Globally, the prevalence of chronic diseases is increasing significantly, causing deterioration of oral and general health and therefore quality of life. The present study was designed to assess the relationship between oral health-related quality of life and general health of dental patients. The study is part of the University’s plan to achieve the United Nations Sustainable Development Goals number 1, 3, 4 and 5. Dental school students’ satisfaction with their early engagement in clinical activities and research work was also evaluated. A convenience sample of 600 subjects attending dental clinics aged ≥18 years of both sexes was included in the study. Second-year dental students conducted the study under supervision of public health staff members over two successive academic years (2015–2016 and 2016–2017). Oral health-related quality of life was assessed using the Dental Impact on Daily Living (DIDL) questionnaire. Blood pressure, random blood glucose level, body mass index, and waist circumference were measured as indicators of general health. There were statistically significant inverse correlations between DIDL scores and both mean blood pressure (r = −0.215, p < 0.001) and mean blood glucose level (r = −0.272, p < 0.001). Non-significant inverse correlations were observed between DIDL scores and both body mass index (r = −0.062, p = 0.131) and waist circumference (r = −0.040, p = 0.340). Students’ satisfaction scores with research activities were high, ranging from 75.9% to 78%. Dentists must raise patients’ awareness about the importance of oral health and its impact on their quality of life and general health. Participation of dental students in dental research is encouraged even in their early academic years.
2. Sheiham A, Watt RG. The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol. 2000 Dec;28(6):399–406. doi: 10.1034/j.1600-0528.2000. 028006399.x
3. Promoting oral health in Africa: prevention and control of oral diseases and noma as part of essential noncommunicable disease interventions. World Health Organization. Regional Office for Africa. ISBN: 978-929023297-1.
4. Masood M, Newton T, Bakri NN, Khalid T, Masood Y. The relationship between oral health and oral health-related quality of life among elderly people in the United Kingdom. J Dent. 2017;56:78–83. doi: 10.1016/j.jdent.2016.11.002.
5. Rebelo MA, Castro PH, Rebelo Vieira JM, Robinson PG, Vettore MV. Low social position, periodontal disease, and poor oral health-related quality of life in adults with systemic arterial hypertension. J Periodontol. 2016;87: 1379–1387. doi.org/10.1902/jop.2016.160204
6. Leao A and Sheiham A. The development of a socio-dental measure of dental impacts on daily living. Community Dent Health. 1996 Mar;13(1):22-26
7. Karasneh J, Al-Omiri Mahmoud K, Al-Hamad Khaled Q., Firas A. M. Al Quran. Relationship between patients' oral health-related quality of life, satisfaction with dentition, and personality profiles. J Contemp Dent Pract. 2009;10(6):49–56. http://www.thejcdp.com/journal/view/volume10-issue6-karasneh.
8. Oliveira EJP, Rocha VFB, Nogueira DA, Pereira AA. Quality of life and oral health among hypertensive and diabetic people in a Brazilian Southeastern city. Ciência & Saúde Coletiva. 2018;23(3):763–772. doi.org/10.1590/1413-81232018233.00752016
9. Chávarry NG, Vettore MV, Sansone C, Sheiham A. The relationship between diabetes mellitus and destructive periodontal disease: a meta-analysis. Oral Health Prev Dent. 2009;7(1):107–127. https://www.researchgate.net/publication/26652732
10. Pietropaoli D, Del Pinto R, Ferri C, Wright Jr JT, Giannoni M, Ortu E, Monaco A. Poor Oral Health and Blood Pressure Control Among US Hypertensive Adults Results from the National Health and Nutrition Examination Survey 2009 to 2014. Hypertension. 2018;72:1365–1373. doi.org/10.1161/HYPERTENSIONAHA.118.11528Hypertension.
