Development and evaluation of a new multidimensional oral health indicator Article Swipe
YOU?
·
· 2025
· Open Access
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· DOI: https://doi.org/10.3389/froh.2025.1634245
Aim To develop a new multidimensional oral health indicator (MOHi) to ascertain and characterize overall oral health status. Materials and Methods MOHi was developed using data from first-time patients ( N = 1,034) attending a university dental clinic over an 18-month period. Participants completed the Oral Health Value Scale (OHVS), the Oral Health Impact Profile-14 (OHIP-14) and self-reported periodontal status questionnaires. Caries experience through Decayed, Missing and Filled Teeth (DMFT) index, was combined with radiographs. MOHi was built as a linear combination of the normalized OHVS, OHIP-14 and DMFT scores, in a continuous scale from 0 to 3, with higher scores representing a more degraded oral health condition. MOHi was evaluated according to sociodemographic, behavioral characteristics, and periodontal self-reported status. We compared MOHi mean values with t- Student's test and ANOVA one-way. Stepwise multivariate logistic regression methodologies modelled MOHi and identified significant predictors. Model performance was evaluated by ROC/AUC analysis. Results MOHi had a normal distribution adequacy (ranging 0.29–2.47), with an average of 1.22 (±0.41). Significantly higher MOHi scores were found in patients with self-reported periodontitis ( p < 0.001), former/active smokers ( p < 0.001), elementary/middle education level ( p < 0.001), employed/retired ( p < 0.001), age >= 45 years ( p < 0.001) and married/divorced/widowed ( p < 0.001). The final reduced logistic regression model identified age (OR = 1.05), self-reported periodontitis (OR = 1.94), sex—female (OR = 1.80), smoking status active/former (OR = 3.12/OR = 1.62), education level—elementary/middle (OR = 2.94/OR = 2.27) as predictor conditions towards a more degraded oral health condition (AUC = 0.81). Conclusion MOHi has shown to be a promising tool to comprehensively characterize the overall oral health status.
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- Type
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- Language
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- https://doi.org/10.3389/froh.2025.1634245
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Development and evaluation of a new multidimensional oral health indicatorWork title
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2025Year of publication
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2025-09-30Full publication date if available
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José João Mendes, Rui Santos, Patrícia Lyra, Ana Sintra Delgado, Vanessa Machado, João Botelho, Luís ProençaList of authors in order
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https://doi.org/10.3389/froh.2025.1634245Publisher landing page
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https://www.frontiersin.org/journals/oral-health/articles/10.3389/froh.2025.1634245/pdfDirect link to full text PDF
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https://www.frontiersin.org/journals/oral-health/articles/10.3389/froh.2025.1634245/pdfDirect OA link when available
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| abstract_inverted_index.= | 31, 221, 226, 230, 236, 238, 243, 245, 258 |
| abstract_inverted_index.N | 30 |
| abstract_inverted_index.a | 3, 34, 79, 91, 102, 153, 251, 266 |
| abstract_inverted_index.p | 177, 183, 190, 195, 203, 209 |
| abstract_inverted_index.3, | 97 |
| abstract_inverted_index.45 | 200 |
| abstract_inverted_index.To | 1 |
