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Dolińska E, Węglarz A, Jaroma W, Kornowska G, Zapaśnik Z, Włodarczyk P, Wawryniuk J, Pietruska M. Periodontal Patients' Perceptions and Knowledge of Dental Implants-A Questionnaire Study. J Clin Med 2024; 13:4859. [PMID: 39201001 PMCID: PMC11355290 DOI: 10.3390/jcm13164859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2024] [Revised: 08/08/2024] [Accepted: 08/16/2024] [Indexed: 09/02/2024] Open
Abstract
Background: Highly prevalent tooth loss is observed among populations around the world. To restore masticatory function and satisfactory aesthetics, missing teeth must be replaced. Dental implants are increasingly used for this purpose. This study aimed to assess periodontal patients' knowledge and attitudes towards dental implants. Methods: 467 anonymous questionnaires of periodontal patients were analyzed. The population participants were divided according to gender, age, education and place of residence. In the statistical analysis, the chi-squared test of independence was used (p < 0.05). The main questions addressed patients' knowledge about dental implants and the factors influencing their decision to undergo implantation. Results: The majority of periodontal patients were aware of dental implants and the importance of oral hygiene in their maintenance. However, the population studied had many knowledge deficits, especially on the technical and biological aspects of implants. The lack of knowledge about peri-implantitis was surprising in the group seeking professional periodontal care. Patients obtained information mainly from the internet and from family and friends, with their dentists being the third source. Good functional and aesthetic outcomes would encourage them to undergo the implantation procedure, and high cost and the possibility of complications were the most discouraging factors. Conclusions: Given the growing popularity of implant treatment, patients should be provided with evidence-based knowledge about indications and possible contraindications to implants to make informed decisions.
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Affiliation(s)
- Ewa Dolińska
- Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland;
| | - Anna Węglarz
- Student’s Research Group at the Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland; (A.W.); (W.J.); (G.K.); (Z.Z.); (P.W.); (J.W.)
| | - Weronika Jaroma
- Student’s Research Group at the Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland; (A.W.); (W.J.); (G.K.); (Z.Z.); (P.W.); (J.W.)
| | - Gabriela Kornowska
- Student’s Research Group at the Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland; (A.W.); (W.J.); (G.K.); (Z.Z.); (P.W.); (J.W.)
| | - Zuzanna Zapaśnik
- Student’s Research Group at the Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland; (A.W.); (W.J.); (G.K.); (Z.Z.); (P.W.); (J.W.)
| | - Patrycja Włodarczyk
- Student’s Research Group at the Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland; (A.W.); (W.J.); (G.K.); (Z.Z.); (P.W.); (J.W.)
| | - Jakub Wawryniuk
- Student’s Research Group at the Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland; (A.W.); (W.J.); (G.K.); (Z.Z.); (P.W.); (J.W.)
| | - Małgorzata Pietruska
- Department of Periodontal and Oral Mucosa Diseases, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland;
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Maciel JAC, Monteiro AKA, Pará JWDS, Sousa JR, Castro-Silva II. “Com dor de dente, tudo é ruim nesta vida!”: saúde bucal na comunidade indígena de Tremembé, Ceará, Brasil. INTERFACE - COMUNICAÇÃO, SAÚDE, EDUCAÇÃO 2022. [DOI: 10.1590/interface220239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Este estudo teve por objetivo analisar a importância do cuidado em saúde bucal de informantes da comunidade indígena Tremembé, em Itarema, Ceará, Brasil. Neste estudo exploratório de caráter qualitativo, foram realizadas entrevistas semiestruturadas com seis adultos considerados informantes-chave da comunidade. As percepções mais presentes nos discursos indicaram o reconhecimento da importância no cuidado em saúde bucal, com foco na higiene dentária, necessária para a socialização. As falas relacionaram a valorização da alimentação saudável, associada à boa qualidade da saúde bucal, com a valorização do conhecimento tradicional como prática de cuidado. No entanto, os discursos apresentaram uma focalização na assistência clínica para adultos, em detrimento de aspectos educativos. As percepções revelaram potencial para integração de cuidados dos profissionais de saúde e dos atores sociais que possuem papel de liderança na comunidade indígena.
