Comorbid depression/anxiety and teeth removed: Behavioral Risk Factor Surveillance System 2010

Abstract

Objective The purpose of this study was to examine the association between participants 1) who reported having had clinical diagnoses of depression and anxiety with 6+ teeth removed and 2) who reported having had clinical diagnoses of depression and anxiety with edentulism. Methods The Behavioral Risk Factor Surveillance System (BRFSS) Survey 2010 was used for the study. Analyses involved using SAS 9.3 to determine variable frequencies, Rao–Scott chi-square bivariate analyses, and Proc Surveylogistic for the logistic regressions on complex survey designs. Participants eligibility included being 18 years or older and having complete data on depression, anxiety, and number of teeth removed. Results There were 76 292 eligible participants; 13.4% reported an anxiety diagnosis, 16.7% reported a depression diagnosis, and 8.6% reported comorbid depression and anxiety. The adjusted logistic regression models were significant for anxiety and depression alone and in combination for 6+ teeth removed (AOR: anxiety 1.23; 95% CI: 1.10, 1.38; P = 0.0773; AOR: depression 1.23; 95% CI: 1.10, 1.37; P = 0.0275; P < 0.0001; and AOR: comorbid depression and anxiety 1.30; 95% CI: 1.14, 1.49; P = 0.0001). However, the adjusted models with edentulism as the outcome failed to reach significance. Conclusions Comorbid depression and anxiety are associated independently with 6+ teeth removed compared with 0–5 teeth removed in a national study conducted in United States. Comorbid depression and anxiety were not shown to be associated with edentulism as compared with any teeth present.

Periodontitis prevalence in adults ≥ 65 years of age, in the USA

“…Approximately 70% of Americans over the age of 65 years do not have dental insurance . Despite progress in medical care coverage with the Affordable Care Act , dental coverage is not generally included. Half of this population reported to not having seen a dentist for any reason in the last year attests to barriers to obtaining dental care in this older cohort.…”

“…For example, loss of self‐esteem is associated with loss of teeth and with untreated disease, such as periodontitis . Finally, periodontal disease is associated with several systemic diseases and conditions , such as diabetes , cardiovascular diseases , pulmonary diseases , rheumatoid arthritis , cognitive impairment/Alzheimer's disease , as well as cancers of the oro‐digestive tract (oral cavity, gastrointestinal tract, bladder, liver, kidney and pancreas) . Whether the “golden” years at the end of the life cycle are lived in a healthy, enjoyable and productive style depends, in part, on the oral health status.…”

Widespread Volumetric Brain Changes following Tooth Loss in Female Mice

“…It is commonly known that tooth loss can induce intense emotional distress (Okoro et al, 2012; Wiener et al, 2015). In the present study, tooth loss was associated with volume loss in the frontal association cortex and nucleus accumbens.…”

The relationship between chronic physical conditions, multimorbidity and anxiety in the general population: A global perspective across 42 countries

“…For example, it is well established that anxiety is associated with several chronic physical co-morbidities [1]. Of particular concern are cardiovascular diseases [8], diabetes [9], pulmonary diseases [10], chronic pain [11], infectious diseases such as tuberculosis [12], arthritis [13], edentulism [14], and mainly in older people, visual impairment [15] and hearing problems [16]. Given the increasing prevalence of chronic conditions worldwide [17], a further understanding of the determinants, consequences and management of the comorbidity between anxiety and chronic physical conditions should be a research priority.…”