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Ishimaru M, Zaitsu T, Kino S, Taira K, Inoue Y, Takahashi H, Tamiya N. Dental Utilization Stratified by the Purpose of Visit: A Population-Based Study in Japan. Int Dent J 2023; 73:896-903. [PMID: 37414691 PMCID: PMC10658419 DOI: 10.1016/j.identj.2023.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 05/30/2023] [Accepted: 06/16/2023] [Indexed: 07/08/2023] Open
Abstract
BACKGROUND This study aimed to provide a stratified description of dental visit utilisation by Japanese residents based on patient age, sex, prefecture, and the purpose of the visits. METHODS This cross-sectional study used the National Database of Health Insurance Claims of Japan to identify participants visiting dental clinics in Japan (April 2018-March 2019). Dental care utilisation by populations stratified by age, sex, and prefecture was assessed. We estimated the slope index of inequality (SII) and relative index of inequality (RII) to evaluate regional differences based on regional income and education. RESULTS Amongst the Japanese population, 18.6% utilised preventive dental care visits; 59,709,084 participants visited dental clinics, with children aged 5 to 9 years having the highest proportion. SII and RII were higher for preventive dental visits than those for treatments in all settings. The largest regional differences for preventive care were observed in SII of children aged 5 to 9 years and in RII of men in their 30s and women aged 80 years and older. CONCLUSIONS This nationwide population-based study revealed that the proportion of people utilising preventive dental care in Japan was low, with regional differences. Preventive care needs to be more easily accessible and available to improve the oral health of residents. The above findings may provide an important basis for improving policies related to dental care for residents.
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Affiliation(s)
- Miho Ishimaru
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan; Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
| | - Takashi Zaitsu
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Shiho Kino
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Kento Taira
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Yuko Inoue
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | | | - Nanako Tamiya
- Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
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Wagner AK, D'Souza M, Bang CN, Holmstrup P, Blanche P, Fiehn NE, Gislason G, Pedersen CT, Damgaard C, Nielsen CH, Hansen PR. Treated periodontitis and recurrent events after first-time myocardial infarction: A Danish nationwide cohort study. J Clin Periodontol 2023; 50:1305-1314. [PMID: 37464548 DOI: 10.1111/jcpe.13853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 06/23/2023] [Accepted: 06/30/2023] [Indexed: 07/20/2023]
Abstract
AIM To investigate the association between previous periodontal treatment and recurrent events after first-time myocardial infarction (MI). MATERIALS AND METHODS From the Danish nationwide registries, patients with first-time MI between 2000 and 2015 were divided into three groups according to oral health care within 1 year prior to first-time MI. A multiple logistic regression model provided adjusted odds ratios (ORs) with 95% confidence intervals (CIs) to assess the 3-year risk of major adverse cardiovascular events (MACE). RESULTS A total of 103,949 patients were included. Patients with treated periodontitis (PD) prior to first-time MI had an adjusted 3-year risk of MACE similar to patients presumed periodontally healthy (OR 0.97 [95% CI 0.92-1.03]). Patients with no prior dental visits were significantly older, had more comorbidities and showed significantly increased adjusted 3-year risks of MACE (OR 1.47 [95% CI 1.42-1.52]), cardiovascular death (OR 1.71 [95% CI 1.64-1.78]) and heart failure (OR 1.13 [95% CI 1.07-1.20]) compared with patients presumed periodontally healthy. CONCLUSIONS Patients with treated PD 1 year prior to first-time MI had a similar risk of recurrent cardiovascular events as patients presumed periodontally healthy. No dental visit prior to first-time MI was an independent risk factor for recurrent events.
