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Elucidating the influence of dental caries, pain, and treatment on academic performance in children.

BACKGROUND: The evidence for the influence of oral health on academic performance is still unclear.

AIM: To assess the influence of oral health conditions on poor academic performance in school children by including a range of clinical and self-reported OH measures in a modified cross-sectional study.

DESIGN: This study was carried out on schoolchildren aged 12 to 14 years in Jazan, Saudi Arabia using a stratified and randomized cluster sampling method. Clinical indices from oral screening and self-reported OH conditions and behaviours and school absence from the self-administered questionnaire were recorded a month before the school examination. Results of passing or failing the examination were obtained after the examination. Statistical associations were examined using bivariate and multiple logistic regressions. The oral health measures were categorised based on the types of conditions and briefly appraised.

RESULTS: Measures of dental caries, dental pain, soft tissue problems, oral hygiene, tooth discolouration, tooth mobility, and school absence due to dental pain were associated with greater odds of failing the examination (p < 0.05). Measures of dental treatment and absence due to dental visits were associated with lower odds of failing (p < 0.05).

CONCLUSIONS: Dental caries with pain likely explains the poor academic performance of schoolchildren whereas treatment has a protective effect.

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