{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T08:24:35Z","timestamp":1792743875319,"version":"4.5.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Health Qual Life Outcomes"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Traditional methods of measuring oral health mainly use clinical dental indices and have been complemented by oral health related quality of life (OHRQoL) measures. Most OHRQoL studies have been on adults and elderly populations. There are no systematic OHRQoL studies of a population-based sample of children. The objective of this study was to assess the prevalence, characteristics and severity of oral impacts in primary school children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross-sectional study of all 1126 children aged 11\u201312 years in a municipal area of Suphanburi province, Thailand. An OHRQoL measure, Child-Oral Impacts on Daily Performances index (Child-OIDP) was used to assess oral impacts. Children were also clinically examined and completed a self-administered questionnaire about demographic information and oral behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>89.8% of children had one or more oral impacts. The median impact score was 7.6 and mean score was 8.8. Nearly half (47.0%) of the children with impacts had impacts at very little or little levels of intensity. Most (84.8%) of those with impacts had 1\u20134 daily performances affected (out of 8 performances). Eating was the most common performance affected (72.9%). The severity of impacts was high for eating and smiling and low for study and social contact performances. The main clinical causes of impacts were sensitive tooth (27.9%), oral ulcers (25.8%), toothache (25.1%) and an exfoliating primary tooth (23.4%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study reveals that oral health impacts on quality of life in Thai primary school children. Oral impacts were prevalent, but not severe. The impacts mainly related to difficulty eating and smiling. Toothache, oral ulcers and natural processes contributed largely to the incidence of oral impacts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/1477-7525-2-57","type":"journal-article","created":{"date-parts":[[2004,10,19]],"date-time":"2004-10-19T02:23:41Z","timestamp":1098152621000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":144,"title":["The prevalence and severity of oral impacts on daily performances in Thai primary school children"],"prefix":"10.1186","volume":"2","author":[{"given":"Sudaduang","family":"Gherunpong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Tsakos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aubrey","family":"Sheiham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2004,10,12]]},"reference":[{"key":"138_CR1","unstructured":"WHO definition of health: .\n[http:\/\/www.who.int\/about\/definition\/en\/]"},{"key":"138_CR2","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1176\/ajp.137.5.535","volume":"137","author":"GL Engel","year":"1980","unstructured":"Engel GL: The clinical application of biopsychosocial model .\n                           Am J Psychiatry 1980, 137: 535\u2013544.","journal-title":"Am J Psychiatry"},{"key":"138_CR3","doi-asserted-by":"publisher","first-page":"681","DOI":"10.2190\/LE7A-UGBW-J3NR-Q992","volume":"6:","author":"K Cohen","year":"1976","unstructured":"Cohen K, Jago JD: Toward the formulation of socio-dental indicators.\n                           Int J Health Serv 1976, 6: : 681\u2013687.","journal-title":"Int J Health Serv"},{"key":"138_CR4","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/1477-7525-1-40","volume":"1","author":"PF Allen","year":"2003","unstructured":"Allen PF: Review: Assessment of oral health related quality of life.\n                           Health Qual Life Outcomes 2003, 1: 40. 10.1186\/1477-7525-1-40","journal-title":"Health Qual Life Outcomes"},{"key":"138_CR5","volume-title":"Measuring oral health and quality of life","author":"GD Slade","year":"1997","unstructured":"Slade GD: Measuring oral health and quality of life. 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