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Affiliation(s)
- Andrea Kjellström Wagner
- Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark
| | - Maria D'Souza
- Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark
| | - Casper N Bang
- Department of Cardiology, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark
| | - Palle Holmstrup
- Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Paul Blanche
- Section of Biostatistics, University of Copenhagen, Copenhagen, Denmark
| | - Nils-Erik Fiehn
- Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Gunnar Gislason
- Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
- The Danish Heart Foundation, Copenhagen, Denmark
| | - Christian Torp Pedersen
- Department of Cardiology, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark
| | - Christian Damgaard
- Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Claus Henrik Nielsen
- Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
- Institute for Inflammation Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
| | - Peter Riis Hansen
- Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark
- Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
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Haukka A, Kaila M, Haukka J, Heikkinen AM. Adherence to individualized recall intervals for oral health examinations. Clin Exp Dent Res 2023; 9:177-185. [PMID: 36322122 PMCID: PMC9932253 DOI: 10.1002/cre2.686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 09/21/2022] [Accepted: 10/21/2022] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES The aim of this follow-up study was to investigate whether adults attend an oral health examination (OHE) based on their individual recall interval (IRI) without a reminder recall system. METHODS The study population included adults who were attending an OHE recommended by their dentists based on their IRI in public oral healthcare clinics of Helsinki City January 1, 2009-December 31, 2009. The inclusion criteria were as follows: alive until the end of IRI, length of the IRI of 12-60 months, and study participants had not been treated successfully by a dental specialist during the IRI period (n = 41,255). We used a multinomial model to identify the factors associated with the timing of OHE. The following predictors were included: oral health indices such as Decayed Teeth and the Community Periodontal Index, the length of the IRI based on an OHE in 2009, age, gender, socioeconomic status, presence of chronic diseases, and emergency appointment. Results were presented as odds ratios with 95% confidence intervals. RESULTS The OHE based on IRI occurred for 7505 individuals (18.2%) and the OHE was late for 9159 individuals (22.2%). A total of 24,591 (59.6%) adults did not undergo follow-up OHE based on the IRI period of on time or late. Those who came on time for follow-up OHE experienced less caries than those who came later. There was not much difference in periodontal health between the groups. The models indicated that having an emergency appointment was associated with a higher probability of having an OHE. A long IRI (37-60 months) was associated with a higher probability of not participating in OHE even late. CONCLUSIONS It would be beneficial for patients to take appointments based on the recall interval. The results of this study indicated that more needs to be done to increase awareness in the adult population of the benefits and availability of follow-up OHEs based on their IRI in oral healthcare.
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Affiliation(s)
- Anna Haukka
- Dental Care, Health Services, Social Services and Health CareCity of HelsinkiFinland
- Department of Public HealthUniversity of HelsinkiHelsinkiFinland
| | - Minna Kaila
- Public Health Medicine, Department of Public HealthUniversity of HelsinkiHelsinkiFinland
| | - Jari Haukka
- Department of Public HealthUniversity of HelsinkiHelsinkiFinland
| | - Anna M. Heikkinen
- Department of Oral and Maxillofacial Diseases, Head and Neck CenterUniversity of Helsinki, Helsinki University HospitalHelsinkiFinland
- Faculty of Medicine and Health TechnologyTampere UniversityTampereFinland
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Hitomi S, Hatta K, Murotani Y, Takahashi T, Gondo Y, Kamide K, Masui Y, Ishizaki T, Kabayama M, Ogata S, Matsuda K, Mihara Y, Fukutake M, Hagino H, Higashi K, Akema S, Kitamura M, Murakami S, Maeda Y, Ikebe K. Predictive factors for tooth loss in older adults vary according to occlusal support: A 6-year longitudinal survey from the SONIC study. J Dent 2022; 121:104088. [DOI: 10.1016/j.jdent.2022.104088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Revised: 02/18/2022] [Accepted: 03/04/2022] [Indexed: 10/18/2022] Open
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Kim KS, Kim T, Kang SH, Lee JR, Lee HJ, Lee H. Effect of Dental Screening on Cardiovascular Risk: A Nationwide Cohort Study. J Clin Periodontol 2021; 49:251-259. [PMID: 34897761 DOI: 10.1111/jcpe.13584] [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: 08/03/2021] [Revised: 11/27/2021] [Accepted: 12/03/2021] [Indexed: 11/30/2022]
Abstract
AIM To evaluate the effect of dental screening on the risk of cardiovascular disease (CVD) using data from a nationwide population-based cohort. MATERIALS AND METHODS This retrospective cohort study extracted data of 478,245 individuals aged 40-79 years who participated in a health screening programme in 2002-2003 from the National Health Insurance Service-National Health Screening Cohort. Based on screening experience, participants were classified into the non-screening, general screening only, and dental screening groups. Using Cox proportional hazard models, hazard ratios (HRs) were determined for major adverse cardiovascular events (MACE) during each group's 11-year follow-up period. RESULTS The risk of MACE in the dental screening group was 10% lower than that in the non-screening group (adjusted HR, 0.90; 95% confidence interval [CI], 0.87-0.93; P<0.001) and 9% lower than that in the general screening only group (adjusted HR, 0.91; 95% CI, 0.89-0.94; P<0.001). CONCLUSIONS Dental screening was associated with a lower MACE risk; however, decreases in CVD-related healthcare utilisation and costs were not clinically significant. The association could be attributed to healthy habits of participants in the dental screening group; nevertheless, it is conceivable that the improvement of oral health through dental screening influenced CVD prevention.
