| Sumario: | This study explored the association between family cohesion and self-perceived need for dental treatment among adolescents. A school-based representative cross-sectional study was conducted with 746 students aged 15 to 19 randomly selected from schools in Campina Grande, Brazil. Parents/guardians provided information on sociodemographic data, and students completed questionnaires about the self-perceived need for dental treatment, dental pain, and family cohesion and adaptability (FACES III). Two dentists were trained (kappa >0.80) to diagnosis dental caries using the Nyvad criteria and assess adolescents' level of functional oral health literacy (BREALD-30). Descriptive analysis was performed, followed by nonadjusted and adjusted robust binary logistic regression for complex samples (α = 5 %). The prevalence of self-perceived need for dental treatment was 88.6%. The presence of dental caries (OR = 2.10 ; IC 95%: 1.22–3.61), tooth loss (OR = 15.81 ; IC 95%: 2.14–116.56), dental pain in the last six months (OR = 1.87 ; IC 95%: 1.06–3.31), and enmeshed family cohesion type (OR = 10.23 ; IC 95%: 3.96–26.4) remained associated with the self-perceived need for dental treatment in the final model. In conclusion, dental caries, dental pain, tooth loss, and family cohesion influenced the self-perceived need for dental treatment in adolescents.
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