Knowledge, beliefs and limitations on the use of orthodontic in Paraguay
DOI:
https://doi.org/10.17533/udea.rfo.v37n1e358672Keywords:
Self concept, Malocclusion, Dental care for chronically ill, Orthodontics, health financingAbstract
Introduction: Malocclusion is a significant oral health issue, with prevalence rates among children and adolescents ranging from 39% to 93%. The objective of this study was to describe the knowledge, beliefs, and limitations regarding the use of orthodontic appliances in a group of Paraguayans in 2022. Methods: This was a descriptive cross-sectional observational study. The questionnaire consisted of 18 questions covering knowledge about malocclusion and related oral diseases, beliefs regarding orthodontic treatment, and barriers to seeking such care. The sample was non-probabilistic and selected for convenience. Results: A total of 193 participants were included in the study, with a mean age of 33 ± 12 years, of whom 75.13 % were women. Among them, 65.28 % were aware of the importance of proper occlusion, and 28.50 % knew that the premature loss of primary teeth could lead to malocclusion. A total of 87.56 % demonstrated sufficient knowledge (≥6 correct answers) about malocclusion. Among all respondents, 17.10 % did not complete their orthodontic treatment. The most reported barrier to accessing orthodontic care among these individuals was the difficulty in financing the treatment (81.15 %). However, 53.28 % believed they needed orthodontic treatment. Conclusion: Most respondents had sufficient knowledge about malocclusion. Half of them believed they needed orthodontic treatment. The primary reported barrier to seeking care was financial constraints.
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Longlax-Triana MC, Monroy GJ, Boada-Cuesta NJ, Lugo-Latorre AM. Efectividad de la expansión maxilar en la corrección de apiñamiento en dentición mixta: revisión sistemática. Int J Odontostomatol. 2020; 14(1): 101-8. Disponible en: https://ijodontostomatology.com/es/articulo/efectividad-de-la-expansion-maxilar-en-la-correccion-de-apinamiento-en-denticion-mixta-revision-sistematica/
Caro Vasquez C, Castellanos Toro J, Pedraza Alarcón R, Sierra Matamoros F, Ramírez Zea P, Pinzón Navarro M, et al. Adaptación transcultural del instrumento Orthognathic Quality of Life questionnaire al español para el estudio de la calidad de vida de pacientes con anomalías dentofaciales. Fase I. Av En Odontoestomatol. 2019; 35(3): 119-29. DOI: https://dx.doi.org/10.4321/s0213-12852019000300004
Cenzato N, Nobili A, Maspero C. Prevalence of dental malocclusions in different geographical areas: scoping review. Dent J (Basel). 2021; 9(10): 117. DOI: https://doi.org/10.3390/dj9100117
Leck R, Paul N, Rolland S, Birnie D. The consequences of living with a severe malocclusion: a review of the literature. J Orthod. 2022; 49(2): 228-39. DOI: https://doi.org/10.1177/14653125211042891
Närhi L, Tolvanen M, Pirttiniemi P, Silvola AS. Malocclusion severity and its associations with oral health-related quality of life in an adult population. Eur J Orthod. 2022; 44(4): 377-84. DOI: https://doi.org/10.1093/ejo/cjab070
Al-Hummayani FM, Taibah SM. Does malocclusion affect adolescents’ social acceptance? J Indian Orthod Soc. 2019; 53(1): 14-20. Disponible en: https://journals.sagepub.com/doi/pdf/10.4103/jios.jios_29_18
Díaz-Reissner C, Roldán-Merino J, Casas I. Análisis de calidad de vida relacionada con salud oral en adultos con maloclusión. Rev Cienc Salud. 2023; 21(1): 1-11. DOI: https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.11305
Mendoza P, Méndez J, Florentín D, Martínez G, Aguilar G, Ríos-González CM. Prevalencia de hábitos de succión no nutritiva y su relación con maloclusión y anomalías dentomaxilares en preescolares de Cnel. Oviedo, Paraguay. Mem Inst Investig En Cienc Salud. 2019; 17(3): 49-54. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1047804
Pino Guerrero EF, Castillo Cevallos JF. Toma de decisión para colocar mantenedor de espacio después de la pérdida prematura de primeros molares primarios: revisión de literatura. Rev Odontopediatría Latinom. 2017; 7(1): 36-43. DOI: https://doi.org/10.47990/alop.v7i1.129
