Factors Associated with Tooth Loss in Older Adults in Rural Colorado

Tiwari, Tamanna; Scarbro, Sharon; Bryant, Lucinda L.; Puma, Jini

doi:10.1007/s10900-015-0117-y

Cited by 36 publications

(45 citation statements)

References 22 publications

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“…Oral health‐related quality of life depends on both the number and the position of the teeth . Disparities are known to exist among more subgroups than could be included in this report . Finally, because the periodontitis case definitions used require two teeth for the person to be allocated to a periodontitis category, only persons with at least two teeth were included in the periodontitis case categories in the final analyses, whereas an individual classified as having no periodontitis theoretically could have one tooth present that is affected by periodontal disease.…”

Section: Discussionmentioning

confidence: 99%

Periodontitis prevalence in adults ≥ 65 years of age, in the USA

Eke¹,

Liang²,

Borgnakke³

et al. 2016

Periodontology 2000

262

220

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The older adult population is growing rapidly in the USA and it is expected that by 2040 the number of adults ≥ 65 years of age will have increased by about 50%. With the growth of this subpopulation, oral health status, and periodontal status in particular, becomes important in the quest to maintain an adequate quality of life. Poor oral health can have a major impact, leading to tooth loss, pain and discomfort, and may prevent older adults from chewing food properly, often leading to poor nutrition. Periodontitis is monitored in the USA at the national level as part of the Healthy People 2020 initiative. In this report, we provide estimates of the overall burden of periodontitis among adults ≥ 65 years of age and after stratification according to sociodemographic factors, modifiable risk factors (such as smoking status), the presence of other systemic conditions (such as diabetes) and access to dental care. We also estimated the burden of periodontitis within this age group at the state and local levels. Data from the National Health and Nutrition Examination Survey 2009/2010 and 2011/2012 cycles were analyzed. Periodontal measures from both survey cycles were based on a full-mouth periodontal examination. Nineteen per cent of adults in this subpopulation were edentulous. The mean age was 73 years, 7% were current smokers, 8% lived below the 100% Federal Poverty Level and < 40% had seen a dentist in the past year. Almost two-thirds (62.3%) had one or more sites with ≥ 5 mm of clinical attachment loss and almost half had at least one site with probing pocket depth of ≥ 4 mm. We estimated the lowest prevalence of periodontitis in Utah (62.3%) and New Hampshire (62.6%) and the highest in New Mexico, Hawaii, and the District of Columbia each with a prevalence of higher than 70%. Overall, periodontitis is highly prevalent in this subpopulation, with two-thirds of dentate older adults affected at any geographic level. These findings provide an opportunity to determine how the overall health-care management of older adults should consider the improvement of their oral health conditions. Many older adults do not have dental insurance and are also likely to have some chronic conditions, which can adversely affect their oral health.

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Section: Discussionmentioning

confidence: 99%

Periodontitis prevalence in adults ≥ 65 years of age, in the USA

Eke¹,

Liang²,

Borgnakke³

et al. 2016

Periodontology 2000

262

220

View full text Add to dashboard Cite

show abstract

“…Researchers studying tooth loss in other studies created dichotomized categories of missing teeth with various cut points. For example, some researchers have used cut points of 20 teeth; 32, 33 25 teeth; 34 one tooth; 35 6 teeth; 36–41 and edentulism. 42 In the BRFSS sample, 10% of participants had 6 or more teeth removed, and 5% had all teeth removed.…”

Section: Methodsmentioning

confidence: 99%

“…For this current study, the data were dichotomized into the 2 groups: fewer than 6 teeth removed and 6 or more teeth removed. These two groups were combined for two reasons: 1) there is a basis to use 6 teeth as a cut point from the use of this cut point in previous research 36–41 ; and 2) by collapsing the categories with only 10% and 5%, a larger sample size was created for more power.…”

Section: Methodsmentioning

confidence: 99%

The association between diabetes mellitus, sugar-sweetened beverages, and tooth loss in adults

Wiener¹,

Shen²,

Findley³

et al. 2017

The Journal of the American Dental Association

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Background Sugar sweetened beverages (SSB) are dietary sources of sugar, factors in caries development and tooth loss. Dietary sugar is also linked to diabetes mellitus (DM). There is limited research with SSB and tooth loss in individuals with DM. The purpose of this study is to investigate the association between SSB and tooth loss by the presence or absence of DM. Methods A cross-sectional design with data on adults (>18 years) from Behavior Risk Factor Surveillance System, 2012 of 18 states was used (n =95,897; 40,413 with DM and 81,854 without DM). Chi square, and logistic regression analyses by DM status were conducted. Results Overall, 12.3% had DM; 15.5% had ≥6 teeth removed; and 22.6% reporting drinking ≥ 1 SSB daily. In adjusted analyses, among adults with DM, ≥ 2 SSB daily were more likely to have ≥ 6 teeth removed than adults reporting no SSB use (Adjusted odds ratio, AOR, = 2.35; 95% CI: 1.37, 4.01, P= 0.0018). Among adults without DM, those drinking >0 to <1 SSB/day were more likely to have ≥6 teeth removed (AOR= 1.46; 95% CI: 1.21, 1.77, P< 0.0001). Conclusion Among adults with DM, ≥2 SSB/day were associated with ≥ 6 teeth removed. Practical Implication Dietary sugar is a concern for oral and systemic health; however, a strong, independent relationship between teeth removed and one, single source of dietary sugar is not adequate to explain the complexity of tooth loss and dietary messages should be broad when caries assessment is discussed.

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“…Education is a well-recognized determinant of health (35), and a plethora of evidence links it to dental care utilization and oral health outcomes (28,29,(36)(37)(38)(39)(40)(41). The recent Canadian Health Measures Survey showed that the prevalence of childhood caries is higher in families of lower education (42).…”

Section: Educationmentioning

confidence: 99%