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Original Research

Open Access

Impact of children's oral and general health on children's quality of life and family well-being in Saudi Arabia: a cross-sectional study

  • Sarah Ahmed Bahammam1,*,

1Pediatric Dentistry, Preventive Dental Sciences Department, Dental College and Hospital, Taibah University, 41477 Medina, Kingdom of Saudi Arabia

DOI: 10.22514/jocpd.2026.094 Vol.50,Issue 4,July 2026 pp.103-112

Submitted: 21 November 2025 Accepted: 07 April 2026

Published: 03 July 2026

*Corresponding Author(s): Sarah Ahmed Bahammam E-mail: sbahammam@taibahu.edu.sa

Abstract

Background: Dental caries among children in Saudi Arabia is still one of the most prevalent conditions that may negatively influence the oral health-related quality of life (OHRQoL) and family well-being. Methods: This cross-sectional study was conducted at Taibah University Hospital among 434 children (October 2023–July 2024). Untreated caries was clinically evaluated by licensed dentists following World Health Organization (WHO) guidelines, and the data was collected using Child Perception Questionnaire (CPQ11–14) short form questionnaire, and Family Impact Scale (FIS). Results: There was a significant association between poorer perceived oral and general health and higher CPQ11–14 scores, indicating worse OHRQoL (p < 0.05). Children with poor oral health also showed significantly higher family impact scores, reflecting greater burden and disruption of family functioning (p < 0.001). Oral hygiene practices and irregular dentist visits were found to be significant predictors of poor oral health using logistic regression. Conclusions: Saudi children aged 11 to 14 years with poor oral and general health were linked with impaired OHRQoL and high family burden. These results emphasise the need to adopt a prevention-based, family-centred approach to dental care for children and emphasize the use of OHRQoL measures in routine dental practice in Saudi Arabia.


Keywords

Child oral health; Dental caries; OHRQoL; Family impact; Cross-sectional study, CPQ11–14; Saudi Arabia


Cite and Share

Sarah Ahmed Bahammam. Impact of children's oral and general health on children's quality of life and family well-being in Saudi Arabia: a cross-sectional study. Journal of Clinical Pediatric Dentistry. 2026. 50(4);103-112.

References

[1] Shahidulla SM, Sameen SA, Fatima M. Dental caries—the most prevailing disease—an overview. Journal of Pharmaceutical Research International. 2025; 37: 24–40.

[2] Sachdeva A, Ahmed N. The public health burden of untreated dental caries: global and national perspectives. Medical Letter. 2025; 2: 233–237.

[3] Watt S, Dyer TA, Marshman Z, Jones K. Does poor oral health impact on young children’s development? A rapid review. British Dental Journal. 2024; 237: 255–260.

[4] Adeghe EP. Integrating pediatric oral health into primary care: a public health strategy to combat oral diseases in children across the United States. International Journal of Multidisciplinary Research Updates. 2024; 7: 27–36.

[5] Fontana M, Eckert GJ, Katz BP, Keels MA, Levy BT, Levy SM, et al. Predicting dental caries in young children in primary health care settings. Journal of Dental Research. 2023; 102: 988–998.

[6] Chen X, Jia L, Wang Q, Wang JJ, Tian Y, Zhang Z, et al. Global, regional, and national burden of caries in primary teeth from 1990 to 2021: results from the global burden of disease study 2021. BMC Oral Health. 2025; 25: 1381.

[7] Lee A, Mallineni SK, Sulyanto R. Editorial: impact of overall health on oral health of children and adolescents. Frontiers in Dental Medicine. 2025; 6: 1767198.

[8] Abutayyem H, Alam MK, Al Shayeb M, Hashim R. A systematic review and meta-analysis of the prevalence of dental caries in the permanent teeth of Arab children. European Journal of Dentistry. 2025; 19: 275–285.

[9] Alwafi HA, AlGhamdi GA, Albenyan TT, Alhowsawi ZB, Marzouq RH, Alshammari SS, et al. The smile starts at home: parental impact on paediatric oral health in Saudi Arabia: a cross-sectional study. Journal of Pioneering Medical Sciences. 2025; 14: 96–101.

[10] Akcay HC, Sahin M, Peker K, Erdem AP. The relationship between clinical outcomes of untreated dental caries with dental anxiety, health perceptions and Child-OIDP in primary school-aged children. BMC Oral Health. 2025; 25: 1157.

