March 2019

Volume 36, Issue 1

Socioeconomic Variation in the association between Malocclusion and Oral Health Related Quality of Life

Authors: Vahid Ravaghi Sarah R Baker Philip E Benson Zoe Marshman Alexander J Morris
doi: 10.1922/CDH_4388Ravaghi05


Objectives: Oral health related quality of life (OHRQoL) has been linked to malocclusion. We aimed (a) to investigate the association between malocclusion and OHRQoL among children, and (b) to examine whether this association varied by socioeconomic status. Methods: Cross-sectional analysis of data for 4,217 children aged 12 & 15 years, who participated in the 2013 Children Dental Health Survey (CDHS); a nationally representative survey of children in England, Wales, and Northern Ireland. Malocclusion was determined using the modified Index of Orthodontic Treatment Need (IOTN). OHRQoL was measured using the Child Oral Impacts on  Daily  Performance (Child-OIDP). For socioeconomic status, we used the pupils’ eligibility for free school meals (FSM) and Index of Multiple Deprivation (IMD). Adjusted marginal effects were estimated controlling for confounding variables. Separate analyses were carried out for the two age groups. Results: Malocclusion was associated with 6% and 15% increases in the probability of reporting negative impact of OHRQoL for 12- and 15-year olds respectively, which was significant for 15-year olds (marginal effect=0.15, 95% CI=0.08-0.22). Malocclusion was associated with the prevalence of oral impacts for 12 year olds (marginal effect=0.1, 95% CI=0.02-0.17) and 15-year olds (marginal effect=0.2, 95% CI 95%=0.13-0.28) not eligible for FSM and for 15-year olds in the most (marginal effect=0.2, 95% CI=0.1-0.29) and least (marginal effect=0.26, 95% CI=0.13-0.4) deprived IMD quintiles. Conclusions: Malocclusion was associated with impacts on OHRQoL for 15-year olds. There was evidence of a relationship between SES, malocclusion and OHRQoL. Keywords: Impact, malocclusion, oral health related quality of life, orthodontics, socioeconomic status, children


Other articles in this issue

Article Pages Access
Editorial ‘No simple solutions, no single ingredient’: Systems-orientated approaches for addressing Wicked Problems in population oral health 3-4 Download
Dental Public Health in Action: The use of the NICE ten step model to conduct an oral health needs assessment in South Yorkshire and Bassetlaw 5-8 Download
Caries-preventive efficacy of a supervised school toothbrushing programme in Northland, New Zealand 9-16 Download
Socioeconomic Variation in the association between Malocclusion and Oral Health Related Quality of Life 17-21 Download
Low rates of dental attendance by the age of one and inequality between local government administrative areas in England 22-26 Download
The relationship between body mass index and oral health status among Saudi adults: a cross-sectional study 27-32 Download
The acceptability of fluoride varnish and fissure sealant treatments in children aged 6-9 delivered in a school setting 33-38 Download
Interventions to reduce socio-economic inequalities in dental service utilisation – a systematic review 39-45 Download
Embarrassing realities: The portrayal of dentistry in reality tv ‘dentertainment’ 46-54 Download
Systems science and oral health: Implications for Dental Public Health? 55-62 Download
The Boundaries between Caries and Periodontal Diseases. What are the Implications for Education in Dental Public Health? Proceedings of EADPH/SESPO Pre-Congress Workshop held on Wednesday, 17 October 2018 at The Centro Cultural Sa Nostra Congress Cen 63-86 Download


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.