

Caries dental y necesidades de tratamiento en el primer molar permanente en escolares de 12 años de las escuelas públicas del municipio de Rionegro (Antioquia, Colombia), 2010 / Dental Caries and Treatment Needs in the First P ermanent Mol ar in 12-year-old School children fr om P ublic Schools in the Municipal ity of Rionegro (Antioquia, Colombia), 2010

Antecedentes: es importante evaluar el primer molar permanente, ya que en edad escolares el diente permanente más afectado por caries. La prevalencia de caries en estos dientesse ha asociado con la actividad futura de caries. Objetivo: determinar la prevalencia decaries y las necesidades de tratamiento de los primeros molares permanentes en la poblaciónescolar de 12 años de las escuelas oficiales del municipio de Rionegro (Antioquia).Métodos: se realizó un estudio descriptivo transversal en 808 escolares de 12 años deescuelas públicas del municipio. Se analizó la prevalencia de caries dental en el primer molarpermanente por número y tipo de dientes afectados y de acuerdo con sexo, escolaridad,zona de residencia y afiliación al Sistema General de Seguridad Social en Salud (SGSSS).También se describieron las necesidades de tratamiento para cada primer molar permanente.Resultados: los molares inferiores presentaron la mayor prevalencia de cariesdental en relación con las variables de afiliación al SGSSS, sexo y zona de residencia;en estas dos últimas variables se evidenció más afectación en el primer molar inferiorderecho y concentración en este molar de las necesidades de tratamiento restaurativo.Conclusiones: aunque se cuenta con estudios previos sobre prevalencia de caries dentalen el municipio que muestran cumplimiento de metas de la Organización Mundial de laSalud, son más escasos los estudios que evalúen de manera individual los primeros molarespermanentes para orientar políticas de salud pública dirigidos a la preservación de estasimportantes estructuras dentales...

Background: Evaluation of the first permanent molar is important since it is the tooth thatis most affected from dental cavities in schoolers. Caries prevalence of this molar has beenassociated with future caries activity. Objective: Determine caries prevalence and treatmentneeds in the first permanent molar of a 12-year-old population from public schools in themunicipality of Rionegro (Antioquia). Methods: A descriptive study in 808 12-year-old schoolchildren from public schools in Rionegro was conducted. Caries prevalence in the first permanentmolar was analyzed regarding number and type of teeth affected and associationwith sex, grade, zone of residence, and type of affiliation to the social security system (SSS).Needs for dental treatment in this molar were also described. Results: Lower molars werethe most affected by dental caries in relationship with sex, SSS, and zone of residence; in thelatter two dental cavities were more prevalent in the right lower first molar, tooth in which theneed for restorative treatment is higher than the other first molars. Conclusions: Althoughthere are previous studies on the dental health status in Rionegro and indicators show thatthe goals of the World Health Organization are being met, evaluative research focused onthe first permanent molar is scarce and necessary given its importance for health publicpolicymaking intended to preserve this teeth...