| abstract_inverted_index.We | 120 |
| abstract_inverted_index.an | 39, 160 |
| abstract_inverted_index.as | 78, 247 |
| abstract_inverted_index.be | 265 |
| abstract_inverted_index.by | 147 |
| abstract_inverted_index.in | 90, 171 |
| abstract_inverted_index.of | 82, 162 |
| abstract_inverted_index.t- | 126 |
| abstract_inverted_index.to | 10, 96, 112, 264, 269 |
| abstract_inverted_index.(OR | 220, 225, 229, 235, 242 |
| abstract_inverted_index.Aim | 0 |
| abstract_inverted_index.The | 212 |
| abstract_inverted_index.age | 198, 219 |
| abstract_inverted_index.and | 12, 19, 56, 66, 87, 116, 129, 139, 206 |
| abstract_inverted_index.had | 152 |
| abstract_inverted_index.has | 262 |
| abstract_inverted_index.new | 4 |
| abstract_inverted_index.the | 44, 50, 83, 272 |
| abstract_inverted_index.was | 22, 71, 76, 109, 145 |
| abstract_inverted_index.(AUC | 257 |
| abstract_inverted_index.1.22 | 163 |
| abstract_inverted_index.DMFT | 88 |
| abstract_inverted_index.MOHi | 21, 75, 108, 122, 138, 151, 167, 261 |
| abstract_inverted_index.Oral | 45, 51 |
| abstract_inverted_index.data | 25 |
| abstract_inverted_index.from | 26, 94 |
| abstract_inverted_index.mean | 123 |
| abstract_inverted_index.more | 103, 252 |
| abstract_inverted_index.oral | 6, 15, 105, 254, 274 |
| abstract_inverted_index.over | 38 |
| abstract_inverted_index.test | 128 |
| abstract_inverted_index.tool | 268 |
| abstract_inverted_index.were | 169 |
| abstract_inverted_index.with | 73, 98, 125, 159, 173 |
| abstract_inverted_index.2.27) | 246 |
| abstract_inverted_index.ANOVA | 130 |
| abstract_inverted_index.Model | 143 |
| abstract_inverted_index.OHVS, | 85 |
| abstract_inverted_index.Scale | 48 |
| abstract_inverted_index.Teeth | 68 |
| abstract_inverted_index.Value | 47 |
| abstract_inverted_index.built | 77 |
| abstract_inverted_index.final | 213 |
| abstract_inverted_index.found | 170 |
| abstract_inverted_index.level | 188 |
| abstract_inverted_index.model | 217 |
| abstract_inverted_index.scale | 93 |
| abstract_inverted_index.shown | 263 |
| abstract_inverted_index.using | 24 |
| abstract_inverted_index.years | 201 |
| abstract_inverted_index.(DMFT) | 69 |
| abstract_inverted_index.(MOHi) | 9 |
| abstract_inverted_index.0.001) | 205 |
| abstract_inverted_index.0.81). | 259 |
| abstract_inverted_index.1,034) | 32 |
| abstract_inverted_index.1.05), | 222 |
| abstract_inverted_index.1.62), | 239 |
| abstract_inverted_index.1.80), | 231 |
| abstract_inverted_index.1.94), | 227 |
| abstract_inverted_index.Caries | 61 |
| abstract_inverted_index.Filled | 67 |
| abstract_inverted_index.Health | 46, 52 |
| abstract_inverted_index.Impact | 53 |
| abstract_inverted_index.clinic | 37 |
| abstract_inverted_index.dental | 36 |
| abstract_inverted_index.health | 7, 16, 106, 255, 275 |
| abstract_inverted_index.higher | 99, 166 |
| abstract_inverted_index.index, | 70 |
| abstract_inverted_index.linear | 80 |
| abstract_inverted_index.normal | 154 |
| abstract_inverted_index.scores | 100, 168 |
| abstract_inverted_index.status | 59, 233 |
| abstract_inverted_index.values | 124 |
| abstract_inverted_index.(OHVS), | 49 |
| abstract_inverted_index.0.001), | 179, 185, 192, 197 |
| abstract_inverted_index.0.001). | 211 |
| abstract_inverted_index.2.94/OR | 244 |
| abstract_inverted_index.3.12/OR | 237 |
| abstract_inverted_index.Methods | 20 |
| abstract_inverted_index.Missing | 65 |
| abstract_inverted_index.OHIP-14 | 86 |
| abstract_inverted_index.ROC/AUC | 148 |
| abstract_inverted_index.Results | 150 |
| abstract_inverted_index.average | 161 |
| abstract_inverted_index.develop | 2 |
| abstract_inverted_index.overall | 14, 273 |
| abstract_inverted_index.period. | 41 |
