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Influence of toothache on oral health-related quality of life during adolescence: a cohort study

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Abstract

Objectives

This study aims to evaluate the influence of toothache in early adolescence on oral health-related quality of life (OHRQoL) on later adolescence.

Materials and methods

A longitudinal study was conducted, starting in 2012 within a random sample of 1,134 adolescents of 12-year-olds, in Santa Maria, Brazil. Clinical, socioeconomic, demographic, and subjective variables were obtained. Toothache was collected through the question “In the last 6 months, did you have toothache?” Six years later, the same adolescents answered the short form of the Child Perceptions Questionnaire (CPQ11–14). Multilevel Poisson regression was used to evaluate the association between toothache at baseline (2012) with overall and domain-specific CPQ11–14 scores at follow-up (2018).

Results

A total of 769 adolescents were revaluated in 2018 (68% rate retention), with a mean age of 17.5 years (SD, 0.64). Adolescents who reported toothache at the baseline presented a had a higher mean score in the overall CPQ questionnaire during follow-up (Incidence rate ratio (IRR) = 1.25; 95% CI 1.20–1.31). Toothache was also associated with all domain-specific CPQ11–14 even after adjusting the other variables.

Conclusions

Brazilian adolescents who had toothache in early adolescence, even if only a single episode, have a negative impact on OHRQoL throughout adolescence.

Clinical relevance

These findings serve as a warning for dental professionals to dedicate their preventive approaches and to promote healthy standards in this age group, in order to avoid episodes of toothache and negative impact on OHRQoL.

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Acknowledgements

The authors thank all the schools and adolescents who participated in this study, the members of the Epidemiology Group who contributed to the data collection, and the Municipal Education Authorities of Santa Maria for their collaboration in this study.

Funding

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) (Finance Code 001) and the Fundação de Amparo à Pesquisa do Rio Grande do Sul (FAPERGS: 2381–2551/14–0).

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Authors and Affiliations

  1. Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil

    Andressa Weber Vargas, Marília Cunha Maroneze, Fernanda Ruffo Ortiz & Thiago Machado Ardenghi

  2. College of Dentistry, University of Saskatchewan, Saskatoon, Canada

    Diego Machado Ardenghi

  3. Departament of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Av. Roraima, 1000, Cidade Universitária - 26F, Santa Maria, RS, 97015-372, Brasil

    Thiago Machado Ardenghi

Authors
  1. Andressa Weber Vargas
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  2. Marília Cunha Maroneze
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  3. Fernanda Ruffo Ortiz
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  4. Diego Machado Ardenghi
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  5. Thiago Machado Ardenghi
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Contributions

AWV led the article writing and participated in the data collection, MCM and FRO participated in the data collection and performed the data analysis of the article, and DMA participated on the writing and analysis of the article. TMA conceived the idea of the project and the article and coordinated and supervised the data collection. All authors critically reviewed the article, were important for its preparation, and agreed with its final version.

Corresponding author

Correspondence to Thiago Machado Ardenghi.

Ethics declarations

Ethics approval

The study protocol was approved by the Committee of Ethics in Research of University (CAAE 2012, 0127.0.243.000–11, and CAAE 2018, 66553117.4.0000.5346).

Consent to participate

All the adolescents consented to participate, and their parents (either the mother or father) signed a term of consent before the data collection.

Conflict of interest

The authors declare no competing interests.

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Vargas, A.W., Maroneze, M.C., Ortiz, F.R. et al. Influence of toothache on oral health-related quality of life during adolescence: a cohort study. Clin Oral Invest 26, 4615–4622 (2022). https://doi.org/10.1007/s00784-022-04430-z

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  • DOI: https://doi.org/10.1007/s00784-022-04430-z

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