Utilising daily diaries to examine oral health experiences associated with dentine hypersensitivity (original) (raw)
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Beyond the Relief of Pain: Dentin Hypersensitivity and Oral Health-Related Quality of Life
Frontiers in dentistry, 2020
Pain is a constant symptom of dentin hypersensitivity (DH), which is a common condition that affects daily life and negatively affects the quality of life (QoL). Diagnosis and outcome measurements following the treatment of the disease require accurate pain assessment. The definition of pain underlies the complexity of its measurement as different factors modulate daily experience. The reproducibility of the prescribed stimuli for inducing DH pain clinically is difficult to achieve. This pain mevaasurement is made with unidimensional scales that are inadequate to capture the other dimensions of pain. The only specific QoL tool available for DH still requires testing in other populations and cultures. This article reviews the appropriateness of the current methods of DH pain assessment and the tools that consider the other pain dimensions. It also looks at its impact on the oral health-related quality of life (OHRQoL) of people with DH. The findings will create interest and facilitate research in this field of DH pain measurement and management.
The Dentine Hypersensitivity Experience Questionnaire: a longitudinal validation study
Aim: To validate the Dentine Hypersensitivity Experience Questionnaire in terms of responsiveness to change and to determine the minimally important difference. Materials and Methods: The study was a secondary analysis of data from three randomized controlled trials with 311 participants. Three aspects of responsiveness were examined: change within individuals, differences among people who improved, stayed the same or worsened using an external referent and change due to treatment. Responsiveness to treatments of differing efficacy was assessed in trials with negative and active controls. Results: The measure showed excellent internal reliability, test-retest reliability and criterion validity. The measure was highly responsive to change within individuals (Cohen's effect sizes: 0.28, 0.56, 0.86) showing decreases in the total score (i.e. improvement in OHrQoL) across all trials. The effect sizes in participants whose self-reported QoL "improved" were large (0.73-1.31). Dentine Hypersensitivity Experience Questionnaire detected a treatment effect in one of two negative control trials (effect size: 0.47). Dentine Hypersensitivity Experience Questionnaire scores were similar in the test and control groups in the active control trial. The minimally important difference range was between 22 and 39 points. Conclusions: The measure is longitudinally reliable, valid and responsive and can discriminate between treatments of different efficacy.
Objective: Dentine hypersensitivity (DH) remains a common chronic dental pain affecting the daily life of sufferers. Patients’ perception of the impact of oral conditions on their quality of life as well as treatment outcome has become popular. Little is however known about the impact of DH on the oral health-related quality of life (OHRQoL) among these patients. The aim of this study was therefore to assess and compare the OHRQoL before and after treatment among patients presenting with DH. Materials and Methods: Conducted as a randomized, controlled study, the patients were randomized into experimental (n = 51) and control groups (n = 17) for the application of three in-of ce desensitizing agents: copal uoride; 2-hydroxyethyl methacrylate and glutaraldehyde (Gluma desensitizer); arginine-calcium carbonate (Pro-Argin); and distilled water. The English version of the Oral Health Impact Pro le with 14 items (OHIP-14) was administered to all patients before treatment and afterward at 1, 2, and 4 weeks to assess the OHRQoL. Results: Prevalence of impact (24.7%), extent of impact (12.9 ± 4.1), and severity of impact (10.56 ± 5.55) all revealed impact on the OHRQoL. The OHIP-14 scores reduced signi cantly among the patients treated with the desensitizing agents (P = 0.000), with no signi cant reduction in patients treated with the placebo (P = 0.901). There were no gender differences in the overall OHIP-14 scores. Regression analysis revealed age and number of hypersensitive teeth as predictors of pretreatment impact of DH on OHRQoL. Conclusions: DH had a signi cant impact on the OHRQoL of patients suffering from the condition. Treatment resulted in signi cant improvement in OHRQoL.
