Start
alspac_99_mt
MY TEETH
We'd really like to know the answers to these; you may have to ask for a bit of help from a grown-up for some of them! You're going to need a mirror to help you as well.
OK - now you've got that, here we go!
Section A: All about dentists

Have you ever been to a dentist?

1
Yes
2
No
If no, go to B1 on page 4
qc_A1 == 2
Else

How old were you when you first went to a dentist? ...years old

Age

Why did you first go to a dentist?

1
because of tooth ache
2
for a check-up
3
with mum or dad when they went
4
for another reason
5
don't know

Do you now go to a dentist?

1
regularly (for check-ups)
2
only when I have tooth-ache or some other problem
3
not ever, really
4
don't know

How often do you go to the dentist?

1
every 4 months
2
every 6 months
3
once a year
4
don't go regularly
5
don't know

Is your dentist a lady or a man?

1
lady
2
man

Here is a space for you to write some things which you like about going to see your dentist.

Long text

And here is a space for you to write some things you do not like about going to your dentist.

Long text
Section B: All about your teeth

Have you ever had a filling?

1
Yes
2
No
If no, go to B4 below
qc_B1 == 2
Else

Space for you to write any nice things about having that done:

Generic text

Please write any not so nice things about having that done:

Generic text

Have you ever been given something to make your mouth go numb (sleepy, frozen, dead)?

1
Yes
2
No
If no, go to B5 on page 5
qc_B4_a == 2
Else

How did you feel about that?

1
I liked it
2
I hated it
3
I wasn't sure

What did you have done to your teeth at that time?

1
A filling
2
tooth pulled out
3
something else (please say what)
Other

Have you ever been given something to make you go to sleep (general anaesthetic) before the dentist did something to your teeth?

1
Yes
2
No
If no, go to B6 on page 6
qc_B5_a == 2
Else

How did you feel about that?

1
I liked it
2
I hated it
3
I wasn't sure

What did you have done to your teeth at that time?

1
tooth pulled out
2
something else (please say what)
Other

Have you ever had a magic wind mixture that you breathe through a special nose-piece which makes you feel brave but lets you stay awake (sedation)?

1
Yes
2
No
If no, go to B7 below
qc_B6_a == 2
Else

How did you feel about that?

1
I liked it
2
I hated it
3
I wasn't sure

What did you have done to your teeth at that time?

1
tooth pulled out
2
a filling
3
something else (please say what)
Other

Do you like your teeth now?

1
Yes
2
No
If you don't -
qc_B7 == 2

why not?

Generic text
Section C: Counting
Please look in the mirror or get someone else to help.

How many teeth do you have in your mouth all together?

How many

How many gaps have you got now where there used to be a tooth?

How many

How many fillings are there in your mouth? (don't forget the front teeth!).

How many

How many of these are silver fillings?

How many

How many of these are white fillings ?

How many

Looking in the mirror and feeling with your tongue: How many teeth can you see or feel which have a hole in them?

How many
We expect that you may be growing your new, back, grown-up teeth.
Right at the back of your mouth, one in each corner, you may have grown your new "six year molars". Which of these have grown?
-

1 - Yes

2 - No

YOUR top right? (the one on YOUR right hand side!)
YOUR top left?
YOUR bottom right?
YOUR bottom left?
Sometimes, these teeth come through LOOKING brown. It could be that your teeth have been through for a while. We want to know how these back teeth looked when they FIRST CAME THROUGH.

Which of your six year molars came through LOOKING brown? YOUR top right?

1
Yes
2
No
3
Hasn't come through

Which of your six year molars came through LOOKING brown? YOUR top left?

1
Yes
2
No
3
Hasn't come through

Which of your six year molars came through LOOKING brown? YOUR bottom right?

1
Yes
2
No
3
Hasn't come through

Which of your six year molars came through LOOKING brown? YOUR bottom left?

1
Yes
2
No
3
Hasn't come through

Look in a mirror, then put a T on the picture on each tooth that is a grown-up tooth. Then put a B on each tooth that is a baby tooth. Cross out any teeth where you have a gap.

On this picture, please draw any white or brown marks showing in your grown-up teeth only.

Section D: Accidents to your teeth
We expect that you have probably lost your top baby teeth now, but can you remember..

Did you ever bang your top baby teeth?

