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. 2009 Jan 5:9:2.
doi: 10.1186/1472-6831-9-2.

The Dental Neglect Scale in adolescents

Trilby Coolidge  1 , Masahiro Heima, Elissa K Johnson, Philip Weinstein
Affiliations

The Dental Neglect Scale in adolescents

Trilby Coolidge et al. BMC Oral Health. .

Abstract

Background: Dental neglect has been found to be related to poor oral health, a tendency not to have had routine check-ups, and a longer period of time since the last dental appointment in samples of children and adults. The Dental Neglect Scale (DNS) has been found to be a valid measure of dental neglect in samples of children and adults, and may be valid for adolescents as well. We administered the DNS to a sample of adolescents and report on the relationships between the DNS and oral health status, whether or not the adolescent has been to the dentist recently for routine check-ups, and whether or not the adolescent currently goes to a dentist. We also report the internal and test-retest reliabilities of the DNS in this sample, as well as the results of an exploratory factor analysis.

Methods: One hundred seventeen adolescents from seven youth groups in the Seattle-Tacoma metropolitan area (Washington State, U.S.) completed the DNS and indicated whether they currently go to a dentist, while parents indicated whether the adolescent had a check-up in the previous three years. Adolescents also received a dental screening. Sixty six adolescents completed the questionnaire twice. T-tests were used to compare DNS scores of adolescents who have visible caries or not, adolescents who have had a check-up in the past three years or not, and adolescents who currently go to a dentist or not. Internal reliability was measured by Cronbach's alpha, and test-rest reliability was measured by intra-class correlation. Factor analysis (Varimax rotation) was used to examine the factor structure.

Results: In each comparison, significantly higher DNS scores were observed in adolescents with visible caries, who have not had a check-up in the past three years, or who do not go to a dentist (all p values < 0.05). The test-retest reliability of the DNS was high (ICC = 0.81), and its internal reliability was acceptable (Cronbach's alpha = 0.60). Factor analysis yielded two factors, characterized by home care and visiting a dentist.

Conclusion: The DNS appears to operate similarly in this sample of adolescents as it has in other samples of children and adults.

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References

    1. Thomson WM, Spencer AJ, Gaughwin A. Testing a child dental neglect scale in South Australia. Community Dent Oral Epidemiol. 1996;24:351–356. doi: 10.1111/j.1600-0528.1996.tb00875.x. - DOI - PubMed
    1. Riley JL, Gilbert GH, Heft MW. Dental attitudes: proximal basis for oral health disparities in adults. Community Dent Oral Epidemiol. 2006;24:289–298. doi: 10.1111/j.1600-0528.2006.00280.x. - DOI - PubMed
    1. Sanders AE, Spencer AJ, Slade GD. Evaluating the role of dental behaviour in oral health inequalities. Community Dent Oral Epidemiol. 2006;34:71–79. doi: 10.1111/j.1600-0528.2006.00261.x. - DOI - PubMed
    1. McGrath C, Bedi R. Can dental attendance improve quality of life? Brit Dent J. 2001;190:262–265. doi: 10.1038/sj.bdj.4800944a. - DOI - PubMed
    1. Thomson WM, Locker D. Dental neglect and dental health among 26-year-olds in the Dunedin Multidisciplinary Study. Community Dent Oral Epidemiol. 2000;28:414–418. doi: 10.1034/j.1600-0528.2000.028006414.x. - DOI - PubMed

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