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This report investigated the relationship between oral health and psychosocial distress in patients with facial burns and the role of oral health behaviour in mediating the relationship.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The data were part of a cross-sectional study that had systematically and randomly selected patients with\u2009&gt;\u200910% total burn surface area from a burn centre in Pakistan. The oral health status (DMFT, CPI, OHI-S) and severity of facial disfigurement were assessed. Validated instruments in the Urdu language were self-administered and information relating to oral health behaviour (brushing and dental visits), oral health-related quality of life (OHIP-14), satisfaction with appearance, self-esteem, anxiety and depression, resilience, and social support were collected. The statistical analyses included simple linear regression, Pearson correlation, t-test, and ANOVA. Mediation analysis was carried out to examine the indirect effect by oral health behaviour.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>From a total of 271 participants, the majority had moderate to severe facial disfigurement (89%), low self-esteem (74.5%), and moderate to high levels of social support (95%). The level of satisfaction with appearance was low, whereas anxiety and depression were high. Disfigurement and satisfaction with appearance were associated with lower self-esteem and social support (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Greater severity of disfigurement, higher levels of anxiety and dissatisfaction with appearance, and lower levels of self-esteem and social support were associated with greater DMFT and OHIP-14 scores, worse periodontal and oral hygiene conditions, and less frequent tooth brushing and dental visits (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The main barriers to oral healthcare utilization were psychological and social issues (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The indirect effect by oral health behaviour was not significant for anxiety but was significant for disfigurement, satisfaction with appearance, self-esteem, and social support.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>There is an association between the psychosocial factors and oral health of patients with facial burns through a direct effect and mediation by oral health behaviour.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12903-021-01532-0","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T15:03:14Z","timestamp":1617289394000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["The relationship between psychosocial distress and oral health status in patients with facial burns and mediation by oral health behaviour"],"prefix":"10.1186","volume":"21","author":[{"given":"Farooq Ahmad","family":"Chaudhary","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3088-0558","authenticated-orcid":false,"given":"Basaruddin","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,1]]},"reference":[{"issue":"12","key":"1532_CR1","doi-asserted-by":"publisher","first-page":"S3","DOI":"10.1016\/j.apmr.2007.09.020","volume":"88","author":"PC Esselman","year":"2007","unstructured":"Esselman PC. 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