1
Yes
2
No
If no, go to Section E on page 12
qc_D1 == 2
Else
Because of the bang:

Did you chip any?

1
Yes
2
No

Did any come loose because of the bang?

1
Yes
2
No

Did you knock any out?

1
Yes
2
No

Did they change colour after the bang?

1
Yes
2
No

Did you get a gum-boil on the tooth (or teeth) after the bang?

1
Yes
2
No

Did you have to have the banged teeth taken out?

1
Yes
2
No
Section E:
Some questions about teeth that go bad.

What do you think is the MOST IMPORTANT reason for teeth going bad?

Generic text

Do you know ANOTHER reason for teeth going bad?

Generic text

How many times a day do you clean your teeth?

How many

What tooth-paste do you use? Write the whole name:

Generic text

Put a tick in the box below the brush that looks like the amount of tooth-paste you use:

Do you swallow the tooth-paste after brushing?

1
Yes
2
No
3
Don't use tooth-paste
Some silly questions now which are helpful for us but may seem daft to you!

Do you eat the tooth-paste straight from the tube?

1
Yes often
2
Yes sometimes
3
No

Do you ever get "heart-burn" (a sort of sore, burny kind of hurt just under your ribs in the middle)?

1
Yes
2
No

Do you ever get a sour taste (like after being sick) in your mouth when you haven't been sick?

1
Yes
2
No

Do you ever make yourself sick "just because you can"?

1
Yes
2
No
Section F: Drinks.
Ask a grown-up to help you with these.
HOW do you drink these different kinds of drink?
-

1 - Sip it a little at a time?

2 - Drink it all in one go?

3 - Froth and swish it around your mouth for a while?

4 - Don't have it

Cola (any type)
Lemonade (fizzy)
Other fizzy drinks
Tooth Kind
Real orange juice
Squash
Water
Tea with sugar
Tea without sugar
Coffee with sugar
Coffee without sugar
Others
If others,
qc_F_i_a-l$*;12 == 1 || qc_F_i_a-l$*;12 == 2 || qc_F_i_a-l$*;12 == 3

what are they?

Other

This questionnaire was completed with help from:

1
mother or father
2
brother or sister
3
someone else
4
no-one helped me

When were you born?

Generic date
Thank you VERY much.
Love from the Children of the Nineties Dental Team
When completed, please send this back to:
Professor Jean Golding
Children of the Nineties - ALSPAC
Institute of Child Health
End

alspac_99_mt

MY TEETH
We'd really like to know the answers to these; you may have to ask for a bit of help from a grown-up for some of them! You're going to need a mirror to help you as well.
OK - now you've got that, here we go!

Section A: All about dentists

Have you ever been to a dentist?
1
Yes
2
No
How old were you when you first went to a dentist? ...years old
Age
Why did you first go to a dentist?
1
because of tooth ache
2
for a check-up
3
with mum or dad when they went
4
for another reason
5
don't know
Do you now go to a dentist?
1
regularly (for check-ups)
2
only when I have tooth-ache or some other problem
3
not ever, really
4
don't know
How often do you go to the dentist?
1
every 4 months
2
every 6 months
3
once a year
4
don't go regularly
5
don't know
Is your dentist a lady or a man?
1
lady
2
man
Here is a space for you to write some things which you like about going to see your dentist.
Long text
And here is a space for you to write some things you do not like about going to your dentist.
Long text

Section B: All about your teeth

Have you ever had a filling?
1
Yes
2
No
Space for you to write any nice things about having that done:
Generic text
Please write any not so nice things about having that done:
Generic text
Have you ever been given something to make your mouth go numb (sleepy, frozen, dead)?
1
Yes
2
No
How did you feel about that?
1
I liked it
2
I hated it
3
I wasn't sure
What did you have done to your teeth at that time?
1
A filling
2
tooth pulled out
3
something else (please say what)
Other
Have you ever been given something to make you go to sleep (general anaesthetic) before the dentist did something to your teeth?
1
Yes
2
No
How did you feel about that?
1
I liked it
2
I hated it
3
I wasn't sure
What did you have done to your teeth at that time?
1
tooth pulled out
2
something else (please say what)
Other
Have you ever had a magic wind mixture that you breathe through a special nose-piece which makes you feel brave but lets you stay awake (sedation)?
1
Yes
2
No
How did you feel about that?
1
I liked it
2
I hated it
3
I wasn't sure
What did you have done to your teeth at that time?
1
tooth pulled out
2
a filling
3
something else (please say what)
Other
Do you like your teeth now?
1
Yes
2
No
why not?
Generic text

