{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:48:17Z","timestamp":1778719697766,"version":"3.51.4"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T00:00:00Z","timestamp":1686268800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T00:00:00Z","timestamp":1686268800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012704","name":"Universitetet i Agder","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012704","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Oral health needs assessment is important for oral health care planning. This study compared dental treatment needs between normative and sociodental needs. We also longitudinally examined the relationships of baseline sociodental needs measures and socioeconomic status with one-year follow up measures of use of dental services, dental caries, filled teeth, and oral health-related quality of life (OHRQoL).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A prospective study was conducted with 12-year-old adolescents from public schools in deprived communities in the city of Manaus, Brazil. Validated questionnaires were used to collect adolescents\u2019 sex and socioeconomic status, OHRQoL (CPQ<jats:sub>11\u2009\u2212\u200914<\/jats:sub>) and behaviours (sugar intake, frequency of toothbrushing, regular use of fluoridated toothpaste and pattern of dental attendance). Normative need was assessed according to decayed teeth, clinical consequences of untreated dental caries, malocclusion, dental trauma, and dental calculus. The relationships between variables were tested thorough Structural equation modelling.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Overall 95.5% of adolescents had normative dental treatment needs. Of these, 9.4% were classified as high level of propensity. Higher normative\/impact need and greater propensity-related need directly predicted use of dental services at one-year follow up. The latter mediated the association of normative\/impact need and propensity-related need with incidence of dental caries and filled teeth. Normative\/impact need and use of dental services were directly associated with filled teeth at one-year follow up. Poor OHRQoL at one-year follow-up was directly predicted by higher normative\/impact need at baseline and less filled teeth at one-year follow up. Greater socioeconomic status was directly associated with better propensity-related need. Socioeconomic status indirectly predicted incidence of dental caries and filled teeth via propensity-related need and use of dental services.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Sociodental needs measures were related to use of dental services, dental caries, filled teeth and OHRQoL after one year among adolescents living in deprived communities. Adolescents with dental needs treatment priorities according to the sociodental approach had more filled teeth via use of dental services. Dental services utilisation did not attenuate the impact of normative and impact-related need on dental caries incidence and poor OHRQoL after one year. Our findings suggest the importance of developing oral health promotion and enhancing access to dental care to improve oral health of adolescents living in deprived communities.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-023-09596-0","type":"journal-article","created":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T10:02:38Z","timestamp":1686304958000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Does using the sociodental approach in oral health care influence use of dental services and oral health of adolescents living in deprived communities? a one-year follow up study"],"prefix":"10.1186","volume":"23","author":[{"given":"Andressa Coelho","family":"Gomes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario Vianna","family":"Vettore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larissa Neves","family":"Quadros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Augusta Bessa","family":"Rebelo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janete Maria","family":"Rebelo Vieira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,6,9]]},"reference":[{"key":"9596_CR1","first-page":"59","volume-title":"Community oral health","author":"A Sheiham","year":"2007","unstructured":"Sheiham A, Tsakos G. Oral health needs assessments. In: Pine C, Harris R, editors. Community oral health. New Malden: Quintessence Publishing Co; 2007. pp. 59\u201379."},{"key":"9596_CR2","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1111\/j.1365-263X.2006.00701.x","volume":"16","author":"S Gherunpong","year":"2006","unstructured":"Gherunpong S, Tsakos G, Sheiham A. A sociodental approach to assessing dental needs of children: concept and models. Int J Paediatr Dent. 2006a;16:81\u20138.","journal-title":"Int J Paediatr Dent"},{"key":"9596_CR3","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/S0140-6736(19)31146-8","volume":"394","author":"MA Peres","year":"2019","unstructured":"Peres MA, et al. Oral diseases: a global public health challenge. Lancet. 2019;394:249\u201360.","journal-title":"Lancet"},{"key":"9596_CR4","unstructured":"Petersen PE, Leous P. The burden of oral disease and risks to oral health at global and regional levels. In: Medicina stomatologic\u0103. 2017, nr. 1\u20132(42\u201343), pp.\u00a07\u201313."},{"issue":"5","key":"9596_CR5","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1177\/0022034517750572","volume":"97","author":"AJ Righolt","year":"2018","unstructured":"Righolt AJ, Jevdjevic M, Marcenes W, Listl S. Global-, regional-, and country-level economic impacts of dental diseases in 2015. J Dent Res. 2018;97(5):501\u20137.","journal-title":"J Dent Res"},{"key":"9596_CR6","doi-asserted-by":"crossref","unstructured":"Wadgave U, Lakshminarayan N. Dental treatment needs using a sociodental approach among south indian youths: a cross-sectional study. Int J Adolesc Med Health. 2021;33(4).","DOI":"10.1515\/ijamh-2018-0204"},{"issue":"1","key":"9596_CR7","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1111\/j.1741-2358.2001.00025.x","volume":"18","author":"P Srisilapanan","year":"2001","unstructured":"Srisilapanan P, Sheiham A. Assessing the difference between sociodental and normative approaches to assessing prosthetic dental treatment needs in dentate older people. Gerodontology. 2001;18(1):25\u201331.","journal-title":"Gerodontology"},{"issue":"1","key":"9596_CR8","doi-asserted-by":"publisher","first-page":"36","DOI":"10.2471\/BLT.05.022517","volume":"84","author":"S Gherunpong","year":"2006","unstructured":"Gherunpong S, Sheiham A, Tsakos G. A sociodental approach to assessing children\u2019s oral health needs: integrating an oral health-related quality of life (OHRQoL) measure into oral health service planning. Bull World Health Organ. 2006b;84(1):36\u201342.","journal-title":"Bull World Health Organ"},{"issue":"1","key":"9596_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13104-015-1564-3","volume":"8","author":"FNM Alves","year":"2015","unstructured":"Alves FNM, de Andrade CLT, Vettore MV. Planning oral health care using the sociodental approach and the index of family living conditions: a cross-sectional study in brazilian adolescents. BMC Res Notes. 2015;8(1):1\u201310.","journal-title":"BMC Res Notes"},{"issue":"3","key":"9596_CR10","first-page":"211","volume":"11","author":"FJ Herkrath","year":"2013","unstructured":"Herkrath FJ, Rebelo MA, Herkrath AP, Vettore MV. Comparison of normative methods and the sociodental approach to assessing orthodontic treatment needs in 12-year-old schoolchildren. Oral Health Prev Dent. 2013;11(3):211\u201320.","journal-title":"Oral Health Prev Dent"},{"issue":"2","key":"9596_CR11","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1111\/cdoe.12125","volume":"43","author":"N Ab-Murat","year":"2015","unstructured":"Ab-Murat N, Sheiham A, Tsakos G, Watt R. Periodontal treatment needs and workforce requirements: comparisons between the normative and sociodental approaches using different skill mix models. Community Dent Oral Epidemiol. 2015;43(2):106\u201315.","journal-title":"Community Dent Oral Epidemiol"},{"issue":"6","key":"9596_CR12","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1016\/j.elerap.2010.07.003","volume":"9","author":"JC Westland","year":"2010","unstructured":"Westland JC. Lower bounds on sample size in structural equation modeling. Electron Commer Res Appl. 2010;9(6):476\u201387.","journal-title":"Electron Commer Res Appl"},{"key":"9596_CR13","volume-title":"Oral health surveys, Basic Methods","author":"WHO","year":"2013","unstructured":"WHO. Oral health surveys, Basic Methods. 5th ed. Geneva: World Health Organization; 2013.","edition":"5"},{"key":"9596_CR14","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1111\/j.1600-0528.2009.00514.x","volume":"38","author":"B Monse","year":"2010","unstructured":"Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W. PUFA - an index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol. 2010;38:77\u201382.","journal-title":"Community Dent Oral Epidemiol"},{"key":"9596_CR15","unstructured":"World Health Organization. Oral health surveys: Basic Methods, Ed 4 Geneva. World Health Organization; 1997. p. 93."},{"key":"9596_CR16","first-page":"134","volume-title":"DAI - the Dental Aesthetic Index","author":"NC Cons","year":"1986","unstructured":"Cons NC, Jenny J, Kohout FJ. DAI - the Dental Aesthetic Index. Iowa: College of Dentistry, University of Iowa; 1986. p. 134."},{"key":"9596_CR17","volume-title":"Children\u2019s dental health in the United Kingdom 1993","author":"M O\u2019Brien","year":"1994","unstructured":"O\u2019Brien M. Children\u2019s dental health in the United Kingdom 1993. London: Her Majesty\u2019s Stationery Office; 1994."},{"key":"9596_CR18","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1186\/1477-7525-7-43","volume":"7","author":"CS Torres","year":"2009","unstructured":"Torres CS, Paiva SM, Vale MP, Pordeus IA, Ramos-Jorge ML, Oliveira AC, Allison PJ. Psychometric properties of the brazilian version of the child perceptions questionnaire (CPQ11\u201314) \u2013 short forms. Health Qual Life Outcomes. 2009;7:43.","journal-title":"Health Qual Life Outcomes"},{"issue":"4","key":"9596_CR19","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1177\/0022034515625907","volume":"95","author":"MA Peres","year":"2016","unstructured":"Peres MA, Sheiham A, Liu P, Demarco FF, Silva AER, Assun\u00e7\u00e3o MC, Menezes AM, Barros FC, Peres KG. Sugar consumption and changes in dental caries from childhood to adolescence. J Dent Res. 2016;95(4):388\u201394.","journal-title":"J Dent Res"},{"key":"9596_CR20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/10705519909540118","volume":"6","author":"LT Hu","year":"1999","unstructured":"Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1\u201355.","journal-title":"Struct Equ Model"},{"issue":"2","key":"9596_CR21","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.2105\/AJPH.2017.304180","volume":"108","author":"SF Reda","year":"2018","unstructured":"Reda SF, Reda SM, Thomson WM, Schwendicke F. Inequality in utilization of Dental Services: a systematic review and Meta-analysis. Am J Public Health. 2018;108(2):e1\u2013e7.","journal-title":"Am J Public Health"},{"key":"9596_CR22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jdent.2018.04.010","volume":"75","author":"SM Reda","year":"2018","unstructured":"Reda SM, Krois J, Reda SF, Thomson WM, Schwendicke F. The impact of demographic, health-related and social factors on dental services utilization: systematic review and meta-analysis. J Dent. 2018;75:1\u20136.","journal-title":"J Dent"},{"issue":"4","key":"9596_CR23","first-page":"353","volume":"2","author":"JM Burgette","year":"2017","unstructured":"Burgette JM, Preisser JS, Weinberger M, King RS, Rozier RG. Early Head Start, Pediatric Dental Use, and oral health-related quality of life. JDR Clin Trans Res. 2017;2(4):353\u201362.","journal-title":"JDR Clin Trans Res"},{"issue":"1","key":"9596_CR24","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1111\/j.1600-0528.2008.00437.x","volume":"37","author":"NN Maserejian","year":"2009","unstructured":"Maserejian NN, Tavares MA, Hayes C, Soncini JA, Trachtenberg FL. Prospective study of 5-year caries increment among children receiving comprehensive dental care in the New England children\u2019s amalgam trial. Community Dent Oral Epidemiol. 2009;37(1):9\u201318.","journal-title":"Community Dent Oral Epidemiol"},{"issue":"1","key":"9596_CR25","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1111\/jphd.12401","volume":"81","author":"RB Moraes","year":"2021","unstructured":"Moraes RB, Menegazzo GR, Knorst JK, Ardenghi TM. Availability of public dental care service and dental caries increment in children: a cohort study. J Public Health Dent. 2021;81(1):57\u201364.","journal-title":"J Public Health Dent"},{"issue":"10194","key":"9596_CR26","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1016\/S0140-6736(19)31133-X","volume":"394","author":"RG Watt","year":"2019","unstructured":"Watt RG, Daly B, Allison P, Macpherson LMD, Venturelli R, Listl S, Weyant RJ, Mathur MR, Guarnizo-Herre\u00f1o CC, Celeste RK, Peres MA, Kearns C, Benzian H. Ending the neglect of global oral health: time for radical action. Lancet. 2019;394(10194):261\u201372.","journal-title":"Lancet"},{"issue":"1","key":"9596_CR27","first-page":"34","volume":"35","author":"ALA Alves","year":"2013","unstructured":"Alves ALA, Canabarro AMRT, Thom\u00e9 Le\u00e3o AT, Maia LC, Luiz RR. Change in the quality of life of children and adolescents younger than 14 years old after oral Health Interventions: a systematic review. Pediatr Dent. 2013;35(1):34\u201342.","journal-title":"Pediatr Dent"},{"issue":"3","key":"9596_CR28","first-page":"223","volume":"43","author":"CL Randall","year":"2021","unstructured":"Randall CL, et al. Longitudinal analysis of children\u2019s oral health-related quality of Life after Restorative Dental Treatment. Pediatr Dent. 2021;43(3):223\u20139.","journal-title":"Pediatr Dent"},{"issue":"9826","key":"9596_CR29","doi-asserted-by":"publisher","first-page":"1630","DOI":"10.1016\/S0140-6736(12)60072-5","volume":"379","author":"SM Sawyer","year":"2012","unstructured":"Sawyer SM, Afifi RA, Bearinger LH, Blakemore SJ, Dick B, Ezeh AC, Patton GC. Adolescence: a foundation for future health. Lancet. 2012;379(9826):1630\u201340.","journal-title":"Lancet"},{"key":"9596_CR30","doi-asserted-by":"publisher","first-page":"l251","DOI":"10.1136\/bmj.l251","volume":"364","author":"M Marmot","year":"2019","unstructured":"Marmot M, Bell R. Social determinants and non-communicable diseases: time for integrated action. BMJ. 2019;364:l251.","journal-title":"BMJ"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-023-09596-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-023-09596-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-023-09596-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T10:04:03Z","timestamp":1686305043000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-023-09596-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,9]]},"references-count":30,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["9596"],"URL":"https:\/\/doi.org\/10.1186\/s12913-023-09596-0","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,9]]},"assertion":[{"value":"16 October 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 June 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All methods used in this study were carried out in accordance with relevant guidelines and regulations. In addition, all data collection procedures of the present research and the study were approved by the Research Ethics Committee of the Federal University of Amazonas (Protocol Number 57273316.1.0000.5020). Informed consent was obtained from all parents before data collection.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"605"}}