{"title":"Cost-effectiveness of selective caries removal versus stepwise excavation for deep caries lesions.","authors":"Juliana Jobim Jardim, Luana Severo Alves, Roberto Frota Decourt, Lilian Marly de Paula, Heliana Dantas Mestrinho, Marisa Maltz","doi":"10.1590/1807-3107bor-2023.vol37.0083","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0083","url":null,"abstract":"<p><p>A multicenter, randomized controlled clinical trial evaluated the effectiveness of two treatments for deep caries lesions in permanent molars - selective caries removal (SCR) to soft dentin with restoration in a single visit, and stepwise excavation (SW) - regarding pulp vitality for a 5-year follow-up period. The present study aimed to determine the cost-effectiveness of these treatments. Treatments were conducted in two Brazilian cities (Brasília and Porto Alegre). At baseline, 299 permanent molars (233 patients) were treated and 229 teeth (174 patients) were evaluated after 5 years. The discounted cash flow method was adopted. The total cost of each treatment was calculated, and the failure cost (endodontic treatment + restoration) was added to the final cost, according to the 5-year failure rates of each therapy (20% for SCR and 44% for SW). A public health service unit composed of three dentists in 4-hour work shifts was used to calculate the monetary value of the treatments, assuming a total of 528 treatments/month. Considering the 229 teeth evaluated after 5 years (115 SCR and 114 SW), SCR provided savings of 43% (amalgam) and 41% (resin composite) per treatment, compared to SW. The SCR technique provides benefits for public finances (direct economy) and for public health services (increase in the number of treatments performed). Considering that maximizing profit and reducing costs are powerful motivating factors for adopting a certain treatment, this study provides data to better support the decision-making process, regarding the management of deep caries lesions in permanent molars.</p>","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"37 ","pages":"e083"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriela Costa Marin, Aline Cristina Batista Rodrigues Johann, Isteicy Cortêz Silva, Ana Carolina Mastriani Arantes, Ana Maria Trindade Grégio Hardy, Sergio Aparecido Ignácio, Orlando Motohiro Tanaka, Odilon Guariza Filho, Elisa Souza Camargo
{"title":"The influence of fluoxetine on orthodontic tooth movement in rats.","authors":"Gabriela Costa Marin, Aline Cristina Batista Rodrigues Johann, Isteicy Cortêz Silva, Ana Carolina Mastriani Arantes, Ana Maria Trindade Grégio Hardy, Sergio Aparecido Ignácio, Orlando Motohiro Tanaka, Odilon Guariza Filho, Elisa Souza Camargo","doi":"10.1590/1807-3107bor-2023.vol37.0007","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0007","url":null,"abstract":"<p><p>This study aimed to evaluate the effects of chronic use of fluoxetine on the amount of orthodontic tooth movement and tissue changes in rats. A total of 192 Wistar rats were divided into 4 groups: S, 0.9% saline solution; F, 20 mg/kg of fluoxetine; SM, 0.9% saline solution with orthodontic movement; and FM, 20 mg/kg of fluoxetine with orthodontic movement. After 30 days of daily saline or fluoxetine administration, an orthodontic device (25cN) was used to mesially displace the first molar in animals of the groups SM and FM. The animals were euthanized 2, 7, 14, and 28 days after placement of the orthodontic appliances and animals of groups S and F were euthanized at the same time. The assessment of tooth movement was made in gypsum castings, the collagen neoformation was assessed by polarization microscopy, the number of osteoclasts and root resorption were evaluated using tartrate-resistant acid phosphatase, and presence of hyalinized areas was assessed by hematoxylin-eosin staining. Fluoxetine did not affect the amount of tooth displacement, percentage of collagen, number of osteoclasts, and presence of hyalinized areas (P>0.05). There was a higher frequency of root resorption areas in the FM group than in the SM group only on the second day (P<0.05). The findings of this study show that chronic use of 20 mg/kg fluoxetine does not affect the amount of tooth movement, collagen neoformation, number of osteoclasts, or hyalinized areas and does not affect root resorption until the last day of orthodontic movement.</p>","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"37 ","pages":"e007"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10624464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marco Antonio Alarcón, Tania Ariza-Freitas, Natali Chavez-Vereau, Andrea López-Pacheco, Claudio Mendes Pannuti, Lilian Málaga-Figueroa