[11] Albishi W, Mehrin S, Kadi M, Althubyani G, Alblawi A, Baqais G, et al. Dental caries risk assessment using caries management by risk assessment (CAMBRA) tool in Yanbu city, Saudi Arabia—a cross sectional study. PeerJ. 2026; 14: e20540.

[12] Alfalasi KH, Loney T, Atieh M, Cardwell C, Hannawi H, Qazi M, et al. Dental caries prevalence among Dubai and northern emirates public schoolchildren: an epidemiological retrospective study (2015–2019). International Journal of Paediatric Dentistry. 2026; 36: 477–492.

[13] Chamut S, Alhassan M, Hameedaldeen A, Kaplish S, Yang AH, Wade CG, et al. Every bite counts to achieve oral health: a scoping review on diet and oral health preventive practices. International Journal for Equity in Health. 2024; 23: 261.

[14] Psoter WJ, Reid BC, Katz RV. Malnutrition and dental caries: a review of the literature. Caries Research. 2005; 39: 441–447.

[15] Jackson SL, Vann WF III, Kotch JB, Pahel BT, Lee JY. Impact of poor oral health on children’s school attendance and performance. American Journal of Public Health. 2011; 101: 1900–1906.

[16] Zhang B, Zhou F, Liu Z, Gong A, Li M. Association of parental oral health literacy, early childhood oral health behaviors, and caries severity with oral health-related quality of life among preschool children. BMC Oral Health. 2025; 25: 1808.

[17] Rashewsky S, Parameswaran A, Sloane C, Ferguson F, Epstein R. Time and cost analysis: pediatric dental rehabilitation with general anesthesia in the office and the hospital settings. Anesthesia Progress. 2012; 59: 147–153.

[18] Abanto J, Tsakos G, Paiva SM, Carvalho TS, Raggio DP, Bönecker M. Impact of dental caries and trauma on quality of life among 5–6-year-old children: perceptions of parents and children. Community Dentistry and Oral Epidemiology. 2014; 42: 385–394.

[19] Griffin SO, Thornton-Evans G, Wei L, Griffin PM. Disparities in dental use and untreated caries prevalence by income. JDR Clinical and Translational Research. 2021; 6: 234–241.

[20] AlSagob EI, AlHaydab BS, AlOmar EA, AlMohaimeed JO, Alzahrani SA, Hebbal MI, et al. Impact of a Healthy City Program on oral health and nutritional habits of middle school students in Riyadh, Saudi Arabia: a cross-sectional study. BMC Public Health. 2025; 25: 4043.

[21] Riou MC, Bourmaud A, Boizeau P, de La Dure-Molla M, Boy-Lefevre ML, Friedlander L. Translation and validation of the French version of the child perceptions questionnaire for children aged 11 to 14 years old (CPQ11–14) short-form. Clinical Oral Investigations. 2024; 28: 403.

[22] Kassis A, El Osta N, Tubert-Jeannin S, Hennequin M, El Osta L, Ghoubril J. Cross-cultural adaptation and validation of the child perceptions questionnaire (CPQ11–14) among children in Lebanon. BMC Oral Health. 2018; 18: 18.

[23] Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. Journal of Dental Research. 2002; 81: 459–463.

[24] Locker D, Jokovic A, Stephens M, Kenny D, Tompson B, Guyatt G. Family impact of child oral and oro-facial conditions. Community Dentistry and Oral Epidemiology. 2002; 30: 438–448.

[25] Goursand D, Paiva SM, Zarzar PM, Ramos-Jorge ML, Cornacchia GM, Pordeus IA, et al. Cross-cultural adaptation of the child perceptions questionnaire 11–14 (CPQ11–14) for the Brazilian Portuguese language. Health and Quality of Life Outcomes. 2008; 6: 2.

[26] World Health Organization. Oral health surveys: basic methods. 5th edn. World Health Organization: Geneva. 2013.

[27] Dai X, Dai M, Liang Y, Li X, Zhao W. Global burden and trends of oral disorders among adolescent and young adult (10–24 years old) from 1990 to 2021. BMC Oral Health. 2025; 25: 486.

