| Summary: | === The oral health related life of quality of childrens and adolescents has been a frequent issue in national and international literature. Especially due to the fact children and adolescents are able to give precise information about their oral health. Several instruments have been proposed to analyze their oral health perception. Amongst them, the most used has been the Oral Health Related Quality of Life (OHRQoL), a set of instruments developed in Canada which evaluates the childrens and adolescents perception of their oral health (Child Perceptions Questionnaire - CPQ), the parents and legally responsible
persons report on their childrens oral health (Parental-Caregiver Perceptions Questionnaire - P-CPQ) as well as the childrens and adolescents oral health impact in the family (Family Impact Scale - FIS). The CPQ evaluated the childrens and adolescents oral health in many world regions such as New Zealand, Australia, Denmark, Saudi Arabia, China, the United Kingdom, etc. However, the use of this instrument in a random and representative sample was fulfilled in a few places. In this current cross-sectional study, done with representative sample of adolescents (1.612) between 11-14 years old of a big Brazilian city in southwest region, using the CPQ 11-14 ISF: 16 instrument, it was
detected that some adolescents oral conditions can show biopsycosocial impacts in their everyday lives. Among these conditions, we can highlight the malocclusion and dental caries, two of the main problems of the Brazils dentistry public health. The malocclusion has a negative impact in the adolescents life quality mainly due to aesthetics. The presence of dental caries brings inconvenient aspects such as pain, difficulty of eating and phonation. These alterations impacts are so clear that, besides the symptoms manifestation, the adolescents stop making social relationships or become more introverted very often. The mothers report on their childrens oral health condition can be different from the perception these children have about their oral health condition themselves. Generally, the mothers are responsible for taking care of their children. In the 960 pairs (mothers-adolescents), using the instruments P-CPQ and CPQ 11-14 ISF:16 in a cross-sectional study, it was verified that mothers tend to minimize the oral health condition in the
adolescents everyday life, while the adolescents realize in a more seriously way the impact of your oral health condition results in their everyday life. This could be explained by the fact that, at present, mothers have the tendency to spend a little time with their children due to several social appointments and her job. The Brazilian children and adolescents spend a long time at school and many of the presented impacts happen at school environment, far from the mothers eyes. === A saúde bucal do adolescente relacionada à qualidade de vida (OHRQoL) é um tema atual na literatura odontológica. Este estudo avaliou a associação entre OHRQoL, aspectos sociodemográficos e condições clínicas em uma amostra de base populacional dos adolescentes brasileiros.
Este estudo transversal foi realizado com 1612 adolescentes com idades entre 11-14 anos, matriculados em escolas públicas e privadas de Belo Horizonte. Participaram também seus pais/responsáveis. Os participantes responderam a versão curta do Child Perceptions Questionnaire 11-14 (CPQ11-14 ISF:16) validado para uso no Brasil. O exame odontológico foi realizado independentemente por três dentistas após o processo de calibração. O critério utilizado foi o da Organização Mundial da Saúde para a cárie dentária não tratada. A classificação de Andreasen foi utilizada para o traumatismo dental e o DAI para maloclusão. Variáveis sociodemográficas também foram registradas. A associação entre fatores os socioeconômicos, as variáveis clínicas e as pontuações do CPQ11-14 ISF:16 foram obtidas pela análise de regressão de Poisson com variância robusta.
Um maior impacto (impacto negativo) na OHRQoL foi observado para as meninas (RR 1,12; IC 1,05-1,19) com maloclusão severa/incapacitante (RR 1,14; IC 1,07-1,21) e com a presença de cárie dentária não tratada (RR 0,92; IC 0,86-0,99). O traumatismo dental não foi significativo (p = 0,85). O tipo de escola revelou que adolescentes matriculados em escolas públicas tiveram pior qualidade de vida devido a condições bucais (RR 1,09; IC 1,01-1,18).
A presença de cárie dentária não tratada, maloclusão severa/incapacitante e adolescentes de escolas públicas tiveram impacto negativo na OHRQoL. Políticas sociais, educacionais e programas de saúde bucal devem ser direcionados a adolescentes a fim de se reduzir as desigualdades sociais e bucais nessa população.
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