{"title":"Consistency of recommendations of clinical practice guidelines in periodontology: a systematic review.","authors":"Marco Antonio Alarcón, Tania Ariza-Freitas, Natali Chavez-Vereau, Andrea López-Pacheco, Claudio Mendes Pannuti, Lilian Málaga-Figueroa","doi":"10.1590/1807-3107bor-2023.vol37.0029","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0029","url":null,"abstract":"<p><p>The aim of this systematic review was to evaluate the methodological quality and the consistency of recommendations of clinical practice guidelines (CPGs) in Periodontology. An electronic search was conducted in two databases, MEDLINE and EMBASE, eight CPGs databases, and home pages of scientific societies in Periodontology up to April 2022. Three reviewers independently assessed methodological quality using the AGREE II instrument. In addition, we evaluated the consistency of the recommendations. Eleven CPGs were included, and the topics developed focused on prevention, diagnosis, risk factors, surgical and non-surgical periodontal treatment, antimicrobial therapy, root coverage, and maintenance. We found that the AGREE domains 2 (Stakeholder involvement) and 5 (Applicability) obtained the lowest scores. Domains 1 (Scope and purpose), 3 (Rigor of development) and 4 (Clarity of presentation) obtained the highest scores among the evaluated CPGs. The clinical recommendations for treatment of periodontal diseases were mostly consistent. Overall, the quality of CPGs used in periodontics was high. There was consistency of recommendations in specific fields. These findings may help researchers to promote CPGs focused on different fields of periodontics that have not yet been developed. Furthermore, the clinician will be able to make better clinical decisions.</p>","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"37 ","pages":"e029"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association among COVID-19, multisystem inflammatory syndrome in children, and oral health status.","authors":"Gülser Kilinç, Aliye Akcali, Nurşen Belet, Bilge Cansu Uzun, Şilem Özdem Erbaş, İrem Ceren Arslan, Ayşe Çakıl Güzin","doi":"10.1590/1807-3107bor-2023.vol37.0072","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0072","url":null,"abstract":"<p><p>The pathophysiology of multisystem inflammatory syndrome in children (MIS-C) and associated oral symptoms have not been clarified yet. The aim of the present study was to compare the oral health status of children with MIS-C-associated Coronavirus disease 2019 (COVID-19) and COVID-19. A total of 54 children with SARS-CoV-2 infection, 23 with MIS-C-associated COVID-19 and 31 with asymptomatic, mild, and moderate COVID-19 were recruited for the present cross-sectional study. Sociodemographic variables, medical examinations, oral hygiene habits, and extraoral and intraoral findings (DMFT/dmft index, OHI scores, and oral mucosal changes) were recorded. The t-test for independent samples and the Mann-Whitney U test were used (p < 0.05). MIS-C was found to be associated with chapped lips (all patients) and oral mucosal changes, including erythema, white lesion, strawberry tongue, and swelling of the gingiva as compared to the COVID-19 group (frequency of more than one mucosal change: 100% vs. 35%) (p < 0.001). Children with MIS-C presented higher DMFT/dmft scores (DMFT/dmft 5.52 ± 3.16 for the MIS-C group vs. 2.26 ± 1.80 for the COVID-19 group) (p < 0.01). Elevated OHI scores were also associated with MIS-C (mean ± SD: 3.06 ± 1.02 (MIS-C) vs. 2.41 ± 0.97 (COVID-19) (p < 0.05). Oral manifestations, mainly strawberry and erythematous tongue, were characteristic features of MIS-C. Prevalence of oral/dental symptoms was elevated in children with MIS-C when compared to COVID-19. Therefore, dental professionals should be aware of the oral manifestations associated with MIS-C, which may have high mortality and morbidity rates.