[28] World Health Organization. Tracking progress on the implementation of the global oral health action plan 2023–2030: baseline report. World Health Organization: Geneva. 2025.

[29] Lai Y, Li Y, Liu X, Shi Y, Qu F, Zhang X, et al. The impact of social and commercial determinants on the unequal increase of oral disorder disease burdens across global, regional, and national contexts. BMC Oral Health. 2025; 25: 1308.

[30] Jokovic A, Locker D, Guyatt G. Short forms of the child perceptions questionnaire for 11–14-year-old children (CPQ11–14): development and initial evaluation. Health and Quality of Life Outcomes. 2006; 4: 4.

[31] Jokovic A, Locker D, Tompson B, Guyatt GJ. Questionnaire for measuring oral health-related quality of life in eight-to ten-year-old children. Pediatric Dentistry. 2004; 26: 512–518.

[32] Piassi E, Antunes LS, Graça TCA, Antunes LAA. The impact of mixed dentition malocclusion on the oral health-related quality of life for children and their families: a case-control study. Journal of Clinical Pediatric Dentistry. 2019; 43: 211–217.

[33] Peres MA, Sheiham A, Liu P, Demarco FF, Silva AE, Assunção MC, et al. Sugar consumption and changes in dental caries from childhood to adolescence. Journal of Dental Research. 2016; 95: 388–394.

[34] Casamassimo PS, Thikkurissy S, Edelstein BL, Maiorini E. Beyond the dmft: the human and economic cost of early childhood caries. Journal of the American Dental Association. 2009; 140: 650–657.

[35] Filstrup SL, Briskie D, da Fonseca M, Lawrence L, Wandera A, Inglehart MR. Early childhood caries and quality of life: child and parent perspectives. Pediatric Dentistry. 2003; 25: 431–440.

[36] Han SY, Chang CL, Wang YL, Wang CS, Lee WJ, Vo TT, et al. A narrative review on advancing pediatric oral health: comprehensive strategies for the prevention and management of dental challenges in children. Children. 2025; 12: 286.

[37] Kamolchaiwanich K, Lee JY, Leelataweewud P. Exploring the link between maternal oral health literacy and child oral health behaviours. International Dental Journal. 2025; 75: 2042–2052.

[38] Badri P, Saltaji H, Flores-Mir C, Amin M. Factors affecting children’s adherence to regular dental attendance: a systematic review. Journal of the American Dental Association. 2014; 145: 817–828.

[39] Yactayo-Alburquerque MT, Alen-Méndez ML, Azañedo D, Comandé D, Hernández-Vásquez A. Impact of oral diseases on oral health-related quality of life: a systematic review of studies conducted in Latin America and the Caribbean. PLOS ONE. 2021; 16: e0252578.

[40] Savitz DA, Wellenius GA. Can cross-sectional studies contribute to causal inference? It depends. American Journal of Epidemiology. 2023; 192: 514–516.

[41] Godínez-López MJ, Mendoza-Rodríguez M, Márquez-Corona MD, Jiménez-Gayosso SI, Escoffié-Ramírez M, Patiño-Marín N, et al. Prevalence of dental pain in schoolchildren aged 6 to 12 years and clinical, sociodemographic, and socioeconomic risk indicators: a multicenter study of four Mexican cities. Pediatric Reports. 2024; 16: 1042–1053.

[42] Seow LL, Mendoza MA, Tadjoedin FM, Feng SW, Pongprueksa P, Truong LV, et al. Integrated strategies for early diagnosis and prevention of oral diseases in Asia Pacific. International Journal of Environmental Research and Public Health. 2025; 22: 1737.

[43] Barnett TA, Koushik A, Schuster T. Invited commentary: cross-sectional studies and causal inference—it’s complicated. American Journal of Epidemiology. 2023; 192: 517–519.

[44] Mohd Khairuddin AN, Bogale B, Kang J, Gallagher JE. Impact of dental visiting patterns on oral health: a systematic review of longitudinal studies. BDJ Open. 2024; 10: 18.

[45] El-Meligy O, Maashi M, Al-Mushayt A, Al-Nowaiser A, Al-Mubark S. The effect of full-mouth rehabilitation on oral health-related quality of life for children with special health care needs. Journal of Clinical Pediatric Dentistry. 2016; 40: 53–61.


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