Caries status at the moment of total tooth extraction in a rural and an urban area in the Netherlands

Bouma, J.; Schaub, Rmh; Poel, Fons van de

doi:10.1111/j.1600-0528.1986.tb01088.x

Cited by 8 publications

(6 citation statements)

References 5 publications

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“…The edentulousness rates in the Norwegian population over 67 years have been shown to vary from 11% in the south to 66% in the north (7) . The reasons for the regional differences in our study are presumed to be the same as in many other studies both in Finland and in other countries: poor availability of dental care, poor estimation of dental health, differences in income levels and between habits in urban/rural regions and other social and cultural factors (7, 8, 22, 32–34).…”

Section: Discussionmentioning

confidence: 57%

Prevalence of edentulousness and related factors among elderly Finns

Haikola¹,

Oikarinen

Söderholm

et al. 2008

J of Oral Rehabilitation

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Edentulousness is a multifactor phenomenon. While its overall prevalence is diminishing, it is increasing in older age groups. The aim of this study was to assess the prevalence of edentulousness among the elderly in two municipalities in Finland and to estimate different factors related to it. All persons born in the years 1919, 1922, 1925, 1928, 1931, 1934 and 1937 living in two municipalities (Kirkkonummi in the southern part of Finland and Lakeus in the northern part of Finland) were invited to participate in the study in 1997. The target population consisted of 1733 subjects of whom 1191 were disposed to participate in a clinical examination performed by two dentists. Of the subjects, 624 were from the southern district (Kirkkonummi) and 566 were from the northern district (Lakeus). The participation rates were 62% and 78%, respectively. The subjects answered a questionnaire comprising sociodemographical data, questions on dental and general health and health behaviour. Logistic regression analysis was used to assess the associations between edentulousness and potential associating factors. The overall prevalence of edentulousness was 37%; being 53% in the northern region and 22% in the southern region. Edentulousness was positively associated with high age [odds ratio (OR = 1.09), confidence interval (CI = 1.06-1.12)], female gender (OR = 2.06, CI = 1.43-2.94), northern place of residence (OR = 2.01, CI = 1.45-2.78), low level of education (OR = 7.09, CI = 3.18-15.81), cardiovascular diseases (OR = 1.51, CI = 1.03-2.21) and current smoking versus never smoking (OR = 1.73, CI = 1.17-2.55). Social factors were more prominently associated with edentulousness than factors related to general health.

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Section: Discussionmentioning

confidence: 57%

Prevalence of edentulousness and related factors among elderly Finns

Haikola¹,

Oikarinen

Söderholm

et al. 2008

J of Oral Rehabilitation

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“…The plausible reason for this is that in these cases the dentists did not have an opportunity to make a proposal. Considering the patients' general bad dental condition (1,2), their high level of anxiety, their inclination to defer dental visits in ca.se of toothache, etc. (16), it is reasonable to assume that these patients asked for a full mouth extraction themselves: at the moment other alternatives to full mouth extraction could not be considered realistic.…”

Section: Discussionmentioning

confidence: 99%

Decision processes preceding full mouth extractions

Bouma

Westert

Schaub

et al. 1987

Comm Dent Oral Epid

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Full mouth extraction is the final step in a continuous process in which not only dental but also social processes play a role. In a research project concerning the reasons for full mouth extractions in The Netherlands, it was found that over one-third of the patients had considered full mouth extractions at least once before, and 16% considered it frequently over a period of many years. Anxiety was the most important reason for not visiting a dentist. In the patients' view in 86% of the cases they were the initiator of the decision to have all their teeth extracted. According to the dentist the patients initiated full mouth extraction in 70% of the cases. Dentists and patients agreed that irregular attenders more often took the initiative than regular attenders. Most patients (87%) had discussed the decision to have all teeth extracted with one or more persons; different contacts were reported by 14% percent of the patients. According to Freidson's lay referral theory two groups could be identified: a group with a severely truncated lay referral structure and a group characterized by a more extended lay referral structure. The first group was older (46 versus 36 yr) and had a more positive attitude towards full dentures. In order to avoid problems dentists are recommended to involve (a representative of) the patient's social network when important decisions have to be taken.

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“…In this group no clear non-disease factors contributing to the full clearance could be found. It is therefore suggested that because of the deterioration of the dendfion (13), in spite of regular dental care, full mouth extraction was an acceptable soludon at their age.…”

Section: The Regular Attendersmentioning

confidence: 99%

“…It is suggested that bad experiences do not so much lead to anxiety as anxiety leads to negative perception of experiences with dentistry leading to a reinforced vicious cycle of poor attendance. Facilitated by a positive attitude towards full denlures their bad dental condition (13) finally urges them to take full dentures at an early age.…”

Section: Once Regular Attendersmentioning

confidence: 99%

“…The dentists were asked to collect the extracted teeth from all patients receiving full dentures and to fill out a short questionnaire concerning their reasons (or diagnoses) for the extractions during a 1yr period. The representativeness of the populations studied (1) and the assess-ment ofthe periodontal status (12) and the caries status (13) have been described elsewhere. The dentists also asked their patients to fill out a questionnaire at hotne.…”

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confidence: 99%

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Pathways to full mouth extraction

Bouma

Uitenbroek

Westert

et al. 1987

Comm Dent Oral Epid

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The process of not attending the dentist is a vicious cycle in which anxiety plays a crucial role. A research project concerning the disease and non-disease reasons for full mouth extraction provided an opportunity to describe the dental histories in terms of dental attendance pattern and related factors which resulted in full dentures. Three profiles of dental histories could be outlined: 1) The regular attenders (19%). Because of their age (means = 47 yr), their positive attitude towards dentistry together with their positive attitude towards full dentures, it is suggested that the possibilities of keeping the natural dentition were exhausted so that full mouth extraction was an acceptable solution. 2) The symptomatic attenders (38%). Because anxiety, which was widespread in this group, was not based on negative experiences, it is suggested that anxiety is caused by social learning. Together with their positive attitude towards full dentures, the high prevalence of full dentures in their social environment and their low socioeconomic status, the conclusion is drawn that these patients lived in a culture which supports behavior that leads to total tooth loss. 3) Once regular attenders (43%). In this group anxiety leads to a negative perception of dental visits and to a negative attitude towards dentists. As a consequence dental visits are deferred, which results in deterioration of the dentition. Experiences with dentists are distorted in a negative way, which increases dental anxiety. Facilitated by a positive attitude towards full dentures, their bad dental condition finally urges them to take full dentures at early age.

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Caries status at the moment of total tooth extraction in a rural and an urban area in the Netherlands

Cited by 8 publications

References 5 publications

Prevalence of edentulousness and related factors among elderly Finns

Prevalence of edentulousness and related factors among elderly Finns

Decision processes preceding full mouth extractions

Pathways to full mouth extraction

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