Oral-health-related quality of life in adolescents: umbrella review.

The umbrella review reported that malocclusion negatively affects oral health-related quality of life.

Malocclusion is associated with worse oral health-related quality of life in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

Complicated traumatic dental injuries (pulp exposure or tooth darkening) worsen OHRQoL in adolescents, while uncomplicated injuries show little impact (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review reported better oral health-related quality of life after completed orthodontic treatment.

Dental caries is associated with worse OHRQoL in adolescents, with greater severity linked to greater impact (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review reported no negative oral health-related quality-of-life impact from uncomplicated traumatic dental injuries.

Severe periodontal disease is associated with worse OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review reported a greater negative oral health-related quality-of-life impact for traumatic injuries involving pulp exposure or tooth darkening.

Toothache/dental pain is associated with worse OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review reported that traumatic dental injury treatment reduces negative oral health-related quality-of-life impact, based on parental perception.

The umbrella review reported worse oral health-related quality of life with greater caries severity.

Tooth loss/edentulism is associated with worse OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review reported worse oral health-related quality-of-life scores with severe periodontitis.

Temporomandibular disorder is associated with worse OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review reported that toothache has a high impact on oral health-related quality of life.

Dental erosion was not shown to impact OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

Bruxism was not shown to impact OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review reported that temporomandibular disorder negatively affects oral health-related quality of life.

The umbrella review reported that tooth loss and edentulism negatively affect oral health-related quality of life.

Evidence is insufficient to establish a relationship between dental agenesis and OHRQoL in adolescents (evidence gap; narrative synthesis; no pooled estimate or GRADE rating).

Completing orthodontic treatment is associated with improved OHRQoL in adolescents (narrative synthesis; included reviews report low-to-moderate certainty; no pooled estimate or GRADE rating by the umbrella review).

The umbrella review reported that bruxism has not been shown to affect oral health-related quality of life.

The umbrella review reported that dental erosion has not been shown to affect oral health-related quality of life.

Treating traumatic dental injuries reduces their negative impact on OHRQoL in adolescents (narrative synthesis; included review reports low certainty; no pooled estimate or GRADE rating by the umbrella review).

The umbrella review reported insufficient scientific evidence to support an association between dental agenesis and oral health-related quality of life.

Operative treatment of caries lesions has a positive effect on OHRQoL in adolescents, though the included evidence was of low quality (narrative synthesis; no pooled estimate or GRADE rating by the umbrella review).

Oral health promotion programs have a positive effect on OHRQoL in adolescents (narrative synthesis; low methodological quality of included evidence; no pooled estimate or GRADE rating).

The umbrella review reported positive effects of oral health promotion programs on oral health-related quality of life.

Irregular/poor toothbrushing is associated with worse OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review reported better oral health-related quality of life with favorable housing, parental education, income, family environment, and access to dental care.

The umbrella review reported that irregular brushing negatively affects oral health-related quality of life.

Higher parental education is associated with better OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

Higher family income / better socioeconomic status is associated with better OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review concluded that older age is significantly associated with worse oral health-related quality of life.

Being an only child and growing up in a nuclear family are associated with better OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The umbrella review concluded that female sex is significantly associated with worse oral health-related quality of life.

Safe housing and favorable household conditions are associated with better OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

Access to dental care is associated with better OHRQoL in adolescents (narrative synthesis; no pooled estimate or GRADE rating).

The abstract reports older age is associated with worse OHRQoL, but the body notes the evidence on age is limited and conflicting (narrative synthesis; no pooled estimate or GRADE rating).

The abstract reports female sex is associated with worse OHRQoL, but the conclusion states the impact of gender was not clarified (narrative synthesis; no pooled estimate or GRADE rating).

There is no concrete evidence on the impact of skin color/ethnicity on OHRQoL in adolescents (evidence gap; narrative synthesis; no pooled estimate or GRADE rating).