Comparison of the oral health-related quality of life and dental pain in symptomatic irreversible pulpitis and pericoronitis

Abstract

KEYWORDS dental pain; pericoronitis; quality of life; symptomatic irreversible pulpitis; VAS Abstract Background/purpose: The oral health-related quality of life (OHRQoL) reveals important information about a patient's perceptions in clinical practice, and pain is a critical point when evaluating OHRQoL in clinical practice. The aim of the study was to compare pain patterns by means of the Dental Pain-Screening Questionnaire (DePaQ) and an OHRQoL evaluation between symptomatic irreversible pulpitis and pericoronitis. Materials and methods: In this cross-sectional study, 50 patients with symptomatic irreversible pulpitis (with a female:male ratio of 22:28 and a mean age of 35.6 AE 11.8 years) and 38 patients with pericoronitis (with a female:male ratio of 21:17 and a mean age of 26.3 AE 9.08 years) were selected. In addition to a visual analogue scale (VAS, 0e100 mm), dental pain was evaluated by means of a Dental Pain Questionnaire (DePaQ). The Oral Health Impact Profile-14 (OHIP-14) was used to examine the OHRQoL status. Results: Scores of the OHIP-14 and VAS were significantly higher in patients with irreversible pulpitis (29.9 AE 11.8 and 91.80 AE 10.03, respectively) compared to those suffering from pericoronitis (18.6 AE 8.7 and 51.05 AE 36.67, respectively; P < 0.001). According to the DePaQ, the presence of continuous pain, pain radiating to the surrounding area, pain when chewing or eating on the side of the mouth with the affected teeth, pain experienced as an electric shock, and difficulty sleeping were related to a poor OHIP-14 score in symptomatic irreversible pulpitis (33.5 AE 10.57, 30.82 AE 11.4, 30.30 AE 11.55, 33.92 AE 10.28,and 27.53 AE 11.77, respectively) compared with those with pericoronitis (20. 09 AE 11.27, 20.37 AE 7.85, 19.64 AE 7.87, 20.56 AE 9.69,and 19.88 AE 7.9, respectively; P Z 0.003, <0.001, <0.001, <0.001, and 0.005, respectively). VAS scores significantly differed between groups according to all DePaQ items (P < 0.05).

Oral Health-related Quality of Life in Patients with Irreversible Pulpits

“…In another study, the level of pain and quality of life were evaluated before root canal therapy in patients with symptomatic irreversible pulpitis. They concluded that higher level of pain had a greater impact on the quality of life [13].…”

Poor dental health in British Army Infantry recruits reduces their quality of life: A cross‐sectional survey and retrospective analysis of health records

“…We are aware that OHIP-14 is validated for specific conditions e.g. irreversible pulpitis, pericoronitis [5] whilst EQ-5D-5L may have been an option to calculate a score for QoL. We based data collection on the ADHS 2009 framework, specifically theme 3 with OHIP-14 and EQ-5D-5L not validated against the PUFA index.…”

“…Oral Health Related Quality of Life (OHRQoL) is a determinant of an individual's wellbeing and relates to oral and dental health [5,6]. In the military, poor OHRQoL has additional consequences for military personnel over their civilian counterparts, reflecting their unique roles and responsibilities.…”

“…1 Oral Health-Related Quality of Life (OHRQoL) is a determinant of an individual's wellbeing and relates to oral and dental health. 5,6 In the military, poor OHRQoL has additional consequences for military personnel over their civilian counterparts, reflecting their unique roles and responsibilities. A military person lacking sleep for example due to dental pain may not only have poor performance in physical and mental tasks, it has additional safety implications in terms of complex machinery and the use of weapons.…”

Acupuncture for the reduction of post-operative pain in a patient with symptomatic irreversible pulpitis: a case report

“…Symptomatic irreversible pulpitis (SIP) is a severe, spontaneous and poorly localised toothache that can be exaggerated by exposure to sudden temperature changes. 1 SIP is a serious degenerative form of pulpal inflammation that may lead to pulpal necrosis and apical periodontitis if left untreated.…”