Satisfaction With Dental Appearance Among Diverse Groups of Dentate Adults
Identifieur interne : 003629 ( Istex/Corpus ); précédent : 003628; suivant : 003630Satisfaction With Dental Appearance Among Diverse Groups of Dentate Adults
Auteurs : Jacky Xiaoxian Meng ; Gregg H. Gilbert ; R. Paul Duncan ; Marc W. HeftSource :
- Journal of aging and health [ 0898-2643 ] ; 2007-10.
English descriptors
- KwdEn :
- Aesthetics, Attender, Attractiveness, Baseline, Baseline data, Care study, Clinical examination, Community dentistry, Current report, Dental, Dental aesthetics, Dental appearance, Dental attenders, Dental bill, Dental care, Dental insurance, Dental insurance status, Dental research, Dentate adults, Dentistry, Dentofacial appearance, Denture, Descriptive analysis, Disadvantage satisfaction, Diverse sample, Edentulous patients, Explanatory variables, Facial attractiveness, Formal education, Gender area, Gilbert, Health table, High school, Logistic regression, Loose tooth, Meng, Mouth problems, National institutes, Older adults, Older people, Oral damage, Oral disadvantage, Oral epidemiology, Oral health, Oral health factors, Oral quality, Oral rehabilitation, Other measures, Previous studies, Proportional odds assumption, Proportional odds model, Prosthodontic treatment, Public health dentistry, Regression analysis, Root fragments, Sociodemographic, Sociodemographic characteristics, Sociodemographic factors, Sociodemographic measures, Special care, Tooth loss, Young adults.
- Teeft :
- Aesthetics, Attender, Attractiveness, Baseline, Baseline data, Care study, Clinical examination, Community dentistry, Current report, Dental, Dental aesthetics, Dental appearance, Dental attenders, Dental bill, Dental care, Dental insurance, Dental insurance status, Dental research, Dentate adults, Dentistry, Dentofacial appearance, Denture, Descriptive analysis, Disadvantage satisfaction, Diverse sample, Edentulous patients, Explanatory variables, Facial attractiveness, Formal education, Gender area, Gilbert, Health table, High school, Logistic regression, Loose tooth, Meng, Mouth problems, National institutes, Older adults, Older people, Oral damage, Oral disadvantage, Oral epidemiology, Oral health, Oral health factors, Oral quality, Oral rehabilitation, Other measures, Previous studies, Proportional odds assumption, Proportional odds model, Prosthodontic treatment, Public health dentistry, Regression analysis, Root fragments, Sociodemographic, Sociodemographic characteristics, Sociodemographic factors, Sociodemographic measures, Special care, Tooth loss, Young adults.
Abstract
Objectives: To quantify (a) the prevalence of dissatisfaction with dental appearance in a diverse sample of dentate adults and (b) the associations between dissatisfaction with dental appearance, sociodemographic factors, and other measures of oral health. Methods: Data were taken from the Florida Dental Care Study , a population-based longitudinal cohort study of oral health and related behaviors. The sample included 873 participants at baseline. Descriptive analysis and logistic regression were conducted to analyze the baseline data in the current report. Results: Females, problem-oriented dental attenders, and participants who had not completed high school were significantly more dissatisfied with their dental appearance than their respective counterparts. Dissatisfaction with dental appearance was also independently associated with six specific clinical and self-reported measures of oral health. Discussion: Dissatisfaction with dental appearance was common in this population-based sample of middle-aged and older adults, and was significantly associated with key sociodemographic and oral health factors.
Url:
DOI: 10.1177/0898264307304373
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ISTEX:6DCF569825FF032A0521635A026E38D03B2DDEFCLe document en format XML
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Heft</name><affiliation><mods:affiliation>University of Florida, Gainesville</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of aging and health</title><idno type="ISSN">0898-2643</idno><idno type="eISSN">1552-6887</idno><imprint><publisher>Sage Publications</publisher><pubPlace>Sage CA: Los Angeles, CA</pubPlace><date type="published" when="2007-10">2007-10</date><biblScope unit="volume">19</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="778">778</biblScope><biblScope unit="page" to="791">791</biblScope></imprint><idno type="ISSN">0898-2643</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0898-2643</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aesthetics</term><term>Attender</term><term>Attractiveness</term><term>Baseline</term><term>Baseline data</term><term>Care study</term><term>Clinical examination</term><term>Community dentistry</term><term>Current report</term><term>Dental</term><term>Dental aesthetics</term><term>Dental appearance</term><term>Dental attenders</term><term>Dental bill</term><term>Dental care</term><term>Dental insurance</term><term>Dental insurance status</term><term>Dental research</term><term>Dentate adults</term><term>Dentistry</term><term>Dentofacial appearance</term><term>Denture</term><term>Descriptive analysis</term><term>Disadvantage satisfaction</term><term>Diverse sample</term><term>Edentulous patients</term><term>Explanatory variables</term><term>Facial attractiveness</term><term>Formal education</term><term>Gender area</term><term>Gilbert</term><term>Health table</term><term>High school</term><term>Logistic regression</term><term>Loose tooth</term><term>Meng</term><term>Mouth problems</term><term>National institutes</term><term>Older adults</term><term>Older people</term><term>Oral damage</term><term>Oral disadvantage</term><term>Oral epidemiology</term><term>Oral health</term><term>Oral health factors</term><term>Oral quality</term><term>Oral