{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:38:45Z","timestamp":1786653525583,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J Int Soc Prev Community Dent"],"published-print":{"date-parts":[[2026,3]]},"abstract":"\n A\n bstract<\/jats:sc>\n <\/jats:title>\n \n Objectives:<\/jats:title>\n This study assessed associations between dental health status and oral health-related quality of life (OHRQoL) in 11\u201314-year-old children at a Saudi university pediatric dental clinic, identifying clinical and psychosocial predictors of OHRQoL.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n A cross-sectional study recruited 385 children (71.7% Saudi, 28.3% non-Saudi) via convenience sampling. Clinical measures included dental caries [decayed, missing, and filled teeth (DMFT) index], Plaque index, and Dental Aesthetic Index (DAI) per World Health Organization\/International caries detection and assessment system criteria. OHRQoL was assessed using the validated Arabic Child Perceptions Questionnaire 11\u201314. Self-reported perceptions of general\/oral health and dental aesthetics were collected. Non-parametric tests (Kruskal\u2013Wallis, Mann\u2013Whitney with Bonferroni correction), Spearman correlations, and multiple linear regression were performed (\n \u03b1<\/jats:italic>\n = 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The sample comprised 68.8% older adolescents (13\u201314 years) with a balanced gender distribution (51.9% male). Contrary to expectations, objective clinical measures showed no significant associations with OHRQoL. Neither DMFT [\n B<\/jats:italic>\n = 0.001, 95% confidence interval (CI): \u22120.019, 0.020,\n P<\/jats:italic>\n = 0.951] nor DAI (\n B<\/jats:italic>\n = 0.003, 95% CI: \u22120.003, 0.009,\n P<\/jats:italic>\n = 0.308) predicted overall OHRQoL, with negligible correlations across all domains (\n r<\/jats:italic>\n = \u22120.055 to 0.050,\n P<\/jats:italic>\n > 0.05). Instead, age was a strong negative predictor, most pronounced for emotional well-being (\n B<\/jats:italic>\n = \u22120.848, 95% CI: \u22120.993, \u22120.703,\n P<\/jats:italic>\n < 0.001) and overall OHRQoL (\n B<\/jats:italic>\n = \u22120.720, 95% CI: \u22120.847, \u22120.594,\n P<\/jats:italic>\n < 0.001), with older adolescents reporting significantly poorer OHRQoL. Participant background (Saudi vs. non-Saudi) significantly predicted higher OHRQoL among Saudi participants (\n B<\/jats:italic>\n = 0.907, 95% CI: 0.805, 1.009,\n P<\/jats:italic>\n < 0.001). Self-reported perceptions\u2014including satisfaction with oral health, perceived dental aesthetics, and treatment needs\u2014demonstrated stronger associations with OHRQoL than clinical indicators (\n P<\/jats:italic>\n < 0.001 across domains after Bonferroni correction).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n In this convenience sample, objective clinical measures (DMFT, DAI) did not predict OHRQoL. Quality of life was predominantly influenced by age, participant background, and self-perceptions of oral health and aesthetics, reflecting the psychosocial significance of this developmental stage. Convenience sampling from a single clinic limits generalizability. Future interventions should integrate psychosocial support with clinical care and address health care access disparities. Population-based studies are needed for validation.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jispcd.jispcd_2_25","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T22:00:08Z","timestamp":1777154408000},"page":"139-147","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Dental Status on Oral Health-related Quality of Life in Children with Missing or Multiple Teeth in Saudi Arabia: A Cross-sectional Analysis"],"prefix":"10.4103","volume":"16","author":[{"given":"Sarah Ahmed","family":"Bahammam","sequence":"first","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry, Taibah University, Medina, Kingdom of Saudi 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primary school children: A cross-sectional study","volume":"12","author":"Zhao","year":"2022","journal-title":"BMJ Open"},{"key":"CIT0005-20260430","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s12903-020-1032-x","article-title":"Prevalence of