11. Martin-Cabezas R, Seelam N, Petit C, Agossa K, Gaertner S, Tenenbaum H, Davideau JL, Huck O. Association between periodontitis and arterial hypertension: a systematic review and meta-analysis. Am Heart J. 2016;180:98–112. doi: 10.1016/j.ahj.2016.07.018
12. Holmlund A, Lampa E, Lind L. Oral health and cardiovascular disease risk in a cohort of periodontitis patients. Atherosclerosis. 2017;262:101–106. doi: 10.1016/j.atherosclerosis.2017.05.009.
13. Gabal Mohamed S, Abd Elaziz Khaled M, Mostafa Nayera S, Kallaf Mahmoud K. Prevalence of hypertension and quality of life among hypertensive patients in an Egyptian village. Egyptian J Community Med. 2018;36(2):23–35. doi: 10.21608/EJCM.2018.11046
14. Wan Ali WNS, Wan Othman WMN, Wan Abdul Aziz WNA, Ramli H, Rani MDM, Ithnin M. Oral health-related quality of life of villagers in a semi-urban district in Malaysia. Int J Studies on Children, Women, Elderly and Disabled 2018;4:132–139. https://www.researchgate.net/publication/327931178
15. Hegazi R, El-Gamal M, Abdel Hady N, Hamdy O. Epidemiology of and risk factors for type 2 diabetes in Egypt. Ann Glob Health. 2015;81:814–820. doi: 10.1016/j.aogh.2015.12.011.
16. Nanditha A, Ma RCW, Ramachandran A, Snehalatha C, Chan JCNC, Chia KS et al. Diabetes in Asia and the Pacific: implications for the global epidemic. Diabetes Care. 2016;39: 472–485. doi: 10.2337/dc15-1536.
17. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103: 244–255. doi: 10.1016/j.diabres.2013.11.002.
18. Cervino G, Terranova A, Briguglio F, De Stefano R, Famà F, D’Amico C, Amoroso G, Marino S, Gorassini F, Mastroieni R, Scoglio C, Catalano F, Lauritano F, Matarese M, Lo Giudice R, Siniscalchi EN, Fiorillo L. Diabetes: oral health related quality of life and oral alterations. BioMed Res Int. 2019, Article ID 5907195:1–14. doi.org/10.1155/2019/5907195
19. Ludwig DS, Willett WC, Volek JS, Neuhouser ML. “Dietary fat: From foe to friend?” Science. 2018;362(6416):764–770. doi: 10.1126/science. aau2096
20. Wimmer RA, Leopoldi A, Aichinger M. “Human blood vessel organoids as a model of diabetic vasculopathy.” Nature. 2019;565(7740):505–510. doi.org/10.1038/s41586-018-0858-8
21. Martinez-Millana A, Argente-Pla M, Valdivieso Martinez B, Traver Salcedo V, Merino-Torres J. “Driving type 2 diabetes risk scores into clinical practice: performance analysis in hospital settings.” J Clin Med. 2019;8(1):107. doi:10.3390/jcm8010107
22. Östberg A-L, Bengtsson C, Lissner L, Hakeberg M. Oral health and obesity indicators. BMC Oral Health. 2012, 12:50. http://www.biomedcentral.com/1472-6831/12/50
23. Chan YY, Lim KK, Lim KH, Teh CH, Kee CC, Cheong SM et al. Physical activity and overweight / obesity among Malaysian adults: findings from the 2015 National Health and morbidity survey (NHMS). BMC Public Health. 2017;17:733. doi 10.1186/s12889-017-4772-z
24. Chakravathy KP, Thippeswamy HM, Kumar N, Chenna D. Relationship of body mass index and dental caries with oral health related quality of life among adolescents of Udupi district, South India. Eur Arch Paediatr Dent 2013;14:155–159. doi: 10.1007/s40368-013-0040-9.
25. El Osta N, Hennequin M, Tubert-Jeannin S, Naaman NB, El Osta L, Geahchan N. The pertinence of oral health indicators in nutritional studies in the elderly. Clin Nutr. 2014;33:316–321. doi: 10.1016/j.clnu.2013.05.012.