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Affiliation(s)
- Keun-Suh Kim
- Department of Periodontology, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea
| | - Tackeun Kim
- Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea
| | - Si-Hyuck Kang
- Cardiovascular Center, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea.,Department of Internal Medicine, Seoul National University, Seoul, Korea
| | - Jae Ryun Lee
- Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea
| | - Hyo-Jung Lee
- Department of Periodontology, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea
| | - Hyejin Lee
- Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea
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Diamanti I, Polychronopoulou A, Papaioannou W, Theodoridis C, Margaritis V, Mamai-Homata E, Kalfas S. Socio-behavioral factors, oral hygiene level and periodontitis prevalence in a 35-44-year-old Greek adult population: A cross-sectional survey. J Clin Exp Dent 2021; 13:e1021-e1029. [PMID: 34667498 PMCID: PMC8501865 DOI: 10.4317/jced.58507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Accepted: 08/24/2021] [Indexed: 11/05/2022] Open
Abstract
Background Sub-optimal oral hygiene is considered as a primary risk factor for periodontitis occurrence. Various socio-behavioral determinants may contribute either independently or by influencing adversely the oral hygiene (OH) level. The aim of the present study was to examine the periodontal status of 35-44-year-old Greek adults and determine the contribution of risk indicators, including the socio-behavioral aspects and the population’s oral hygiene level, on disease prevalence.
Material and Methods In 1218 participants, Community Periodontal Index (CPI), Loss of Attachment (LoA) and simplified Oral Hygiene Index (OHI-S) were calculated. Multivariable regression models examined the effect of socio-behavioral factors with/without the inclusion of OHI-S level on pocket depth (PD)≥4mm and LoA≥4mm presence.
Results 11.8% of the participants had healthy periodontium, whereas 37.3% and 5.6% presented with shallow and deep pocketing, respectively. 60.4%, 28.8%, and 10.8.% of the adults demonstrated LoA≤3mm, 4-5mm, and ≥6mm, accordingly. Fair and poor oral hygiene significantly increased the likelihood for PD≥4mm (OR=4.8-20.3) and LoA≥4mm (OR=3.3-6.0) presence. ‘Emergency-oriented dental visiting pattern’ significantly elevated the chance for PD≥4mm presence (OR=1.7). ‘Lower education level’ ‘urban location’, and ‘using an interdental brush’ were significantly independently linked to LoA≥4mm occurrence (OR=1.7-2.1, 1.5, and 2.0, respectively). Lower educated individuals demonstrated inferior oral hygiene status, which in turn elevated significantly the chances of PD≥4mm presence. Smoking more than 10 cigarettes/day, emergency-oriented dental attendance pattern and not flossing were linked to worse oral hygiene levels, which consequently increased significantly the likelihood of LoA≥4mm occurrence.
Conclusions Fair and poor oral hygiene contribute strongly to periodontitis occurrence. Various socio-behavioral factors may influence adversely oral hygiene maintenance, leading to periodontitis manifestations. Key words:Community periodontal index, periodontal attachment loss, oral hygiene, adults 35-44, cross-sectional survey, socio-behavioral indicators.
