Browsing by Autor "Juan Pablo Vargas Buratovic"

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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.
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.
Systemic antibiotic prescription practices of periodontists in Chile: a cross-sectional study
(Research Square (United States), 2023) Antonio Quintero Harvey; Maria Isidora Voss Wilckens; Juan Pablo Vargas Buratovic; Duniel Ortuño
Abstract Background Periodontitis is an immunoinflammatory condition of infectious etiology. Systemic antibiotic prescription is justified in specific circumstances balancing benefits and risks for patients and public health. Antibiotic resistance has been identified as an important threat to world health. There is no evidence about prescription practices amongst periodontists in Chile. The aim of this study was to describe the antibiotic prescription practices by periodontists in Chile Method A cross-sectional study was conducted. A digital self-report questionnaire was applied to periodontists affiliated to the Chilean Periodontal Society. The survey evaluated prescription practices for 12 specific clinical situations and follow-up behavior and report of adverse reactions. Results A total of 189 periodontists accepted the invitation to answer the survey. 100% of periodontists use systemic antibiotics in their clinical practice, and 14% of them prescribe them in more than 26% of their patients monthly. More than 50% prescribed amoxicillin combined with metronidazole for the treatment of periodontitis and peri-implantitis. Almost 40% of periodontists always prescribe in case of implant installation and regenerative procedures. For non-surgical periodontal therapy, the prescription frequency was very heterogeneous. The main determinants for systemic antibiotics prescription were smoking, patient systemic conditions and use of biomaterials. Also, 61.2% of periodontists reported adverse drug reactions, and 97.8% did not apply microbiological tests. Conclusion Systemic antibiotics prescription patterns varied substantially for different periodontal or peri-implant diseases and clinical procedures among respondents. According to the survey, antibiotic prescription by periodontists in Chile is a common practice and generally empirical,. Elaboration of evidence-based clinical practice guidelines for rational antibiotic use are required.