J Korean Acad Oral Health.  2025 Mar;49(1):12-17. 10.11149/jkaoh.2025.49.1.12.

The relationship between self-rating of subjective oral health, oral hygiene behaviors, and objective oral health status: a retrospective study

• Seo HW
• Kim YT
• Lee BA

• KMID: 2566556
• DOI: http://doi.org/10.11149/jkaoh.2025.49.1.12

Abstract

Objectives
To investigate the relationship between self-rating of subjective oral health, oral hygiene behaviors, and objective oral health status, and to identify factors that determine self-rating for subjective oral health.
Methods
This retrospective study examined data from 1,128 patients who underwent panoramic radiography and oral examination based on national health checkups between 2009 and 2015. Oral hygiene behavior was validated using a questionnaire, and the presence of oral diseases was validated through oral examination and panoramic radiographs. The effect of oral hygiene behaviors on the presence of oral diseases or dental treatment was evaluated using univariate regression analysis. Oral hygiene behaviors and the prevalence of oral disease were compared, according to selfrated subjective oral health, using the chi-square test. Factors affecting self-rating of subjective oral health were determined using multivariate regression analysis.
Results
Patients who brushed their teeth less than three times per day had a higher risk of dental caries, periodontitis, and missing teeth (P<0.05). The percentage of patients performing oral hygiene behaviors differed significantly according to the self-rating of subjective oral health. The factors affecting the self-rating of subjective oral health were pain and the presence of restored teeth. The presence of gingivitis, periodontitis, and the number of dental caries had no significant effect on the self-rating of oral health.
Conclusions
Self-rating of oral health was determined by treatment experience rather than objective oral health status and it affected oral hygiene behavior.

Keyword

Dental care; Mouth diseases; Oral health; Oral hygiene

Reference

References

1. Kleinberg I. 1974; The role of dental plaque in caries and inflammatory periodontal disease. Dent J. 40:56–66. DOI: 10.1016/B978-0-7236-0368-9.50010-0.

2. Newton JT, Asimakopoulou K. 2015; Managing oral hygiene as a risk factor for periodontal disease: a systematic review of psychological approaches to behaviour change for improved plaque control in periodontal management. J Clin Periodontol. 42:S36–S46. DOI: 10.1111/jcpe.12356.

3. Albino J, Tiwari T. 2016; Preventing childhood caries: a review of recent behavioral research. J Dent Res. 95:35–42. DOI: 10.1177/0022034515609034. PMID: 26438210. PMCID: PMC4700662.

4. Peruzzo DC, Gimenes JH, Taiete T, Casarin RC, Feres M, Sallum EA, et al. 2016; Impact of smoking on experimental gingivitis. a clinical, microbiological and immunological prospective study. J Periodontal Res. 51:800–811. DOI: 10.1111/jre.12363. PMID: 26936228.

5. Ravidà A, Troiano G, Qazi M, Saleh MHA, Saleh I, Borgnakke WS, et al. 2020; Dose-dependent effect of smoking and smoking cessation on periodontitis-related tooth loss during 10-47 years periodontal maintenance-A retrospective study in compliant cohort. J Clin Periodontol. 47:1132–1143. DOI: 10.1111/jcpe.13336. PMID: 32593185.

6. Atchison KA, Matthias RE, Dolan TA, Lubben JE, De Jong F, Schweitzer SO, et al. 1993; Comparison of oral health ratings by dentists and dentate elders. J Public Health Dent. 53:223–230. DOI: 10.1111/j.1752-7325.1993.tb02708.x. PMID: 8258784.

7. Maille G, Saliba-Serre B, Ferrandez AM, Ruquet M. 2019; Objective and perceived oral health status of elderly nursing home residents: a local survey in southern France. Clin Interv Aging. 14:1141–1151. DOI: 10.2147/CIA.S204533. PMID: 31308640. PMCID: PMC6612966.

8. Kweon HH, Lee JH, Youk TM, Lee BA, Kim YT. 2018; Panoramic radiography can be an effective diagnostic tool adjunctive to oral examinations in the national health checkup program. J Periodontal Implant Sci. 48:317–325. DOI: 10.5051/jpis.2018.48.5.317. PMID: 30405939. PMCID: PMC6207795.

9. Kantorowicz M, Olszewska-Czyż I, Lipska W, Kolarzyk E, Chomyszyn-Gajewska M, Darczuk D, et al. 2022; Impact of dietary habits on the incidence of oral diseases. Dent Med Probl. 59:547–554. DOI: 10.17219/dmp/134749. PMID: 36507621.

10. Sundin B, Granath L, Birkhed D. 1992; Variation of posterior approximal caries incidence with consumption of sweets with regard to other caries-related factors in 15-18-year-olds. Community Dent Oral Epidemiol. 20:76–80. DOI: 10.1111/j.1600-0528.1992.tb00680.x. PMID: 1555391.

11. Murakami S, Mealey BL, Mariotti A, Chapple ILC. 2018; Dental plaque-induced gingival conditions. J Periodontol. 45:S17–S27. DOI: 10.1111/jcpe.12937.

12. Page RC. 1986; Gingivitis. J Clin Periodontol. 13:345–355. DOI: 10.1111/j.1600-051X.1986.tb01471.x. PMID: 3522644.

13. ALHarthi SSY, Natto ZS, Midle JB, Gyurko R, O'Neill R, Steffensen B. 2019; Association between time since quitting smoking and periodontitis in former smokers in the National Health and Nutrition Examination Surveys (NHANES) 2009 to 2012. J Periodontol. 90:16–25. DOI: 10.1002/JPER.18-0183. PMID: 30102767.

14. Hugoson A, Hellqvist L, Rolandsson M, Birkhed D. 2012; Dental caries in relation to smoking and the use of Swedish snus: epidemiological studies covering 20 years (1983-2003). Acta Odontol Scand. 70:289–296. DOI: 10.3109/00016357.2011.654247. PMID: 22339319.

15. Jiang X, Jiang X, Wang Y, Huang R. 2019; Correlation between tobacco smoking and dental caries: a systematic review and meta-analysis. Tob Induc Dis. 17:34. DOI: 10.18332/tid/106117.

16. Ohara Y, Hirano H, Watanabe Y, Obuchi S, Yoshida H, Fujiwara Y, et al. 2015; Factors associated with self-rated oral health among community-dwelling older Japanese: a cross-sectional study. Geriatr Gerontol Int. 15:755–761. DOI: 10.1111/ggi.12345. PMID: 25244626.

17. Pengpid S, Peltzer K. 2021; Prevalence and associated factors of self-rated oral health among a national population-based sample of adults in Sudan: results of the 2016 STEPS survey. Oral Health Prev Dent. 19:391–397.

18. Lang NP, Joss A, Orsanic T, Gusberti FA, Siegrist BE. 1986; Bleeding on probing. A predictor for the progression of periodontal disease? J Clin Periodontol. 13:590–596. DOI: 10.1111/j.1600-051X.1986.tb00852.x. PMID: 3489010.

19. Knorst JK, Sfreddo CS, de F Meira G, Zanatta FB, Vettore MV, Ardenghi TM. 2021; Socioeconomic status and oral health-related quality of life: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 49:95–102. DOI: 10.1111/cdoe.12616. PMID: 33368600.

20. Luzzi L, Chrisopoulos S, Kapellas K, Brennan DS. 2020; Oral hygiene behaviours among Australian adults in the National Study of Adult Oral Health (NSAOH) 2017-18. Aust Dent J. 65:S79–S84. DOI: 10.1111/adj.12769.