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Affiliation(s)
- Iliana Diamanti
- Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Argy Polychronopoulou
- Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - William Papaioannou
- Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Charis Theodoridis
- Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | | | - Eleni Mamai-Homata
- Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Sotirios Kalfas
- Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Cruz Olivo EA, Corradi-Dias L, Paiva SM, Storino RJ, Moura MF, Pereira AG, Cota LOM, Costa FO, Abreu LG. Association Between Sense of Coherence and Periodontal Outcomes: A Systematic Review and Meta-analysis. FAMILY & COMMUNITY HEALTH 2021; 44:225-234. [PMID: 32842003 DOI: 10.1097/fch.0000000000000277] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This systematic review and meta-analysis aimed to evaluate the association between sense of coherence (SOC) and periodontal outcomes. Electronic searches were performed in 6 databases. Seventeen studies that evaluated the association between SOC and periodontal outcomes were included. The included studies demonstrated that individuals with a stronger SOC were more likely to present improved periodontal outcomes. The meta-analysis showed that individuals with a lower SOC were 3.31 times more likely to present bleeding on probing. Sons/daughters of mothers with a lower SOC were 3.22 times more likely to present gingival bleeding. Individuals with a stronger SOC have better periodontal health.
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Affiliation(s)
- Edison Andres Cruz Olivo
- Departments of Periodontology (Messrs Cruz Olivo, Storino, and Pereira, Ms Moura, and Drs Miranda Cota and Costa) and Child's and Adolescent's Oral Health (Ms Corradi-Dias and Drs Paiva and Abreu), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; and Department of Population & Patient Health, King's College London, United Kingdom (Dr Abreu)
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Inoue Y, Shimazaki Y, Oshiro A, Zaitsu T, Furuta M, Ando Y, Miyazaki H, Kambara M, Fukai K, Aida J. Multilevel Analysis of the Association of Dental-Hygienist-Related Factors on Regular Dental Check-Up Behavior. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18062816. [PMID: 33802068 PMCID: PMC7998093 DOI: 10.3390/ijerph18062816] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 03/04/2021] [Accepted: 03/08/2021] [Indexed: 12/17/2022]
Abstract
Few studies have examined the factors related to dental clinics during dental check-ups. We examined the association between dental-hygienist-related factors and patients’ regular dental check-ups. This nationwide cross-sectional study was based on a survey conducted in Japan in 2014. The analyzed population included 12,139 patients from 1181 dental clinics. We used three-level Poisson regression analysis, considering patient‒clinic‒prefecture, to examine the association of dental-hygienist-related factors with dental check-up behavior. Patients attending treatment and regular check-ups constituted 63.0% and 37.0%, respectively. The adjusted prevalence ratios (PRs) for patients undergoing regular dental check-ups at dental clinics with dedicated dental hygienists’ units, spending ≥20 min in patient education (compared to 0 min), and with three or more dental hygienists (compared to 0 hygienists) available were 1.17 (95% confidence interval [CI]: 1.06–1.30), 1.25 (95%CI: 1.07–1.46), and 2.05 (95%CI: 1.64–2.56), respectively. The median PR indicates that when a patient randomly moves to another dental clinic with more regular dental check-ups, this prevalence increased 1.69 times. These results suggest that dental check-up behavior is determined not only by individual factors but also dental-clinic-level factors. Improving the dental-hygienist-related factors is necessary to encourage people to visit dentists for regular check-ups.
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Affiliation(s)
- Yuko Inoue
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (Y.I.); (A.O.); (T.Z.)
| | - Yoshihiro Shimazaki
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Aichi 464-8650, Japan;
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
| | - Akiko Oshiro
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (Y.I.); (A.O.); (T.Z.)
| | - Takashi Zaitsu
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (Y.I.); (A.O.); (T.Z.)
| | - Michiko Furuta
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science Kyushu University, Fukuoka 812-8582, Japan
| | - Yuichi Ando
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- National Institute of Public Health, Saitama 351-0197, Japan
| | - Hideo Miyazaki
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Meirin College, Niigata 950-2086, Japan
| | - Masaki Kambara
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Department of Dentistry, Osaka Dental University, Osaka 573-1144, Japan
| | - Kakuhiro Fukai
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Fukai Institute of Health Science, Saitama 341-0003, Japan
| | - Jun Aida
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (Y.I.); (A.O.); (T.Z.)