Dehesa-Santos A, Iber-Diaz P, Iglesias-Linares A. Genetic factors contributing to skeletal class III malocclusion: a systematic review and meta-analysis. Clin Oral Investig. 2021; 25(4): 1587-612. DOI: https://doi.org/10.1007/s00784-020-03731-5
Zepeda-Diaz CF. Factores que afectan la duración de los tratamientos de ortodoncia en un servicio público de salud. Int J Odontostomatol. 2019; 13(3): 321-4. DOI: http://dx.doi.org/10.4067/S0718-381X2019000300321
Ashky RT, Althagafi NM, Alsaati BH, Alharbi RA, Kassim SA, Alsharif AT. self-perception of malocclusion and barriers to orthodontic care: a cross-sectional study in Al-Madinah, Saudi Arabia. Patient Prefer Adherence. 2019; 13: 1723-32. DOI: https://doi.org/10.2147/ppa.s219564
Alshammari AK, Siddiqui AA, Al Shammary NH, Malik YR, Alam MK. Assessment of perception and barriers toward orthodontic treatment needs in the Saudi Arabian adult population. Healthcare (Basel). 2022; 10(12): 2488. DOI: https://doi.org/10.3390/healthcare10122488
Iranzo-Cortés JE, Montiel-Company JM, Bellot-Arcis C, Almerich-Torres T, Acevedo-Atala C, Ortolá-Siscar JC, et al. Factors related to the psychological impact of malocclusion in adolescents. Sci Rep. 2020; 10(1): 13471. Available in: https://www.nature.com/articles/s41598-020-70482-4
Paraguay. Ministerio de Salud Pública y Bienestar Social. ¿Dónde acceder a servicio bucodental en Asunción y Central? [Internet]. [20 de diciembre de 2020]. Disponible en: https://www.mspbs.gov.py/portal/22361/iquestdonde-acceder-a-servicio-bucodental-en-asuncion-y-central.html
Gutierrez T. Overcoming barriers to orthodontic treatment in the United States. Dent Hypotheses. 2016; 7(2): 70. DOI: https://doi.org/10.4103/2155-8213.183799
Myllymäki E, Heikinheimo K, Suominen A, Evälahti M, Michelotti A, Svedström-Oristo AL, et al. Longitudinal trends in temporomandibular joint disorder symptoms, the impact of malocclusion and orthodontic treatment: a 20-year prospective study. J Oral Rehabil. 2023; 50(9): 739-45. DOI: https://doi.org/10.1111/joor.13471
Guerrero-Luzuriaga J, Villavicencio-Caparó E, González-Campoverde L. Autopercepción de necesidad de tratamiento ortodóntico en escolares de 12 años en la Parroquia El Sagrario del Cantón Cuenca-Ecuador. Rev Estomatológica Hered. 2017; 27(2): 67. Disponible en: https://www.redalyc.org/articulo.oa?id=421552417002
Zulkiffili AM, Roslan LH, Azrin NHI, Azmi NN, Manivannan PC, Yap YHY. Assessment of self-perceived malocclusion and barriers to orthodontic treatment: a cross-sectional study. J Orthod Sci. 2023; 12(1): 77. Disponible en: DOI: https://doi.org/10.4103/jos.jos_42_23
Narangerel G, Cheng HC, Sainbayar B, Ganburged G. Perception of and attitudes on malocclusion: a literature review. Taiwan J Orthod. 2021; 33(3). DOI: https://doi.org/10.38209/2708-2636.1102
Freitas LRP, Oliveira DD. Orthodontic retreatment: positive effects on the patient’s self-esteem and quality of life. Dent Press J Orthod. 2021; 26(5): e21bbo5. DOI: https://doi.org/10.1590/2177-6709.26.5.e21bbo5
Lombardo G, Vena F, Negri P, Pagano S, Barilotti C, Paglia L, et al. Worldwide prevalence of malocclusion in the different stages of dentition: a systematic review and meta-analysis. Eur J Paediatr Dent. 2020; 21(2): 115-23. DOI: https://doi.org/10.23804/ejpd.2020.21.02.05
Rojas-Briceño NB, Carrasco OJO, Silva Díaz YA, Ordinola Ramírez CM, Pizarro Salazar O, Tuesta-Mendoza SJ, et al. Knowledge and attitudes of parents about oral health in the primary dentition stage in a Peruvian high andean city. Int J Environ Res Public Health. 2024; 21(2): 154. DOI: https://doi.org/10.3390/ijerph21020154
Gomes MC, Perazzo MF, Neves ÉTB, Siqueira MBLD, Paiva SM, Granville-Garcia AF. Premature primary tooth loss and oral health-related quality of life in preschool children. Int J Environ Res Public Health. 2022; 19(19): 12163. DOI: https://doi.org/10.3390/ijerph191912163
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