Objective: To explore the association between tooth loss and cognitive functioning among persons 65 years and older.
Methods: Data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly (Wave 1: 1993-1994, n= 3,032; Wave 2: 1995-1996, n= 2,424; and Wave 3: 1998-1999, n= 1,967). The dependent variables were the scores from the total Mini-Mental State Examination (MMSE: score 0-30) and its global domains (memory: score 0-6; and no-memory: score 0-24). Independent variables included the number of teeth (0-12 vs. 13-32), socio-demographic characteristics, last dental office visit, medical conditions, depressive symptoms, and functional limitations which were tested for associations with the dependent variables.
Results: In bivariate analyses, participants with fewer teeth (0-12) tended to have significantly lower mean scores for memory, no-memory, and total MMSE when compared to those with more teeth (13-32), both at baseline and at follow-up. In fully adjusted longitudinal-mixed models, participants with fewer teeth had a greater decline in total MMSE through five years of follow-up with a decrease of 0.12 fewer points each year (SE ± 0.05, p <0.01), when compared to those with more teeth.
Conclusion: Having fewer teeth was associated with greater cognitive decline over time.
La formación tardía de premolares supernumerarios es mas frecuente de lo que se ha estimado en nuestro medio ya que se encuentra una prevalencia de entre el 8% y el 9%de todos los dientes supernumerarios; el 75% de estos dientes están impactados, sin rupcionar y generalmente permanecen asintomático. Se realizó una búsqueda bibliográfica sobre el tema y se presentan cuatro casos en los cuales se observa la aparición tardía de premolares supernumerarios. Dientes supernumerarios, premolares,análisis radiográfico.
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