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Quality of life and other psychological factors in patients with tooth wear

British Dental Journal (2021)Cite this article

Abstract

Aim To investigate the relationship between generic and condition-specific (CS) quality of life, general psychological wellbeing and personality in patients with tooth wear.

Materials and methods Ethical approval was granted (REC:10/H0709/21). Patients aged 18-70 years with tooth wear completed the Oral Impact on Daily Performance (OIDP) quality of life questionnaire, the NEO-FFI Personality questionnaire and the General Health Questionnaire-12 (GHQ). Tooth wear was measured with the Basic Erosive Wear Examination (BEWE).

Results In total, 102 subjects were recruited. Increased BEWE scores were correlated with older age and worse generic and CS-related quality of life. Increased neuroticism was correlated with increased: generic and CS OIDP scores; generic and CS eating scores; CS smiling scores; and CS carrying out major work scores. Increased GHQ scores were positively correlated with increased: generic and CS OIDP scores; generic and CS eating scores; CS speaking scores; generic and CS cleaning scores; generic relaxing scores; generic and CS smiling scores; and generic emotional state scores (p <0.05). Multivariable linear regression analyses showed that increased neuroticism and decreased GHQ both had an independent effect on generic and CS OIDP scores when adjusted for tooth wear severity (p <0.05).

Conclusion Quality of life perception is complex and was not only affected by worsening levels of tooth wear.

Key points

  • Quality of life in patients with tooth wear is affected by other psychosocial factors.

  • Subjects with higher levels of neuroticism showed decreased quality of life independent of tooth wear severity.

  • Subjects with lower levels of general psychological wellbeing showed decreased quality of life independent of tooth wear severity.

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Acknowledgements

The authors would like to acknowledge Dr Aviva Petrie for her kind assistance with the statistical analyses.

Author information

Authors and Affiliations

  1. Guy's Hospital, Tower Wing, Great Maze Pond, London, SE1 9RT, UK

    Harpoonam Kalsi & Jose M. Rodriguez

  2. Royal National ENT and Eastman Dental Hospitals, 47–49 Huntley Street, London, WC1E 6DG, UK

    Assad Khan, Deborah Bomfim & Ailbhe V. McDonald

  3. Research Department of Epidemiology and Public Health, UCL, 1–19 Torrington Place, London, WC1E 6BT, UK

    Georgios Tsakos

Authors
  1. Harpoonam Kalsi
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  2. Assad Khan
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  3. Deborah Bomfim
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  4. Georgios Tsakos
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  5. Ailbhe V. McDonald
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  6. Jose M. Rodriguez
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Corresponding author

Correspondence to Jose M. Rodriguez.

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The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article.

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Cite this article

Kalsi, H., Khan, A., Bomfim, D. et al. Quality of life and other psychological factors in patients with tooth wear. Br Dent J (2021). https://doi.org/10.1038/s41415-021-3168-8

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