Age–period–cohort analysis of trends in toothache prevalence among 15‐ to 64‐yr‐old Finns over a 25‐yr period

Raittio, Eero; Helakorpi, Satu; Suominen, Anna Liisa

doi:10.1111/eos.12677

Cited by 7 publications

(5 citation statements)

References 26 publications

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“…In Finland, toothache prevalence peaked in the mid‐2000s and increased in recent cohort. Also, adults under 30 years of age had the highest toothache prevalence, and it steadily decreased with age 11 . In South Korea, while access to dental care and dental expenditure has largely increased, no studies have examined age, period and cohort effects on changes in oral health.…”

Section: Introductionmentioning

confidence: 99%

Age, period and cohort trends in oral health status in South Korean adults

Kim

Jung

2020

Comm Dent Oral Epid

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Objectives The purpose of this study was to identify the age, period and cohort effects on the changes in oral health status in South Koreans. Methods The age, period and cohort analysis (APC analysis) of the oral health status was conducted using an aggregated age‐by‐time period table. The age‐by‐time period table was formulated using data from the Korea National Oral Health Survey (KNOHS) 2000 and 2006, and the Korea National Health and Nutrition Examination Survey (KNHANES) 2010 and 2015. Two oral health outcomes were measured: the number of teeth and Decayed‐Missing‐Filled Teeth (DMFT) index. Descriptive analysis by graphical representation and partial least square (PLS) regression was used for APC analysis. Results Both graphical description and PLS regression showed age and cohort effects in oral health status with the number of teeth decreasing and the DMFT index increasing with age. No period effects were found in either index. The number of teeth increased in the recent birth cohorts. However, the DMFT index showed a reverse J‐shaped trend, which worsened in recent birth cohorts. The DMFT index increase in the recent cohort was mainly attributed by an increase in the FT index. Conclusions The effects of age on the number of teeth and caries highlight the importance of oral health in adulthood. The increased caries experience in recent cohorts may indicate the limitations of the current oral health policy. It would be relevant to explore what determinants cause the changes in oral health status. Future oral health policies should address the new directions to reduce the burden of oral diseases.

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Section: Introductionmentioning

confidence: 99%

Age, period and cohort trends in oral health status in South Korean adults

Kim

Jung

2020

Comm Dent Oral Epid

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“…3 With regards to related factors, previous study showed that younger age and lower socioeconomic status, including household income and mother's education 4 were the factors most consistently associated with higher likelihood to get toothache. 5,6 Worse oral status, snacks consumption, 7 dental treatments, 8 with untreated decayed teeth, 9 anxiety, stress, 10 depression 11 and homeless, 12 were also found to be associated to toothache.…”

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confidence: 99%

Prevalence of toothache in Chinese adults aged 65 years and above

Wan

Tao

Liu

et al. 2021

Comm Dent Oral Epid

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Toothache is a common consequence of dental problems such as dental caries, periodontitis and pericoronitis. It is a phenomenon commonly characterized as a major source of impairment in almost all aspects of human quality of life, specifically disturbing sleep, social interactions, performance of daily tasks and influencing careseeking behaviour. 1,2 Previous studies reported that the prevalence of toothache ranged from 1.3% to 87.8% in different countries and populations. 3 With regards to related factors, previous study showed that younger age and lower socioeconomic status, including household income and mother's education 4 were the factors most consistently associated with higher likelihood to get toothache. 5,6 Worse oral status, snacks consumption, 7 dental treatments, 8 with untreated decayed teeth, 9 anxiety, stress, 10 depression 11 and homeless, 12 were also found to be associated to toothache.

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“…The mean age of participants is representative of attendees for UDC in a UK primary and secondary care setting (Currie et al, 2015; Nayee et al, 2015; Worsley et al, 2016), and aligns with the higher prevalence of acute dental pain in younger age groups globally (GOV.SCOT, 2019; Horst et al, 2015; Huang et al, 2019; Pau et al, 2000; Raittio et al, 2020; Ravaghi et al, 2013; Steele et al, 2011; Vargas et al, 2000). Based on IMD, the majority of attenders were from the most deprived areas (Table 1) which aligns with previous findings both in the UK and globally (Cohen et al, 2007; Currie et al, 2015; Franciscatto et al, 2020; Pau et al, 2000; Peres et al, 2019; Ravaghi et al, 2013; Santiago et al, 2013; Steele et al, 2011; Vargas et al, 2000), and reinforces evidence of health inequalities associated with acute dental pain.…”

Section: Discussionmentioning

confidence: 96%

The financial and quality of life impact of urgent dental presentations: A cross‐sectional study

et al. 2023

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Aim This study aimed to: (i) calculate personal financial costs associated with urgent dental attendance; and (ii) investigate the pain‐related disability and quality of life impact of dental conditions which result in urgent dental attendance. Methodology Data were collected from those presenting with urgent dental conditions to an out‐of‐hours dental service, a dental emergency clinic (DEC) and five primary care general dental practices across North‐East England. A pre‐operative questionnaire explored the impact of urgent dental conditions on oral health‐related quality of life (OHRQoL) using Oral Health Impact Profile‐14 (OHIP‐14) and a modified Graded Chronic Pain Scale (GCPS). OHIP‐14 yields a maximum score of 56, with a higher score indicating a lower OHRQoL. Personal financial costs were summed to provide a total. These included travel, appointment fees, childcare costs, medication use and time away from work. Data were analysed using one‐way anova and multivariable modelling. Results In total, 714 participants were recruited. The mean OHIP‐14 score was 25.73; 95% CI [24.67, 26.79], GCPS CPI was 71.69; 95% CI [70.09, 73.28] and GCPS interference was 49.56; 95% CI [47.24, 51.87]. Symptomatic irreversible pulpitis was the most frequently managed dental emergency and was associated with the highest mean OHIP‐14 score (31.67; 95% CI [30.20, 33.15]). The mean personal financial cost of urgent dental care (UDC) was £85.81; 95% CI [73.29, 98.33]. Differences in travel time (F[2, 691] = 10.24, p < .001), transport costs (F[2, 698] = 4.92, p = .004), and appointment time (F[2, 74] = 9.40, p < .001) were significant between patients attending an out‐of‐hours dental service, DEC and dental practices for emergency care, with a DEC being associated with the highest costs and dental practices the lowest. Conclusions Diseases of the pulp and associated periapical disease were the most common reason for patients to present for UDC and were the most impactful in terms of OHRQoL and pain in the present sample. Personal financial costs are significant from urgent dental conditions, with centralized services increasing the burden to patients of attending appointments.

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Age–period–cohort analysis of trends in toothache prevalence among 15‐ to 64‐yr‐old Finns over a 25‐yr period

Cited by 7 publications

References 26 publications

Age, period and cohort trends in oral health status in South Korean adults

Age, period and cohort trends in oral health status in South Korean adults

Prevalence of toothache in Chinese adults aged 65 years and above

The financial and quality of life impact of urgent dental presentations: A cross‐sectional study

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