rehabilitation</term><term>Other measures</term><term>Previous studies</term><term>Proportional odds assumption</term><term>Proportional odds model</term><term>Prosthodontic treatment</term><term>Public health dentistry</term><term>Regression analysis</term><term>Root fragments</term><term>Sociodemographic</term><term>Sociodemographic characteristics</term><term>Sociodemographic factors</term><term>Sociodemographic measures</term><term>Special care</term><term>Tooth loss</term><term>Young adults</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Aesthetics</term><term>Attender</term><term>Attractiveness</term><term>Baseline</term><term>Baseline data</term><term>Care study</term><term>Clinical examination</term><term>Community dentistry</term><term>Current report</term><term>Dental</term><term>Dental aesthetics</term><term>Dental appearance</term><term>Dental attenders</term><term>Dental bill</term><term>Dental care</term><term>Dental insurance</term><term>Dental insurance status</term><term>Dental research</term><term>Dentate adults</term><term>Dentistry</term><term>Dentofacial appearance</term><term>Denture</term><term>Descriptive analysis</term><term>Disadvantage satisfaction</term><term>Diverse sample</term><term>Edentulous patients</term><term>Explanatory variables</term><term>Facial attractiveness</term><term>Formal education</term><term>Gender area</term><term>Gilbert</term><term>Health table</term><term>High school</term><term>Logistic regression</term><term>Loose tooth</term><term>Meng</term><term>Mouth problems</term><term>National institutes</term><term>Older adults</term><term>Older people</term><term>Oral damage</term><term>Oral disadvantage</term><term>Oral epidemiology</term><term>Oral health</term><term>Oral health factors</term><term>Oral quality</term><term>Oral rehabilitation</term><term>Other measures</term><term>Previous studies</term><term>Proportional odds assumption</term><term>Proportional odds model</term><term>Prosthodontic treatment</term><term>Public health dentistry</term><term>Regression analysis</term><term>Root fragments</term><term>Sociodemographic</term><term>Sociodemographic characteristics</term><term>Sociodemographic factors</term><term>Sociodemographic measures</term><term>Special care</term><term>Tooth loss</term><term>Young adults</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives: To quantify (a) the prevalence of dissatisfaction with dental appearance in a diverse sample of dentate adults and (b) the associations between dissatisfaction with dental appearance, sociodemographic factors, and other measures of oral health. Methods: Data were taken from the Florida Dental Care Study , a population-based longitudinal cohort study of oral health and related behaviors. The sample included 873 participants at baseline. Descriptive analysis and logistic regression were conducted to analyze the baseline data in the current report. Results: Females, problem-oriented dental attenders, and participants who had not completed high school were significantly more dissatisfied with their dental appearance than their respective counterparts. Dissatisfaction with dental appearance was also independently associated with six specific clinical and self-reported measures of oral health. 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Gilbert DDS, MBA, FAAHD</name><affiliations><json:string>University of Alabama, Birmingham</json:string></affiliations></json:item><json:item><name>R. Paul Duncan PhD</name><affiliations><json:string>University of Florida, Gainesville</json:string></affiliations></json:item><json:item><name>Marc W. Heft DMD, PhD</name><affiliations><json:string>University of Florida, Gainesville</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>satisfaction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental appearance</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral health</value></json:item></subject><articleId><json:string>10.1177_0898264307304373</json:string></articleId><arkIstex>ark:/67375/M70-9CZV0R5L-D</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Objectives: To quantify (a) the prevalence of dissatisfaction with dental appearance in a diverse sample of dentate adults and (b) the associations between dissatisfaction with dental appearance, sociodemographic factors, and other measures of oral health. Methods: Data were taken from the Florida Dental Care Study , a population-based longitudinal cohort study of oral health and related behaviors. The sample included 873 participants at baseline. Descriptive analysis and logistic regression were conducted to analyze the baseline data in the current report. Results: Females, problem-oriented dental attenders, and participants who had not completed high school were significantly more dissatisfied with their dental appearance than their respective counterparts. Dissatisfaction with dental appearance was also independently associated with six specific clinical and self-reported measures of oral health. Discussion: Dissatisfaction with dental appearance was common in this population-based sample of middle-aged and older adults, and was significantly associated with key sociodemographic and oral health factors.