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Maciel JAC, Monteiro AKA, Pará JWDS, Sousa JR, Castro-Silva II. “With a toothache, everything seems to be bad in life!”: oral health in the indigenous community of Tremembé, Ceará, Brazil. INTERFACE - COMUNICAÇÃO, SAÚDE, EDUCAÇÃO 2022. [DOI: 10.1590/interface220567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
This study aimed to analyze the importance of oral healthcare in the Tremembé indigenous community, municipality of Itarema, state of Ceará, Brazil. In this exploratory and qualitative study, semi-structured interviews were carried out with six adults considered key informants in the community. The perceptions most frequently found in the discourses indicated that the informants recognize the importance of oral healthcare and focus on dental hygiene, necessary for socialization. The discourses related valuation of healthy eating - associated with good oral health - to valuation of traditional knowledge as a care practice. However, the discourses focused on clinical care for adults at the expense of educational aspects. The perceptions showed that it is possible to int egrate the care delivered by health professionals with the care provided by social actors who have a leadership role in the indigenous community.
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Diendéré J, Zeba AN, Kiemtoré S, Sombié OO, Fayemendy P, Jésus P, Millogo A, Savadogo A, Tinto H, Desport JC. Associations between dental problems and underweight status among rural women in Burkina Faso: results from the first WHO Stepwise Approach to Surveillance (STEPS) survey. Public Health Nutr 2021; 25:1-11. [PMID: 34615560 PMCID: PMC9991657 DOI: 10.1017/s1368980021004080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 09/14/2021] [Accepted: 09/25/2021] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To explore the relationships between dental problems and underweight status among rural women in Burkina Faso by using nationally representative data. DESIGN This was a cross-sectional secondary study of primary data obtained by the 2013 WHO Stepwise Approach to Surveillance survey conducted in Burkina Faso. Descriptive and analytical analyses were performed using Student's t test, ANOVA, the χ2 test, Fisher's exact test and logistic regression. SETTING All thirteen Burkinabè regions were categorised using quartiles of urbanisation rates. PARTICIPANTS The participants were 1730 rural women aged 25-64 years. RESULTS The prevalence of underweight was 16·0 %, and 24·1 % of participants experienced dental problems during the 12-month period. The women with dental problems were more frequently underweight (19·9 % and 14·7 %; P < 0·05) and had a lower mean BMI (21·1 ± 3·2 and 21·6 ± 3·7 kg/m2, P < 0·01) than those without dental problems. More risk factors for underweight were observed in less urbanised regions among elderly individuals (> 49 years old) and smokeless tobacco users. Age > 49 years, professions with inconsistent income, a lack of education, smokeless tobacco use and low BMI were factors that were significantly associated with dental problems, while residency in a low-urbanisation area was a protective factor. CONCLUSION The prevalence of underweight in rural Burkinabè women is among the highest in sub-Saharan Africa, and women with dental problems are more frequently affected than those without dental problems. Public health measures for the prevention of these disorders should specifically target women aged over 49 years and smokeless tobacco users.
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Affiliation(s)
- Jeoffray Diendéré
- Research Institute for Health Sciences, 399, Avenue de la Liberté, 01 BP 545, Bobo-Dioulasso, Burkina Faso
| | - Augustin Nawidimbasba Zeba
- Research Institute for Health Sciences, 399, Avenue de la Liberté, 01 BP 545, Bobo-Dioulasso, Burkina Faso
| | - Sibraogo Kiemtoré
- Gynecologic and Obstetrics’ Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso
| | - Olivier Ouahamin Sombié
- Research Institute for Health Sciences, 399, Avenue de la Liberté, 01 BP 545, Bobo-Dioulasso, Burkina Faso
- Research Institute for Health Sciences, Clinical Research Unit of Nanoro, Nanoro, Burkina Faso
| | - Philippe Fayemendy
- Nutrition Unit, University Hospital of Limoges, Limoges, France
- INSERM, U1094, Tropical Neuroepidemiology, Limoges, France
- University of Limoges, UMR_S 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France
| | - Pierre Jésus
- Nutrition Unit, University Hospital of Limoges, Limoges, France
- INSERM, U1094, Tropical Neuroepidemiology, Limoges, France
- University of Limoges, UMR_S 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France
| | - Athanase Millogo
- INSERM, U1094, Tropical Neuroepidemiology, Limoges, France
- University of Limoges, UMR_S 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France
- Medicine Department, Souro Sanou University Hospital, Bobo-Dioulasso, Burkina Faso
| | - Aly Savadogo