- 8020 Promotion Foundation, Tokyo 102-0073, Japan; (M.F.); (Y.A.); (H.M.); (M.K.); (K.F.)
- Division for Regional Community Development, Liaison Center for Innovative Dentistry, Graduate School of Dentistry, Tohoku University, Miyagi 980-8575, Japan
- Correspondence: ; Tel.: +81-3-5803-5475; Fax: +81-3-5803-0194
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Wade A, Hobbs M, Green MA. Investigating the relationship between multimorbidity and dental attendance: a cross-sectional study of UK adults. Br Dent J 2019; 226:138-143. [PMID: 30679858 DOI: 10.1038/sj.bdj.2019.47] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2018] [Indexed: 11/09/2022]
Abstract
Introduction Regular dental attendance is related to better oral health. However, long-standing health conditions (LSHCs) may be related to dental attendance and this relationship may vary by socioeconomic status. Method Data were collected from wave two (2013–2015) of the Yorkshire Health Study (n= 7,654). Data included dental attendance, LSHC, age, gender, education-level, smoking, body mass index, and area-level deprivation. Logistic regression (attend or not) was used to analyse associations with LSHC and multimorbidity. Results Overall, 63.1% (n = 4,826) of individuals attended the dentist. Of these, 37.8% (n =2894) had no LSHC, 26.0% (n = 1987) had one LSHC and 36.4% (n = 2784) had two or more LSHC. The presence of a singular LSHC was not associated with dental attendance(OR = 0.91 [0.81, 1.04]), however, those with two or more LSHCs were more likely to attend the dentist (OR = 0.81 [95% CI 0.72, 0.92]). Interactions between individual-level education, as a marker of socioeconomic status, and LSHC revealed few associations with dental attendance. Conclusion Multimorbidity was associated with dental attendance such that those with multimorbidity were more likely to attend. These important findings highlight the increasing challenge of multimorbidity for global healthcare systems.
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Affiliation(s)
- A Wade
- Leeds General Infirmary, Leeds, LS1 3EX
| | - M Hobbs
- GeoHealth Laboratory, Geospatial Research Institute, Christchurch, New Zealand
| | - M A Green
- School of Environmental Sciences, University of Liverpool, Liverpool, United Kingdom
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Kim ES, Kim BI, Jung HI. Does the national dental scaling policy reduce inequalities in dental scaling usage? A population-based quasi-experimental study. BMC Oral Health 2019; 19:185. [PMID: 31412821 PMCID: PMC6694626 DOI: 10.1186/s12903-019-0881-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 08/07/2019] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND In 2013, the national dental scaling insurance policy was introduced in South Korea. The purpose of this study is to determine the impact of the policy on inequalities in dental scaling usage. METHODS Data of a nationally representative sample of 1,517,097 people over the age of 20 were obtained from the 2010-2016 Community Health Survey. Respondents who reported that they had not received dental scaling in the past year were defined as dental scaling non-users. The excess prevalence and relative prevalence ratio of dental scaling non-users were calculated for the pre-policy (2010-2012) and post-policy periods (2014-2016) using monthly household income levels. Additionally, trends of dental scaling inequalities were shown as concentration indexes. RESULTS The prevalence of dental scaling non-users declined from 58.0 to 48.7% in the highest income group and from 86.3 to 78.8% in the lowest income group. However, the adjusted excess prevalence for the lowest income group compared with the highest had increased from 11.9 (95% CI: 11.9-11.9) to 15.5 (95% CI: 15.5-15.5)%, and the adjusted prevalence ratio increased from 1.19 (95% CI: 1.19-1.20) to 1.29 (95% CI: 1.29-1.30). Absolute and relative concentration indexes of dental scaling non-users increased after policy implementation. CONCLUSIONS The national dental scaling insurance policy has increased socioeconomic inequalities in dental scaling usage. Because dental care access generally requires high individual agency, expanded dental coverage may have had limited effects in attenuating inequalities and inadvertently widened the gap. To reduce dental care inequalities, universal access with universal dental coverage should be considered.
