What do people do before going to the dentist? Qualitative study of cultural practices of pain relief in primary care.

  • Giselle Davis-Toledo Department of Public Health, School of Health Sciences, Universidad de Talca, Chile. http://orcid.org/0000-0002-2899-3652
  • Loreto Nuñez Department of Public Health, School of Health Sciences, Universidad de Talca, Chile.
  • Alvaro Espinosa Department of Public Health, School of Health Sciences, Universidad de Talca, Chile.
  • Luis López Department of Public Health, School of Health Sciences, Universidad de Talca, Chile.


Objective: To describe and classify the main cultural practices used to relieve orodental pain in people who seek emergency dental care in vulnerable urban and rural areas of central Chile. Methodology: A sample of 88 adults residing in urban and rural sectors, who received treatment at primary care emergency dental services in three districts of the central area of Chile was studied using a qualitative descriptive approach of sociocultural epidemiological orientation based on Grounded Theory. Interviews were conducted in the waiting room of the emergency service or at the patient’s home. Empirical saturation and triangulation of temporal data were protected. Results: Practices of biomedical origin (self-medication and care received at dental emergency services) and socio-cultural practices were documented. They include the use of chemical products (iodine, phosphorus, battery acid, hydrogen peroxide, gasoline, and alcoholic drinks, among others), herbal infusions (Buddleja globosa, Aloe vera), mechanical-physical techniques (use of cold or heat, massage); subjects also perform the mechanical manipulation of the area with sharp objects, occasionally extracting the tooth itself. Practices occur more frequently at home when the person feels the pain in the affected area, and end on the dental chair with the tooth extraction. Conclusions: The coexistence of biomedical practices and alternative cultural strategies was observed. These practices complement each other and make people postpone seeking professional dental care, which may worsen their health condition.


1. Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020. Int Dent J. 2003;53(5):285–88.
2. Al-Harthy M, Ohrbach R, Michelotti A, List T. The effect of culture on pain sensitivity. J Oral Rehabil. 2016;43(2):81–8.
3. Gallego F, Larroulet C, Palomer L, Repetto A, Verdugo D. Socioeconomic inequalities in self-perceived oral health among adults in Chile. Int J Equity Health. 2017;16(1):23.
4. Quinteros ME, Cáceres DD, Soto A, Mariño RJ, Giacaman RA. Caries experience and use of dental services in rural and urban adults and older adults from central Chile. Int Dent J. 2014;64(5):260–8.
5. Cornejo-Ovalle M, Delgado I, Fajreldin V, González A. Comunidad informada: estrategia para mejorar uso del GES Salud Oral en población de 6 años. J Oral Res. 2013;2(2):72–6.
6. Vasiliou A, Shankardass K, Nisenbaum R, Quiñonez C. Current stress and poor oral health. BMC Oral Health. 2016;16(88):1–8.
7. Núñez A, Chi C. Equity in health care utilization in Chile. Int J Equity Health. 2013;12:58.
8. Delgado B, Cornejo-ovalle M, Jadue H, Huberman J. Determinantes sociales y equidad de acceso en la salud dental en Chile. Cient Dent. 2013;10(2):101–9.
9. Goic A. El Sistema de Salud de Chile: una tarea pendiente. Rev Med Chile. 2015;143:774–86.
10. Mafla AC, Villalobos-Galvis FH, Heft MW. Illness perceptions amongst individuals with dental caries. Community Dent Health. 2018;35(1):16–22.
11. Azarpazhooh A, Quiñonez C. Treatment Preferences for Toothache among Working Poor Canadians. J Endod. 2015;41(12):1985–90.
12. Cohen LA, Harris SL, Bonito AJ, Manski RJ, Macek MD, Edwards RR, Cornelius LJ. Coping with toothache pain: a qualitative study of low-income persons and minorities. J Public Health Dent. 2007;67(1):28–35.
13. Misrachi C, Manríquez J, Fajreldin V, Kuwahara K, Verdaguer C. Creencias, conocimientos y prácticas en salud oral de la población mapuche-williche de Isla Huapi, Chile. Rev Fac Odontol Univ Antioq. 2014;25(2):342–58.
14. Lotto M, Ayala Aguirre PE, Rios D, Andrade Moreira Machado MA, Pereira Cruvinel AF, Cruvinel T. Analysis of the interests of Google users on toothache information. PLoS One. 2017;12(10):e0186059.
15. Subhashini, Garla BK, Karuppaiah M, Taranath. Prevalence of Self-medication Practice among People Attending Oral Health Outreach Programmes in Madurai East, Tamil N.adu. J Adv Oral Res. 2017;81(1):1–7.
16. Pumahuanca O, Cruz T. Automedicacion con AINES por pacientes con odontalgia en la consulta pública y privada. Rev Evid Odontol Clinic. 2016;2(2):30–3.
17. Riley LJ 3rd, King C. Self-report of alcohol use for pain in a multi-ethnic community sample. J Pain. 2009;10(9):944–52.
18. Barnett T, Hoang H, Stuart J, Crocombe L. The relationship of primary care providers to dental practitioners in rural and remote Australia. BMC Health Serv Res. 2017;17(1):515.
19. Heaivilin N, Gerbert B, Page JE, Gibbs JL. Public health surveillance of dental pain via Twitter. J Dent Res. 2011;90(9):1047–51.
20. Anyanechi C, Saheeb B. Toothache and self-medication practices: a study of patients attending a niger delta tertiary hospital in Nigeria. Ann Med Health Sci Res. 2014;4(6):884–8.
21. Sewani-Rusike CR, Mammen M. Medicinal plants used as home remedies: a family survey by first year medical students. Afr J Tradit Complement Altern Med. 2014;11(5):67–72.
22. O'Sullivan LM, Ahmed N, Sidebottom AJ. Dental pain management - a cause of significant morbidity due to paracetamol overdose. Br Dent J. 2018;224(8):626–4.
23. Dyrbye BA, Dubois L, Vink R, Horn J. A patient with clove oil intoxication. Anaesth Intensive Care. 2012;40(2):365–6.
24. Brondani MA, MacEntee MI. Thirty years of portraying oral health through models: what have we accomplished in oral health-related quality of life research? Qual Life Res. 2014;23(4):1087–96.
25. Cartes-Velásquez R. Some ideas for qualitative research in oral and craniofacial sciences. J Oral Res. 2017;6(5):108–9.
26. Hersch-Martínez p. [Sociocultural epidemiology: an essential aproach] Salud Publica Mex. 2013;55(5):512–8.
27. Biblioteca del Congreso Nacional (BCN) Reportes estadísticos comunales 2015. Chile: Instituto Nacional de Estadísticas Chile (INE); 2015.
28. Strauss A, Corbin J. Bases de la investigación cualitativa. Técnicas y procedimientos para desarrollar la teoría fundamentada. 1st Ed. Medellín,Colombia: Editorial Universidad de Antioquia; 2002.
29. Carter N, Bryant-Lukosius D, DiCenso A, Blythe J, Neville AJ. The use of triangulation in qualitative research. Oncol Nurs Forum. 2014;41(5):545–7.
How to Cite
DAVIS-TOLEDO, Giselle et al. What do people do before going to the dentist? Qualitative study of cultural practices of pain relief in primary care.. Journal of Oral Research, [S.l.], v. 7, n. 8, p. 299-307, nov. 2018. ISSN 0719-2479. Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2018.074>. Date accessed: 17 june 2024. doi: https://doi.org/10.17126/joralres.2018.074.


self-medication; toothache; self-care, dental care.

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