Dental and periodontal health in Finnish adults in 2000 and 2011

Suominen, Anna Liisa; Varsio, Sinikka; Helminen, Sari; Nordblad, Anne; Lahti, Satu; Knuuttila, Matti

doi:10.1080/00016357.2018.1451653

Cited by 34 publications

(35 citation statements)

References 27 publications

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“…However, the prevalence of stage II was around 50% higher in the present study, which means that the total prevalence of periodontitis was higher in Finnmark. The prevalence of periodontitis in adults differs between European countries, and has been reported to be around 50% in Germany [28], 33-40% in Sweden [18,19,29], and 64% Finland [20,30]. However, because different case definitions for periodontitis were used, any direct comparisons should be made with caution.…”

Section: Discussionmentioning

confidence: 99%

“…Studies from Jönköping in Sweden have reported a decrease in the prevalence of periodontitis in adults (20-80 years), from 57% in 1983 to 40% in 2013 [17][18][19], but the prevalence of severe periodontitis has remained almost the same over the same decades: 16% in 1983 and 11% in 2013 [19]. Also in a Finnish adult population (30-65+ years) [20] the prevalence of deep periodontal pockets has slightly decreased over the last decade, however with difference between genders. In 2011, the prevalence was 21% in men and 14% in women.…”

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confidence: 99%

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Periodontal health in an indigenous Sámi population in Northern Norway: a cross-sectional study

et al. 2020

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Background: The aim of the study was to describe prevalence, severity and distribution of periodontal disease as well as associated risk factors in an indigenous Sámi population in Northern Norway, and to investigate differences between the indigenous Sámi and the non-Sámi population. Methods: This cross-sectional study included data from the Dental Health in the North study (N = 2078; 18-75 years). Data on Ethnicity, household income, education, smoking habits, dental attendance, and tooth brushing habits were collected by a questionnaire. Periodontal conditions were assessed by clinical examination. A modified version of the new AAP/EFP classification system of periodontal disease was used to estimate the severity of periodontitis. Three stages were used: 'Non-severe periodontitis', 'Stage II', and stage 'III/IV'. Results: Of the total study population 66.5% reported Sámi affiliation. The total prevalence of periodontitis was 49.7%, with 20.1% in Stage III/IV, but no differences between Sámi and non-Sámi. When controlled for sex, age, education, smoking and dental attendance the Sámi had higher probability of having more severe stages of periodontitis; Odds Ratio Stage II (OR) = 1.3; 95% CI: 1.1-1.7; and OR Stage III/IV (OR) = 1.6; 95% CI: 1.1-2.2) compared to non-Sámi. The Sámi had higher prevalence of periodontal pocket depth (PD) ≥ 4 mm (t = 1.77; p < 0.001) and PD ≥ 6 mm (t = 1.08; p = 0.038) than the non-Sámi. Conclusions: The prevalence of periodontitis was high in communities in the core area of Sámi settlement in Northern Norway, regardless of ethnicity. People with Sámi ethnicity had more deep periodontal pockets and an increased odds of having severe stages of periodontitis. Future studies should address possible explaining factors behind the potential higher risk of having more severe periodontitis among indigenous people in Sámi settlements.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Periodontal health in an indigenous Sámi population in Northern Norway: a cross-sectional study

et al. 2020

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“…However, the connection between dental caries experience and toothache prevalence seems to be far from straightforward. Toothache prevalence has increased despite the fact that adult Finns' oral health has been improving for many decades (27,31), and the same seems to hold true for Finnish adolescents (7). We also found that the reporting of toothache was less common among Finnish people with a lower level of education, even though they have almost three times as many decayed teeth than Finnish people with a higher educational level (32).…”

Section: Discussionmentioning

confidence: 51%

“…An Australian study (10) reported the same level of toothache prevalence as found in our study, even though they used a much longer time frame of 12 months. The discrepancy cannot be explained by differences in oral health or oral health-care service use between these countries, which are only minor (27)(28)(29). Even though the toothache question and reference periods used in this study were rather similar to those used in earlier studies (1), it would be beneficial to use the same validated questions and reference periods in these self-reported (oral) health questionnaires in order to improve comparisons between countries and populations.…”