26. Peruchi CTR, Poli-Frederico RC, Cardelli AAM, Fracasso MLC, Bispo CGC, Neves- Souza RD, Cardoso JR, Maciel SM. Association between oral health status and central obesity among Brazilian independent-living elderly. Braz. oral res. 2016;30(1):e116. doi: 10.1590/1807-3107BOR-2016
27. Kim YS, Kim JH. Body mass index and oral health status in Korean adults: the fifth Korea National Health and nutrition examination survey. Int J Dent Hyg. 2017;15:172–178. doi: 10.1111/idh.12207.
28. Koodaryan R, Hafezeqoran A, Nourizadeh A, Rahimi AO, Ahmadian M. The relationship between dental status, body mass index and nutrient intake. Adv Biosci Clin Med. 2014;2:24. DOI: 10.7575/aiac.abcmed.14.02.02.06
29. New ACC/AHA High Blood Pressure Guidelines. Lower definition of hypertension. Nov 13, 2017 ACC News Story.
30. Eke PI, Page RC, Wei L, Thornton-Evans G, Genco RJ. Update of the case definitions for population-based surveillance of periodontitis. J Periodontol. 2012;83:1449–1454. doi: 10.1902/jop.2012.110664.
31. Garton B, Ford P. Root caries and diabetes: risk assessing to improve oral and systemic health outcomes. Aust Dent J. 2012;57:114-22. doi: 10.1111/j.1834-7819.2012.01690. x.
32. Yuen HK, Mountford WK, Magruder KM, Bandyopadhyay D, Hudson PL, Summerlin LM, Salinas CF. Adequacy of oral health information for patients with diabetes. J Public Health Dent. 2009;69(2): 135–141. doi:10.1111/j.1752-7325.2008.00111. x.
33. https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491. Accessed on 19/1/2016
34. Williams BR, Tomar S, Blanchard S. Inﬂuences of adult-onset diabetes on orofacial pain and related health behaviors. Journal of Public Health Dent. 2010;70:85–92. doi:10.1111/j.1752-7325.2009.00147. x.
35. Rosli TI, Chan YM, Abdul Kadir R, Abdul Hamid TA. Association between oral health-related quality of life and nutritional status among older adults in district of Kuala Pilah, Malaysia. BMC Public Health 2019;19:547. doi.org/10.1186/s12889-019-6867-1
36. Popescu SM, Scrieciu M, Mercuu V, Tuculina M, Dascslu I. Hypertensive patients and their management in dentistry. ISRN Hypertension 2013;Article ID 410740:1–8. doi.org/10.5402/2013/410740
37. Sproat C, Behesti S, Harwood AN, Crossbie D. Should we screen for hypertension in general dental practice? Br Dent J. 2009;207:257–277. doi: 10.1038/sj.bdj.2009.815.
38. Allen EM, Ziada HM, O'Halloran D, Clerehugh V, Allen PF. Attitudes, awareness and oral health-related quality of life in patients with diabetes. J Oral Rehabil. 2008;35:218–223. doi: 10.1111/j.1365-2842.2007.01760. x.
39. Rebelo MA, Castro PH, Rebelo Vieira JM, Robinson PG, Vettore MV. Low social position, periodontal disease, and poor oral health-related quality of life in adults with systemic arterial hypertension. J Periodontol. 2016;87:1379–1387. doi: 10.1902/jop.2016.160204
40. Busato IMS, Igna ´cio SA, Brancher JA, Moyse ´s ST, Azevedo-Alanis LR. Impact of clinical status and salivary conditions on xerostomia and oral health-related quality of life of adolescents with type 1 diabetes mellitus. Community Dent Oral Epidemiol. 2012;40:62–69. doi: 10.1111/j.1600-0528.2011.00635. x.
41. Singh SKN, MaykanathanD,Ywan XJT. Oral Health Related Quality of Life (OHRQOL) and its association with socio-demographics and weight status among adults in Klang Valley, Malaysia. J Oral Health Res. 2015;6(4):1–10. https://www.researchgate.net/publication/301619360
42. Sustainable Development Goals Knowledge Platform. United Nations. https://sustainabledevelopment.un.org/?menu=1300