- Département de Biotechnologie Alimentaire, Centre de Recherche en Sciences Biologiques, Alimentaires et Nutritionnelles (CRSBAN), Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
| | - Halidou Tinto
- Research Institute for Health Sciences, 399, Avenue de la Liberté, 01 BP 545, Bobo-Dioulasso, Burkina Faso
- Research Institute for Health Sciences, Clinical Research Unit of Nanoro, Nanoro, Burkina Faso
| | - Jean-Claude Desport
- Nutrition Unit, University Hospital of Limoges, Limoges, France
- INSERM, U1094, Tropical Neuroepidemiology, Limoges, France
- University of Limoges, UMR_S 1094, Tropical Neuroepidemiology, Institute of Neuroepidemiology and Tropical Neurology, CNRS FR 3503 GEIST, Limoges, France
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Kato T, Fujiwara N, Ogawa T, Numabe Y. Risk factors for tooth loss with a mean follow-up period of 13.9 years in supportive periodontal therapy patients. BMC Oral Health 2021; 21:202. [PMID: 33888123 PMCID: PMC8063418 DOI: 10.1186/s12903-021-01573-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 04/13/2021] [Indexed: 12/23/2022] Open
Abstract
Background Clinical evidence indicates that there are various risk factors of tooth loss. However, the degree of this risk among other risk factors remains unclear. In this retrospective cohort study, the authors evaluated the hazard ratios of several risk factors for tooth loss. Methods Included patients had all been treated for dental disorders, were in the supportive phase of periodontal therapy by dental hygienists, and visited a Japanese dental office continually during a 10-year period. Periodontal parameters, tooth condition, and general status of all teeth (excluding third molars) at the initial visit and at least 10 years later were evaluated by using multiple classification analysis. Results The authors evaluated a total of 7584 teeth in 297 patients (average age: 45.3, mean follow-up time: 13.9 years) Non-vital pulp was the most significant predictor of tooth loss according to Cox hazards regression analysis (hazard ratio: 3.31). The 10-year survival rate was approximately 90% for teeth with non-vital pulp and 99% for teeth with vital pulp. Fracture was the most common reason for tooth loss. Conclusions Non-vital pulp had the most significant association with tooth loss among the parameters. Therefore, it is very important to minimize dental pulp extirpation.
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Affiliation(s)
- Tomotaka Kato
- Division of General Dentistry, Nippon Dental University Hospital, 2-3-16 Fujimi Chiyoda-ku, Tokyo, Japan.
| | | | - Tomohisa Ogawa
- Division of General Dentistry, Nippon Dental University Hospital, 2-3-16 Fujimi Chiyoda-ku, Tokyo, Japan
| | - Yukihiro Numabe
- Department of Periodontology, The Nippon Dental University School of Life Dentistry at Tokyo, Tokyo, Japan
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Mohanram Y, Zhang J, Tsiridis E, Yang XB. Comparing bone tissue engineering efficacy of HDPSCs, HBMSCs on 3D biomimetic ABM-P-15 scaffolds in vitro and in vivo. Cytotechnology 2020; 72:715-730. [PMID: 32820463 PMCID: PMC7548016 DOI: 10.1007/s10616-020-00414-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 07/19/2020] [Indexed: 02/06/2023] Open
Abstract
Human bone marrow mesenchymal stem cells (HBMSCs) has been the gold standard for bone regeneration. However, the low proliferation rate and long doubling time limited its clinical applications. This study aims to compare the bone tissue engineering efficacy of human dental pulp stem cells (HDPSCs) with HBMSCs in 2D, and 3D anorganic bone mineral (ABM) coated with a biomimetic collagen peptide (ABM-P-15) for improving bone-forming speed and efficacy in vitro and in vivo. The multipotential of both HDPSCs and HBMSCs have been compared in vitro. The bone formation of HDPSCs on ABM-P-15 was tested using in vivo model. The osteogenic potential of the cells was confirmed by alkaline phosphatase (ALP) and immunohistological staining for osteogenic markers. Enhanced ALP, collagen, lipid droplet, or glycosaminoglycans production were visible in HDPSCs and HBMSCs after osteogenic, adipogenic and chondrogenic induction. HDPSC showed stronger ALP staining compared to HBMSCs. Confocal images showed more viable HDPSCs on both ABM-P-15 and ABM scaffolds compared to HBMSCs on similar scaffolds. ABM-P-15 enhanced cell attachment/spreading/bridging formation on ABM-P-15 scaffolds and significantly increased quantitative ALP specific activities of the HDPSCs and HBMSCs. After 8 weeks in vivo implantation in diffusion chamber model, the HDPSCs on ABM-P-15 scaffolds showed extensive high organised collagenous matrix formation that was positive for COL-I and OCN compared to ABM alone. In conclusion, the HDPSCs have a higher proliferation rate and better osteogenic capacity, which indicated the potential of combining HDPSCs with ABM-P-15 scaffolds for improving bone regeneration speed and efficacy.
