{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T13:03:53Z","timestamp":1789650233253,"version":"4.0.0"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European J Oral Sciences"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aimed to describe oral health clusters that combine dental conditions and perceived oral health and to examine the association of oral health indicators and their clusters with oral health\u2010related quality of life (OHRQoL) in 5\u2010yr\u2010old children. This cross\u2010sectional study analysed data from 4354 5\u2010yr\u2010old children participating in the Brazilian National Oral Health Survey (SB Brasil 2023). Oral health assessment included decayed, missing and filled teeth; clinical consequences of untreated dental caries (pufa index); malocclusion; perceived oral health; and OHRQoL (SOHO\u20105). Latent profile analysis was performed to identify oral health clusters, and regression models examined associations between clusters, oral health indicators and OHRQoL. Four distinct clusters emerged: healthy teeth and very good\/good perceived oral health (56.3%), restored teeth and good\/fair perceived oral health (8.9%), high caries and good\/fair perceived oral health (24.9%) and high caries\/high pufa and fair\/poor perceived oral health (9.9%). Oral health indicators (except malocclusion) and oral health clusters were associated with worse OHRQoL, but cluster\u2010based associations were stronger. Children in clusters with high caries, pufa and poor perceived oral health showed markedly poorer OHRQoL across all domains. This approach may explain OHRQoL better than oral health indicators, providing a more nuanced understanding of oral health disparities.<\/jats:p>","DOI":"10.1111\/eos.70100","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T14:54:21Z","timestamp":1777560861000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The association between oral health clusters and oral health\u2010related quality of life: A population\u2011based study of 5\u2011yr\u2011old children"],"prefix":"10.1111","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2270-8056","authenticated-orcid":false,"given":"Pedro Henrique Duarte Fran\u00e7a","family":"de Castro","sequence":"first","affiliation":[{"name":"School of Dentistry Federal University of Amazonas  Manaus Amazonas Brazil"},{"name":"Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"}],"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6299-4432","authenticated-orcid":false,"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":[[2026,4,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12294"},{"key":"e_1_2_9_3_1","volume-title":"Oral health surveys: basic methods","author":"World Health Organization","year":"2013"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650\u2010199511001\u201000008"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511399918"},{"issue":"1","key":"e_1_2_9_6_1","first-page":"3","article-title":"Measuring oral health: a conceptual framework","volume":"5","author":"Locker D","year":"1988","journal-title":"Community Dent Health"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2024.102082"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807\u20103107BOR\u20102016.vol30.0014"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12359"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12099"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000336387"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsaa052"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010021\u201002963\u20106"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12304"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvb.2020.103445"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1353\/mpq.2006.0029"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10543406.2023.2210684"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12494"},{"issue":"7","key":"e_1_2_9_19_1","first-page":"403","article-title":"Is caries associated with negative impact on oral health\u2010related quality of life of pre\u2010school children? 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