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    Item type:Publication,
    Associations between Malocclusion and Oral Health-Related Quality of Life among Mongolian Adolescents
    (2017-08)
    Araki, Miyu
    ;
    Yasuda, Yuko
    ;
    Ogawa, Takuya
    ;
    ;
    Ganburged, Ganjargal
    Malocclusion may affect oral health-related quality of life (OHR-QoL), however, the previously detected associations were affected by confounding factors. We hypothesized that there is indeed an association between OHR-QoL and malocclusion and investigated in a population-based study of 420 Mongolian adolescents mean age: 12.6 (standard deviation (SD) = 1.09) years from two secondary schools, located in an urban and a suburban area. We randomly selected two classes from each school. The Index of Orthodontic Treatment Need (IOTN) was used to assess malocclusion. OHR-QoL was assessed using the Child Perceptions Questionnaire (CPQ). Multivariate analysis was used to determine whether malocclusion had an independent effect on OHR-QoL. Overall, the existence of any type of malocclusion was not significantly associated with CPQ results. However, increased overjet was significantly associated with oral symptoms (coefficient: 0.66, 95% CI: 0.14-1.19), functional limitations (coefficient: 0.62, 95% CI: 0.17-1.08), and social well-being (coefficient: 0.50, 95% CI: 0.06-0.93). Deep bite was also significantly associated with oral symptoms (coefficient: 0.54, 95% CI: 0.23-0.84) and functional limitations (coefficient: 0.45, 95% CI: 0.19-0.72). Although malocclusion per se was not significantly associated with OHR-QoL, specific types of malocclusion, i.e., increased overjet and deep bite, were associated with OHR-QoL.
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    Item type:Publication,
    Association Between Malocclusion and Academic Performance Among Mongolian Adolescents
    (Frontiers Media, 2021-01-22)
    Nomin Badrakhkhuu
    ;
    Yusuke Matsuyama
    ;
    Miyu Yoshizawa Araki
    ;
    Yuko Unnai Yasuda
    ;
    Takuya Ogawa
    Objective: Malocclusion has been reported to affect the daily lives of schoolchildren adversely, but little is known regarding the association between malocclusion and academic performance. We aimed to investigate the association between malocclusion and academic performance among adolescents in Mongolia. Methods: We conducted a cross-sectional study of 767 students aged 7–16 years from two public schools in Ulaanbaatar, Mongolia. Three orthodontists evaluated the need for malocclusion treatment in the participants and determined the type of malocclusion using the Index of Orthodontic Treatment Need and dental casts. The academic scores of study participants in 20 subjects were provided by their schools. Z-scores within subjects were calculated and aggregated into both overall and in six groups of subject categories comprised of mathematics, science, social science, language, arts, and physical education. A multiple linear regression analysis was performed to determine the association between malocclusion, malocclusion type, and academic score adjusted for gender, age, school, and family income. Results: Of the 767 students, 32.6% had malocclusion, and dental crowding was the most prevalent type (162 cases, 21.1%). Malocclusion was not significantly associated with the z-score of overall academic score [coefficient: 0.04, 95% confidence interval (CI): −0.11 to 0.19]; however, dental crowding was significantly associated with the overall academic score (coefficient: −0.19, 95% CI: −0.35 to −0.03), after adjusting for covariates. Other types of malocclusion were not associated with academic scores. Among the six subject categories, arts (coefficient: −0.20, 95% CI: −0.36 to −0.04) and physical education (coefficient: −0.24, 95% CI: −0.42 to −0.07) were significantly associated with dental crowding. Conclusions: Schoolchildren in Mongolia with dental crowding may be prone to poor academic performance, particularly in arts and physical education classes. Further randomized controlled trials are needed to determine whether the treatment of crowding boosts academic performance.