The role of dental insurance in mitigating mortality among working‐age U.S. adults with periodontitis

Sattar, Naveed; Probst, Janice C.; Merchant, Anwar T.; Martin, Amy B.; Shrestha, Deepika; Khan, M. Mahmud

doi:10.1111/jcpe.13366

Cited by 3 publications

(3 citation statements)

References 68 publications

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“…For instance, a systemic review found those in disadvantaged socio-economic status were more susceptible to PD because they had less access to dental care [32]. Several studies have already shown the necessity and social value of covering dental care benefits in healthcare insurance schemes [33][34][35][36]. Significantly, our findings provide new insight into this issue as well.…”

Section: Discussionmentioning

confidence: 55%

Understanding the feelings and experiences of patients with periodontal disease: a qualitative meta-synthesis

Yin

Feng

et al. 2022

Health Qual Life Outcomes

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Background Patients’ experiences, feelings, and perceptions play key roles in quality of life and dental care quality, but they are poorly understood in periodontal disease. Therefore, this meta-synthesis aimed to gain deep insights into the feelings, experiences, and perceptions of people living with periodontal disease. Methods Electronic database searches in PubMed, Cochrane Library, EMBASE, Scopus, Web of Science, PsycINFO, CINAHL, and Open AIRE were conducted up to December 2021 (updated in June 2022). The JBI Critical Appraisal Tool was used for quality assessment. Then reviewers integrated findings from qualitative studies with a thematic synthesis approach. Results A total of 567 studies were identified, of which eight involving 131 participants met the inclusion criteria. Studies were conducted between 2008 and 2021within Europe (Sweden and UK), Asia (Korea, Indonesia, and Singapore), and Oceania (New Zealand). Three analytical themes with nine descriptive themes emerged from the qualitative data. The themes were as follows: (1) “pressure (physical, psychosocial, and financial),” (2) “coping and adaptation (avoidance of the status quo, trying to understand it, and taking responsibility for their own),” (3) “reflection and evaluation (exploring the causes, personal control, and calling for better dental care).” Conclusions This review provides insights into how patients perceive and cope with periodontal disease. The findings highlighted patient-centered care in PD, and based on the findings, it is possible to provide more precise and efficient interventions for better patient compliance and treatment outcomes.

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Section: Discussionmentioning

confidence: 55%

Understanding the feelings and experiences of patients with periodontal disease: a qualitative meta-synthesis

Yin

Feng

et al. 2022

Health Qual Life Outcomes

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“…They may not be able to afford dental rehabilitation and oral healthcare. Maintaining the masticatory efficacy and regular dental care might mitigate mortality risk [44,45]. Public health policymakers should focus more attention on functional dentition in the elderly population and further improve the medical insurance policy.…”

Section: Discussionmentioning

confidence: 99%

Denture wearing status, cardiovascular health profiles, and mortality in edentulous patients: A prospective study with a 27-year follow-up

Dai¹,

An²,

Liu³

et al. 2022

Journal of Dentistry

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“…4,14 Recent studies demonstrated that information on exposure and outcome data extracted from large volumes of healthcare insurance claims data are valid for research purposes. [21][22][23][24][25] Healthcare insurance databases generally contain a large amount of data that can efficiently be accessed longitudinally, creating extra benefits for follow-up research in large cohorts. 26 In the current study, healthcare insurance claims data were used to investigate the relationship between PD and ACVD.…”

Section: Introductionmentioning

confidence: 99%

An examination of the risk of periodontitis for nonfatal cardiovascular diseases on the basis of a large insurance claims database

Beukers

Heijden

et al. 2022

Comm Dent Oral Epid

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Objectives: Although many studies have reported a higher risk of atherosclerotic cardiovascular diseases (ACVD) in people with periodontitis (PD), this has been tested in a few large-scale population-based studies with a longitudinal design. The aim of this study was to investigate whether people with PD status have an increased risk of a nonfatal ACVD event compared to people without PD status.Methods: A cohort of 1.2 million participants from a healthcare insurance claims database was studied longitudinally for a period of 8 years. PD status was derived from PD-related insurance claims and ACVD status from ACVD-related insurance claims.Person-time at risk (PTAR) was calculated from the start of follow-up (01 January 2007) for participants with and without PD status until ACVD or event-free censoring (31 December 2014). Time-dependent Cox proportional hazard models were used to calculate the hazard ratio (HR) and to adjust for shared risk factors (age, sex, socioeconomic position and diabetes mellitus). Results:The prevalence of PD was 20.1%, and the cumulative incidence of nonfatal ACVD events was 7.5%. The univariable and multivariable analyses revealed a limited risk of ACVD for participants with PD status (HR: 1.12; 95% CI 1.10-1.14, HR: 1.06; 95% CI 1.04-1.08, respectively). A subgroup analysis of participants ≤35 and > 35 years of age showed that those ≤35 years of age with PD status had a higher ACVD risk (univariable HR: 1.20; 95% CI 1.05-1.37, multivariable HR: 1.21; 95% CI 1.05-1.39). ACVD risk was not increased in participants >35 years of age with PD status (univariable HR: 0.92; 95% CI 0.91-0.94, multivariable HR: 0.96; 95% CI 0.94-0.98). Conclusions:This study based on a healthcare insurance cohort shows that PD can hardly be regarded as a risk factor for nonfatal ACVD. The increased risk is of minor size, and therefore, the proposed role of PD in the development of ACVD events should be reconsidered. Possibly PD plays a role as a risk factor in younger people due to overlapping genetic risk factors of ACVD and a more aggressive course of PD.

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The role of dental insurance in mitigating mortality among working‐age U.S. adults with periodontitis

Cited by 3 publications

References 68 publications

Understanding the feelings and experiences of patients with periodontal disease: a qualitative meta-synthesis

Understanding the feelings and experiences of patients with periodontal disease: a qualitative meta-synthesis

Denture wearing status, cardiovascular health profiles, and mortality in edentulous patients: A prospective study with a 27-year follow-up

An examination of the risk of periodontitis for nonfatal cardiovascular diseases on the basis of a large insurance claims database

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