Clinical Oral Investigations, 2013
Objectives Oral Health-Related Quality of Life (OHRQoL) can be considered as the scientific expression of that part of a person's well-being that is affected by his/her oral health. The aim of this paper was to evaluate how to use the data available in the field of research to make a link between OHRQoL and dentin hypersensitivity (DHS) in the dental office. Materials and methods Research papers in the field of OHRQoL and DHS and reviews and research papers about OHRQoL were used for analysis in this short review, with a particular insight on the instruments used to evaluate OHRQoL. Results Various psychometric instruments have been used to measure OHRQoL that are more or less patient-or expert-centred. Some are generic, others are adapted to specific conditions/domains or populations. The impact of DHS or exposed cervical dentin (ECD) on OHRQoL has been assessed in very few studies. It is therefore of the upmost importance that the use of the OHRQoL as a quality control tool be established in robust clinical studies. Conclusions/clinical relevance Future studies evaluating the impact of the DHS/ECD on OHQoL or evaluating the efficacy of desensitising agents should respect some key points, including study design (randomization, placebo/control group, etc.), validated specific questionnaires and trained calibrated practitioners.
Clinical Psychology of Oral Health: The Link Between Teeth and Emotions
SAGE Open
The effects of oral health conditions on physical and psychosocial dimensions have been a matter of interest for several authors over the last decades. Nevertheless, literature lacks studies that address the relationship between the oral health-related quality of life (OHRQoL) and emotions. The present study aimed to investigate the psychological impact of oral disorders on people's emotional well-being, with a particular attention to gender and age differences. Two hundred twenty-nine dental patients in care at private dental clinics were individually tested. One hundred thirty of them were females (56.8%) and 99 males (43.2%), aged between 18 and 83 years (M = 38.11; SD = 16.7). For the evaluation, the Profile of Mood States (POMS) and the Oral Health Impact Profile (OHIP-14) were used. Data were analyzed using Pearson's correlations, the ANOVA, and the Kruskal-Wallis test. OHRQoL showed several correlations with all the emotions explored, overcoming the wellknown relationship with anxiety and depression (p < .05). The degree of OHRQoL produced differences on mood states, which could appear normal, moderately altered, or psychopathological (p < .03). Furthermore, in different life stages, patients showed specific OHRQoL and emotions.
Coping with dental treatment: The potential impact of situational demands
Journal of Behavioral Medicine, 1986
Coping strategies and anxiety responding of dental patients were studied in order to test the generalizability of previous findings based on volunteer blood donors. State and trait coping measures were administered once, and a process coping scale was administered at three points throughout treatment. Selfreport, behavioral observation, and psychophysiological measures of anxiety were sampled for the same periods as process coping. Findings included the replication of a negative relationship between avoidant coping and patient anxiety ratings. Fluctuations in coping were evident across periods, and impact of situational demands and constraints was introduced as an explanation for these variations. A method for direct assessment of coping consistency was introduced. On the basis of the replicable associations with anxiety measures, the ability to detect changes in coping within a situation, and the ability to provide direct evidence of coping consistency, the use of process methodology for coping assessment is encouraged.
Positive and negative affect and oral health-related quality of life
Health and quality of life outcomes, 2006
The aims of the study were to assess the impact of both positive (PA) and negative affect (NA) on self-reported oral health-related quality of life and to determine the effect of including affectivity on the relationship between oral health-related quality of life and a set of explanatory variables consisting of oral health status, socio-economic status and dental visiting pattern. A random sample of 45-54 year-olds from metropolitan Adelaide, South Australia was surveyed by mailed self-complete questionnaire during 2004-05 with up to four follow-up mailings of the questionnaire to non-respondents (n = 986 responded, response rate = 44.4%). Oral health-related quality of life was measured using OHIP-14 and affectivity using the Bradburn scale. Using OHIP-14 and subscales as the dependent variables, regression models were constructed first using oral health status, socio-economic characteristics and dental visit pattern and then adding PA and NA as independent variables, with nested ...