Autor: |
Lopes RT; Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil., Neves ÉTB; Department of Dentistry, State University of Paraíba, Araruna 58233-000, Paraíba, Brazil., da Costa Dutra L; São Francisco College, Cajazeiras 58900-000, Paraíba, Brazil., Firmino RT; Academic Unit of Biological Sciences, Federal University of Campina Grande, Patos 58708-110, Paraíba, Brazil., de Lima LCM; Faculty of Medical Sciences of Campina Grande, UNIFACISA University Center, Campina Grande 58408-326, Paraíba, Brazil., Paiva SM; Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil., Ferreira FM; Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil., Granville-Garcia AF; Graduate Program in Dentistry, Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, Paraíba, Brazil. |
Abstrakt: |
The present study aimed to investigate associations between the self-perceived dental treatment need and clinical factors, familial characteristics, and school context in adolescents. A cross-sectional study was conducted with a representative sample of 746 students aged 15 to 19 years in a medium-sized city in Brazil. Data collection involved the use of a sociodemographic questionnaire, an oral health questionnaire, and the Family Adaptability and Cohesion Scales (FACES III) instrument. Clinical examinations were performed by two trained and calibrated examiners (Kappa > 0.80) using the Nyvad criteria. A robust logistic regression analysis for complex samples was performed using a multilevel approach (α = 5%). The individual factors associated with the self-perceived treatment need were dental pain (OR = 1.08; 95% CI: 1.01-1.16), the loss of the first molars (OR = 1.09; 95% CI: 1.03-1.15), and disengaged family cohesion (OR = 1.15; 95% CI: 1.01-1.31). In terms of context, attending a public school was associated with the self-perceived treatment need (OR = 1.17; 95% CI: 1.02-1.33). Thus, the individual factors of toothache, tooth loss, and a disengaged family, as well as the school context, exerted an influence on the self-perceived treatment need. |