Section C: Counting

Please look in the mirror or get someone else to help.
How many teeth do you have in your mouth all together?
How many
How many gaps have you got now where there used to be a tooth?
How many
How many fillings are there in your mouth? (don't forget the front teeth!).
How many
How many of these are silver fillings?
How many
How many of these are white fillings ?
How many
Looking in the mirror and feeling with your tongue: How many teeth can you see or feel which have a hole in them?
How many
We expect that you may be growing your new, back, grown-up teeth.

Right at the back of your mouth, one in each corner, you may have grown your new "six year molars". Which of these have grown?

-

1 - Yes

2 - No

YOUR top right? (the one on YOUR right hand side!)
YOUR top left?
YOUR bottom right?
YOUR bottom left?
Sometimes, these teeth come through LOOKING brown. It could be that your teeth have been through for a while. We want to know how these back teeth looked when they FIRST CAME THROUGH.
Which of your six year molars came through LOOKING brown? YOUR top right?
1
Yes
2
No
3
Hasn't come through
Which of your six year molars came through LOOKING brown? YOUR top left?
1
Yes
2
No
3
Hasn't come through
Which of your six year molars came through LOOKING brown? YOUR bottom right?
1
Yes
2
No
3
Hasn't come through
Which of your six year molars came through LOOKING brown? YOUR bottom left?
1
Yes
2
No
3
Hasn't come through
Look in a mirror, then put a T on the picture on each tooth that is a grown-up tooth. Then put a B on each tooth that is a baby tooth. Cross out any teeth where you have a gap.
On this picture, please draw any white or brown marks showing in your grown-up teeth only.

Section D: Accidents to your teeth

We expect that you have probably lost your top baby teeth now, but can you remember..
Did you ever bang your top baby teeth?
1
Yes
2
No
Because of the bang:
Did you chip any?
1
Yes
2
No
Did any come loose because of the bang?
1
Yes
2
No
Did you knock any out?
1
Yes
2
No
Did they change colour after the bang?
1
Yes
2
No
Did you get a gum-boil on the tooth (or teeth) after the bang?
1
Yes
2
No
Did you have to have the banged teeth taken out?
1
Yes
2
No

Section E:

Some questions about teeth that go bad.
What do you think is the MOST IMPORTANT reason for teeth going bad?
Generic text
Do you know ANOTHER reason for teeth going bad?
Generic text
How many times a day do you clean your teeth?
How many
What tooth-paste do you use? Write the whole name:
Generic text
Put a tick in the box below the brush that looks like the amount of tooth-paste you use:
Do you swallow the tooth-paste after brushing?
1
Yes
2
No
3
Don't use tooth-paste
Some silly questions now which are helpful for us but may seem daft to you!
Do you eat the tooth-paste straight from the tube?
1
Yes often
2
Yes sometimes
3
No
Do you ever get "heart-burn" (a sort of sore, burny kind of hurt just under your ribs in the middle)?
1
Yes
2
No
Do you ever get a sour taste (like after being sick) in your mouth when you haven't been sick?
1
Yes
2
No
Do you ever make yourself sick "just because you can"?
1
Yes
2
No

Section F: Drinks.

Ask a grown-up to help you with these.

HOW do you drink these different kinds of drink?

-

1 - Sip it a little at a time?

2 - Drink it all in one go?

3 - Froth and swish it around your mouth for a while?

4 - Don't have it

Cola (any type)
Lemonade (fizzy)
Other fizzy drinks
Tooth Kind
Real orange juice
Squash
Water
Tea with sugar
Tea without sugar
Coffee with sugar
Coffee without sugar
Others
what are they?
Other
This questionnaire was completed with help from:
1
mother or father
2
brother or sister
3
someone else
4
no-one helped me
When were you born?
Generic date
Thank you VERY much.
Love from the Children of the Nineties Dental Team
When completed, please send this back to:
Professor Jean Golding
Children of the Nineties - ALSPAC
Institute of Child Health