scholarly journals Racial differences in periodontal disease and 10-year self-reported tooth loss among late middle-aged and older adults: the dental ARIC study

2017 ◽  
Vol 77 (4) ◽  
pp. 372-382 ◽  
Author(s):  
S. Naorungroj ◽  
G. D. Slade ◽  
K. Divaris ◽  
G. Heiss ◽  
S. Offenbacher ◽  
...  
2020 ◽  
Vol 99 (9) ◽  
pp. 1047-1053 ◽  
Author(s):  
J.T. Marchesan ◽  
K.M. Byrd ◽  
K. Moss ◽  
J.S. Preisser ◽  
T. Morelli ◽  
...  

The effect of preventive oral habits is largely unexplored in older individuals. The purpose of this study was to evaluate the associations between home use of flossing and prevalence of periodontal disease and caries in older adults. Five-year incident tooth loss was also evaluated. Data on 686 individuals ≥65 y-old from the Piedmont 65+ Dental Study were examined including: 1) interproximal clinical attachment level (iCAL), 2) interproximal probing depth (iPD), 3) numbers of caries, and 4) missing teeth. Flossing behavior was evaluated according to the Periodontal Profile Class (PPC) system. Five-year follow-up data ( n = 375) was evaluated for incident tooth loss. Dichotomous and categorical variables were analyzed using Pearson chi-square tests as well as covariate-adjusted Cochran-Mantel-Haenszel tests. Multiple linear regression compared clinical parameters based on flossing behavior. Elderly flossers had lower (mean, SE) %iCAL≥3 mm (38.2, 2.38 vs. 48.8, 1.56) and %iPD≥4 mm (8.70, 1.41 vs. 14.4, 0.93) compared to nonflossers ( P ≤ 0.005). Flossers showed less coronal caries compared to nonflossers ( P = 0.02). Baseline number of missing teeth (mean, SE) was 11.5 (0.35) in nonflossers compared to 8.6 (0.53) in flossers ( P < 0.0001). Regular dental visitors had lower oral disease levels compared to episodic dental users. The majority of flossers classified into PPC-Stage I (health) whereas nonflossers classified as PPC-Stages V, VI, and VII (disease). At the 5-y follow-up visit, the average tooth loss for flossers was ~1 tooth compared to ~4 teeth lost for nonflossers ( P < 0.0001). Among all teeth, molars showed the highest benefit (>40%) for flossing behavior ( P = 0.0005). In conclusion, the extent of oral disease for older individuals was significantly less in flossers than in nonflossers. Flossers showed less periodontal disease, fewer dental caries, and loss of fewer teeth over a 5-y period. These findings further support flossing as an important oral hygiene behavior to prevent oral disease progression in older adults.


Metabolism ◽  
2017 ◽  
Vol 70 ◽  
pp. 98-106 ◽  
Author(s):  
Tina E. Brinkley ◽  
Xiaoyan Leng ◽  
Barbara J. Nicklas ◽  
Stephen B. Kritchevsky ◽  
Jingzhong Ding ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 833-833
Author(s):  
Xiaomin Qu ◽  
Bei Wu ◽  
Jiaojiao Yu ◽  
Haidong Zhang

Abstract This study investigated the association between socioeconomic status (SES) and tooth loss in middle-aged and older adults by migrant status. The sample included 2,390 participants aged 45-65 from the 2017 Urbanization and New Migrant Survey conducted from 10 cities in China. Results from the negative binomial regression and the marginal effect analysis showed that education, income, and residence in a developed city were negatively associated with tooth loss for non-migrants and migrants with high levels of education. These associations were not found to be significant for migrants with low education levels. The findings suggest that SES plays a more significant role in tooth retention for migrants with higher education levels compared to those with lower education levels. These results may largely be due to different levels of health literacy and unequal access to dental care services. Tailored intervention needs to be target migrant populations with low SES.


2003 ◽  
Vol 74 (5) ◽  
pp. 610-615 ◽  
Author(s):  
Mohammad S. Al-Zahrani ◽  
Nabil F. Bissada ◽  
Elaine A. Borawski

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S350-S350
Author(s):  
Nan Lu ◽  
Bei Wu ◽  
Yaolin Pei

Abstract While empirical evidence shows that cognitive function affects oral health and vice versa, there is a lack of empirical evidence to test the reciprocal relationship between these two indicators. This study aimed to examine this relationship among middle-aged and older adults in China. Data were derived from the 2011 and 2015 waves of the China Health and Retirement Longitudinal study. A two-wave cross-lag analysis was adopted to test the hypothesized model. Cognitive function in 2011 was found to be a significant predictor of complete tooth loss in 2015. Furthermore, complete tooth loss in 2011 was found to be a significant predictor of cognitive cognition in 2015. This finding demonstrates the reciprocal relationship between cognitive function and oral health. This study highlights the importance of improving both cognitive health and oral health for middle-aged and older adults. Policy and intervention implications are discussed.


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