Quality of life and adherence to dental treatment in adolescents: a longitudinal analytical study





Adherence, Adolescents, Dental Care, Quality of Life, Longitudinal Study


The study aimed to analyze the quality of life, oral health impact on daily activities and its association with adherence to dental treatment, and other factors, among vulnerable adolescents. It is a longitudinal analytical study performed with 15- to 19-year-old adolescents in the city of Piracicaba, São Paulo, from 2014 to 2015. The sample consisted of 476 adolescents referred for the treatment of caries and/or periodontal disease in family health units (initial phase). After 18 months, 325 individuals were assessed to investigate the dental treatment provided (final phase). The response variables considered in the final phase were the Quality of Life (WHOQOL-bref) and the Oral Impacts on Daily Performances (OIDP) questionnaires. The independent variables analyzed were sex, age, treatment adherence, and family cohesion and adaptability. A multiple regression model was used. The data on the physical (p<0.0001), social (p=0.0003), environmental (p<0.0001), and psychological (p<0.0001) domains of the WHOQOL collected in the initial phase had a positive relationship with the same domains assessed in the final phase. The WHOQOL data of the initial phase were associated with the WHOQOL data of the final phase (p=0.0341). The OIDP data of the initial phase were associated with the OIDP data of the final phase (p<0.0001). The OIDP of volunteers who did not adhere to dental treatment showed a higher impact (p=0.0234). The quality of life and impacts on daily performances of adolescents improved between the evaluation periods.


Download data is not yet available.


ADULYANON, S.A., and SHEIHAM, G.D. Oral Impacts on Daily Performances. Measuring Oral Health and Quality of Life. Slade. Chapel Hill: University of North Carolina, Dental Ecology.1997, 151-160.

ALMEIDA-BRASIL, C.C., et al. Quality of life and associated characteristics: application of WHOQOL-BREF in the context of Primary Health Care. Ciência & Saúde Coletiva. 2017, 22(5), 1705-1716. https://doi.org/10.1590/1413-81232017225.20362015

BRASIL. SB Brasil 2010: Pesquisa nacional de saúde bucal: Resultados principais. Brasília: Ministério da Saúde, 2012. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf

BRENNER, P.S., and DELAMATER, J. Lies, Damned Lies, and Survey Self-Reports? Identity as a Cause of Measurement Bias. Social Psychology Quarterly. 2016, 79(4), 333-354. https://dx.doi.org/10.1177/0190272516628298

BRONDANI, B., et al. The effect of dental treatment on oral health-related quality of life in adolescents. Clinical Oral Investigations. 2018, 22(6), 2291-2297. https://dx.doi.org/10.1007/s00784-017-2328-3

BULGARELI, J.V., et al. Factors influencing the impact of oral health on the daily activities of adolescents, adults and older adults. Revista de Saúde Pública. 2018; (52), 52-44. https://doi.org/10.11606/s1518-8787.2018052000042

BULGARELI, J.V., et al. Determinants of adherence to dental treatment of socially vulnerable adolescents: a cohort study. BMC Reserach Notes. 2021, 14, 116. https://doi.org/10.1186/s13104-021-05525-8

BUTTEN, K., et al. Impact of oral health on Australian urban Aboriginal and Torres Strait Islander families: a qualitative study. International Journal of Equity in Health. 2019, 18(1), 34. https://doi.org/10.1186/s12939-019-0937-y

COHEN, J. Statistical power analysis for the behavioral sciences. Hillsdale, New Jersey: Lawrence Erlbaum Associates, 1988.

DIEKEMA, D.S. Adolescent Brain Development and Medical Decision-making. Pediatrics. 2020, 146(1), S18-S24. https://dx.doi.org/10.1542/peds.2020-0818F

FALCETO, O.G., BUSNELL, E.D., and BOZZETTI, M.C. Validation of diagnostic scales of family functioning for use in primary health care services. Pan American Journal of Public Health. 2000, 7(4), 255-263. https://dx.doi.org/10.1590/s1020-49892000000400007

FLECK, M.P.A., et al. Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref. Revista de Saúde Pública. 2000, 34(2), 178-183. https://dx.doi.org/10.1590/s0034-89102000000200012

FREDDO, S.L., et al. AC. Relations of drug use and socioeconomic factors with adherence to dental treatment among adolescents. BMC Oral Health. 2018, 18(1), 221. https://doi.org/10.1186/s12903-018-0674-4

GABARDO, M.C.L.; MOYSÉS, S.T.; and MOYSÉS, S.J. Autopercepção de saúde bucal conforme o Perfil de Impacto da Saúde Bucal (OHIP) e fatores associados: revisão sistemática. Revista Panamericana Salud Pública. 2013, 33(6), 439-445.

GARANITO, M.P., and ZAHER-RUTHERFORD, V.L. Adolescent patients and the clinical decision about their health. Revista Paulista de Pediatria. 2019, 37(4), 503-509. https://dx.doi.org/10.1590/1984-0462/;2019;37;4;00011

GUERRA, M.J.C., et al. Impacto das condições de saúde bucal na qualidade de vida de trabalhadores. Ciência & Saúde Coletiva. 2014, 19(12), 4777-4786. https://doi.org/10.1590/1413-812320141912.21352013

Institute of Medicine (US) and National Research Council (US) Committee on the Science of Adolescence. The Science of Adolescent Risk-Taking: Workshop Report. Washington (DC): National Academies Press (US); 2011. Adolescents and the Risks That Affect Them. Available from: https://www.ncbi.nlm.nih.gov/books/NBK53412/

INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA (IBGE). Censo demográfico 2010: características da população e dos domicílios, resultados do universo. Rio de Janeiro, 2011.

