Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.5
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

Download PDF

Dental and Medical Problems

2018, vol. 55, nr 1, January-March, p. 49–56

doi: 10.17219/dmp/81033

Publication type: original article

Language: English

Creative Commons BY-NC-ND 3.0 Open Access

Estimating tooth retention by the number of present teeth in a middle-old-aged population: 3-year follow-up study in Korea

Prognoza zachowania zębów na podstawie liczby obecnych zębów w populacji w wieku średnim – 3-letnie badanie kohortowe w Korei

Ga-Yeong Lee1,A,B,C,D,F, Sang-Baek Koh2,3,A,E,F, Nam-Hee Kim4,A,C,E,F

1 Department of Dental Hygiene, Graduate School, Yonsei University, Seoul, Korea

2 Department of Preventive Medicine, Wonju College of Medicine, Yonsei University, Korea

3 Institute of Genomic Cohort, Yonsei University, Wonju, Korea

4 Department of Dental Hygiene, Wonju College of Medicine, Yonsei University, Korea

Abstract

Background. The number of individual teeth decreases with age, resulting in a decrease in masticatory capacity, and is an important indicator of oral health. However, it is difficult to estimate the number of present teeth on the basis of age alone.
Objectives. We aimed to determine whether tooth retention could be estimated by the number of present teeth in middle-old-aged individuals.
Material and Methods. We used data from the Korean Genome and Epidemiology Study on Atherosclerosis Risk of Rural Areas in the Korean General Population (KoGES-ARIRANG). Subjects (40–75 years old) were invited to participate in a 3-year prospective follow-up survey conducted from 2010 to 2014. A total of 557 individuals (219 men and 338 women) took part in the study. Tooth retention was estimated from the number of present teeth by multivariate logistic regression analysis using SPSS v. 20.0.
Results. In total, 294 (52.8%) subjects retained teeth during a 3-year follow-up period. The number of present teeth and the proportion of subjects with complete tooth retention after 3 years decreased with increasing age. A greater number of present teeth in the baseline year was associated with complete tooth retention after 3 years in a greater proportion of subjects (p < 0.001). Logistic regression analysis revealed that the proportion of subjects with tooth retention in the Q4 quartile (28 teeth) was 9.17 times that in the Q1 quartile (less than 26 present teeth), even after adjusting for sociodemographic factors and oral health behavior in middle-aged individuals. In elderly individuals, tooth retention in the Q4 quartile (28 teeth) was 4.50 times that in the Q1 quartile (less than 17 teeth).
Conclusion. The number of present teeth could be used to estimate tooth retention over a 3-year period. This highlights the importance of promoting oral health care in middle-aged individuals before tooth loss occurs.

Key words

oral health, tooth loss, cohort study, preventive dentistry

Słowa kluczowe

stan zdrowia jamy ustnej, utrata zębów, badanie kohortowe, stomatologia prewencyjna

References (30)