</abstract><qualityIndicators><score>7.812</score><pdfWordCount>4012</pdfWordCount><pdfCharCount>26593</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>14</pdfPageCount><pdfPageSize>396 x 612 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>150</abstractWordCount><abstractCharCount>1123</abstractCharCount><keywordCount>3</keywordCount></qualityIndicators><title>Satisfaction With Dental Appearance Among Diverse Groups of Dentate Adults</title><pmid><json:string>17609413</json:string></pmid><genre><json:string>research-article</json:string></genre><host><title>Journal of aging and health</title><language><json:string>unknown</json:string></language><issn><json:string>0898-2643</json:string></issn><eissn><json:string>1552-6887</json:string></eissn><publisherId><json:string>JAH</json:string></publisherId><volume>19</volume><issue>5</issue><pages><first>778</first><last>791</last></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2007</json:string></date><geogName></geogName><orgName><json:string>University of Alabama</json:string><json:string>National Health Interview Survey</json:string><json:string>National Institutes of Health</json:string><json:string>University of Pennsylvania</json:string><json:string>University of Florida</json:string><json:string>Health Grants DE-11020</json:string></orgName><orgName_funder><json:string>Health Grants DE-11020</json:string></orgName_funder><orgName_provider></orgName_provider><persName><json:string>States</json:string><json:string>Paul Duncan</json:string><json:string>Gregg H. Gilbert</json:string><json:string>SAS Institute Inc.</json:string><json:string>Marc W. Heft</json:string></persName><placeName><json:string>Birmingham</json:string><json:string>Philadelphia</json:string><json:string>American</json:string><json:string>England</json:string><json:string>PA</json:string></placeName><ref_url><json:string>http://nersp.nerdc.ufl.edu/~gilbert/</json:string><json:string>http://jah.sagepub.com</json:string><json:string>http://nersp.nerdc.ufl.edu/~gilbert/ supplemental.html</json:string><json:string>http://online.sagepub.com</json:string><json:string>http://nersp.nerdc.ufl.edu/~gilbert/question.htm</json:string></ref_url><ref_bibl><json:string>Drake, Beck, & Strauss, 1990</json:string><json:string>Gilbert et al., 1997</json:string><json:string>Matthias et al., 1993</json:string><json:string>Matthias, Atchison, Schweitzer, Lubben, Mayer-Oakes, & De Jong, 1993</json:string><json:string>Neumann et al., 1989</json:string><json:string>Vargo, Gladwin, & Ngan, 2003</json:string><json:string>Giddon, 1995</json:string><json:string>York & Holtzman, 1999</json:string><json:string>Tervonen, 1988</json:string><json:string>Gilbert et al., 1996</json:string><json:string>Bloom, Gift, & Jack, 1992</json:string><json:string>Flores-Mir, Silva, Barriga, Lagravère, & Major, 2004</json:string><json:string>Meng et al.</json:string><json:string>Kiyak, 2000</json:string><json:string>Stokes, Davis, & Koch, 2001</json:string><json:string>John, Hujoel, Miglioretti, LeResche, Koepsell, & Micheelis, 2004</json:string><json:string>Baldwin, 1980</json:string><json:string>Alkhatib, Holt, & Bedi, 2005</json:string><json:string>Klages, Bruckner, & Zentner, 2004</json:string><json:string>Nitschke & Muller, 2004</json:string><json:string>Chavers, Gilbert, & Shelton, 2004</json:string><json:string>Chavers et al., 2004</json:string><json:string>Linn, 1966</json:string><json:string>Gilbert, Duncan, Kulley, Coward, & Heft, 1997</json:string><json:string>Alkhatib et al., 2005</json:string><json:string>Gilbert, Foerster, & Duncan, 1998</json:string><json:string>Gilbert et al.</json:string><json:string>SAS Institute Inc, 2004</json:string><json:string>Marcus, Drury, Brown, & Zion, 1996</json:string><json:string>Jenny, 1975</json:string><json:string>Zarb, Bergman, Clayton, & MacKay, 1978</json:string><json:string>Kokich, Kiyak, & Shapiro, 1999</json:string><json:string>Gilbert, Duncan, Heft, Dolan, & Vogel, 1998</json:string><json:string>Goldstein, 1969</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/M70-9CZV0R5L-D</json:string></ark><categories><wos><json:string>1 - 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Paul</forename><surname>Duncan</surname></persName><roleName type="degree">PhD</roleName><affiliation>University of Florida, Gainesville</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Marc W.</forename><surname>Heft</surname></persName><roleName type="degree">DMD, PhD</roleName><affiliation>University of Florida, Gainesville</affiliation></author><idno type="istex">6DCF569825FF032A0521635A026E38D03B2DDEFC</idno><idno type="ark">ark:/67375/M70-9CZV0R5L-D</idno><idno type="DOI">10.1177/0898264307304373</idno><idno type="article-id">10.1177_0898264307304373</idno></analytic><monogr><title level="j">Journal of aging and health</title><idno type="pISSN">0898-2643</idno><idno type="eISSN">1552-6887</idno><idno type="publisher-id">JAH</idno><idno type="PublisherID-hwp">spjah</idno><imprint><publisher>Sage Publications</publisher><pubPlace>Sage CA: Los Angeles, CA</pubPlace><date type="published" when="2007-10"></date><biblScope unit="volume">19</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="778">778</biblScope><biblScope unit="page" to="791">791</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2007</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Objectives: To quantify (a) the prevalence of dissatisfaction with dental appearance in a diverse sample of dentate adults and (b) the associations between dissatisfaction with dental appearance, sociodemographic factors, and other measures of oral health. Methods: Data were taken from the Florida Dental Care Study , a population-based longitudinal cohort study of oral health and related behaviors. The sample included 873 participants at baseline. Descriptive analysis and logistic regression were conducted to analyze the baseline data in the current report. Results: Females, problem-oriented dental attenders, and participants who had not completed high school were significantly more dissatisfied with their dental appearance than their respective counterparts. Dissatisfaction with dental appearance was also independently associated with six specific clinical and self-reported measures of oral health. Discussion: Dissatisfaction with dental appearance was common in this population-based sample of middle-aged and older adults, and was significantly associated with key sociodemographic and oral health factors.</p></abstract><textClass><keywords scheme="keyword"><list><head>keywords</head><item><term>satisfaction</term></item><item><term>dental appearance</term></item><item><term>oral health</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-10">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/6DCF569825FF032A0521635A026E38D03B2DDEFC/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus sage not found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="research-article" dtd-version="2.3" xml:lang="EN"><front><journal-meta><journal-id journal-id-type="hwp">spjah</journal-id><journal-id journal-id-type="publisher-id">JAH</journal-id><journal-title>Journal of Aging and Health</journal-title><issn pub-type="ppub">0898-2643</issn><publisher>