</p>","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"37 ","pages":"e072"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Agreement between schoolchildren and their parents on rating the child's oral health-related quality of life.","authors":"Thays Torres do Vale Oliveira, Aryane Marques Menegaz, Mateus Andrade Rocha, Vanessa Polina Pereira Costa, Taís de Souza Barbosa, Marília Leão Goettems, Marina Sousa Azevedo","doi":"10.1590/1807-3107bor-2023.vol37.0077","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0077","url":null,"abstract":"<p><p>The perceptions of parents/caregivers regarding their children's oral health can influence the standard of care and decision-making regarding oral health. The children's perspective on their own oral health-related quality of life (OHRQoL) may differ from the parents/caregivers' views. This cross-sectional study aimed to analyze the agreement between the perceptions of parents/caregivers and schoolchildren regarding OHRQoL. It was conducted with a sample of children between 8 and 11 years old and their parents/caregivers from Pelotas. Children answered the Child Perceptions Questionnaire 8-10 (CPQ), and parents/caregivers answered the short form of the Parental-Caregiver Perceptions Questionnaire (P-CPQ). Socioeconomic data were also collected. Children's dental caries, traumatic dental injuries, and malocclusions were examined. The Spearman's correlation test was performed. A total of 119 parents/caregivers-children pairs were included. There was an agreement between the total scores of parents/caregivers and children (0.2770; p = 0.003), in the oral symptoms (0.1907; p = 0.038), and functional limitations (0.2233; p=0.015) domains. The Bland-Altman graph showed an agreement between children's and parents/caregivers' OHRQoL total score, but there was an underestimation of approximately two points in the parents/caregivers' perception compared to the children's score. There was an agreement between the reports of parents/caregivers and children regarding children's OHRQoL.</p>","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"37 ","pages":"e077"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9987071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bruno EMMANUELLI, Gabriela de ARAUJO, Jessica Klockner KNORST, Camila Vieira da Cunha TAGLIARI, Bruna Slomp BALDISSERA, Simone TUCHTENHAGEN
{"title":"Social capital and possible bruxism during the COVID-19 pandemic among Brazilian undergraduates","authors":"Bruno EMMANUELLI, Gabriela de ARAUJO, Jessica Klockner KNORST, Camila Vieira da Cunha TAGLIARI, Bruna Slomp BALDISSERA, Simone TUCHTENHAGEN","doi":"10.1590/1807-3107bor-2023.vol37.0108","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0108","url":null,"abstract":"This study investigated the prevalence of possible bruxism and its association with social capital among undergraduates during the coronavirus disease (COVID-19) pandemic. This cross-sectional study was conducted at a private university in Southern Brazil. Data were collected through a self-administered electronic questionnaire (Google Forms). Possible bruxism was measured using the following question: “Do you grind your teeth or clench your jaws?”. Social capital was evaluated using individual social networks. Data on self-perceived oral health, anxiety, sociodemographics, and information related to university graduates were also collected. Adjusted logistic regression models with a hierarchical approach were used to evaluate associations. The results are presented as odds ratios (ORs) and 95% confidence intervals (95%CIs). Altogether, 345 undergraduates participated in the study, with a mean age of 21.8 years (standard deviation = 5.21). The prevalence of bruxism in the sample was 57.1%. Undergraduates with low social capital had 2.06 times greater odds of bruxism than their counterparts (OR 2.06; 95%CI 1.11–3.83). Female undergraduates (OR 2.40, 95%CI 1.39–4.12), those who were in the final year of university (OR 1.13, 95%CI 1.04–1.21), and those who perceived they needed dental treatment (OR 1.91; CI: 1.21–3.02) also had greater odds of possible bruxism. In conclusion, the prevalence of possible bruxism was high among undergraduate students during the COVID-19 pandemic and associated with lower social capital levels. Knowledge of these factors is important to identify risk groups and plan strategies to control bruxism in this population.","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135609053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Vitor de SOUZA, Wilton Mitsunari TAKESHITA, Glaucia Monteiro de CASTRO, Ana Claudia Muniz RENNO, Jean Nunes dos SANTOS, Daniel Araki RIBEIRO