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Affiliation(s)
- Yamuna Mohanram
- Biomaterials & Tissue Engineering Group, Department of Oral Biology, School of Dentistry, University of Leeds, Level 7, Wellcome Trust Brenner Building, St. James's University Hospital, Leeds, LS9 7TF, UK
| | - Jingying Zhang
- Biomaterials & Tissue Engineering Group, Department of Oral Biology, School of Dentistry, University of Leeds, Level 7, Wellcome Trust Brenner Building, St. James's University Hospital, Leeds, LS9 7TF, UK.,The Second Clinical Medical College, Guangdong Medical University, Dongguan, 523808, Guangdong, China
| | - Eleftherios Tsiridis
- Academic Orthopaedic Department, Aristotle University Medical School, 54124, Thessaloniki, Greece
| | - Xuebin B Yang
- Biomaterials & Tissue Engineering Group, Department of Oral Biology, School of Dentistry, University of Leeds, Level 7, Wellcome Trust Brenner Building, St. James's University Hospital, Leeds, LS9 7TF, UK.
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Montanha-Andrade K, Maia W, Pimentel ACP, Arsati YBDOL, Santos JND, Cury PR. Dental health status and its indicators in adult Brazilian Indians without exposition to drinking water fluoridation: a cross-sectional study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2019; 26:34440-34447. [PMID: 31637613 DOI: 10.1007/s11356-019-06571-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Accepted: 09/23/2019] [Indexed: 06/10/2023]
Abstract
Water fluoridation is considered a cost-effective and practical method for controlling and preventing dental caries in the general population. The objective of this study was to evaluate the dental health status and risk indicators for dental caries in adult Brazilian Indians without exposition to dental caries-preventive effects of water fluoridation. Decayed (DT), missing (MT), and filled (FT) permanent teeth (DMFT), as well as plaque index, unstimulated salivary flow rate, salivary buffering capacity, and fasting blood glucose were examined in 225 adult Indians. Smoking habits and sociodemographic data were evaluated using a structured questionnaire. Drinking water samples from 10 Indian villages were analyzed for the natural fluoride concentration. The mean DMFT was 10.33 ± 6.91 (DT, 4.19 ± 3.99; MT, 4.99 ± 5.64; FT, 1.14 ± 1.75). DMFT index ≥ 9 was associated with age ≥ 35 years (p = 0.000), lower education (p = 0.03), and plaque index > 40% (p = 0.003). DT was associated only with plaque index (p = 0.03). MT was associated with age (p < 0.001) and plaque index (p = 0.01). FT was negatively associated with age (p = 0.02) and income (p = 0.02). Fluoride concentration varied from 0.01 to 0.07 mg/L and was not associated with dental health status (p ≥ 0.29). In conclusion, poorer dental health status was associated with older age, higher plaque index, and lower education and income levels. The fluoride level in the drinking water of Kiriri villages was lower than the level recommended for preventing dental caries. Water fluoridation may be recommended for this population.
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Affiliation(s)
- Katia Montanha-Andrade
- Post-graduate Program in Dentistry and Health, School of Dentistry, Federal University of Bahia, Av. Araújo Pinho, 62, Canela, Salvador, Bahia, 40110-150, Brazil
| | - Wolf Maia
- Post-graduate Program in Dentistry and Health, School of Dentistry, Federal University of Bahia, Av. Araújo Pinho, 62, Canela, Salvador, Bahia, 40110-150, Brazil
| | | | - Ynara Bosco De Oliveira Lima Arsati
- Department of Biological Sciences, State University of Feira de Santana, Pc Purificação, 48, Santo Amaro, Feira de Santana, Bahia, 44200-000, Brazil
| | - Jean Nunes Dos Santos
- Department of Oral Pathology, School of Dentistry, Federal University of Bahia, Av. Araújo Pinho, 62, Canela, Salvador, Bahia, 40110-150, Brazil
| | - Patricia Ramos Cury
- Department of Periodontics, School of Dentistry, Federal University of Bahia, Av. Araújo Pinho, 62, Canela, Salvador, Bahia, 40110-150, Brazil.