<publisher-name>Sage Publications</publisher-name>
<publisher-loc>Sage CA: Los Angeles, CA</publisher-loc>
</publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.1177/0898264307304373</article-id><article-id pub-id-type="publisher-id">10.1177_0898264307304373</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Satisfaction With Dental Appearance Among Diverse Groups of Dentate Adults</article-title></title-group>
<contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Xiaoxian Meng</surname><given-names></given-names></name><degrees>DDS, MSD, MPH, PhD</degrees><aff>University of Pennsylvania, Philadelphia, <email xlink:type="simple">xmeng@dental.upenn.edu</email></aff></contrib></contrib-group>
<contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Gilbert</surname><given-names>Gregg H.</given-names></name><degrees>DDS, MBA, FAAHD</degrees><aff>University of Alabama, Birmingham</aff></contrib></contrib-group>
<contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Duncan</surname><given-names>R. Paul</given-names></name><degrees>PhD</degrees><aff>University of Florida, Gainesville</aff></contrib></contrib-group>
<contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Heft</surname><given-names>Marc W.</given-names></name><degrees>DMD, PhD</degrees><aff>University of Florida, Gainesville</aff></contrib></contrib-group>
<pub-date pub-type="ppub"><month>10</month><year>2007</year></pub-date><volume>19</volume><issue>5</issue><fpage>778</fpage><lpage>791</lpage><abstract><p><bold>Objectives</bold>: To quantify (a) the prevalence of dissatisfaction with dental appearance in a diverse sample of dentate adults and (b) the associations between dissatisfaction with dental appearance, sociodemographic factors, and other measures of oral health. <bold>Methods</bold>: Data were taken from the <italic>Florida Dental Care Study</italic> , a population-based longitudinal cohort study of oral health and related behaviors. The sample included 873 participants at baseline. Descriptive analysis and logistic regression were conducted to analyze the baseline data in the current report. <bold>Results</bold>: Females, problem-oriented dental attenders, and participants who had not completed high school were significantly more dissatisfied with their dental appearance than their respective counterparts. Dissatisfaction with dental appearance was also independently associated with six specific clinical and self-reported measures of oral health. <bold> Discussion:</bold> Dissatisfaction with dental appearance was common in this population-based sample of middle-aged and older adults, and was significantly associated with key sociodemographic and oral health factors.</p></abstract><kwd-group><kwd>satisfaction</kwd>
<kwd>dental appearance</kwd>
<kwd>oral health</kwd></kwd-group><custom-meta-wrap><custom-meta xlink:type="simple"><meta-name>sagemeta-type</meta-name><meta-value>Journal Article</meta-value></custom-meta><custom-meta xlink:type="simple"><meta-name>search-text</meta-name><meta-value>778 Satisfaction With Dental Appearance Among Diverse Groups of Dentate Adults SAGE Publications, Inc.200710.1177/0898264307304373 Xiaoxian Meng DDS, MSD, MPH, PhD University of Pennsylvania, Philadelphia, xmeng@dental.upenn.edu Gregg H.Gilbert DDS, MBA, FAAHD University of Alabama, Birmingham R. PaulDuncan PhD University of Florida, Gainesville Marc W.Heft DMD, PhD University of Florida, Gainesville Objectives: To quantify (a) the prevalence of dissatisfaction with dental appearance in a diverse sample of dentate adults and (b) the associations between dissatisfaction with dental appearance, sociodemographic factors, and other measures of oral health. Methods: Data were taken from the Florida Dental Care Study , a population-based longitudinal cohort study of oral health and related behaviors. The sample included 873 participants at baseline. Descriptive analysis and logistic regression were conducted to analyze the baseline data in the current report. Results: Females, problem-oriented dental attenders, and participants who had not completed high school were significantly more dissatisfied with their dental appearance than their respective counterparts. Dissatisfaction with dental appearance was also independently associated with six specific clinical and self-reported measures of oral health. Discussion: Dissatisfaction with dental appearance was common in this population-based sample of middle-aged and older adults, and was significantly associated with key sociodemographic and oral health factors. satisfaction dental appearance oral health eeth physically support the lower part of the face; thus, they play a sig- T nificant role in maintaining the normal form of the face and a person's perception of dentofacial appearance. In fact, the mouth has been identified as one of the most important features in the assessment of facial attractive- ness (Baldwin, 1980; Goldstein, 1969; Linn, 1966). Previous studies (Jenny & Proshek, 1986; Neumann, Christensen, & Cavanaugh, 1989; Oosterhaven, 779 Westert, & Schaub, 1989; Shaw, Rees, Dawe, & Charles, 1985) have shown that missing, diseased, or