Table 2.

Items in Child Oral Health Impact Profile Short Form

Oral Health—Well-being

Had pain in your teeth/toothache.

Had discolored teeth or spots on your teeth.

Had crooked teeth or spaces between your teeth.

Had bad breath.

Had bleeding gums.

Functional Well-being

Had difficulty eating foods you would like to eat

Had trouble sleeping

Had difficultly saying certain words

Had difficulty keeping your teeth clean

Socio-emotional Well-being*

Been unhappy or sad

Felt worried or anxious

Avoided smiling or laughing with other children

Felt that you look different

Been worried about what other people think about your…

Been teased, bullied or called names by other children

Missed School for any reason

Not wanted to speak/read out loud in class

Been confident

Felt that you were attractive (good looking)

NOTE:

^*Questions finish with “because of your teeth, mouth, or face”.