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      Mind Conduct disorders in children with poor oral hygiene habits and attention deficit hyperactivity disorder in children with excessive tooth decay

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          Abstract

          Introduction

          Dental caries and poor oral hygiene are among the major childhood public health problems. Although dental research frequently refers to the link between these conditions and behavioural issues, little attention has been paid to understanding the reason for oral health problems from a psychiatric point of view. The aim of this study was to examine the relationship between poor oral health and hygiene and parental attitudes towards child rearing, parents’ and children’s oral hygiene behaviours, and childhood psychiatric disorders.

          Material and methods

          This study included 323 children aged 3–15 years. Decayed, missing, filled and decayed, extracted, filled indices, the Simplified Oral Hygiene Index, the Strengths and Difficulties Questionnaire, and the Parent Attitude Research Instrument were used in the study.

          Results

          We found that the subjects’ hyperactivity/inattention scores were positively correlated with poor oral health ( p = 0.001) and heavy cariogenic food consumption ( p = 0.040). Tooth brushing frequency was found to be significantly lower in children who have a risk for conduct/oppositional disorders than in their non-problematic peers ( p = 0.001).

          Conclusions

          Dental health and oral hygiene behaviours have close links with psychiatric disorders and psychosocial issues. Improving cooperation between child psychiatrists and dentists seems to be important in the prevention of paediatric dental problems.

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          Most cited references35

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          We Know Some Things: Parent-Adolescent Relationships in Retrospect and Prospect

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            The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden.

            R. Goodman (1999)
            The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioural screening questionnaire that asks about children's and teenagers' symptoms and positive attributes; the extended version also includes an impact supplement that asks if the respondent thinks the young person has a problem, and if so, enquires further about chronicity, distress, social impairment, and burden for others. Closely similar versions are completed by parents, teachers, and young people aged 11 or more. The validation study involved two groups of 5-15-year-olds: a community sample (N = 467) and a psychiatric clinic sample (N = 232). The two groups had markedly different distributions on the measures of perceived difficulties, impact (distress plus social impairment), and burden. Impact scores were better than symptom scores at discriminating between the community and clinic samples; discrimination based on the single "Is there a problem?" item was almost as good. The SDQ burden rating correlated well (r = .74) with a standardised interview rating of burden. For clinicians and researchers with an interest in psychiatric caseness and the determinants of service use, the impact supplement of the extended SDQ appears to provide useful additional information without taking up much more of respondents' time.
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              Sociobehavioural risk factors in dental caries - international perspectives.

              Diseases probably have their roots in a complex chain of environmental and behavioural events which are shaped by broader socioeconomic determinants. Most studies of sociobehavioural risk factors in dental caries have been carried out in industrialized countries, but such reports from low- and middle-income countries have been published in recent years. World Health Organization international collaborative studies and other international studies of social factors in dental caries using the same methodology provide empirical evidence of social inequality in oral health across countries and across oral health care systems. The paper highlights the challenges to dental public health practice, particularly the importance of risk assessment in estimating the potential for prevention. In future public health programmes, systematic risk factor assessment may therefore be instrumental in the planning and surveillance of oral health promotion and oral disease intervention programmes.
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                Author and article information

                Journal
                Arch Med Sci
                Arch Med Sci
                AMS
                Archives of Medical Science : AMS
                Termedia Publishing House
                1734-1922
                1896-9151
                05 May 2016
                01 December 2016
                : 12
                : 6
                : 1279-1285
                Affiliations
                [1 ]Department of Child and Adolescent Psychiatry, Faculty of Medicine, University of Ataturk, Erzurum, Turkey
                [2 ]Department of Paediatric Dentistry, Faculty of Dentistry, University of Atatürk, Erzurum, Turkey
                [3 ]Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Ordu, Ordu, Turkey
                Author notes
                Corresponding author: Onur Burak Dursun Assist. Prof., Department of Child and Adolescent Psychiatry, Faculty of Medicine, University of Ataturk, Erzurum, Turkey. Phone: +90 5066320584, Fax: +90 4422361301. E-mail: oburak.dursun@ 123456atauni.edu.tr
                Article
                27501
                10.5114/aoms.2016.59723
                5108381
                27904519
                2627c3c1-3a33-45bf-8353-b60a9b165fde
                Copyright: © 2016 Termedia & Banach

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

                History
                : 01 July 2014
                : 05 August 2014
                Categories
                Clinical Research

                Medicine
                child psychiatry,dental health,conduct disorder,hyperactivity
                Medicine
                child psychiatry, dental health, conduct disorder, hyperactivity

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