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Gingival status, dental calculus (Community Periodontal Index), and dental caries (DMFT index) were registered through clinical examinations. Adolescents self\u2010completed questionnaires to assess psychosocial factors (self\u2010esteem, sense of coherence, and oral health beliefs), socioeconomic status (family income, parent's schooling, number of goods, and house crowding), oral health\u2010related quality of life (OHRQoL) (CPQ<jats:sub>11\u201314<\/jats:sub>), and self\u2010rated oral health. Direct and indirect relationships between variables were tested using structural equation modelling guided by the Wilson and Cleary model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Greater gingival bleeding was directly associated with worse self\u2010rated oral health. Poor OHRQoL was directly linked to the number of teeth with dental calculus, more teeth with dental caries experience, and worse psychosocial factors. Worse socioeconomic status and dental calculus were associated with gingival bleeding. Dental calculus and socioeconomic status were indirectly associated with self\u2010rated oral health via gingival status. OHRQoL mediated the association of dental caries experience and psychosocial factors with self\u2010rated oral health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Gingival bleeding and dental calculus may negatively affect self\u2010reported oral health in adolescents. Socioeconomic status and psychosocial factors were also relevant determinants for oral health in this age group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.13028","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T06:55:01Z","timestamp":1738565701000},"page":"278-285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Association Between Periodontal Status, Oral Health\u2010Related Quality of Life and Self\u2010Rated Oral Health in Socially Underprivileged Adolescents"],"prefix":"10.1111","volume":"53","author":[{"given":"Andr\u00e9ia Coelho Gomes","family":"Ripardo","sequence":"first","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana Corr\u00eaa de","family":"Queiroz","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paula Corr\u00eaa de Queiroz","family":"Herkrath","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando Jos\u00e9","family":"Herkrath","sequence":"additional","affiliation":[{"name":"Le\u00f4nidas e Maria Deane Institute Oswaldo Cruz Foundation  Manaus Amazonas Brazil"},{"name":"School of Health Sciences State of Amazonas University  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janete Maria","family":"Rebelo Vieira","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Vianna","family":"Pereira","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Augusta Bessa","family":"Rebelo","sequence":"additional","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario Vianna","family":"Vettore","sequence":"additional","affiliation":[{"name":"Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12517"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12691"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.23804\/ejpd.2021.22.02.3"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2012.01907.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2017.160622"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jicd.12264"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12420"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368\u2010022\u201000777\u20109"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.273.1.59"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034510376650"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12080"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000506438"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.elerap.2010.07.003"},{"key":"e_1_2_8_15_1","first-page":"281","article-title":"Development of the World Health Organization (WHO) Community Periodontal Index of Treatment Needs (CPITN)","volume":"32","author":"Ainamo J.","year":"1982","journal-title":"International Dental Journal"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.19\u20100129"},{"key":"e_1_2_8_17_1","volume-title":"Oral Health Surveys. 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