Publications by authors named "Patricia Munoz-Millan"
Article Synopsis
- Older adults often suffer from various oral health issues and face challenges accessing dental care, impacting their overall quality of life related to oral health (OHRQoL).
- This study systematically reviews available OHRQoL measurement instruments for older adults, evaluating aspects like psychometric properties and administration challenges to guide researchers and clinicians.
- Out of 14 identified instruments, only six scored above the acceptable threshold, with the EORTC QLQ OH-15 scoring the highest, while most instruments had poor responsiveness and interpretability.
Rationale, Aims And Objectives: In the context of a pandemic, the rapid development of clinical practice guidelines (CPGs) is critical. The guideline development process includes prioritization of the guideline topic, questions and health outcomes. This case study describes the application of a new methodology to prioritize questions and rate the importance of health outcomes for a COVID-19 dental guideline.
View Article and Find Full Text PDFObjectives: To evaluate the quality of clinical practice guidelines (CPGs) on dental services provision during the first months of the COVID-19 pandemic.
Materials And Methods: We systematically searched in MEDLINE, EMBASE, LILACS, Epistemonikos, Trip databases, websites of CPG developers, compilers of CPGs, scientific societies and ministries of health to identify documents with recommendations intended to minimize the risk of COVID-19 transmission during dental care. Reviewers independently and in duplicate assessed the included CPGs using the AGREE II instrument.
In the context of a pandemic, the rapid development of clinical practice guidelines (CPGs) is critical to guide dental staff towards the safe provision of dental care; detailed knowledge of the recommendations will help to achieve the intended results. We carried out a systematic review of the recommendations in clinical practice guidelines (CPGs) on the provision of dental care issued during the first year of the COVID-19 pandemic. A systematic database search was performed in MEDLINE, EMBASE, LILACS, Epistemonikos, and Trip databases to identify documents with recommendations intended to minimize the risk of COVID-19 transmission during dental care.
View Article and Find Full Text PDFObjectives: Evidence of the cost-effectiveness of fluoride varnish in the prevention of caries is not yet fully conclusive. The aim of this study was to assess the incremental cost-effectiveness ratio (ICER) of the community-wide application of fluoride varnish in the prevention of early childhood caries (ECC) in non-fluoridated areas.
Materials And Methods: A cost-effectiveness analysis was carried out based on a clinical decision tree from the payer's perspective.
Article Synopsis
- The PedsQL™ Oral Health Scale for toddlers was successfully adapted into Spanish for use in Chile, aiming to evaluate oral health-related quality of life through a comprehensive study involving 301 children aged 2 to 5 years.
- The study assessed the scale's reliability and validity, showing a strong score for internal consistency (Cronbach's alpha of 0.79) and reproducibility (ICC of 0.85), alongside a significant correlation with another oral health questionnaire (ECOHIS).
- Results indicated that children with poor oral health had lower PedsQL™ scores compared to those with better oral health, confirming the scale's ability to distinguish between varying levels of oral health among the preschool population.
Background: The Early Childhood Oral Health Impact Scale (ECOHIS) measures the impact of dental diseases on Oral Health-Related Quality of Life both in children and their families. The aim of this study was to develop a Chilean Spanish version of the ECOHIS that is conceptually equivalent to the original and to assess its acceptability, reliability and validity in the preschool population of Chile.
Methods: The Chilean version of the ECOHIS was obtained through a process including forward and back-translation, expert panel, and cognitive debriefing interviews.
Background/aim: Traumatic dental injuries (TDI) are a public health problem, given their prevalence and consequences. However, their epidemiology is uncertain due to a general lack of quality data capture. The aim of this study was to evaluate the validity and usability of a mobile phone-based application for community-based surveillance of traumatic dental injuries.
View Article and Find Full Text PDFObjectives: To obtain a systematic and standardized evaluation of the current evidence on development process, metric properties, and administration issues of oral health-related quality of life instruments available for children and adolescents.
Materials And Methods: A systematic search until October 2016 was conducted in PubMed, Embase, Lilacs, SciELO, and Cochrane databases. Articles with information regarding the development process, metric properties, and administration issues of pediatric instruments measuring oral health-related quality of life were eligible for inclusion.
Effectiveness of fluoride varnish in preventing early childhood caries in rural areas without access to fluoridated drinking water: A randomized control trial.
Community Dent Oral Epidemiol
February 2018
Objectives: Early childhood caries (ECC) constitutes a serious public health issue, especially in communities without water fluoridation. We assessed the effectiveness of biannual fluoride varnish applications to prevent ECC in children from nonfluoridated rural areas.
Methods: A triple-blind randomized control trial with two parallel arms was conducted with 275 two- to three-year-old children without cavitated carious lesions from 28 rural public preschools in Chile.