unattractive teeth are related to a compromised dental appearance. This can have negative consequences on self-image, social interaction, and psychological health. In addition, the perceived connections between dentofacial attractiveness and social components, such as personal- ity and social status (Newton, Prabhu, & Robinson, 2003; Shaw, et al., 1985), also make dental appearance a major concern for many people. Studies have shown that aesthetic considerations are one of the primary reasons to seek various dental treatments (Jenny, 1975; Tervonen, 1988; Vargo, Gladwin, & Ngan, 2003). For some partially edentulous patients, enhancing facial appear- ance is a stronger motivation for seeking prosthodontic (tooth-replacing) treatment than a desire to improve chewing ability (Zarb, Bergman, Clayton, & MacKay, 1978). Greater emphasis is placed on the value of oral health among older adults (Kiyak, 2000) when an increasing proportion of aged people retain at least some of their natural teeth for life (Marcus, Drury, Brown, & Zion, 1996). The notion has been widely accepted that dental aesthetics constitutes an important dimension of oral-health-related quality of life (John, Hujoel, Miglioretti, LeResche, Koepsell, & Micheelis, 2004; Klages, Bruckner, & Zentner, 2004). However, many aspects remain unclear regarding whether people's expectations for dental appearance decline with age, how dental attractiveness impacts older people's quality of life, and what factors influ- ence their perceptions. Some researchers (Alkhatib, Holt, & Bedi, 2005; Neumann et al., 1989) suggested that younger people have higher aesthetic awareness than older people, and for older people, dental appearance may be outweighed by other health needs and concerns. In contrast, other researchers (Goldstein, 1969; Nitschke & Muller, 2004) indicated that interest in appear- ance and desire for physical attractiveness do not appear to decline with age, and successful aging requires the maintenance of oral aesthetics. Self-assessed dental appearance has gained increasing interest among dental clinicians and researchers, given that patients and dentists often differ Authors' Note: This investigation was supported by National Institutes of Health Grants DE-11020 and DE-14164. Opinions and assertions herein are those of the authors and are not to be construed as necessarily representing the views of the universities or the National Institutes of Health. An Internet Web page devoted to details about the Florida Dental Care Study can be found at http://nersp.nerdc.ufl.edu/~gilbert/. For correspondence about this article or to request reprints, contact Xiaoxian Meng, DDS, MSD, MPH, PhD, Dean's Office (Lab), School of Dental Medicine, University of Pennsylvania, 240 South 40th Street, Philadelphia, PA 19104; 780 in their evaluations of dental aesthetics (Giddon, 1995; Kokich, Kiyak, & Shapiro, 1999). To the best of our knowledge, no population-based study has been done among adults that has simultaneously investigated the rela- tionships between satisfaction with dental appearance, sociodemographic circumstance, and key clinical and self-reported measures of oral health. Therefore, the objectives of this study were to quantify (a) the prevalence of dissatisfaction with dental appearance in a diverse sample of dentate adults and (b) the associations between dissatisfaction with dental appearance, other measures of oral health, and sociodemographic factors. Methods Sampling Methods Data were taken from the Florida Dental Care Study (FDCS), a prospec- tive longitudinal study of oral health and dental care. Details of sampling methodology and selection are provided elsewhere (Gilbert, Duncan, Heft, Dolan, & Vogel, 1998; Gilbert, Duncan, Kulley, Coward, & Heft, 1997). Briefly, however, a telephone screening methodology was used to identify persons who met eligibility criteria, from which a stratified random sample was selected to participate at baseline. The 873 participants who participated at baseline resulted in a sample that was representative of the population of interest (Gilbert et al., 1997), defined as those who (a) were 45 years old or older, (b) had a household telephone, (c) did not reside in an institutional set- ting, (d) resided in one of four counties in Florida, (e) could engage in a coherent telephone conversation, and (f) had at least one tooth (one objective was to investigate tooth loss). Race and Hispanic ethnicity were queried sep- arately; only non-Hispanic African Americans and non-Hispanic Whites were included. At baseline, this sample had an interval since last dental visit that was similar to National Health Interview Survey data, and conclusions regarding its sociodemographic determinants were the same (Bloom, Gift, & Jack, 1992; Gilbert et al., 1997). Informed consent was obtained using a pro- tocol approved by the institutional review boards of the University of Alabama at Birmingham and the University of Florida. Data Collection Methods Trained interviewers administered an in-person interview at baseline, which typically lasted about 30 min. Test-retest reliability of the interview questions was estimated afterward and judged to be satisfactory (Gilbert et al., 781 Figure 1 Conceptual Model Specifying Relations Between Explanatory Variables and Satisfaction With Dental Appearance Source: Adapted with revision from the multidimensional conceptual model of oral health (Gilbert, Duncan, Heft, Dolan, & Vogel, 1998). 