  1. Zhu Y, Hollis JH. Tooth loss and its association with dietary intake and diet quality in American adults. J Dent. 2014;42:1428–1435.
  2. Petricevic N, Celebic A, Rener-Sitar K. A 3-year longitudinal study of quality-of-life outcomes of elderly patients with implant and tooth-supported fixed partial dentures in posterior dental regions. Gerodontol. 2012;29:e956–e963.
  3. Ćatović A, Jerolimov V, Ćatić A. Tooth loss and the condition of the prosthodontic appliances in a group of elderly home residents. J Oral Rehabil. 2000;27:199–204.
  4. Higaki N, Goto T, Ishida Y, Watanabe M, Tomotake Y, Ichikawa T. Do sensation differences exist between dental implants and natural teeth? A meta-analysis. Clin Oral Implants Res. 2014;25:1307–1310.
  5. Iwasaki M, Taylor GW, Manz MC, et al. Oral health status: Relationship to nutrient and food intake among 80-year-old Japanese adults. Community Dent Oral Epidemiol. 2014;42:441–450.
  6. Miyaura K, Morita M, Matsuka Y, Yamashita A, Watanabe T. Rehabilitation of biting abilities in patients with different types of dental prostheses. J Oral Rehabil. 2000;27:1073–1076.
  7. Daly RM, Elsner RJF, Allen PF, Burke FM. Associations between self-reported dental status and diet. J Oral Rehabil. 2003;30:964–970.
  8. Wang RS, Hu XY, Gu WJ, Hu Z, Wei B. Tooth loss and risk of head and neck cancer: A meta-analysis. PLoS One. 2013;8:e71122.
  9. Kim HN, Ha TG, Kim MJ, Jun EJ, Jeong SH, Kim JB. Factors related to number of present teeth in Korean elderly adults aged 55–84 years. Int J Dent Hyg. 2016;14:151–158.
  10. Batista M, Lawrence H, Rosario de Sousa M. Impact of tooth loss related to number and position on oral health quality of life among adults. Health Qual Life Outcomes. 2014;12:165.
  11. Åstrøm AN, Ekback G, Ordell S, Nasir E. Long-term routine dental attendance: Influence on tooth loss and oral health-related quality of life in Swedish older adults. Community Dent Oral Epidemiol. 2014;42:460–469.
  12. Åstrøm AN, Ekback G, Lie SA, Ordell S. Life-course social influences on tooth loss and oral attitudes among older people: Evidence from a prospective cohort study. Eur J Oral Sci. 2015;123:30–38.
  13. Jung SH, Ryu JI, Jung DB. Association of total tooth loss with socio-behavioural health indicators in Korean elderly. J Oral Rehabil. 2011;38:517–524.
  14. Wu B, Hybels C, Liang J, Landerman L, Plassman B. Social stratification and tooth loss among middle-aged and older Americans from 1988 to 2004. Community Dent Oral Epidemiol. 2014;42:495–502.
  15. Zawada Ł, Matuszewska A, Chrzęszczyk D, Konopka T. Tooth loss in the adult residents of Wrocław. Dent Med Probl. 2012;49:391–398 [in Polish].
  16. Morse DE, Avlund K, Christensen LB, et al. Smoking and drinking as risk indicators for tooth loss in middle-aged Danes. J Aging Health. 2014;26:54–71.
  17. Zimmermann H, Zimmermann N, Hagenfeld D, Veile A, Kim TS, Becher H. Is frequency of tooth brushing a risk factor for periodontitis? A systematic review and meta-analysis. Community Dent Oral Epidemiol. 2015;43:116–127.
  18. Dhawan AP, Heetderks WJ, Pavel M, et al. Current and future challenges in point-of-care technologies: A paradigm-shift in affordable global healthcare with personalized and preventive medicine. IEEE J Transl Eng Health Med. 2015;3:1–10.
  19. Garcia RI, Sohn W. The paradigm shift to prevention and its relationship to dental education. J Dent Educ. 2012;76:36–45.
  20. Diener E. New findings and future directions for subjective well-being research. Am Psychol. 2012;67:590.
  21. Hoyt LT, Chase-Lansdale PL, McDade TW, Adam EK. Positive youth, healthy adults: Does positive well-being in adolescence predict better perceived health and fewer risky health behaviors in young adulthood? J Adolesc Health Care. 2012;50:66–73.
  22. Kossioni A, Bellou O. The effect of aging and dental status on the frequency of eating out. Arch Gerontol Geriatr. 2012;54:e130–e133.
  23. Renvert S, Persson RE, Persson GR. Tooth loss and periodontitis in older individuals: Results from the swedish national study on aging and care. J Periodontol. 2013;84:1134–1144.
  24. Yoshino K, Ishizuka Y, Fukai K, Takiguchi T, Sugihara N. Estimated tooth loss based on number of present teeth in Japanese adults using national surveys of dental disease. Bull Tokyo Dent Coll. 2015;56:25–31.
  25. Yadav D, Hyun DS, Ahn SV, Koh SB, Kim JY. A prospective study of the association between total sleep duration and incident hypertension. J Clin Hypertens (Greenwich). 2017;19:550–557
  26. Christensen GJ. Defining oral rehabilitation. J Am Dent Assoc. 2004;135:215–217.
  27. Worthington H, Clarkson J, Davies R. Extraction of teeth over 5 years in regularly attending adults. Community Dent Oral Epidemiol. 1999;27:187–194.
  28. Eklund SA, Burt BA. Risk factors for total tooth loss in the United States; Longitudinal analysis of national data. J Public Health Dent. 1994;54:5–14.
  29. Praveen G, Anjum S, Reddy PP, Monica M, Rao KY, Reddy AA. Public priorities for government spending on dental health care: A cross sectional study. J Public Health. 2014;22:67–71.
  30. YJ Kim, BG Han, the KoGES group. Cohort profile: The Korean Genome and Epidemiology Study (KoGES) Consortium. Int J Epidemiol. 2017;46:e20.