Dentin Hypersensitivity and Health Satisfaction mediated by the presence of physical and psychosocial impact of oral conditions
a pathway analysis
DOI:
https://doi.org/10.35699/2178-1990.2023.44815Keywords:
Dentin sensitivity, Quality of life, Epidemiology, Oral health, Patient reported outcome measuresAbstract
Aim: Dentin Hypersensitivity (DH) is a painful condition that affects the Oral Health-related Quality of Life and can affect the satisfaction with health of individuals who have it. This study aimed to investigate the direct association mediated by the presence of physical and psychosocial impacts of oral conditions between DH and satisfaction with health among adults.
Methods: A cross-sectional study was carried out between 2018-2019 with a probabilistic sample consisting of a cluster of adults living in Rio Acima (MG). Interviews and epidemiological examinations were performed using calibrated tests. The dependent variable of satisfaction with health was assessed using the WHOQoL-bref question “How satisfied are you with your health?” Participants’ answers were categorized between “satisfied” and “dissatisfied”. The independent DH variable was assessed by tactile stimulation in the cervical region of the teeth. The presence of physical and psychosocial impacts of oral conditions was defined by the answers “farly often” or “very often” to at least one of the OHIP-14 items. Covariates were sociodemographic and psychological data, health behavior, oral health conditions, and use of dental services. Associations were investigated by Poisson Regression and Structural Equation Modeling (SEM) models to estimate direct and indirect associations (Stata 16).
Results: Of the 197 adults, 132 (66.18%) reported being satisfied with their health, and 73 individuals (38.75%) had DH. There was a significant association between the presence of DH and the presence of physical and psychosocial impacts of oral health (PR:1.34; 95% CI: 1.08–1.67), while for receiving the association with DH, it was not significant (PR:1 .08; 95% CI: 0.75-1.54) after including the presence of impact variables. SEM showed a non-significant direct association between DH and satisfaction, while the indirect association mediated by the presence of impact was significant.
Conclusion: Individuals with HD may report greater dissatisfaction with life when this painful experience is associated with physical or psychosocial effects.
References
Splieth CH, Tachou A. Epidemiology of dentin hypersensitivity. Clinical Oral Investig 2013;17(Suppl 1):S3-8.
Blaizot A, Offner D, Trohel G, Bertaud V, Bou C, Catteau C et al. Prevalence of sensitive teeth and associated factors: a multicentre, cross-sectional questionnaire survey in France. BMC Oral Health 2020;20(1):234.
Favaro Zeola L, Soares PV, Cunha-Cruz J. Prevalence of dentin hypersensitivity: Systematic review and meta-analysis. J Dent 2019;81:1-6.
Fischer C, Fischer RG, Wennberg A. Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro. J Dent 1992;20(5):272-6.
Costa RSA, Rios FS, Moura MS, Jardim JJ, Maltz M, Haas AN. Prevalence and risk indicators of dentin hypersensitivity in adult and elderly populations from Porto Alegre, Brazil. J Periodontol 2014;85(9):1247-58.
Scaramucci T, Anfe TEA, Ferreira SS, Frias AC, Sobral MA. Investigation of the prevalence, clinical features, and risk factors of dentin hypersensitivity in adult and elderly population from Porto Alegre, Brazil. Clin Oral Investig 2014;18(2):651-7.
Alcântara PM, Barroso NFF, Botelho AM, Douglas-de-Oliveira DW, Gonçalves PF, Flecha OD. Associated factors to cervical dentin hypersensitivity in adults: a transversal study. BMC Oral Health 2018;18(1):155.
Silva MS, Lima ANAN, Pereira MMA, Mendes RF, Prado Júnior RR. Prevalence and predictive factors of dentin hypersensitivity in Brazilian adolescents. J Clin Periodontol 2019;46(4):448-56.
Soares ARS, Chalub LLFH, Barbosa RS, Campos DEP, Moreira AN, Ferreira RC. Prevalence and severity of non-carious cervical lesions and dentin hypersensitivity: association with oral-health related quality of life among Brazilian adults. Heliyon 2021;7(3):e06492.
Porritt JM, Sufi F, Barlow A, Baker SR. The role of illness beliefs and coping in the adjustment to dentine hypersensitivity. J Clin Periodontol 2014;41(1):60-9.
Wagner TP, Costa RSA, Rios FS, Moura MS, Maltz M, Jardim JJ et al. Gingival recession and oral health-related quality of life: a population-based cross-sectional study in Brazil. Community Dent Oral Epidemiol 2016;44(4):390-9.
Kingsley C, Sanjiv P. Patient-reported outcome measures and patient-reported experience measures. BJA Education 2017;17(4):137-44.
Idon PI, Sotunde OA, Ogundare TO. Beyond the relief of pain: dentin hypersensitivity and oral health-related quality of life. Front Dent 2019;16(5):325-34.
Singh B, Pandey NM, Mehrotra B, Srivastava A, Chowdhury AK, Tiwari SC. Development of Comprehensive Satisfaction Index (ComSI) and its association with WHOQOL-BREF. Indian J Psychol Med 2019;41(6):562-8.
Carvalho LRA, Sampaio AA, Campos FL, Rhodes GAC, Chalub LLFH, Ferreira RC. Temporomandibular disorder and oral health-related quality of life in brazilian adults: a population-based survey. J Glob Health Sci 2021;13(4):95-105.
Barroso NFF, Alcântara PM, Botelho AM, Douglas-de-Oliveira DW, Gonçalves PF, Flecha OD. Prevalence of self-reported versus diagnosed dentinal hypersensitivity: a cross-sectional study and ROC curve analysis. Acta Odontol Scand 2019;77(3):219-23.
Gabardo MCL, Moysés SJ, Moysés ST, Olandoski M, Olinto MTA, Pattussi MP. Social, economic, and behavioral variables associated with oral health-related quality of life among Brazilian adults. Cien Saude Colet 2015;20(5):1531-40.
Pinto RS, Vettore MV, Abreu MHGN, Palmier AC, Moura RNV, Roncalli AG. Reliability analysis using the in-lux examination method for dental indices in adolescents for use in epidemiological studies. Community Dent Oral Epidemiol 2022;1-7.
Fleck MPA, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Rev Saude Publica 2000;34(2):178-83.
The World Health Organization Quality of Life Assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995;41(10):1403-9.
Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dent Oral Epidemiol 2005;33(4):307-14.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais. Brasília: Ministério da Saúde; 2011.
Steffens JP, Marcantonio RAC. Classificação das Doenças e Condições Periodontais e Peri-implantares 2018: guia prático e pontos-chave. Rev Odontol UNESP 2018;47(4):189-97.
Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental
Federation opens the door to a universal definition of oral health. J Am Dent Assoc 2016;147(12):915-7.
Beauducel A, Herzberg PY. On the performance of maximum likelihood versus means and variance adjusted weighted least squares estimation in CFA. Struct Equ Modeling 2006;13(2):186-203.
Coelho MQ, Cordeiro JM, Vargas AMD, Martins AMEBL, Santa Rosa TTA, Senna MIB et al. Functional and psychosocial impact of oral disorders and quality of life of people living with HIV/AIDS. Qual Life Res 2015;24(2):503-11.
Sagtani RA, Thapa S, Sagtani A. Smoking, general and oral health related quality of life: a comparative study from Nepal. Health Qual Life Outcomes 2020;18(1):257.
Kuo HC, Wang RH, Wang JC, Yang YH. Assessing a conceptual model with both oral health and health related quality of life in community-dwelling elders. Arch Gerontol Geriatr 2018;79:27-31.