1997). Immediately following the in-person interview, a clinical dental exam- ination was conducted. A previous study (Gilbert et al., 1996) has described in detail the examination protocol, clinical diagnostic criteria, and quantified interexaminer reliability, all of which were reported to be satisfactory. Measures To aid in identifying which factors to consider as determinants of satisfac- tion with dental appearance, we proposed a model (Figure 1) to structure our analysis and to specify the relations between satisfaction with dental appear- ance and the hypothesized explanatory variables. This model was adapted with revision from a multidimensional conceptual model of oral health (Gilbert, Duncan, et al., 1998). The construct validity and predictive validity of the mul- tidimensional conceptual model of oral health have been demonstrated in pre- vious studies (Chavers, Gilbert, & Shelton, 2003; Gilbert, Duncan, et al., 1998). The relations have also been tested and validated previously between sociode- mographic characteristics/approach to dental care and oral disease/tissue dam- age (Gilbert et al., 1996), between sociodemographic characteristics/approach to dental care and oral disadvantage (Chavers, Gilbert, & Shelton, 2004), and 782 Table 1 783 between oral disease/tissue damage and oral disadvantage (Chavers et al., 2004). Therefore, in the current report the relations will be tested between sat- isfaction with dental appearance, sociodemographic characteristics/approach to dental care, oral disease/tissue damage, and oral disadvantage. Table 1 lists the dependent and explanatory variables included in this study. The actual wording and response categories of all questionnaire items can be found at the FDCS Web site at http://nersp.nerdc.ufl.edu/~gilbert/question.htm. However, we describe herein certain questions that are directly relevant to our analysis. Sociodemographic measures and approach to dental care. Sociodemographic measures included age (45 to 64 years old/65 years old or older), gender (male/female), area of residence (rural/urban), race (non-Hispanic African American/non-Hispanic White), level of formal education (did not graduate from high school/ graduated from high school), ability to pay an unexpected $500 dental bill (able to pay comfortably/able to pay but with difficulty/not able to pay), and dental insurance status (has dental insurance/no dental insurance). Approach to dental care was measured by asking participants to describe their typical approach to dental care as (a) “I never go to a dentist”; (b) “I go to a dentist when I have a problem or when I know that I need to get something fixed”; (c) “I go to a dentist occasionally, whether or not I have a problem”; or (d) “I go to a dentist regularly.” Persons whose responses fell in either of the first two categories were classified as problem-oriented atten- ders, and those whose responses fell in either of the last two categories were classified as regular attenders. Measures of oral disease/tissue damage. In the terminology that we have adopted, oral disease/tissue damage refers to disorder at the organic level, such as active disease, a metabolic disorder, an anatomical defect, or tissue loss. Its definition is confined to the context of a single individual (Gilbert, Foerster, & Duncan, 1998). A broad range of measures of oral disease/tissue damage were gathered by clinical examination and in-person interview. The clinical examination recorded the presence and location of remaining teeth, decayed and filled tooth surfaces, root fragments (missing more than three fourths of the clinical crown of the tooth), bulk restoration fractures (missing, partly missing, or fractured fillings), fractured teeth involving the dental cusp and/or incisal edges, severe root defects, teeth that were severely mobile, and periodontal (gum) attachment loss on each tooth. We hypothesized that hav- ing an open space had the most effect on satisfaction with dental appearance, in contrast to having a missing tooth as such. Therefore, missing teeth that had a fixed replacement (such as a bridge) but had not been replaced by a 784 removable appliance (such as a partial denture) were included in the “number of remaining teeth” count for this report. Self-reported measures of oral disease/tissue damage also included denture-wearing status. Because very few people (n = 4) had and wore a lower full denture, denture-wearing status in this report only included whether the participant had and wore an upper full den- ture, upper partial denture, and/or lower partial denture. Measures of oral disadvantage. Oral disadvantage denotes the depriva- tion experienced by people with oral disease, pain, discomfort, or functional limitation because they cannot or do not conform to the expectations of the societal group to which they belong (Gilbert, Foerster, et al., 1998). Oral dis- advantage that is relevant to satisfaction with dental appearance was mea- sured by three questions that asked participants whether they had ever (a) avoided laughing or smiling because of mouth problems, (b) avoided talking because of mouth problems, or (c) been embarrassed by the appear- ance or bad health of their mouths. Satisfaction with dental appearance. Satisfaction with dental appearance was measured using a 4-point scale that asked participants to rate their sat- isfaction as very satisfied, satisfied, dissatisfied, or very dissatisfied. Statistical Analysis Only baseline data were of interest in this current report. Data were weighted using the sampling proportions to reflect the population in the counties studied and to minimize the variance inflation resulting from sam- ple design effects (Gilbert et al., 1997). Except where specified to the con- trary, numbers and percentages shown in this report are weighted values. All comments about statistical significance in this report refer to probabilities of less than .05. Descriptive analysis was conducted to illustrate the prevalence of dissatis- faction with dental appearance, stratified by sociodemographic characteristics and approach to dental care. Bivariate comparisons were conducted to quan- tify individual relationships between dissatisfaction with dental appearance, other oral