Gingivitis influences oral health-related quality of life in adolescents: findings from a cohort study

Rev Bras Epidemiol. 2020 Jun 5:23:e200051. doi: 10.1590/1980-549720200051. eCollection 2020.

Abstract

Introduction: Oral health-related quality of life (OHRQoL) is affected by different clinical conditions. The aim of this study was to evaluate the impact of gingivitis on OHRQoL in adolescents.

Methodology: This cohort study consisted of a random sample of 1,134 schoolchildren enrolled during 2012, in Santa Maria, Brazil. After two years, 743 adolescents were follow-up (response rate: 65.5%). Clinical, socioeconomic and OHRQoL data were collected. OHRQoL was assessed by the short Brazilian version of the Child Perceptions Questionnaire 11-14 (CPQ11-14), and gingival bleeding through Community Periodontal Index. Gingivitis was considered with the presence of 15% or more bleeding sites. Poisson regression models were used to evaluate the association between gingivitis and overall and domain-specific CPQ11-14 scores. Prevalence of gingivitis at baseline was considered the main predictor for the OHRQoL at follow-up.

Results: Gingivitis at baseline was associated with higher overall CPQ 11-14 score (RR = 1.07; 95%CI 1.01 - 1.14), and emotional well-being (RR = 1.17; 95%CI 1.04 - 1.31), independently of other oral conditions and socioeconomic variables.

Conclusions: The findings indicate that gingivitis negatively impacts the adolescents' OHRQoL. Moreover, gender, maternal schooling and household income were also associated with OHRQoL.

MeSH terms

  • Adolescent
  • Brazil / epidemiology
  • Child
  • Cohort Studies
  • Dental Caries / psychology
  • Female
  • Gingival Hemorrhage / psychology
  • Gingivitis / epidemiology
  • Gingivitis / psychology*
  • Humans
  • Longitudinal Studies
  • Male
  • Oral Health
  • Quality of Life*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Tooth Injuries / psychology