{"title":"The use of micronucleus assay in exfoliated oral cells in patients undergoing fixed orthodontic therapy: a systematic review with meta-analysis","authors":"Daniel Vitor de SOUZA, Wilton Mitsunari TAKESHITA, Glaucia Monteiro de CASTRO, Ana Claudia Muniz RENNO, Jean Nunes dos SANTOS, Daniel Araki RIBEIRO","doi":"10.1590/1807-3107bor-2023.vol37.0116","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0116","url":null,"abstract":"The aim of this systematic review was to evaluate published papers regarding the micronucleus assay in oral mucosal cells of patients undergoing orthodontic therapy (OT). A search of the scientific literature was made in the PubMed, Scopus, and Web of Science databases for all data published until November, 2021 using the combination of the following keywords: “fixed orthodontic therapy,” “genetic damage”, “DNA damage,” “genotoxicity”, “mutagenicity”, “buccal cells”, “oral mucosa cells,” and “micronucleus assay”. The systematic review was designed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Nine studies were retrieved. Some authors demonstrated that OT induces cytogenetic damage in oral mucosal cells. Out of the nine studies included, two were classified as strong, five as moderate, and two as weak, according to the quality assessment components of the Effective Public Health Practice Project (EPHPP). Meta-analysis data revealed no relationship between mutagenicity in oral cells and OT in different months of treatment. At one month, the SMD = 0.65 and p = 0.08; after three months of OT, the SMD = 1.21 and p = 0.07; and after six months of OT, the SMD = 0.56 and p = 0.11. In the analyzed months of OT, I2 values were >75%, indicating high heterogeneity. In summary, this review was not able to demonstrate that OT induces genetic damage in oral cells. The study is important for the protection of patients undergoing fixed OT, given that mutagenesis participates in the multi-step process of carcinogenesis.","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135610420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paulo Victor de Moura Costa, Amanda Alves de Oliveira, Vitória Ariella Silveira E Silva, Érica Miranda de Torres, Maria Alves Garcia Santos Silva, Crisnicaw Veríssimo
{"title":"The effect of the die material used in the indirect technique on the fracture resistance of a restored molar.","authors":"Paulo Victor de Moura Costa, Amanda Alves de Oliveira, Vitória Ariella Silveira E Silva, Érica Miranda de Torres, Maria Alves Garcia Santos Silva, Crisnicaw Veríssimo","doi":"10.1590/1807-3107bor-2023.vol37.0017","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0017","url":null,"abstract":"<p><p>The aim of this study was to evaluate the effect of different die materials used in the indirect resin composite restorative technique on the fracture resistance and failure mode of restored molars and compare it with the direct resin composite restorative technique. Two flexible die silicone materials for dental models (Die Silicone - Voco and Scan die - Yller) and a type IV dental stone material (Fujirock EP - GC) were evaluated. Sixty third molars were selected and divided into four groups: indirect resin composite restoration - Die silicone (IRCR-DS); indirect resin composite restoration - Scan die (IRCR-SD); indirect resin composite restoration - Fujirock EP (IRCR-FR), and direct resin composite restoration (DRCR). Class II MOD cavities were prepared with 5 mm of buccolingual width and depth. The specimens were restored and subjected to an axial compression load until fracture, and the data were analyzed by one-way ANOVA and Tukey's HSD test (α=.05). The fracture mode was classified into restorable and unrestorable fractures. Fracture resistance values were influenced by the die material used for the IRCR fabrication and by the restorative technique (p<.001). Fracture resistance mean values and standard deviation were: IRCR-DS: 1835.5 ± 324.0 A; IRCR-SD: 1732.5 ± 384.1 AB; IRCR-FR: 1419.3 ± 318.8 BC; and DRCR: 1100.6 ± 224.9 C. Restorable fracture was more prevalent. IRCR with flexible die casts promoted higher fracture resistance and lower prevalence of unrestorable fractures.</p>","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"37 ","pages":"e017"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10739097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eloá Cristina Passucci Ambrosio, Maria Giulia Rezende Pucciarelli, Chiarella Sforza, Simone Soares, Márcio de Menezes, Cleide Felício Carvalho Carrara, Maria Aparecida Andrade Moreira Machado, Thais Marchini Oliveira