health measures, and sociodemographic circumstances. Chi-square tests and Mantel-Haenszel chi-square tests were used when variables were nominal and ordinal, respectively. Logistic regression was conducted to identify the independent determi- nants of satisfaction with dental appearance. Because the explanatory vari- ables included multiple measures of oral health and sociodemographic 785 characteristics, a blockwise analytic technique was adopted. In brief, four preliminary logistic regressions were conducted in parallel to test socio- demographic characteristics, clinical measures of oral disease/tissue damage, self-reported measures of oral disease/tissue damage, and three measures of oral disadvantage, respectively. Only those variables that met a less stringent inclusion criterion (p < .10) in the individual regression analysis, were retained in the final regression analysis. Because the outcome of interest, satisfaction with dental appearance, was measured using a 4-point ordinal scale, an ordered logistic regression using the proportional odds model was used in each regression analysis. A basic assumption of the proportional odds model (proportional odds assumption) is that the slope parameter is the same across all levels of an outcome variable (Stokes, Davis, & Koch, 2001). However, our preliminary analyses indicated that the proportional odds assumption was violated when the original mea- sure of satisfaction with dental appearance was used. When participants who reported being “dissatisfied” were pooled with those who reported being “very dissatisfied,” the proportional odds assumption was satisfied. Thus, a recoded outcome variable (1 = very satisfied, 2 = satisfied, and 3 = dissatisfied/ very dissatisfied) was used in the final models. Model goodness of fit and multicollinearity were also diagnosed to ensure that using the model was appropriate in each regression analysis. Multicollinearity was measured using a procedure described by Belsley, Kuh, and Welsch (1980), which is available in the REG procedure (SAS Institute Inc, 2004). All analyses were conducted in the SAS 9.1 environment. Results Prevalence of Dissatisfaction With Dental Appearance by Sociodemographic Characteristics and Approach to Dental Care Approximately 24% of participants reported they were very satisfied with their dental appearance, 52% reported satisfied, 18% reported dissatisfied, and 6% reported very dissatisfied. Table 2 presents the prevalence of dissat- isfaction with dental appearance, stratified by sociodemographic characteris- tics and approach to dental care. For the sake of parsimony, the results of bivariate analysis are not reported. However, they are available to the inter- ested reader at the FDCS Web site at http://nersp.nerdc.ufl.edu/~gilbert/ supplemental.html. 786 Table 2 Dissatisfaction With Dental Appearance for the Sample Overall, by Sociodemographic Characteristics, and Approach to Dental Care *p < .05. **p < .01. ***p < .001. From Pearson chi-square test or Mantel-Haenszel chi-square test. 787 Multiple Logistic Regression Results Table 3 shows findings from the ordinal logistic regression of satisfaction with dental appearance. The results show that after accounting for other vari- ables, females and problem-oriented dental attenders were more dissatisfied with their dental appearance than their counterparts. People who had not graduated from high school were more dissatisfied with their dental appear- ance than those who had graduated from high school. Participants who had root fragments were more dissatisfied than those who did not have this prob- lem. People who reported that they had a broken tooth or cap, a loose tooth, or teeth that were stained or look bad were significantly more dissatisfied than those who did not report such problems. People who had avoided laughing or smiling because of mouth problems and those who had been embarrassed by the appearance or bad health of mouth were significantly more dissatisfied with their dental appearance. Discussion The present study has evaluated, for the first time simultaneously, mul- tiple sociodemographic and oral health measures that may influence adults' satisfaction with dental appearance. Our findings suggest that dissatisfac- tion with dental appearance is common; approximately 24% of participants reported they were very dissatisfied or dissatisfied with dental appearance. This prevalence is similar to the prevalence obtained from a national adult dental survey in England (24%; Alkhatib, Holt, & Bedi, 2005), although that sample included persons 16 years old or older. However, previous stud- ies (Matthias, Atchison, Schweitzer, Lubben, Mayer-Oakes, & De Jong, 1993; York & Holtzman, 1999) conducted in the United States reported a lower prevalence of dissatisfaction with dental appearance among older adults; prevalence estimates ranged from 7.2% to 16.7%. A number of factors have been documented as being associated with the perception of dentofacial aesthetics, such as gender (Flores-Mir, Silva, Barriga, Lagravère, & Major, 2004), education (Matthias et al., 1993), den- tition status (Drake, Beck, & Strauss, 1990; Matthias et al., 1993), and prosthodontic treatment (Matthias et al., 1993). In general, males are less critical than females regarding dentofacial appearance and general physical attractiveness (Neumann et al., 1989); and people who had higher education levels tended to rate their dental appearance more positively (Matthias et al., 1993). Our findings support those conclusions. However, we could not find 788 Table 3 Ordinal Logistic Regression of Dissatisfaction With Dental Appearancea Note: n = 821; Pearson goodness-of-fit statistic p = .5743. a. Based on recoded 3-point scale (1 = very satisfied, 2 = satisfied, 3 = dissatisfied/very dissatisfied). 