- Faculdade de Odontologia, Av. Araújo Pinho, 62, Canela, Salvador, Bahia, 40110-150, Brazil.
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Silva Junior MF, Batista MJ, de Sousa MDLR. Risk factors for tooth loss in adults: A population-based prospective cohort study. PLoS One 2019; 14:e0219240. [PMID: 31329623 PMCID: PMC6645523 DOI: 10.1371/journal.pone.0219240] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 06/19/2019] [Indexed: 12/19/2022] Open
Abstract
The aim of this study was to identify the risk factors for tooth loss in an extended age group of adults over 4 years. The prospective cohort study assessed adults (20–64 years old) in 2011 and 2015, from Piracicaba, São Paulo, Brazil. The sample selection was planned based on the adult population in the city. The inclusion criteria were randomly selected residences per census tract unit (one adult per household). The exclusion criteria comprised of a physical or psychological state that prevented the achievement of clinical procedures or understanding of the questionnaire. The home oral examination was performed using the index of decayed, missing, and filled teeth (DMFT), the Community Periodontal Index according to the World Health Organization, and visible biofilm. Demographic and socio-economic data, information on health habits, and the use of dental services were obtained by questionnaire. The outcome was a presence incidence of tooth loss, assessed by the difference between Missing teeth (M>0) from DMFT in 2011 and that in 2015. The conceptual theoretical model ‘Ethnicity, aging and oral health outcomes’ was adapted for tooth loss and used in a Hierarchical multivariate Poisson Regression analysis (p<0.20). The reference category for the Poisson regression were individuals who had no missing teeth (M) due to caries or periodontal disease (p<0.05). There were a total of 143 (follow-up rate = 57.7%) participants in the four-year study, and there was incidence of tooth loss in 51 (35.7%) adults over this period. The risk factors for tooth loss were reason for seeking dental services by pain (RR = 2.72; 95.0% CI: 1.04–7.37), previous tooth loss (RR = 3.01; 95.0% CI: 1.18–7.73) and decayed teeth (RR = 2.87; 95.0% CI: 1.22–6.73). The risk factors for tooth loss were: reason for seeking dental services by pain, previous tooth loss and dental caries.
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Affiliation(s)
| | - Marília Jesus Batista
- Department of Community Health, Faculty of Medicine Jundiaí, Jundiaí, São Paulo, Brazil
- Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil
| | - Maria da Luz Rosário de Sousa
- Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil
- * E-mail:
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Pinto-Filho JM, Ribeiro LSF, Sartori L, Dos Santos JN, Ramalho LMP, Cury PR. Association between alcohol dependence and both periodontal disease and tooth loss: a cross-sectional study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:29089-29095. [PMID: 30112640 DOI: 10.1007/s11356-018-2807-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Accepted: 07/19/2018] [Indexed: 06/08/2023]
Abstract
The impact of alcohol consumption on periodontal disease and tooth loss is still under debate. The aim of this cross-sectional study was to evaluate the association between alcohol dependence and both periodontal diseases and tooth loss in Brazilian native Indians. Full mouth periodontal examination was performed and tooth loss was clinically evaluated in a representative sample of 225 Indians (≥ 19 years). Sociodemographic, oral health-related data, and alcohol dependence were evaluated using structured questionnaires. The subjects were categorized as either alcohol-dependent or non-dependent according to the Alcohol Use Disorders Identification Test results. Severe periodontal disease was defined in individuals with ≥ 2 proximal sites with a clinical attachment level ≥ 6 mm, not on the same tooth, and ≥ 1 proximal site with a probing depth ≥ 5 mm. Tooth loss was categorized as one or more missing teeth, or no missing teeth. Bivariate models followed by logistic regression were used to assess the association between alcohol dependence and both periodontal disease and tooth loss. Prevalence ratio (PR) was calculated using Mantel-Haenszel analysis. Alcohol dependence increased 2.5 times the risk for tooth loss (prevalence ratio [PR] =2.49, 95% confidence interval [CI] = 1.01-9.04, p = 0.05). Severe periodontal disease was not associated with alcohol dependence (OR = 0.54, 95% CI = 0.22-1.31, p = 0.23). In conclusion, alcohol dependence was associated with tooth loss in the present population, but severe periodontal disease was not. Questions on alcohol dependence should be included in dental anamnesis questionnaires, and patients diagnosed with alcohol dependence should be referred for dental evaluation.
