Introduction. Oral quality of life is a multidimensional construct that includes the impact of oral health on physical, psychological, functional and social aspects. Since its validation in Spain in 2010, the Child-Oral Impacts on Daily Performances questionnaire had not been applied in adolescents, so its use is proposed to analyze oral quality of life at 13-15 years of age and relate it to oral health status and other factors. Material and methods. A cross-sectional study was designed in a sample of 337 schoolchildren from the Valencian Community. Approval was obtained from the Ethics Committee and the informed consent of the participants and their parents. Sociodemographic, behavioral and oral health perception data were collected. Individual oral examination was carried out, evaluating the presence of caries. with ICDAS II methodology, the periodontal status with the Community Periodontal Index (CPI) and the alterations in the occlusion analyzed in the axial, sagittal and cross-sectional. The C-OIDP questionnaire was administered and its psychometric properties were evaluated. The prevalence, index and intensity of impact were determined. Statistical analysis included the Mann-Whitney, Kruskall-Wallis, Spearman correlation and logistic regression U tests. Results. The prevalence of impact was 48.1% and the most frequently affected dimension was eating (21.4%). The main cause of impact was bleeding gums (42.1%). The intensity of impact was generally mild (54.6%). The global mean C-OIDP index was 3.28±6.55. The mother's managerial job showed a statistically significant association with a higher C-OIDP index. Women presented worse oral quality of life than males. No statistically significant association was found between age, the nationality of the participant or the country of origin of the father and mother and oral quality of life. The CAO-D index was 0.65±1.31, showing an association statistically significant with the C-OIDP.E index The mean CPI was 0.49±0.36, and 25.5% of the participants did not present malocclusion and no significant association was found between periodontal status or malocclusion and the C-OIDP index. 75% of the sample reported brushing their teeth 2 or more times a day and had visited the dentist in the last year. 27% of the participants reported drinking sugary liquids more than twice a week or daily. 70% of the sample practiced some sport, and 8.3% used a mouth guard. There was no significant association between the behavioral factors analyzed and oral quality of life. More than 75% of the participants expressed being very satisfied with their oral health, and the main problems perceived were aesthetics (9.5%) and gingival bleeding (4.2%). Halitosis was reported in 34.7% of cases. The reliability analysis showed a Cronbach's Alpha coefficient of 0.64, and an Alpha Cronbach's standard of 0.69. The variables that in the log regression analysis stica were significantly related to oral quality of life were: the mother's directive work, the presence of halitosis, the perceived need for dental treatment and female sex. Conclusions. The prevalence of impact was moderate and the global C-OIDP index low. The most frequently affected dimension was eating, and the impact intensity was generally mild. The impact index was significantly higher in participants with a higher CAO-D index, while periodontal status, the presence of malocclusion, and the factors analyzed behaviors did not show association with the impact index.
2022-06-30