LANGFORD, R., et al. The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement. Cochrane Database Systematic Reviews. 2014, 16(4), CD008958. https://doi.org/10.1002/14651858.CD008958.pub2

MARONEZE, M.C., et al. Dental treatment improves the oral health-related quality of life of adolescents: A mixed-methods approach. International Journal of Paediatric Dentistry. 2019, 29(6), 765-774. https://dx.doi.org/10.1111/ipd.12548

PAPAGEORGHIOU, A.T. Insights into determinants of health. International Journal of Obstetrics and Gynaecology. 2020, 127(4), 431-432. https://doi.org/10.1111/1471-0528.16090

PIRACICABA. Prefeitura Municipal. Secretaria Municipal de Desenvolvimento Social. Instituto de Pesquisas e Planejamento de Piracicaba (IPPLAP). Mapa da Exclusão/Inclusão Social. 2003. Available from: https://ipplap.com.br/site/planejamento/estudos-e-pesquisas/mapa-da-exclusaoinclusao-social/

RAZANAMIHAJA, N., and RANIVOHARILANTO, E. Assessing the validity and reliability of the Malagasy version of Oral Impacts on Daily Performance (OIDP): a cross-sectional study. Biopsychosocial Medicine. 2017, 11, 2. https://dx.doi.org/10.1186/s13030-016-0087-z

REIS, A.C., et al. Relationship among psychopathological symptoms, treatment adherence and quality of life in HIV/AIDS infection. Psicologia: Reflexão e Crítica. 2010, 23(3), 420-429. https://doi.org/10.1590/S0102-79722010000300002

RIPPE, J.M. Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. American Journal of Lifestyle Medicine. 2018, 12(6), 499-512. https://dx.doi.org/10.1177/1559827618785554

SABATÉ, E. Adherence to long-term therapies: evidence for action. Switzerland: World Health Organization; 2003.

SANCHEZ, P., et al. Oral health and cardiovascular care: Perceptions of people with cardiovascular disease. PLoS One. 2017, 12(7), e0181189.

SAS INSTITUTE. Inc: SAS/STAT. Guide for personal computers. version 9.4. Cary: North-Carolina/USA, 2001.

SAWYER, S.M., et al. Adolescence: A foundation for future health. Lancet. 2012, 379(9826), 1630–1640. https://dx.doi.org/10.1016/S0140-6736(12)60072-5

SKEVINGTON, S.M., LOTFY, M., and O’CONNELL, K.A. The World Health Organization’s WHOQOL-Bref quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Research. 2004, 13, 299-310. https://dx.doi.org/10.1023/B:QURE.0000018486.91360.00

SLADE, G.D., and SANDERS, A.E. The Paradox of Better Subjective Oral Health in Older Age. Journal of Dental Research. 2011, 90(11), 1279-1285. https://doi.org/10.1177/0022034511421931

SOUZA, L.D., PANÚNCIO-PINTO, M.P., and FIORATI, R.C. Children and adolescents in social vulnerability: well-being, mental health and participation in education. Cadernos Brasileiros de Terapia Ocupacional. 2019, 27(2), 251-269. https://doi.org/10.4322/2526-8910.ctoao1812

STIGGELBOUT, A.M., PIETERSE, A.H and DE HAES, J.C. Shared Decision Making: Concepts, Evidence, And Practice. Patient Education and Counseling. 2015, 98(10), 1172-9. https://dx.doi.org/10.1016/j.pec.2015.06.022

USHA, G.V., THIPPESWAMY, H.M., and NAGESH, L. Comparative assessment of validity and reliability of the Oral Impacts on Daily Performance (OIDP) frequency scale: a cross-sectional survey among adolescents in Davanagere city, Karnataka, India. International Journal of Dental Hygiene. 2013, 11, 28–34. https://dx.doi.org/10.1111/j.1601-5037.2011.00540.x

VAZQUEZ, F.L., et al. Qualitative study on adolescents’ reasons to non-adherence to dental treatment. Ciência & Saúde Coletiva. 2015, 20(7), 2147-2156. https://dx.doi.org/10.1590/1413-81232015207.04502014

World Health Organization (WHO). Oral Health Surveys. Basic Methods. 4. Geneva: World Health Organization, 1997.




How to Cite

BULGARELI, J.V., CORTELLAZZI, K.L., GUERRA, L.M., AMBROSANO, G.M.B., FREDDO, S.L., CUNHA, I.P. da and PEREIRA, A.C., 2022. Quality of life and adherence to dental treatment in adolescents: a longitudinal analytical study. Bioscience Journal [online], vol. 38, pp. e38037. [Accessed18 April 2024]. DOI 10.14393/BJ-v38n0a2022-60207. Available from: https://seer.ufu.br/index.php/biosciencejournal/article/view/60207.



Health Sciences