Impact of parental oral health literacy on orthodontic treatment need in schoolchildren

ABSTRACT Introduction: Malocclusion is a global health problem and when not treated in childhood, can persist throughout one’s lifetime. Objective: As children are dependent on their parents/caregivers for health care, the aim of the present study was to investigate the association between parenta...

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Main Authors: Gélica Lima GRANJA, Larissa Chaves Morais de LIMA, Tiago Ribeiro LEAL, Veruska Medeiros Martins BERNARDINO, Érick Tássio Barbosa NEVES, Saul Martins PAIVA, Ana Flávia GRANVILLE-GARCIA
Format: Article
Language:English
Published: Dental Press Editora 2025-05-01
Series:Dental Press Journal of Orthodontics
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512025000200304&lng=en&tlng=en
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author Gélica Lima GRANJA
Larissa Chaves Morais de LIMA
Tiago Ribeiro LEAL
Veruska Medeiros Martins BERNARDINO
Érick Tássio Barbosa NEVES
Saul Martins PAIVA
Ana Flávia GRANVILLE-GARCIA
author_facet Gélica Lima GRANJA
Larissa Chaves Morais de LIMA
Tiago Ribeiro LEAL
Veruska Medeiros Martins BERNARDINO
Érick Tássio Barbosa NEVES
Saul Martins PAIVA
Ana Flávia GRANVILLE-GARCIA
author_sort Gélica Lima GRANJA
collection DOAJ
description ABSTRACT Introduction: Malocclusion is a global health problem and when not treated in childhood, can persist throughout one’s lifetime. Objective: As children are dependent on their parents/caregivers for health care, the aim of the present study was to investigate the association between parental oral health literacy and orthodontic treatment need in schoolchildren. Methods: A descriptive, analytical, cross-sectional study with a representative sample of children eight to ten years of age was conducted. Sociodemographic questionnaire, the Sleep Disturbance Scale for Children and the Oral Health Literacy - Adult Questionnaire were sent for parents/caregivers. Children answered the Revised Children’s Manifest Anxiety Scale. For the diagnosis of orthodontic treatment need, the Dental Aesthetic Index was used. Data analysis included multinomial logistic regression analyses (OR) (p < 0.05). Results: Treatment need was identified for 55.2% of participants. Children with anxiety were 53% more likely to have mandatory treatment needs (OR = 1.53; 95% CI: 1.16-2.57; p = 0.04), children with sleep disturbances were 1.94 times more likely to have mandatory treatment needs (OR = 1.94; 95% CI: 1.29-2.91; p = 0.01). Children whose parents/caregivers had an insufficient level of oral health literacy were 77% more likely to have mandatory treatment needs (OR = 1.77; 95% CI: 1.04-2.99; p = 0.03). Conclusions: Orthodontic treatment need was greater among schoolchildren from families with a lower income, who lived in homes with more than five residents, whose mothers were younger, whose parents/caregivers had an insufficient level of oral health literacy, and those with sleep disorders and with anxiety.
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spelling doaj-art-71f8395dc520497cb3a412b3a1e1b7d32025-08-20T02:29:11ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092025-05-0130210.1590/2177-6709.30.2.e2524238.oarImpact of parental oral health literacy on orthodontic treatment need in schoolchildrenGélica Lima GRANJAhttps://orcid.org/0000-0001-6655-4696Larissa Chaves Morais de LIMAhttps://orcid.org/0000-0002-9351-5438Tiago Ribeiro LEALhttps://orcid.org/0000-0003-1551-9481Veruska Medeiros Martins BERNARDINOhttps://orcid.org/0000-0003-1187-2878Érick Tássio Barbosa NEVEShttps://orcid.org/0000-0002-9300-1007Saul Martins PAIVAhttps://orcid.org/0000-0002-3968-1638Ana Flávia GRANVILLE-GARCIAhttps://orcid.org/0000-0002-6054-8372ABSTRACT Introduction: Malocclusion is a global health problem and when not treated in childhood, can persist throughout one’s lifetime. Objective: As children are dependent on their parents/caregivers for health care, the aim of the present study was to investigate the association between parental oral health literacy and orthodontic treatment need in schoolchildren. Methods: A descriptive, analytical, cross-sectional study with a representative sample of children eight to ten years of age was conducted. Sociodemographic questionnaire, the Sleep Disturbance Scale for Children and the Oral Health Literacy - Adult Questionnaire were sent for parents/caregivers. Children answered the Revised Children’s Manifest Anxiety Scale. For the diagnosis of orthodontic treatment need, the Dental Aesthetic Index was used. Data analysis included multinomial logistic regression analyses (OR) (p < 0.05). Results: Treatment need was identified for 55.2% of participants. Children with anxiety were 53% more likely to have mandatory treatment needs (OR = 1.53; 95% CI: 1.16-2.57; p = 0.04), children with sleep disturbances were 1.94 times more likely to have mandatory treatment needs (OR = 1.94; 95% CI: 1.29-2.91; p = 0.01). Children whose parents/caregivers had an insufficient level of oral health literacy were 77% more likely to have mandatory treatment needs (OR = 1.77; 95% CI: 1.04-2.99; p = 0.03). Conclusions: Orthodontic treatment need was greater among schoolchildren from families with a lower income, who lived in homes with more than five residents, whose mothers were younger, whose parents/caregivers had an insufficient level of oral health literacy, and those with sleep disorders and with anxiety.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512025000200304&lng=en&tlng=enMalocclusionOrthodontic treatment needHealth literacy
spellingShingle Gélica Lima GRANJA
Larissa Chaves Morais de LIMA
Tiago Ribeiro LEAL
Veruska Medeiros Martins BERNARDINO
Érick Tássio Barbosa NEVES
Saul Martins PAIVA
Ana Flávia GRANVILLE-GARCIA
Impact of parental oral health literacy on orthodontic treatment need in schoolchildren
Dental Press Journal of Orthodontics
Malocclusion
Orthodontic treatment need
Health literacy
title Impact of parental oral health literacy on orthodontic treatment need in schoolchildren
title_full Impact of parental oral health literacy on orthodontic treatment need in schoolchildren
title_fullStr Impact of parental oral health literacy on orthodontic treatment need in schoolchildren
title_full_unstemmed Impact of parental oral health literacy on orthodontic treatment need in schoolchildren
title_short Impact of parental oral health literacy on orthodontic treatment need in schoolchildren
title_sort impact of parental oral health literacy on orthodontic treatment need in schoolchildren
topic Malocclusion
Orthodontic treatment need
Health literacy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512025000200304&lng=en&tlng=en
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