dental caries in deciduous teeth and oral health-related quality of life among preschool children aged 4\u20136 years in Kisarawe, Tanzania","volume":"20","author":"Masumo","year":"2020","journal-title":"BMC Oral Health"},{"key":"CIT0006-20260430","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1111\/idh.12440","article-title":"Effects of oral health promotion programmes on adolescents oral health\u2010related quality of life: A systematic review","volume":"18","author":"Lattanzi","year":"2020","journal-title":"Int J Dent Hyg"},{"key":"CIT0007-20260430","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s00784-018-2406-1","article-title":"Assessing oral health-related quality of life in children and adolescents: A systematic review and standardized comparison of available instruments","volume":"23","author":"Zaror","year":"2019","journal-title":"Clin Oral Investig"},{"key":"CIT0008-20260430","doi-asserted-by":"crossref","first-page":"894638","DOI":"10.3389\/fpubh.2022.894638","article-title":"Impact of DMFT, PUFA, DAI, and TDIs on oral health-related quality of life (OHRQoL) among foundling, delinquent, and mainstream school children: A preliminary study","volume":"10","author":"Alsaif","year":"2022","journal-title":"Front Public Health"},{"key":"CIT0009-20260430","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1186\/s12903-022-02314-y","article-title":"Parental psychosocial factors, unmet dental needs, and preventive dental care in children and adolescents with special health care needs: A stress process model","volume":"22","author":"Gazzaz","year":"2022","journal-title":"BMC Oral Health"},{"key":"CIT0010-20260430","doi-asserted-by":"crossref","first-page":"S31","DOI":"10.4103\/sja.SJA_543_18","article-title":"The STROBE guidelines","volume":"13","author":"Cuschieri","year":"2019","journal-title":"Saudi J Anaesth"},{"key":"CIT0011-20260430","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1186\/s12903-024-05077-w","article-title":"The prevalence of malocclusion and oral health-related quality of life among 12-and 15-year-old schoolchildren in Shanghai, China: A cross-sectional study","volume":"24","author":"Pan","year":"2024","journal-title":"BMC Oral Health"},{"key":"CIT0012-20260430","doi-asserted-by":"crossref","first-page":"4072","DOI":"10.3390\/ijerph17114072","article-title":"Relationships of dental caries and malocclusion with oral health-related quality of life in Lithuanian adolescents aged 15\u201318 years: A cross-sectional study","volume":"17","author":"Kavaliauskien\u0117","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"CIT0013-20260430","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1186\/s12903-023-03454-5","article-title":"The relationship between children\u2019s oral health behaviours and oral health-related quality of life: A cross-sectional study","volume":"23","author":"Boodai","year":"2023","journal-title":"BMC Oral Health"},{"key":"CIT0014-20260430","first-page":"233","article-title":"Oral health in Iraqi schoolchildren: A comprehensive cross-sectional analysis of sociodemographic factors, behavioural patterns, and parental knowledge influencing dental caries","volume":"23","author":"Alautry","year":"2025","journal-title":"Oral Health Prev Dent"},{"key":"CIT0015-20260430","doi-asserted-by":"crossref","first-page":"e0293024","DOI":"10.1371\/journal.pone.0293024","article-title":"Association between dental clinical measures and oral health-related quality of life among Iraqi schoolchildren: A cross-sectional study","volume":"19","author":"Alautry","year":"2024","journal-title":"PLoS One"},{"key":"CIT0016-20260430","first-page":"e49456","article-title":"Inequalities in the oral health-related quality of life among children in Saudi Arabia","volume":"15","author":"Almajed","year":"2023","journal-title":"Cureus"},{"key":"CIT0017-20260430","doi-asserted-by":"crossref","first-page":"60","DOI":"10.4103\/jos.jos_51_23","article-title":"Prevalence of malocclusion and orthodontic treatment needs among adolescents in Najran City, Saudi Arabia","volume":"12","author":"Alyami","year":"2023","journal-title":"J Orthod Sci"}],"container-title":["Journal of International Society of Preventive and Community 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