{"title":"Correlation between cleft width and dental arch symmetry in cleft lip and palate: a longitudinal study.","authors":"Eloá Cristina Passucci Ambrosio, Maria Giulia Rezende Pucciarelli, Chiarella Sforza, Simone Soares, Márcio de Menezes, Cleide Felício Carvalho Carrara, Maria Aparecida Andrade Moreira Machado, Thais Marchini Oliveira","doi":"10.1590/1807-3107bor-2023.vol37.0021","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0021","url":null,"abstract":"<p><p>This study aimed to evaluate the influence of cleft width on dental arch symmetry of children with unilateral cleft lip and palate. Forty-one children were subjected to impression preoperatively (T1; mean age = 0.31 ± 0.07 years) and postoperatively (T2; mean age = 6 .73 ± 1.02 years). Eighty-two digitized dental casts were analyzed by stereophotogrammetry software. The cleft palate width was measured in the anterior (P-P'), middle (M-M'), and posterior (U-U') regions. Also, the following measurements were obtained: anterior intersegment (I-C') and intrasegment (I-C); total intersegment (I-T') and intrasegment (I-T); cleft-side (C'-T') and non-cleft-side (C-T) canine tuberosity. Paired t test and Pearson correlation coefficient were applied (α = 5%). Cleft width had the following means: 10.16 (± 3.46) mm for P-P', 12.45 (± 3.00) mm for M-M', and 12.57 (± 2.71) mm for U-U'. In the longitudinal analysis, I-C' had a significant reduction, while the other measurements significantly increased (p < 0.001). Asymmetry was verified in the following analyses at T1: I-C' vs. I-C and I-T' vs. I-T (p < 0.001); at T2, only in I-C' vs. I-C (p < 0.001). At T1, P-P' vs. I-C' (r = 0.722 and p < 0.001), P-P' vs. I-T' (r = 0.593 and p < 0.001), M-M' vs. I-C' (r = 0.620 and p < 0.001), and M-M' vs. I-T' (r = 0.327 and p < 0.05) showed a positive and significant correlation. At T2, there was a correlation between M-M' and I-C' (r = 0.377 and p < 0.05). In conclusion, the anterior and middle cleft widths influenced palatal asymmetry in the first months of life, while middle width influenced residual asymmetry.</p>","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"37 ","pages":"e021"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andréa Maria Eleutério de Barros Lima Martins, Ana Maria Rodrigues Santos, Gizelton Pereira Alencar, João Gabriel Silva Souza, Maria Alice Aguiar Soares, Maria Barros Lima Martins, Marise Fagundes Silveira, Melissa Barral Maia, Paula Karoline Soares Farias, Raquel Conceição Ferreira, Rodrigo Alves Pinto, Thaisa Soares Crespo, Efigênia Ferreira E Ferreira
{"title":"Psychometric properties of an oral health literacy scale for people living with diabetes.","authors":"Andréa Maria Eleutério de Barros Lima Martins, Ana Maria Rodrigues Santos, Gizelton Pereira Alencar, João Gabriel Silva Souza, Maria Alice Aguiar Soares, Maria Barros Lima Martins, Marise Fagundes Silveira, Melissa Barral Maia, Paula Karoline Soares Farias, Raquel Conceição Ferreira, Rodrigo Alves Pinto, Thaisa Soares Crespo, Efigênia Ferreira E Ferreira","doi":"10.1590/1807-3107bor-2023.vol37.0022","DOIUrl":"https://doi.org/10.1590/1807-3107bor-2023.vol37.0022","url":null,"abstract":"<p><p>This study evaluated the construct validity of the instrument Oral Health Literacy among diabetics. A probabilistic random sample of 239 diabetics from an infinite population answered the 10 items of the questionnaire. The structural validity was assessed by confirmatory factor analysis and goodness of fit, chi-square per degrees of freedom ratio (X2/df), comparative fit index (CFI), goodness-of-fit index (GFI), and root-mean-square error of approximation (RMSEA). Internal consistency was estimated by the average variance extracted (AVE) and composite reliability (CR). The scores were dichotomized with the upper limit of the 95% confidence interval as the cutoff point. The three-dimensional model presented good quality parameters (X2 /df = 2.459; CFI = 0.988; TLI = 0.981) and poor RMSEA (0.078). Internal consistency was adequate; AVE for the Access, Understand/appraise, and Apply subscales were 0.831, 0.981, and 0.954 and the CR for these subscales were 0.893, 0.962, and 0.822, respectively. Inadequate literacy ranged from 41.8 to 48.1%. The three-dimensional model identified (access, understand/appraise, and apply) showed structural validity, good internal consistency, and understandability.</p>","PeriodicalId":48942,"journal":{"name":"Brazilian Oral Research","volume":"37 ","pages":"e022"},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}