Adaptation and validation for Spain of the child-oral impacton daily performance (C-OIDP) for use with adolescents

Objectives. To linguistically and culturally adapt the Child-OIDP, an Oral Health-Related Quality of Life(OHRQoL) index, into Spanish for use among adolescents, and to validate it by evaluating the psychometricproperties of the self-administered version. Study design. Following a forward - backward translation procedure,the English version of the questionnaire was translated by independent translators and the reconciled version wasthen sent to three experts for assessment. A pilot study was conducted on a sub-sample of 30 adolescents agedbetween 11 - 12 years to assess their understanding of the questionnaire and its wording. The participants in themain study comprised 425 school children aged from 11 to 14 and pertaining to the oral health survey on schoolchildren in Navarre; these children were given a clinical examination and answered a structured questionnaire onoral health self-perception, satisfaction and perceived dental treatment needs. We evaluated the content validity,face validity, criterion validity, internal consistency and reliability. Results. With regard to the face validity, theexperts’ opinion was that the version was adequate. The pilot study indicated minor changes to the wording tobetter adapt it for the target population. Regarding criterion and construct validity, the association of the C-OIDPwith the self-perception variables gave statistically significant results (p<0.01) in all cases. For the internal consistencyanalysis, no negative correlations were present in the correlations matrix nor were any of the values too highto become redundant; the majority were statistically significant (p<0.05). Cronbach’s alpha value was 0.68, withcorrected item-total values of between 0.20 and 0.56 and with no alpha if-item-deleted values greater than 0.68.(AU)

No disponible

Adaptation and validation for Spain of the Child-Oral Impact on Daily Performance (C-OIDP) for use with adolescents.

OBJECTIVES: To linguistically and culturally adapt the Child-OIDP, an Oral Health-Related Quality of Life (OHRQoL) index, into Spanish for use among adolescents, and to validate it by evaluating the psychometric properties of the self-administered version. STUDY DESIGN: Following a forward - backward translation procedure, the English version of the questionnaire was translated by independent translators and the reconciled version was then sent to three experts for assessment. A pilot study was conducted on a sub-sample of 30 adolescents aged between 11 - 12 years to assess their understanding of the questionnaire and its wording. The participants in the main study comprised 425 school children aged from 11 to 14 and pertaining to the oral health survey on school children in Navarre; these children were given a clinical examination and answered a structured questionnaire on oral health self-perception, satisfaction and perceived dental treatment needs. We evaluated the content validity, face validity, criterion validity, internal consistency and reliability. RESULTS: With regard to the face validity, the experts' opinion was that the version was adequate. The pilot study indicated minor changes to the wording to better adapt it for the target population. Regarding criterion and construct validity, the association of the C-OIDP with the self-perception variables gave statistically significant results (p<0.01) in all cases. For the internal consistency analysis, no negative correlations were present in the correlations matrix nor were any of the values too high to become redundant; the majority were statistically significant (p<0.05). Cronbach's alpha value was 0.68, with corrected item-total values of between 0.20 and 0.56 and with no alpha if-item-deleted values greater than 0.68. The test-retest analysis gave an intraclass correlation coefficient (ICC)=0.98. CONCLUSION: The Spanish version of the self-administered questionnaire for the C-OIDP for adolescents adequately demonstrated successful psychometric properties and, therefore, is a valid and reliable instrument for measuring the OHRQoL of adolescents.

Dental extractions in patients on antiplatelet therapy. A study conducted bythe Oral Health Department of the Navarre Health Service (Spain)

Objectives: Antiplatelet drugs are used to treat and prevent a wide range of cardiovascular pathologies and/orcerebrovascular accidents. Although the use of anticoagulants in dental extractions is highly protocolized, a clearcontrol method has not yet been established for antiplatelet drugs. This study is directed at evaluating the clinicalconsequences of extractions in patients on antiplatelet therapy. Study design: The Oral Health Department ofthe Navarre Health Service-Osasunbidea conducted a trial on 155 patients who underwent dental extractions andwere receiving antiplatelet therapy. The patients were not requested to interrupt the medication and local measureswere taken to control potential haemorrhage. Results: No major haemorrhages were reported. One patient had amoderate haemorrhage that required emergency care. In the remaining patients the bleeding was controlled withlocal measures. With regard to subsequent bleeding, no differences were observed between the various antiplateletdrugs used. The only statistically significant relationship found was between bleeding and the number of teethextracted. Conclusions: It can be concluded that no more than 3 teeth should be removed at any one time, and formultiple extractions, the teeth should be adjacent to each other (AU)

Dental extractions in patients on antiplatelet therapy. A study conducted by the Oral Health Department of the Navarre Health Service (Spain).

OBJECTIVES: Antiplatelet drugs are used to treat and prevent a wide range of cardiovascular pathologies and/or cerebrovascular accidents. Although the use of anticoagulants in dental extractions is highly protocolized, a clear control method has not yet been established for antiplatelet drugs. This study is directed at evaluating the clinical consequences of extractions in patients on antiplatelet therapy. STUDY DESIGN: The Oral Health Department of the Navarre Health Service-Osasunbidea conducted a trial on 155 patients who underwent dental extractions and were receiving antiplatelet therapy. The patients were not requested to interrupt the medication and local measures were taken to control potential haemorrhage. RESULTS: No major haemorrhages were reported. One patient had a moderate haemorrhage that required emergency care. In the remaining patients the bleeding was controlled with local measures. With regard to subsequent bleeding, no differences were observed between the various antiplatelet drugs used. The only statistically significant relationship found was between bleeding and the number of teeth extracted. CONCLUSIONS: It can be concluded that no more than 3 teeth should be removed at any one time, and for multiple extractions, the teeth should be adjacent to each other.