Browsing by Autor "Duniel Ortuno Borroto"

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Cross-cultural adaptation of PIDAQ questionnaire to evaluate the psychosocial impact of dental esthetics in Chilean adolescents with malocclusion
(FDI World Dental Press, 2026) Humberto González Oneto; María Ignacia Torres Pinto; María Macherone Chaparro; Yazmín Zedan Abuawad; Juan Pablo Vargas Buratovic; Duniel Ortuno Borroto
Background: The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is a useful index to assess aspects of malocclusion that impact individuals' oral health-related quality of life. This study aimed to perform cross-cultural adaptation of the PIDAQ questionnaire to the language of the Chilean adolescent population. Methods: We used the framework of the Guidelines for the Transcultural Adaptation Process of self-reports and the Manuals for a language inclusive for the transcultural adaptation of the PIDAQ. The instrument was tested with 34 Chilean adolescents with malocclusion between 11 and 17 years of age. We evaluated equivalence considering criterion, content, and construct validity according to COSMIN methodology and performed Cronbach's alpha statistical test. Twenty-three items in the questionnaire were tested according to how clear and understandable the questions were to the reader and according to a Likert scale graduated in: not at all clear, unclear, clear, or very clear. For temporal stability, we calculated intraclass correlation coefficients (ICC). Results: We obtained a more than acceptable reliability with a Cronbach's Alpha of 0.95 for the total questionnaire. The questions grouped according to the dimensions of dental self-confidence, social impact, psychological impact, and esthetic concern obtained a Cronbach's Alpha of 0.95, 0.95, 0.95 and 0.94, respectively. The questionnaire showed high temporal stability at the test-retest with a total Intraclass Correlation Coefficient of 0.91 (0.89-0.91). Conclusion: The cross-cultural adaptation of the PIDAQ questionnaire achieved equivalence with the original instrument and obtained reliability and content, and construct validity in Chilean adolescents.
Evaluation of socioeconomic inequalities in dental caries levels in Chilean children aged 6 years, 2008–2023
(FDI World Dental Press, 2025) Andrés Celis; María Meleda; Antonia Gutiérrez Pérez; Jorge Celis-Dooner; Duniel Ortuno Borroto
Dental caries is the most prevalent chronic disease in children worldwide, disproportionately affecting socioeconomically disadvantaged populations. In Chile, national data from 2007 reported significant inequities in dental caries among six-year-old children, with higher prevalence in rural and low-income areas. This study aimed to evaluate socioeconomic inequalities in the distribution of dental caries among Chilean children aged 6 years from 2008 to 2023, considering recent public health interventions. This ecological study utilized anonymized routine health records from the Chilean public health system and socioeconomic data at the municipal level, covering 2008-2023, with data from up to n = 323 municipalities nationwide. Caries experience was measured as the proportion of six-year-old children with decayed, extracted, or filled primary teeth (dmft > 0) per municipality and year, following WHO criteria. Socioeconomic inequalities were assessed using the Slope Index of Inequality (SII) and Relative Index of Inequality (RII), with linear regression models to evaluate trends over time. A reduction in caries experience among six-year-old children - decreasing from 75.8% in 2008-2011 to 60.4% in 2020-2023 - was observed. Absolute inequality in caries experience between the least and most advantaged groups declined from 14.9% in 2008-2011 to 9.5% in 2020-2023. However, profound socioeconomic inequities in caries distribution persisted throughout the study period. The findings indicate a trend towards reduced socioeconomic inequalities in dental caries among six-year-old Chilean children, possibly influenced by preventive public health programs. Nevertheless, significant inequities and high caries levels remain, highlighting the need for sustained and equitable oral health interventions.
Impact of Number and Position of Tooth Loss in Quality of Life: The Chilean National Health Survey 2016- 2017
(Research Square (United States), 2023) Juan Pablo Vargas Buratovic; Elizabeth Lopez Tagle; Cynthia Cantarutti Martinez; Claudio Carrasco Mococain; Francisco Moreno Ferrer; Claudia Véliz; Paula Margozzini Maira; Beatriz Mellado Torres; Duniel Ortuno Borroto
Abstract Purpose Considering that oral conditions can affect Health-Related Quality of Life (HRQoL), this study aimed to evaluate the impact of tooth loss on HRQoL and Oral Health-Related Quality of Life (OHRQoL) in Chilean adults who participated in the 2016–2017 National Health Survey (ENS 2016–2017). Methods This study included 5473 individuals. The EQ-5D questionnaire was used to measure HRQoL. OHRQoL was evaluated through one general question (GQ/ENS) and five specific questions (SQ/ENS). One-way ANOVA was performed to identify differences in the number of teeth. Multinomial logistic regressions were used to examine the odds ratio (OR) with their respective confidence intervals of 95% for anterior tooth loss. Results In the EQ-5D "self-care" question, the number of teeth decreased from 20.18 teeth (se 0.13) in G1 to 6.43 (se 1.38) in G3 individuals. In GQ/ENS, in individuals with upper anterior tooth loss, the OR for "Poor" was 2.26 (CI 95% 1.04–4.94) and increased to 2.97 (CI 95% 0.85–10.32) for "Very poor" OHRQoL. In SQ/ENS, upper anterior tooth loss represented an OR of 2.57 (CI 95% 1.30–5.05) for "always" being interfered by teeth or prostheses in their social relationships. Conclusions A lower number of remaining teeth was associated with lower HRQoL scores in all EQ-5D dimensions and poor OHRQoL according to GQ/ENS and SQ/ENS questionnaires. The anterior tooth loss was less associated with lower HRQoL, but this condition highly impacted the OHRQoL.