A population-based study on the impact of orofacial dysfunction on oral health-related quality of life among Brazilian schoolchildren

Acta Odontol Scand. 2017 Apr;75(3):173-178. doi: 10.1080/00016357.2016.1275038. Epub 2017 Jan 8.


Objective: The aim of the present study was to assess the impact of orofacial dysfunction on oral health-related quality of life (OHRQoL) among Brazilian schoolchildren.

Material and methods: A population-based study was conducted with 531 children aged eight to 10 years at schools in the city of Campo Magro, Brazil. The Brazilian version of the Child Perceptions Questionnaire (CPQ8-10) was the outcome variable used to measure the impact on OHRQoL. The main independent variable was orofacial function, which was diagnosed using the Nordic Orofacial Test-Screening (NOT-S). Descriptive, bivariate and multiple Poisson regression analyses were performed using a multilevel approach, with the significance level set to 5%.

Results: The mean (±SD) total CPQ8-10 score was 13.95 ± 0.5. The multilevel Poisson regression model revealed that the mean CPQ8-10 score was higher among girls (RR: 1.38, 95% CI: 1.17-1.63; p < 0.001) than boys and that children from families with a higher income had lower CPQ8-10 scores (RR: 0.67, 95% CI: 0.51-0.88; p = 0.004) than those from families with a lower income. Children who sought dental care due to pain or factors other than prevention (RR: 1.41; 95% CI: 1.18-1.68), those with orofacial dysfunction (RR: 1.62; 95% CI: 1.30-2.02) and those with a history of traumatic dental injury (RR: 1.39; 95% CI: 1.15-1.69) also experienced a greater impact on OHRQoL.

Conclusions: Schoolchildren with orofacial dysfunction experience a greater negative impact on OHRQoL.

Keywords: Child; Nordic orofacial test screening; oral health-related quality of life; orofacial dysfunction; quality of life.

MeSH terms

  • Brazil
  • Child
  • Cross-Sectional Studies
  • Dental Care / psychology
  • Dental Caries / psychology
  • Female
  • Humans
  • Male
  • Malocclusion / psychology*
  • Oral Health / statistics & numerical data*
  • Quality of Life / psychology*
  • Surveys and Questionnaires