Associations between tooth loss, prostheses and self‐reported oral health, general health, socioeconomic position and satisfaction with life

Abstract

Objectives To investigate whether the location of tooth loss and prosthesis are associated with self‐reported oral health, general health, socioeconomic position and satisfaction with life. Methods From the Copenhagen Aging and Midlife Biobank (CAMB) investigation, 1517 persons had their oral status ranked (full dentition, fixed prosthesis in the masticatory zone, tooth loss in the masticatory zone, fixed prosthesis in the aesthetic zone, removable prosthesis, tooth loss in the aesthetic zone). Self‐reported oral health, general health, socioeconomic position and satisfaction with life were obtained. Information on gender, normative socioeconomic position, frequency of seeing a dentist, acute dental treatment within the last 5 years and general diseases was also recorded. Results Patients with tooth loss in the aesthetic zone and removable prosthesis showed high odds ratios for reporting poor rather than good oral health compared to patients having a full dentition. Having a removable prosthesis was further associated with rating socioeconomic position as low rather than high (odds ratio = 27.7 [95% CI: 5.07; 151.6]) compared to a full dentition after controlling for normative socioeconomic position and gender. In the bivariate analyses, a tendency towards poorer general health and poorer satisfaction with life was found with worse oral status, meanwhile the multiple regression analyses did not show significant associations between oral status and general health and satisfaction with life. Conclusions Missing teeth and having prostheses are associated with worse self‐reported oral health compared to having a full dentition. Removable dental prosthesis may be associated with a worse self‐perception of socioeconomic status.

Self-assessment tool for evaluating periodontal conditions

“…Patients with periodontitis are more likely to have halitosis than those without 4 and at higher risk of developing tooth loss, which could lead to various issues, such as difficulties in mastication and pronunciation of certain sounds, undesirable facial aesthetics, and poor cognitive functions. [5][6][7][8] Unknown to many non-dentists, evidence shows that periodontal disease is associated with several systemic conditions, such as diabetes, cardiovascular disease, and adverse pregnancy outcomes. 9 The periodontal-systemic disease connection is believed to be caused by the metastatic spread of microorganisms and their by-products in dental plaque and inflammatory mediators from periodontal tissues to other organs of the body.…”

Emotional, behavioral, and social effects of anterior tooth loss: a cross-sectional study

“…The results suggested that edentulism had a negative impact on the quality of life of patients, which are in agreement with some previous studies. [17][18][19][20] It was also found that the patients expressed wide range of emotions on losing the teeth from anger to being sad or depressed. However, some patients expressed a sense of relief probably due to the amount of pain they had to bear before the loss of the tooth.…”

“…Material e Métodos: O estudo foi realizado em 70 indivíduos que se apresentaram ao Department of Prosthetic Dental Sciences. Foi distribuído um questionário e os dados analisados estatisticamente no SPSS versão 18.0 e valores inferiores a 0,05% foram considerados estatisticamente significativos. Resultados: A dificuldade do participante em aceitar a perda de seu dente anterior, constrangimento e confiança mudaram significativamente após usar a prótese (P <0,05).…”

Dental implant therapy in the Brazilian Public System

“…Likewise, it is projected that tooth loss will continue to be a major dental problem in the next decades, which might impair patients general health and cause disabilities 17 . Not only complete edentulism but a reduced number of teeth is directly related to quality of life worsening, since it can compromise daily activities, such as chewing, nutrition, phonation, social life, and self-esteem 18,19 .…”