NIDCR/CDC
Dental, Oral and Craniofacial
Data Resource Center
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Orofacial Pain
Q.MPQ.100, NHANES, 1999–2004
During the past month, {have you/has SP} had a problem with pain that lasted more than 24 hours? 1 Yes
2 No
7 Refused
9 DK
Q.MPQ.110, NHANES, 1999–2004
For how long {have you/has SP} experienced this pain? Would you say… 1 Less than a month
2 At least 1 month but less than 3 months,
3 At least 3 months but less than 1 year, or
4 Greater than 1 year
7 Refused
9 DK
Q.MPQ.120, NHANES, 1999–2004
Regarding {your/SP's} pain problem, which regions are affected? 1 Head
2 Face/dental
3 Shoulder girdle-right
4 Shoulder girdle-left
5 Upper arm-right
6 Upper arm-left
7 Mid-arm-right
8 Mid-arm-left
9 Lower arm-right
10 Lower arm-left
11 Upper back-right
12 Upper back-left
13 Lower back-right
14 Lower back-left
15 Buttocks-right
16 Buttocks-left
17 Upper leg-right
18 Upper leg-left
19 Mid-leg-right
20 Mid-leg-left
21 Lower leg-right
22 Lower leg-left
23 Neck
24 Sternum
25 Chest-right
26 Chest-left
Q.OHQ.620 NHANES 2005–2006
How often during the last year {have you/has SP} had painful aching anywhere
in {your/his/her} mouth? Would you say . . .
1 Very often
3 Occasionally
4 Hardly ever, or
5 Never
7 Refused
9 Don’t know
Q.R1a, NHIS, 1989
During the past 6 months, did you have a toothache more than once, when biting or chewing? 1 Yes
2 No
Q.R1b, NHIS, 1989
Did you first have this pain more than 6 months ago? 1 Yes
2 No
Q.R3a, b, c, d, e, NHIS, 1989
a. (During the past 6 months) Did you have a prolonged, unexplained burning sensation in your tongue or any other part of your month more than once? 1 Yes
2 No
9 DK
b. When you have this sensation, does it come and go or is it continuous and uninterrupted?
1 Come and go
2 Continuous/uninterrupted
8 Other
9 DK
c. During how many DIFFERENT MONTHS in the past 6 months did you have this sensation?
____ Months
d. How many total days in the past 6 months did you have this sensation?
1 1-3 days
2 4-10 days
3 11-15 days
4 16-30 days
5 31-45 days
6 46+ days
7 "Everyday"
9 DK
e. Did you first have this sensation more than 6 months ago?
1 Yes
2 No
Q.R4a, b, c, d, e, f, NHIS, 1989
a. (During the past 6 months) Did you have pain in the jaw joint or in front of the ear more than once? 1 Yes
2 No
b. When you have this pain, does it come and go or is it continuous and uninterrupted?
1 Come and go
2 Continuous/uninterrupted
8 Other
9 DK
c. During how many DIFFERENT MONTHS in the past 6 months did you have this pain?
____ Months
d. How many total days in the past 6 months did you have this pain?
1 1-3 days
2 4-10 days
3 11-15 days
4 16-30 days
5 31-45 days
6 46+ days
7 "Everyday"
9 DK
e. Did you first have this pain more than 6 months ago?
1 Yes
2 No
f. On a scale of 1-10, where 1 is mild and 10 is severe, how would you rate this pain at its worst? _____
Q.R5a, b, c, d, e, f, NHIS, 1989
a. (During the past 6 months) Did you have a dull, aching pain across your face or cheek more than once? Do not count sinus pain. 1 Yes
2 No
b. When you have this pain, does it come and go or is it continuous and uninterrupted?
1 Come and go
2 Continuous/uninterrupted
8 Other
9 DK
c. During how many DIFFERENT MONTHS in the past 6 months did you have this pain?
_____ Months
d. How many total days in the past 6 months did you have this pain?
1 1-3 days
2 4-10 days
3 11-15 days
4 16-30 days
5 31-45 days
6 46+ days
7 "Everyday"
9 DK
e. Did you have this pain more than 6 months ago?
1 Yes
2 No
f. On a scale of 1-10, where 1 is mild and 10 is severe, how would you rate this pain at its worst? ______
Q.R6a, b, c, d, e, f, g, h, i, NHIS, 1989
a. In the past 6 months, did you see or talk to a DENTIST for the pain we just discussed?
1 Yes
2 No
b. How many times during the last 6 months did you see or talk to a dentist about the pain?
____ Times
99 DK
c. (In the past 6 months), Did you see or talk to a MEDICAL DOCTOR for the pain we just discussed?
1 Yes
2 No
d. How many times?
____ Times
99 DK
e. (In the past 6 months), Did you see or talk to a any other type of health professional about the pain?
1 Yes
2 No
f. What kind of health professional? ________________
g. How many times during the last 6 months did you see or talk to the (person in 6f)?
____ Times
99 DK
h. (In the past 6 months) Did you worry about the health of your teeth and gums because of the pain?
1 Yes
2 No
i. (In the past 6 months) Did you worry about the health of your body because of the pain?
1 Yes
2 No
Q.R7, NHIS, 1989
Here is a list of things people do when they have teeth, mouth, or face pain. Please tell me the things you did for the pain during the past six months? 1 Use a hot or cold compress
2 Take a prescription drug
3 Take an over-the-counter drug
4 Drink some liquor or wine because of the pain
5 Take time off work
6 Stay home more than usual
7 Avoid family and friends
8 Anything else? (specify) _________
0 None of the above
9 DK
Q.ACN.331, NHIS, 1997, 1998, 1999, 2000, 2001, 2002; 2003; 2004;
2005; 2006; 2007
During the past three months, did you have…Facial ache or pain in the jaw muscles or the joint in front of the ear? 1 Yes
2 No
7 Refused
9 DK
Q.HA37, MEPS NHC, 1996
Did {SP} experience any of the following oral problems on or around {ref date}:? Chewing Problem
Swallowing Problem
Mouth Pain
None Checked
DK
Q.1, BSS, 1999; 2003
During the past 6 months, did {you/your child} have a toothache more than once, when biting or chewing? 1 No
2 Yes
3 DK/don't remember
Q.HA37, MCBS, 1997; 1998; 1999; 2000; 2001; 2002; 2003; 2004;
2005
Did {SP} experience any of the following oral problems on or around {ref date}:? Chewing Problem
Swallowing Problem
Mouth Pain
None Checked
DK
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