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Affiliation(s)
- Eun-Soo Kim
- Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722 Republic of Korea
| | - Baek-Il Kim
- Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722 Republic of Korea
- BK21 PLUS Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722 Republic of Korea
| | - Hoi In Jung
- Department of Preventive Dentistry & Public Oral Health, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722 Republic of Korea
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11
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Saito M, Shimazaki Y, Nonoyama T, Tadokoro Y. Type of dental visit and number of remaining teeth in Japanese elders. J Oral Sci 2019; 60:611-617. [PMID: 30587693 DOI: 10.2334/josnusd.17-0335] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The aim of this study was to examine the association between type of dental visit and number of remaining teeth in Japanese elders. Data were collected from 3,163 adults aged 75 or 80 years who underwent an oral health examination. Type of dental visit was classified into four categories by treatment(s) received (none, periodontal, caries, or other treatment). Number of remaining teeth was classified as ≥20, 10-19, or 0-9 teeth. Multivariate multinomial logistic regression analysis was used to examine associations between type of dental visit and number of remaining teeth among all participants and the 3,032 dentate elderly. As compared with elders who did not visit a dentist, those who received periodontal or caries treatments had a significantly lower odds ratio for having 0-9 teeth, and those who received periodontal treatment had a significantly lower odds ratio of having 10-19 teeth. In the multivariate linear regression model, number of days of periodontal treatment was positively associated with number of remaining teeth. Our results suggest that type of dental visit is associated with number of remaining teeth in Japanese elders.
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Affiliation(s)
- Mizuki Saito
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University
| | - Yoshihiro Shimazaki
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University
| | - Toshiya Nonoyama
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University
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12
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Bernabé E, Knuuttila M, Suominen AL. Interdental cleaning and periodontal pocketing among finnish adults. J Clin Periodontol 2019; 46:310-320. [PMID: 30734957 DOI: 10.1111/jcpe.13081] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 01/29/2019] [Accepted: 02/02/2019] [Indexed: 11/30/2022]
Abstract
AIM To investigate the relationship between frequency of interdental cleaning and 11-year change in teeth with periodontal pocketing in Finnish adults. METHODS Data from 1667 dentate adults, aged 30 to 82 years, who participated in the Health 2000 survey and were re-examined in 2004 and/or 2011 were analysed. Participants reported their frequency of interdental cleaning (either dental floss or interdental brush) at baseline. Teeth with periodontal pocketing (PD) ≥4 mm were counted in every survey and treated as a repeated outcome. The association between the frequency of interdental cleaning and the number of teeth with PD ≥4 mm was evaluated in linear mixed effects models, controlling for demographic factors, socioeconomic position, diabetes, smoking status, toothbrushing frequency, dental attendance and number of teeth. RESULTS Twelve per cent of adults reported daily interdental cleaning. Significant inverse linear trends in the number of teeth with PD ≥4 mm were found in every survey according to the frequency of interdental cleaning. However, this association was completely attenuated after adjustment for the full set of confounders. Contrarily, toothbrushing frequency was negatively associated with the baseline number of teeth with PD ≥4 mm and its rate of change over time. CONCLUSION Interdental cleaning was not associated with 11-year change in periodontal pocketing after accounting for other established risk factors for periodontal disease.
