Background: Dental caries in adults is a public health problem. A comprehensive assessment of the association between caries and Oral Health Related Quality of Life (OHRQoL) measures is essential for understanding how it impacts the daily life of people and for assessing their oral health needs.

Methods: The survey was conducted at Rashid Latif Dental Hospital, from March-June 2019. A total of 373 adults aged 18-80 years were randomly enrolled in the study. Dental caries was the main exposure, measured clinically. The OHRQoL was measured through Oral Impacts on Daily performance (OIDP) questionnaire. Caries was dichotomized and the relationship to OHRQoL was determined.

Results: The results showed that 87.6% of the people presenting to the hospital had one or more carious teeth. Difficulty eating, and relaxing/sleeping were among the top reported impacts. Adults with caries showed higher odds for reporting higher oral impacts compared to those without caries. For every added carious tooth, there is 1.38 times increase in OIDP score.

Conclusion: Individuals with caries were more likely to report more frequent and severe oral impacts that manifested into their daily lives through difficulty eating or relaxing. OIDP score increased linearly with increased exposure to caries.


1. Petersen PE. Global policy for improvement of oral health in the 21st century–implications to oral health research of World Health Assembly 2007, World Health Organization. Community Dent Oral Epidemiol. 2009;37:1–8.

2. Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. Am J Orthod Dentofacial Orthop. 2017;151:229–31.

3. Martins AM, Jones KM, Souza JGS, Pordeus IA. Association between physical and psychosocial impacts of oral disorders and quality of life among the elderly. Cienc Saude Colet. 2014;19:3461–78.

4. Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, et al. Global burden of oral conditions in 1990–2010: a systematic analysis. J Dent Res. 2013;92:592–7.

5. Lamont RJ, Egland PG. Dental Caries, Molecular Medical Microbiology, Three-Volume Set. Elsevier Ltd. 2015. p.945–55.

6. Moynihan P. The role of diet in the prevention of dental diseases. Comprehensive Preventive Dentistry John Wiley & Sons; 2012. p.99.

7. Krisdapong S, Somkotra T, Kueakulpipat W. Disparities in Early Childhood Caries and Its Impact on Oral Health–Related Quality of Life of Preschool Children. Asia Pac J Public Health. 2014;26:285–94.

8. Santosa A, Wall S, Fottrell E, Högberg U, Byass P. The development and experience of epidemiological transition theory over four decades: a systematic review. Glob Health Action. 2014;7:23574.

9. Sischo L, Broder H. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90:1264–70.

10. World Health Organization. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version, December 1996. Geneva: World Health Organization, 1996.

11. Allen PF, Steele J. Oral health-related quality of life. Textbook Geriatr Dent, 2015.

12. Usha G, Thippeswamy H, 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. Int J Dent Hyg. 2013;11:28–34.

13. Wright WG, Jones JA, Spiro A 3rd, Rich SE, Kressin NR. Use of Patient Self‐Report Oral Health Outcome Measures in Assessment of Dental Treatment Outcomes. J Public Health Dent. 2009;69:95–103.

14. Sanadhya S, Aapaliya P, Jain S, Sharma N, Choudhary G, Dobaria N. Assessment and comparison of clinical dental status and its impact on oral health-related quality of life among rural and urban adults of Udaipur, India: A cross-sectional study. J Basic Clin Pharm. 2015;6:50.

15. Tsakos G, Allen PF, Steele JG, Locker D. Interpreting oral health‐related quality of life data. Community Dent Oral Epidemiol. 2012;40:193–200.

16. Khan A, Sharea I, Ayma S, Ambreena Q, Inayatullah P, Sofia S. Oral health in Pakistan: a situation analysis. Developing Dentistry. 2004;5:35–44.

17. Niaz MO, Naseem M, Siddiqui SN, Khurshid Z. An outline of the oral health challenges in “Pakistani” population and a discussion of approaches to these challenges. J Pak Dent Assoc. 2013;21:219–26.

18. Tanwir F. Absence of toothache syndrome oral health and treatment needs among urban Pakistanis [dissertation]. Sweden: Department of Odontology, Karolinska Institutet; 2008.

19. World Health Organization. Oral health surveys: basic methods. World Health Organization, 2013.

20. Nuttall N, Tsakos G, Lader D, Hill K. Outcome impact – a report from the Adult Dental Health Survey 2009. The Information Centre for Health and Social Care, 2011. p.10–6.

21. Batista MJ, Perianes LBR, Hilgert JB, Hugo FN, Sousa Mda L. The impacts of oral health on quality of life in working adults. Braz Oral Res. 2014;28:1–6.

22. Dye BA, Thornton-Evans G, Li X, Iafolla T. Dental caries and tooth loss in adults in the United States, 2011–2012. US Department of Health and Human Services, Centers for Disease Control and Prevention, 2015.

23. Dowd JB, Zajacova A. Does self-rated health mean the same thing across socioeconomic groups? Evidence from biomarker data. Ann Epidemiol. 2010;20:743–9.

24. Krisdapong S, Prasertsom P, Rattanarangsima K, Sheiham A. Sociodemographic differences in oral health-related quality of life related to dental caries in Thai school children. Community Dent Health. 2013;30:112–8.

25. Nagarajappa R, Batra M, Sanadhya S, Daryani H, Ramesh G. Relationship between oral clinical conditions and daily performances among young adults in India–a cross sectional study. J Epidemiol Glob Health. 2015;5:347–57.



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.