Self‐reported oral health predicts tooth loss after five and ten years in a population‐based study

Meisel, Peter; Holtfreter, Birte; Völzke, Henry; Kocher, Thomas

doi:10.1111/jcpe.12997

Cited by 18 publications

(21 citation statements)

References 40 publications

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“…In a previous report, we demonstrated that clinical indicators of oral health namely, number of teeth and, to a lesser degree, periodontal disease are associated with frailty index among older Americans after adjusting for inadequate nutritional intake and important covariates similar to the results observed with self‐rated oral health in this study 23 . This can be explained as self‐rated oral health is associated with clinical measures of oral health, 11 and predict five‐year and ten‐year tooth loss 24 . Therefore, self‐rated oral health reflects to some extent the previously evaluated associations between clinical oral health indicators and frailty 25 .…”

Section: Discussionsupporting

confidence: 83%

“…23 This can be explained as self-rated oral health is associated with clinical measures of oral health, 11 and predict five-year and ten-year tooth loss. 24 Therefore, selfrated oral health reflects to some extent the previously evaluated associations between clinical oral health indicators and frailty. 25 The psychosocial impact of poor oral health on loneliness, socialisation, 26 self-consciousness and embarrassment, 27 and depressive symptoms among older adults, 28,29 should also be considered as a possible link for the observed association in this study.…”

Section: Discussionmentioning

confidence: 99%

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Self‐rated oral health and frailty index among older Americans

2020

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Frailty is an important implication of ageing. Frailty is a state characterised by higher vulnerability to adverse health outcomes for older adults. 1 Frailty is prevalent among community-dwelling older adults and the ageing populations. 2 The evidence indicates that frailty is associated with mortality, chronic diseases, depression, dependence and reduced quality of life. 3 The underlying mechanism of frailty is related to impairments to the neuro-immuno-endocrine system, physical activity and nutritional status that modulate the process of ageing. 4 The most two prevailing models of frailty are the phenotypic model which defines frailty based on the presence of three of five physical criteria, 5 and the multiple deficit model which rates frailty based on the number of deficits across multiple domains. 6 Oral health is associated with nutritional status and nutritional intake among older adults. 7,8 Furthermore, the evidence indicates that oral health could be one of the predictors and markers of frailty. 9 Most of the previous studies that assessed the relationship between oral health and frailty used clinical and objective measure like, number of teeth, periodontal disease and oral function

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Self‐rated oral health and frailty index among older Americans

2020

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“…Clinical oral health measures are much more expensive and difficult to conduct in large populations and thus are often unfeasible. Nonetheless, SROH has been reported to be associated with various extents with numerous clinical indicators of oral health such as number of decayed teeth, missing teeth, future tooth loss and periodontal health status 18‐22 …”

Section: Methodsmentioning

confidence: 99%

Changes in income‐related inequalities in oral health status in Ontario, Canada

Cheng

Aldossri

Farmer

et al. 2020

Comm Dent Oral Epid

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Objectives Oral health inequalities impose a substantial burden on society and the healthcare system across Canadian provinces. Monitoring these inequalities is crucial for informing public health policy and action towards reducing inequalities; however, trends within Canada have not been explored. The objectives of this study are as follows: (a) to assess trends in income‐related inequalities in oral health in Ontario, Canada's most populous province, from 2003 to 2014, and (b) to determine whether the magnitude of such inequalities differ by age and sex. Methods Data representative of the Ontario population aged 12 years and older were sourced from the Canadian Community Health Survey (CCHS) cycles 2003 (n = 36,182), 2007/08 (n = 36,430) and 2013/14 (n = 41,258). Income‐related inequalities in poor self‐reported oral health (SROH) were measured using the Slope Index of Inequality (SII) and Relative Index of Inequality (RII) and compared across surveys. All analyses were sample‐weighted and performed with STATA 15. Results The prevalence of poor SROH was stable across the CCHS cycles, ranging from 14.1% (2003 cycle) to 14.8% (2013/14 cycle). SII estimates did not change (18.7‐19.0), while variation in RII estimates was observed over time (2003 = 3.85; 2007/08 = 4.47; 2013/14 = 4.02); differences were not statistically significant. SII and RII were lowest among 12‐ to 19‐year‐olds and gradually higher among 20‐ to 64‐year‐olds. RII was slightly higher among females in all survey years. Conclusion Absolute and relative income‐related inequalities in SROH have persisted in Ontario over time and are more severe among middle‐aged adults. Therefore, oral health inequalities in Ontario require attention from key stakeholders, including governments, regulators and health professionals.

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“…Poor oral self‐care and non‐compliance go along with periodontitis progression and tooth loss (König, Plagmann, Langenfeld, & Kocher, ). Moreover, ensuring an adequate level of periodontal awareness in the community would improve the reliability of the widely used self‐reported oral health questionnaires in epidemiological investigations (Meisel, Holtfreter, Völzke, & Kocher, ), as individuals reporting having periodontal disease are usually right (Airila‐Mansson, Söder, Jin, Söder, & Klinge, ).…”

Section: Introductionmentioning

confidence: 99%

Periodontal awareness and what it actually means: A cross‐sectional study

et al. 2019

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Objectives To assess periodontal awareness among laypersons, to characterize the very aware of periodontitis and to disclose whether high awareness implies sufficient periodontal knowledge. Subjects and methods Cross‐sectional study on laypersons randomly selected by quota sampling from March 2015 to June 2016. The questionnaire of periodontal awareness included aspects of aetiology, risk factors, signs and symptoms, related risks, prevention, treatment and related attitudes. It was applied by 12 interviewers in the community in each four province capitals, in a sort of pathfinder survey method. Results A 43.3% response rate was obtained, and 3,553 people entered the study. “Very aware”: 19.4%. “Aware”: 42.7%. “Not aware”: 37.9%. Age, oral self‐care and educational achievements characterized those “very aware.” Any additional degree beyond compulsory education halves the chances for being “not periodontally aware.” Very aware people likely to have periodontitis were elder, less educated, with a smoking history and less knowledge of the disease. Gaps of knowledge among the “very aware” were identified in all aspects except for “prevention” and “treatment.”. Conclusions Very periodontally aware people were in their late 40–60 s, followed sound oral care routines and held a degree but elicited insufficient knowledge about aetiology, signs‐symptoms, related risks or periodontal risk factors.

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Self‐reported oral health predicts tooth loss after five and ten years in a population‐based study

Abstract: Self-reported oral health provides reliable predictions of tooth loss comparable to those assessed by clinical diagnostics.

Cited by 18 publications

References 40 publications

Self‐rated oral health and frailty index among older Americans

Self‐rated oral health and frailty index among older Americans

Changes in income‐related inequalities in oral health status in Ontario, Canada

Periodontal awareness and what it actually means: A cross‐sectional study

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