Section: Discussionmentioning

confidence: 99%

Age–period–cohort analysis of trends in toothache prevalence among 15‐ to 64‐yr‐old Finns over a 25‐yr period

Raittio

Helakorpi

Suominen

2019

European J Oral Sciences

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Information on long‐term trends in toothache prevalence is scarce. The aim of this study was to assess age‐, period‐, and cohort‐related changes in toothache prevalence among 15‐ to 64‐yr‐old adults in Finland between 1990 and 2014 by using annual, representative postal surveys, albeit with decreasing response rates from 76% (n = 3,812) to 53% (n = 2,630). Age–period–cohort analysis of toothache prevalence during the past month was performed. Logistic regression analyses were conducted to account for other factors contributing to toothache. Toothache prevalence increased from 7% to 12% during the time period 1990 to 2014. Age–period–cohort analysis revealed that toothache prevalence increased from cohort to cohort, especially from the 1960 birth cohorts onwards (cohort effect). Adults under 30 yr of age had the highest toothache prevalence (~17%), while, in those over 30 yr of age, toothache prevalence decreased steadily according to age (to ~5% at age 64 yr, age effect). Toothache prevalence peaked at ~ 11% in the mid‐2000s (period effect). Toothache was strongly associated with poorer perceived health and lower toothbrushing frequency and less strongly associated with higher educational level, a higher number of missing teeth, history of smoking, being single, separated, or divorced, and female gender. The increase in toothache prevalence occurred especially from 1990 to the mid‐2000s, and mainly among younger age groups and more recent cohorts.

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“…These offered services include, for example catering, cleaning assistance, daily care provision, health and medical care services. They should also include OHRIs and assessment of oral health service needs as older people have frequently poor oral health, but tend to use oral health services less often than younger Finnish adults …”

Section: Introductionmentioning

confidence: 99%

Oral health assessment in domiciliary care service planning of older people

Salmi

Lahti

Tolvanen

et al. 2019

Special Care in Dentistry

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Objectives:The aim was to examine importance and consideration of oral healthrelated issues (OHRIs) during service planning by the case managers (CMs). Methods and results:The study was conducted in a major Finnish city. All 25 CMs, supervising over 450 domiciliary care employees who are caring for 4600 domiciliary care clients, received a multiple-choice questionnaire with additional open-ended questions. CMs were dichotomized by age and educational background. Differences were compared with the chi-square test and Fisher´s exact test. Response rate was 88%. All CMs considered OHRIs important. However, OHRIs were not routinely considered during service planning, especially by the CMs with a social service than health background (0% vs 30%, P < 0, 0.056). OHRIs were considered never or seldom by 73% of the CMs. OHRIs were mostly considered after evaluating the overall need for domiciliary care. A lack of guidelines was reported by 45% of the CMs. Of the CMs, 41% could use their knowledge for paying attention to OHRIs. All CMs wished for better routines for paying attention to OHRIs. Conclusion:OHRIs are not routinely considered in service planning. This study indicated a need for structured guidelines and further education for assess the need for oral home care assistance. K E Y W O R D S domiciliary care, older people, oral health assessment Spec Care Dentist. 2019;39:485-490. wileyonlinelibrary.com/journal/scd 485

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Dental and periodontal health in Finnish adults in 2000 and 2011

Abstract: The findings were in line with other population-based reports in the 2000s. However, periodontal health in Finland seems not to be as good as in many European countries and in the USA.

Cited by 34 publications

References 27 publications

Periodontal health in an indigenous Sámi population in Northern Norway: a cross-sectional study

Periodontal health in an indigenous Sámi population in Northern Norway: a cross-sectional study

Age–period–cohort analysis of trends in toothache prevalence among 15‐ to 64‐yr‐old Finns over a 25‐yr period

Oral health assessment in domiciliary care service planning of older people

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