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Affiliation(s)
- Eduardo Bernabé
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | - Matti Knuuttila
- Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Anna L Suominen
- Department of Oral Public Health, Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.,Public Health Evaluation and Projection Unit, National Institute for Health and Welfare (THL), Helsinki, Finland.,Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland
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13
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Saito M, Shimazaki Y, Fukai K, Furuta M, Aida J, Ando Y, Miyazaki H, Kambara M. Risk factors for tooth loss in adult Japanese dental patients: 8020 Promotion Foundation Study. ACTA ACUST UNITED AC 2019; 10:e12392. [PMID: 30680956 DOI: 10.1111/jicd.12392] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Accepted: 11/12/2018] [Indexed: 11/26/2022]
Abstract
AIM The assessment of the risk of tooth loss in patients visiting a dental clinic is important for managing their oral health. In the present study, we examined the risk factors for tooth loss among dental patients. METHODS Data from the 8020 Promotion Foundation Study on the Health Promotion Effects of Dental Care were used in the present study. The study involved 2743 patients who visited a dental clinic in Japan and completed a questionnaire and oral health examination at baseline and at the 2-year follow up. Tooth- and person-level risk factors for tooth loss during 2 years were subjected to a multilevel multivariate logistic regression analysis. RESULTS In both the person- and tooth-level analyses, age, smoking habit, reason for dental visit, economic status, number of remaining teeth, and periodontal status were significantly associated with tooth loss. In the tooth-level analysis, tooth type, tooth status, and periodontal status were significantly related to tooth loss. Persons who visited a dental clinic for periodic maintenance had a significantly lower risk of tooth loss than those who visited only to receive dental treatment. CONCLUSIONS Various tooth-level factors and modifiable factors, such as smoking cessation and periodic maintenance, are important for the suppression of tooth loss in dental patients.
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Affiliation(s)
- Mizuki Saito
- Department of Preventive Dentistry and Dental Public Health, Aichi Gakuin University, Nagoya, Japan
| | - Yoshihiro Shimazaki
- Department of Preventive Dentistry and Dental Public Health, Aichi Gakuin University, Nagoya, Japan.,8020 Promotion Foundation, Tokyo, Japan
| | | | - Michiko Furuta
- 8020 Promotion Foundation, Tokyo, Japan.,Section of Preventive and Public Health Dentistry, Kyushu University Faculty of Dental Science, Fukuoka, Japan
| | - Jun Aida
- 8020 Promotion Foundation, Tokyo, Japan.,Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Yuichi Ando
- 8020 Promotion Foundation, Tokyo, Japan.,National Institute of Public Health, Wako, Japan
| | - Hideo Miyazaki
- 8020 Promotion Foundation, Tokyo, Japan.,Department of Oral Health Science, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Masaki Kambara
- 8020 Promotion Foundation, Tokyo, Japan.,Osaka Dental University, Hirakata, Japan
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14
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Talakey AA, Bernabé E. Long-term regular dental attendance and tooth retention among British adults: A cross-sectional analysis of national survey data. Int J Dent Hyg 2018; 17:64-70. [DOI: 10.1111/idh.12373] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 09/28/2018] [Accepted: 10/28/2018] [Indexed: 12/19/2022]
Affiliation(s)
- Arwa Ameen Talakey
- Faculty of Dentistry; Oral & Craniofacial Sciences, King’s College; London UK
- Department of Periodontics and Community Dentistry; King Saud University Dental College; Riyadh Saudi Arabia
| | - Eduardo Bernabé
- Faculty of Dentistry; Oral & Craniofacial Sciences, King’s College; London UK
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15
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Morelli EL, Broadbent JM, Leichter JW, Thomson WM. Pregnancy, parity and periodontal disease. Aust Dent J 2018; 63:270-278. [PMID: 29770451 DOI: 10.1111/adj.12623] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/07/2018] [Indexed: 12/21/2022]
Abstract
Many women believe that their dental condition deteriorated during pregnancy or as a result of having children. Epidemiological studies have reported an association between higher parity and tooth loss, and higher parity and periodontal attachment loss. Several possible explanations for this association exist. First, hormonal changes during pregnancy affect the immune response to bacterial plaque and drive vascular and gingival changes that may contribute to heightened gingival inflammation. These changes are transient, without irreversible loss of periodontal attachment, and post-partum resolution can be expected for most women. For women with destructive periodontal disease, the effects of pregnancy and parity are unclear. Second, it is also plausible that parity and socioeconomic position (SEP) have shared risk factors, increasing the incidence of disease or influencing its management. Education, one aspect of SEP, is an important determining factor for women's fertility rate, with a gradient of fewer children with higher educational attainment. Higher levels of education are also favourably associated with behaviours conducive to oral health, and a lower incidence of damaging health behaviours. Thus, the potential for confounding is considerable. This review examines the literature on the association between pregnancy, parity and periodontal health, and explores sociobehavioural mechanisms for the observed association.
