Association between self-assessment and clinical oral health status in adults, Paraguay.

  • Clarisse Díaz-Reissner Facultad de Odontología. Universidad Nacional de Asunción. Asunción, Paraguay.
  • Juan Roldán-Merino Sant Joan de Déu-Fundació Privada. Barcelona, Spain. Universitat Autònoma de Barcelona. Barcelona, Spain. Rovira i Virgili University of Tarragona. Tarragona, Spain. Research Group GEIMAC, Barcelona, Spain.
  • Irma Casas-García Universitat Autònoma de Barcelona. Departamento de Pediatría, Obstetricia y Ginecología y Medicina Preventiva. Barcelona, Spain. Preventive Medicine Service. Hospital Germans Trias i Pujol. Barcelona, Spain. Research Group Innovation in Respiratory Infections and Tuberculosis Diagnosis (Group Consolidat 2017 SGR 494).


Introduction: Oral health can be defined as the absence of pathologies and disorders that affect the stomatognathic system. Objetives: This study aimed to determine the characteristics of self-assessment oral health status, in the clinical experience of dental caries, periodontal status, periodontal fixation loss and to investigate the association between self-reported and clinical oral health status among Paraguayans adults during early 2017.Material and Methods: The design is cross-sectional. Two dentists carried out the oral examinations following the recommendations of the World Health Organization (WHO). Results: There were 333 adult participants with a mean age of 35 ± 13 years. Most (77.2%) of the participants were female. Missing teeth (5.32±6), filled teeth (3.56±4), and decayed teeth (2.55±3) were also detected. Almost half (48.0%) of participants had dental calculus, while 5.8% had a periodontal pocket and 48.6% periodontal fixation loss. The self-perception of oral health was poor in 12.3% of participants, fair in 29.8%, normal in 31.8%, good in 16.2%, and excellent in 9.9%. Oral health self-assessment was positive in 58.0% and negative in 42.0%. A statistically significant difference was found when comparing the DMFT index according to self-perception of oral health, the score being higher in those who had negative self-perception; obtaining similar results in the decayed component. Conclusion: Negative oral health self-perception was associated with a high DMFT index, of this, the decayed component was the only one that presented statistically significant differences.


[1]. Pan American Health Organization. Health in the Americas+, 2017 Edition. Summary: Regional Outlook and Country Profi les. Washington, D.C. PAHO, 2017.

[2]. Dirección General de Encuestas Estadísticas y Censos. Aprovechar ahora la juventud: un análisis del bono demográfico del Paraguay. Período 2000 - 2025. Asunción: DGEEC; 2016.

[3]. Coale AJ. The Decline of Fertility in Europe Since the Eighteenth Century as a Chapter in Human Demographic History. En: Watkins SC, Coale AJ, editores. The Decline of Fertility in Europe. United States of America: Princeton University Press; 2017.

[4]. Fischman S. Oral health in the republic of Paraguay. Community Dent Oral Epidemiol. 1974;2(4):176-81.

[5]. Kieser JA, Preston CB. Oral health status of the Lengua Indians of Paraguay. Community Dent Oral Epidemiol. 1984;12(6):406-7.

[6]. Ministerio de Salud Pública y Bienestar Social. Encuesta nacional de salud bucal del Paraguay, ENSABUD PY 2017: del diagnóstico al diseño y la ejecución de políticas públicas de salud bucodental. Asunción: OPS/OMS; 2018.

[7]. Lira R, Åkerman S, Klinge B, Boström EA, Gustafsson A. Salivary microbial profiles in relation to age, periodontal, and systemic diseases. PLoS One. 2018;13(3):1-15.

[8]. Blizniuk A, Ueno M, Zaitsu T, Kawaguchi Y. Association between self-reported and clinical oral health status in Belarusian adults. J Investig Clin Dent. 2017;8(2):1-6.

[9]. World Health Organization. Oral health surveys: basic methods. 5th Ed. Genova: WHO; 2013.

