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. 2021 Jun 20;18(12):6620. doi: 10.3390/ijerph18126620

Table 2.

Short-form oral health impact profile questionnaire.

How Often Have You Experienced the Problem during the Last Month?
Functional limitation 1. Have you had trouble pronouncing any words because of problems with your teeth, mouth, or dentures?
2. Have you felt that your sense of taste has worsened because of problems with your teeth, mouth, or dentures?
Physical pain 3. Have you experienced painful aching in your mouth?
4. Have you found it uncomfortable to eat any foods because of problems with your teeth, mouth, or dentures?
Psychological discomfort 5. Have you been self-conscious because of your teeth, mouth, or dentures?
6. Have you felt tense because of problems with your teeth, mouth, or dentures?
Physical disability 7. Has your diet been unsatisfactory because of problems with your teeth, mouth, or dentures?
8. Have you had to interrupt meals because of problems with your teeth, mouth, or dentures?
Psychological disability 9. Have you found it difficult to relax because of problems with your teeth, mouth, or dentures?
10. Have you been a bit embarrassed because of problems with your teeth, mouth, or dentures
Social disability 11. Have you been a bit irritable with other people because of problems with your teeth, mouth, or dentures?
12. Have you had difficulty doing your usual jobs because of problems with your teeth, mouth, or dentures?
Handicap 13. Have you felt that life, in general, was less satisfying because of problems with your teeth, mouth, or dentures?
14. Have you been totally unable to function because of problems with your teeth, mouth, or dentures?

The questionnaire is classified into seven subscales, with two questions in each subscale. Questions are answered according to the patients’ experience within the past 1 month, using scores of 0 to 4: very often = 4, fairly often = 3, occasionally = 2, hardly ever = 1, and never = 0. The oral health impact profile score (0–56) is the value obtained by summing the score for each question item.