789 significant associations between number of teeth, prosthodontic treatment status, and satisfaction with dental appearance at the multivariate level. Approach to dental care has not been previously included in studies of den- tal appearance. This study suggests that dissatisfaction with dental appear- ance is significantly higher among problem-oriented attenders. Previous studies (Alkhatib et al., 2005; Neumann et al., 1989) have shown that the perception of dental appearance is significantly influenced by the presence of other oral health problems, such as tooth displacement, bad tooth shape, and tooth discoloration. In the current study, we included more mea- sures of oral health than previous investigations. We found that both clinical and self-reported measures of oral disease/tissue damage were significantly associated with satisfaction with dental appearance. Having root fragments, a broken tooth or cap, a loose tooth, or teeth that were stained or looked bad were associated with less satisfaction with dental appearance. Oral disadvan- tage (avoiding laughing or smiling and being embarrassed by appearance) was also significantly associated with people's satisfaction. In conclusion, this study adds to the literature by showing that dissatisfac- tion with dental appearance was common in this population-based sample of middle-aged and older adults, and was significantly associated with key sociodemographic and oral health factors. The provision of quality dental care services requires that dentists have a high degree of knowledge regard- ing factors that affect patients' satisfaction with dental appearance. In future studies, it will be important to examine how other components, such as tooth contour, the alignment and/or arrangement of teeth, general self-image, cul- tural background, personal expectations, and social environment relate to aes- thetic importance. These areas merit future systematic and multidisciplinary investigations. References Alkhatib, M.N., Holt, R., & Bedi, R. (2005). Age and perception of dental appearance and tooth color. Gerodontology, 22, 32-36. Baldwin, D.C. (1980). Appearance and aesthetics in oral health. 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</ref-list></back></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Satisfaction With Dental Appearance Among Diverse Groups of Dentate Adults</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Satisfaction With Dental Appearance Among Diverse Groups of Dentate Adults</title></titleInfo><name type="personal"><namePart type="family">Xiaoxian Meng</namePart><namePart type="termsOfAddress">DDS, MSD, MPH, PhD</namePart><affiliation>University of Pennsylvania, Philadelphia,</affiliation><affiliation>E-mail: xmeng@dental.upenn.edu</affiliation></name><name type="personal"><namePart type="given">Gregg H.</namePart><namePart type="family">Gilbert</namePart><namePart type="termsOfAddress">DDS, MBA, FAAHD</namePart><affiliation>University of Alabama, Birmingham</affiliation></name><name type="personal"><namePart type="given">R. Paul</namePart><namePart type="family">Duncan</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>University of Florida, Gainesville</affiliation></name><name type="personal"><namePart type="given">Marc W.</namePart><namePart type="family">Heft</namePart><namePart type="termsOfAddress">DMD, PhD</namePart><affiliation>University of Florida, Gainesville</affiliation></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Sage Publications</publisher><place><placeTerm type="text">Sage CA: Los Angeles, CA</placeTerm></place><dateIssued encoding="w3cdtf">2007-10</dateIssued><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Objectives: To quantify (a) the prevalence of dissatisfaction with dental appearance in a diverse sample of dentate adults and (b) the associations between dissatisfaction with dental appearance, sociodemographic factors, and other measures of oral health. Methods: Data were taken from the Florida Dental Care Study , a population-based longitudinal cohort study of oral health and related behaviors. The sample included 873 participants at baseline. Descriptive analysis and logistic regression were conducted to analyze the baseline data in the current report. Results: Females, problem-oriented dental attenders, and participants who had not completed high school were significantly more dissatisfied with their dental appearance than their respective counterparts. Dissatisfaction with dental appearance was also independently associated with six specific clinical and self-reported measures of oral health. Discussion: Dissatisfaction with dental appearance was common in this population-based sample of middle-aged and older adults, and was significantly associated with key sociodemographic and oral health factors.</abstract><subject><genre>keywords</genre><topic>satisfaction</topic><topic>dental appearance</topic><topic>oral health</topic></subject><relatedItem type="host"><titleInfo><title>Journal of aging and health</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0898-2643</identifier><identifier type="eISSN">1552-6887</identifier><identifier type="PublisherID">JAH</identifier><identifier type="PublisherID-hwp">spjah</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>19</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>778</start><end>791</end></extent></part></relatedItem><identifier type="istex">6DCF569825FF032A0521635A026E38D03B2DDEFC</identifier><identifier type="ark">ark:/67375/M70-9CZV0R5L-D</identifier><identifier type="DOI">10.1177/0898264307304373</identifier><identifier type="ArticleID">10.1177_0898264307304373</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-0J1N7DQT-B">sage</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/6DCF569825FF032A0521635A026E38D03B2DDEFC/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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