[10]. Holtfreter B, Alte D, Schwahn C, Desvarieux M, Kocher T. Effects of different manual periodontal probes on periodontal measurements. J Clin Periodontol. 2012;39(11):1032-41.

[11]. Arantes R, Frazão P. Subjective oral symptoms associated with self-rated oral health among Indigenous groups in Central-West Brazil. Community Dent Oral Epidemiol. 2018;46(4):352-9.

[12]. Baskaradoss JK. Relationship between oral health literacy and oral health status. BMC Oral Health. 2018;18(1):172.

[13]. Solyman M, Schmidt-Westhausen AM. Oral health status among newly arrived refugees in Germany: A cross-sectional study. BMC Oral Health. 2018;18(1):1-9.

[14]. Goetz K, Winkelmann W, Steinhäuser J. Assessment of oral health and cost of care for a group of refugees in Germany: A cross-sectional study. BMC Oral Health. 2018;18(1):1-8.

[15]. Manoelito Ferreira S-J, Correia de Sousa CA, Batista MJ, Rosário de Sousa LM. Condição de saúde bucal e motivos para extração dentária entre uma população de adultos (20-64 anos). Cien Saude Colet. 2017;22(8):2693-702.

[16]. Quinteros ME, Cáceres DD, Soto A, Mariño RJ, Giacaman RA. Caries experience and use of dental services in rural and urban adults and older adults from central Chile. Int Dent J. 2014;64(5):260-8.

[17]. Spolsky VW, Marcus M, Der-Martirosian C, Coulter ID, Maida CA. Oral health status and the epidemiologic paradox within latino immigrant groups. BMC Oral Health. 2012;12(1).

[18]. Lawal F, Alade O. Dental caries experience and treatment needs of an adult female population in Nigeria. Afr Health Sci. 2017;17(3):905-11.

[19]. Nguyen TC, Witter DJ, Bronkhorst EM, Truong NB, Creugers NHJ. Oral health status of adults in Southern Vietnam - a cross-sectional epidemiological study. BMC Oral Health. 2010;10(2).

[20]. Alhajj MN, Halboub E, Amran AG, Alkheraif AA, Al-Sanabani FA, Al-Makramani BM, Al-Basmi AA, Al-Ghabri FA. Link between perceived oral and general health status among Yemeni adult dental patients. BMC Oral Health. 2019;19(1):1-9.

[21]. Caballero-García CR, Espínola-Verdún PA, Domínguez-González DD, Martínez-Benítez GG, Figueredo-Palacios S, Fernández-Cáceres AM, et al. Salud bucodental y utilización de servicios odontológicos. Memorias del Inst Investig en Ciencias de la Salud. 2018;15(3):57-63.

[22]. Dirección General de Encuestas Estadísticas y Censos. Compendio Estadístico 2014. Fernando de la Mora: DGEEC; 2015.

[23]. Kim SY, Kim JE, Kim HN, Jun EJ, Lee JH, Kim JS, Kim JB. Association of Self-Perceived Oral Health and Function with Clinically Determined Oral Health Status among Adults Aged 35⁻54 Years: A Cross-Sectional Study. Int J Environ Res Public Health. 2018;15(8):1681.

[24]. Beşiroğlu E, Lütfioğlu M. Relations between periodontal status, oral health–related quality of life and perceived oral health and oral health consciousness levels in a Turkish population. Int J Dent Hyg. 2020;18(3):251-60.

[25]. Lu H-X, Wong MCM, Lo ECM, McGrath C. Oral Health Related Quality of Life Among Young Adults. Appl Res Qual Life. 2015;10(1):37-47.
How to Cite
DÍAZ-REISSNER, Clarisse; ROLDÁN-MERINO, Juan; CASAS-GARCÍA, Irma. Association between self-assessment and clinical oral health status in adults, Paraguay.. Journal of Oral Research, [S.l.], v. 9, n. 6, p. 483-489, dec. 2020. ISSN 0719-2479. Available at: <>. Date accessed: 02 june 2023. doi:

Most read articles by the same author(s)