| abstract_inverted_index.reduced | 214 |
| abstract_inverted_index.scores, | 89 |
| abstract_inverted_index.smokers | 181 |
| abstract_inverted_index.smoking | 232 |
| abstract_inverted_index.status. | 17, 119, 276 |
| abstract_inverted_index.through | 63 |
| abstract_inverted_index.towards | 250 |
| abstract_inverted_index.&lt; | 178, 184, 191, 196, 204, 210 |
| abstract_inverted_index.(ranging | 157 |
| abstract_inverted_index.18-month | 40 |
| abstract_inverted_index.Decayed, | 64 |
| abstract_inverted_index.Stepwise | 132 |
| abstract_inverted_index.adequacy | 156 |
| abstract_inverted_index.combined | 72 |
| abstract_inverted_index.compared | 121 |
| abstract_inverted_index.degraded | 104, 253 |
| abstract_inverted_index.logistic | 134, 215 |
| abstract_inverted_index.modelled | 137 |
| abstract_inverted_index.one-way. | 131 |
| abstract_inverted_index.patients | 28, 172 |
| abstract_inverted_index.&gt;= | 199 |
| abstract_inverted_index.(OHIP-14) | 55 |
| abstract_inverted_index.(±0.41). | 164 |
| abstract_inverted_index.Materials | 18 |
| abstract_inverted_index.Student's | 127 |
| abstract_inverted_index.according | 111 |
| abstract_inverted_index.analysis. | 149 |
| abstract_inverted_index.ascertain | 11 |
| abstract_inverted_index.attending | 33 |
| abstract_inverted_index.completed | 43 |
| abstract_inverted_index.condition | 256 |
| abstract_inverted_index.developed | 23 |
| abstract_inverted_index.education | 187, 240 |
| abstract_inverted_index.evaluated | 110, 146 |
| abstract_inverted_index.indicator | 8 |
| abstract_inverted_index.predictor | 248 |
| abstract_inverted_index.promising | 267 |
| abstract_inverted_index.Conclusion | 260 |
| abstract_inverted_index.Profile-14 | 54 |
| abstract_inverted_index.behavioral | 114 |
| abstract_inverted_index.condition. | 107 |
| abstract_inverted_index.conditions | 249 |
| abstract_inverted_index.continuous | 92 |
| abstract_inverted_index.experience | 62 |
| abstract_inverted_index.first-time | 27 |
| abstract_inverted_index.identified | 140, 218 |
| abstract_inverted_index.normalized | 84 |
| abstract_inverted_index.regression | 135, 216 |
| abstract_inverted_index.university | 35 |
| abstract_inverted_index.combination | 81 |
| abstract_inverted_index.performance | 144 |
| abstract_inverted_index.periodontal | 58, 117 |
| abstract_inverted_index.predictors. | 142 |
| abstract_inverted_index.significant | 141 |
| abstract_inverted_index.Participants | 42 |
| abstract_inverted_index.characterize | 13, 271 |
| abstract_inverted_index.distribution | 155 |
| abstract_inverted_index.multivariate | 133 |
| abstract_inverted_index.radiographs. | 74 |
| abstract_inverted_index.representing | 101 |
| abstract_inverted_index.sex—female | 228 |
| abstract_inverted_index.0.29–2.47), | 158 |
| abstract_inverted_index.Significantly | 165 |
| abstract_inverted_index.active/former | 234 |
| abstract_inverted_index.former/active | 180 |
| abstract_inverted_index.methodologies | 136 |
| abstract_inverted_index.periodontitis | 175, 224 |
| abstract_inverted_index.self-reported | 57, 118, 174, 223 |
| abstract_inverted_index.comprehensively | 270 |
| abstract_inverted_index.questionnaires. | 60 |
| abstract_inverted_index.characteristics, | 115 |
| abstract_inverted_index.employed/retired | 193 |
| abstract_inverted_index.multidimensional | 5 |
| abstract_inverted_index.elementary/middle | 186 |
| abstract_inverted_index.sociodemographic, | 113 |
| abstract_inverted_index.married/divorced/widowed | 207 |
| abstract_inverted_index.level—elementary/middle | 241 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| citation_normalized_percentile.value | 0.53563976 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |