{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:52:47Z","timestamp":1759333967825,"version":"build-2065373602"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oral Health"],"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To develop a new multidimensional oral health indicator (MOHi) to ascertain and characterize overall oral health status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>MOHi was developed using data from first-time patients (<jats:italic>N<\/jats:italic>\u2009=\u20091,034) 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>MOHi had a normal distribution adequacy (ranging 0.29\u20132.47), with an average of 1.22 (\u00b10.41). Significantly higher MOHi scores were found in patients with self-reported periodontitis (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), former\/active smokers (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), elementary\/middle education level (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), employed\/retired (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), age &amp;gt;= 45 years (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001) and married\/divorced\/widowed (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). The final reduced logistic regression model identified age (OR\u2009=\u20091.05), self-reported periodontitis (OR\u2009=\u20091.94), sex\u2014female (OR\u2009=\u20091.80), smoking status active\/former (OR\u2009=\u20093.12\/OR\u2009=\u20091.62), education level\u2014elementary\/middle (OR\u2009=\u20092.94\/OR\u2009=\u20092.27) as predictor conditions towards a more degraded oral health condition (AUC\u2009=\u20090.81).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>MOHi has shown to be a promising tool to comprehensively characterize the overall oral health status.<\/jats:p><\/jats:sec>","DOI":"10.3389\/froh.2025.1634245","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T05:37:43Z","timestamp":1759210663000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and evaluation of a new multidimensional oral health indicator"],"prefix":"10.3389","volume":"6","author":[{"given":"Jos\u00e9 Jo\u00e3o","family":"Mendes","sequence":"first","affiliation":[]},{"given":"Rui","family":"Santos","sequence":"additional","affiliation":[]},{"given":"Patr\u00edcia","family":"Lyra","sequence":"additional","affiliation":[]},{"given":"Ana Sintra","family":"Delgado","sequence":"additional","affiliation":[]},{"given":"Vanessa","family":"Machado","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o","family":"Botelho","sequence":"additional","affiliation":[]},{"given":"Lu\u00eds","family":"Proen\u00e7a","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"B1","first-page":"1","volume-title":"Health Behavior: Theory, Research, and Practice","author":"Glanz","year":"2015"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e510","DOI":"10.1542\/peds.2006-3084","article-title":"Influences on children\u2019s oral health: a conceptual model","volume":"120","author":"Fisher-Owens","year":"2007","journal-title":"Pediatrics"},{"key":"B3","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1111\/cdoe.12621","article-title":"Development and validation of the oral health values scale","volume":"49","author":"Edwards","year":"2021","journal-title":"Comm Dent Oral Epid"},{"key":"B4","first-page":"3","article-title":"Development and evaluation of the oral health impact profile","volume":"11","author":"Slade","year":"1994","journal-title":"Community Dent Health"},{"key":"B5","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1111\/j.1600-0528.1997.tb00941.x","article-title":"Derivation and validation of a short-form oral health impact profile","volume":"25","author":"Slade","year":"1997","journal-title":"Community Dent Oral Epidemiol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1177\/00220345000790041301","article-title":"Self-perceived oral health Status, psychological well-being, and life satisfaction in an older adult population","volume":"79","author":"Locker","year":"2000","journal-title":"J Dent Res"},{"key":"B7","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1111\/j.1600-0528.2007.00418.x","article-title":"What do measures of \u201coral health-related quality of life\u201d measure?","volume":"35","author":"Locker","year":"2007","journal-title":"Community Dent Oral Epidemiol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"S4","DOI":"10.1186\/1472-6831-6-S1-S4","article-title":"Reducing oral health disparities: a focus on social and cultural determinants","volume":"6","author":"Patrick","year":"2006","journal-title":"BMC Oral Health"},{"key":"B9","first-page":"247","article-title":"Oral health and quality of life","volume":"2","author":"Locker","year":"2004","journal-title":"Oral Health Prev Dent"},{"key":"B10","doi-asserted-by":"publisher","first-page":"W1","DOI":"10.7326\/M14-0698","article-title":"Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): explanation and elaboration","volume":"162","author":"Moons","year":"2015","journal-title":"Ann Intern Med"},{"volume-title":"Oral Health Surveys: Basic Methods","year":"2013","author":"Petersen","key":"B11"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.3390\/jpm12081315","article-title":"Self-reported measures of periodontitis in a Portuguese population: a validation study","volume":"12","author":"Machado","year":"2022","journal-title":"J Pers Med"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1902\/jop.2009.080607","article-title":"Assessment of self-report measures for predicting population prevalence of periodontitis","volume":"80","author":"Eke","year":"2009","journal-title":"J Periodontol"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.3390\/jpm10030069","article-title":"Relationship between blood and standard biochemistry levels with periodontitis in Parkinson\u2019s disease patients: data from the NHANES 2011-2012","volume":"10","author":"Botelho","year":"2020","journal-title":"J Pers Med"},{"key":"B15","doi-asserted-by":"publisher","first-page":"672","DOI":"10.3390\/jpm12050672","article-title":"Cross-Cultural adaptation and validation of the oral health values scale for the Portuguese population","volume":"12","author":"Machado","year":"2022","journal-title":"JPM"},{"key":"B16","doi-asserted-by":"publisher","first-page":"374","DOI":"10.15309\/17psd180208","article-title":"Health-related quality of life: portuguese linguistic and cultural adaptation of OHIP-14","volume":"18","author":"Afonso","year":"2017","journal-title":"Psic Sa\u00fade Doen\u00e7as"},{"article-title":"oral","volume-title":"Handbook on Constructing Composite Indicators: Methodology and User Guide","year":"2008","key":"B17"},{"key":"B18","first-page":"661","article-title":"The global burden of oral diseases and risks to oral health","volume":"83","author":"Petersen","year":"2005","journal-title":"Bull World Health Organ"},{"key":"B19","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.gerinurse.2018.06.002","article-title":"A review on healthy ageing interventions addressing physical, mental and social health of independent community-dwelling older adults","volume":"40","author":"Seah","year":"2019","journal-title":"Geriatr Nurs (Minneap)"},{"key":"B20","doi-asserted-by":"publisher","first-page":"S0020653923000977","DOI":"10.1016\/j.identj.2023.06.006","article-title":"Advancing universal oral health coverage via person-centred outcomes","author":"Nascimento","year":"2023","journal-title":"Int Dent J"},{"key":"B21","doi-asserted-by":"publisher","first-page":"e075","DOI":"10.1590\/1807-3107bor-2020.vol34.0075","article-title":"Patient-centered assessments: how can they be used in dental clinical trials?","volume":"34","author":"Perazzo","year":"2020","journal-title":"Braz Oral res"},{"key":"B22","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.jebdp.2018.10.005","article-title":"Patient-reported outcome measures for adult dental patients: a systematic review","volume":"19","author":"Mittal","year":"2019","journal-title":"J Evid Based Dent Pract"},{"key":"B23","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1111\/clr.13299","article-title":"Group 3 ITI consensus report: patient-reported outcome measures associated with implant dentistry","volume":"29","author":"Feine","year":"2018","journal-title":"Clinical Oral Implants Res"},{"key":"B24","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1111\/j.1741-2358.1994.tb00116.x","article-title":"Association between clinical and subjective indicators of oral health status in an older adult population","volume":"11","author":"Locker","year":"1994","journal-title":"Gerodontology"},{"key":"B25","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1093\/pubmed\/fdi031","article-title":"Mode of questionnaire administration can have serious effects on data quality","volume":"27","author":"Bowling","year":"2005","journal-title":"J Public Health"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.1016\/j.jval.2011.06.003","article-title":"Response burden and questionnaire length: is shorter better? A review and meta-analysis","volume":"14","author":"Rolstad","year":"2011","journal-title":"Value Health"}],"container-title":["Frontiers in Oral Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2025.1634245\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T05:37:45Z","timestamp":1759210665000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2025.1634245\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":26,"alternative-id":["10.3389\/froh.2025.1634245"],"URL":"https:\/\/doi.org\/10.3389\/froh.2025.1634245","relation":{},"ISSN":["2673-4842"],"issn-type":[{"type":"electronic","value":"2673-4842"}],"subject":[],"published":{"date-parts":[[2025,9,30]]},"article-number":"1634245"}}