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Affiliation(s)
- Jorge M Pinto-Filho
- Postgraduate Program in Health and Dentistry, School of Dentistry, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil
| | - Lívia S F Ribeiro
- Postgraduate Program in Health and Dentistry, School of Dentistry, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil
| | - Luiza Sartori
- Postgraduate Program in Health and Dentistry, School of Dentistry, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil
| | - Jean N Dos Santos
- Postgraduate Program in Health and Dentistry, School of Dentistry, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil
| | - Luciana M P Ramalho
- Postgraduate Program in Health and Dentistry, School of Dentistry, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil
| | - Patricia R Cury
- Postgraduate Program in Health and Dentistry, School of Dentistry, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil.
- Faculdade de Odontologia, Federal University of Bahia, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil.
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Risk factors for tooth loss in community-dwelling Japanese aged 40 years and older: the Yamagata (Takahata) study. Clin Oral Investig 2018; 23:1753-1760. [DOI: 10.1007/s00784-018-2604-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 08/22/2018] [Indexed: 12/26/2022]
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Lee JH, Oh JY, Choi JK, Kim YT, Park YS, Jeong SN, Choi SH. Trends in the incidence of tooth extraction due to periodontal disease: results of a 12-year longitudinal cohort study in South Korea. J Periodontal Implant Sci 2017; 47:264-272. [PMID: 29093985 PMCID: PMC5663665 DOI: 10.5051/jpis.2017.47.5.264] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Accepted: 09/17/2017] [Indexed: 11/24/2022] Open
Abstract
Purpose This study evaluated trends in tooth extraction due to acute and chronic periodontal disease (PD) using data from the National Health Insurance Service-National Sample Cohort for 2002–2013. Methods A random sample of 1,025,340 individuals was selected as a representative sample of the population, and a database (DB) of diagnostic and prescription codes was followed up for 12 years. We used multivariate logistic regression analysis to assess the incidence of total extraction (TE), extraction due to periodontal disease (EPD), and immediate extraction due to periodontal disease (IEPD) according to sociodemographic factors (sex, age, household income, health status, and area of residence). Results The incidence of tooth extraction was found to be increasing, and at a higher rate for TE in PD patients. In 2002, 50.6% of cases of TE were caused by PD, and this increased to 70.8% in 2013, while the number of cases of IEPD increased from 42.8% to 54.9% over the same period. The incidence rates of extraction due to acute and chronic PD increased monotonically. We found that the incidence rates of TE, EPD, and IEPD were all 2-fold higher among patients with high income levels and those who were not beneficiaries of health insurance. Conclusions The rates of TE, EPD, and IEPD have been steadily increasing despite dental healthcare policies to expand public health insurance coverage, increasing the accessibility of dental clinics. Moreover, the effects of these policies were found to vary with both income and education levels. Consistent patient follow-up is required to observe changes in trends regarding tooth extraction according to changes in dental healthcare policies, and meticulous studies of such changes will ensure optimal policy reviews and revisions.
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Affiliation(s)
- Jae-Hong Lee
- Department of Periodontology, Wonkwang University Daejeon Dental Hospital, Wonkwang University College of Dentistry, Daejeon, Korea
| | - Jin-Young Oh
- Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea
| | - Jung-Kyu Choi
- Department of Health Insurance Research, Ilsan Hospital, National Health Insurance Service, Goyang, Korea
| | - Yeon-Tae Kim
- Department of Periodontology, Wonkwang University Daejeon Dental Hospital, Wonkwang University College of Dentistry, Daejeon, Korea
| | - Ye-Sol Park
- Department of Periodontology, Wonkwang University Daejeon Dental Hospital, Wonkwang University College of Dentistry, Daejeon, Korea
| | - Seong-Nyum Jeong
- Department of Periodontology, Wonkwang University Daejeon Dental Hospital, Wonkwang University College of Dentistry, Daejeon, Korea
| | - Seong-Ho Choi
- Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea
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