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Affiliation(s)
- E L Morelli
- The University of Otago - Sir John Walsh Research Institute, Dunedin, New Zealand
| | - J M Broadbent
- The University of Otago - Sir John Walsh Research Institute, Dunedin, New Zealand
| | - J W Leichter
- The University of Otago - Sir John Walsh Research Institute, Dunedin, New Zealand
| | - W M Thomson
- The University of Otago - Sir John Walsh Research Institute, Dunedin, New Zealand
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16
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Lee W, Lim SS, Kim B, Won JU, Roh J, Yoon JH. Relationship between long working hours and periodontitis among the Korean workers. Sci Rep 2017; 7:7967. [PMID: 28801658 PMCID: PMC5554150 DOI: 10.1038/s41598-017-08034-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2017] [Accepted: 07/06/2017] [Indexed: 12/20/2022] Open
Abstract
We aimed to investigate the association between long working hours and periodontitis, and whether such an association constitutes an exposure-response relationship. Data for this study were collected from the Korea National Health and Nutrition Examination Surveys conducted from 2007 to 2014; 17,533 workers (9,483 of men and 8,050 of women) were included. The odds ratios (OR) and 95% confidence intervals (CI) for the analysis of periodontitis defined as positive of Community Periodontal Index in relation to working hours were calculated using multiple logistic regression models with various stratifications. Compared to participants who worked ≤40 hours per week, the prevalence ratio (95% CI) for the periodontitis was 1.19 (1.14–1.24) and full adjusted OR (95% CI) was 1.09 (1.02–1.18) in participants who worked over 40 hours per week. The OR (95% CI) for periodontitis were 1.09 (0.99–1.19) in working group of 40< and ≥52 and 1.10 (1.01–1.20) in working group of >52 hours per week with a significant trend (p = 0.0233) even after adjusting for age, socioeconomic status, healthy behaviour, chronic disease, and dental care status. Long working hours are associated with periodontitis among Korean workers in an exposure-response manner.
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Affiliation(s)
- Wanhyung Lee
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, Korea.,Graduate School of Public Health, College of Medicine, Yonsei University, Seoul, Korea.,Incheon Worker's Health Center, Incheon, Korea
| | - Sung-Shil Lim
- Severance Hospital, Health System, Yonsei University, Seoul, Korea
| | - Byurira Kim
- Severance Dental Hospital, College of Dentistry, Yonsei University, Seoul, Korea
| | - Jong-Uk Won
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, Korea.,Graduate School of Public Health, College of Medicine, Yonsei University, Seoul, Korea.,Incheon Worker's Health Center, Incheon, Korea.,Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Korea
| | - Jaehoon Roh
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, Korea.,Graduate School of Public Health, College of Medicine, Yonsei University, Seoul, Korea.,Incheon Worker's Health Center, Incheon, Korea.,Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Korea
| | - Jin-Ha Yoon
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, Korea. .,Graduate School of Public Health, College of Medicine, Yonsei University, Seoul, Korea. .,Incheon Worker's Health Center, Incheon, Korea. .,Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Korea.
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17
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Sun X, Bernabé E, Liu X, Gallagher JE, Zheng S. Do contextual factors have a role in periodontal disease? J Clin Periodontol 2016; 44:13-21. [DOI: 10.1111/jcpe.12630] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Xiangyu Sun
- Department of Preventive Dentistry; Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology; Beijing Key Laboratory of Digital Stomatology; Beijing China
- King's College London Dental Institute at Guy's; King's College and St Thomas' Hospitals, Population and Patient Health Division; London UK
| | - Eduardo Bernabé
- King's College London Dental Institute at Guy's; King's College and St Thomas' Hospitals, Population and Patient Health Division; London UK
| | - Xuenan Liu
- Department of Preventive Dentistry; Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology; Beijing Key Laboratory of Digital Stomatology; Beijing China
| | - Jennifer E. Gallagher
- King's College London Dental Institute at Guy's; King's College and St Thomas' Hospitals, Population and Patient Health Division; London UK
| | - Shuguo Zheng
- Department of Preventive Dentistry; Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology; Beijing Key Laboratory of Digital Stomatology; Beijing China
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