Epidemiological Study on Improving the QOL and Oral Conditions of the Aged. Part 2: Relationship between Tooth Loss and Lifestyle Factors for Adults Men.

Abstract

Oral health in early-and mid-adulthood is essential for the improvement of one's QOL, this study was investigated to include an epidemiological analysis of the relationship between tooth loss and life style, such as smoking, regular exercise, and the food habits of approximately 2,000 employees. Compared with the group with mild or no periodontal disease (CPI of 0, 1, or 2), the frequency of tooth loss in the group with advanced periodontal disease (CPI of 4) was 2.00 times (odds ratio, 2.00; 95% confidence limit, 1.37 to 2.93). The probability of tooth loss showed statistical significance in relation to smoking, alcohol drinking, and frequency of meals. Compared with non-smokers, the probability that current smokers will lose teeth is 1.53 times greater (odds ratio, 1.53; 95% confidence limit, 1.20 to 1.96). It was concluded that periodontal disease and smoking must be averted for preventing tooth loss.

Relationship between smoking status and tooth loss: Findings from national databases in Japan

“…The odds ratio (OR) and 95% confidence interval (CI) was 1.53, (1.20, 1.96). 25 Tooth loss in terms of having less than 19 teeth was significantly associated with smoking in elderly subjects of 74 years of age. 26 A positive association between smoking and experience of tooth extraction was identified in pregnant women.…”

Impact of oral health status on oral health-related quality of life in Chinese hospitalised geriatric patients

“…perceived oral dryness, gums between teeth and pairs of occluding teeth), though the results reached statistical significance. This finding may be related to the fact that the BOHSE does not cover the more specific assessment aspects of periodontal disease such as depth of pocket and receding gums, which have been found to significantly predicting Oriole of geriatric patients [31]. Besides, the low explanatory power of the overall model which also included demographic and clinical variables also implies there exist other factors affecting the OHRQoL of hospitalised geriatric patients.…”

Acquired immune suppression and other risk factors/indicators for periodontal disease progression

“…Alcohol may affect the periodontal tissues and constitute a risk, through a number of different mechanisms. These may include adverse effects on host defense, toxic effects on the liver, interference with protein metabolism and tissue healing, stimulation of bone resorption and finally, direct toxic effects on periodontal tissue (236).…”

“…Most often noted are those related to poor oral hygiene and dietary habits, as well as the liver effects associated with chronic alcohol abuse (142,201,211,137). Recently, the relationship of alcohol consumption and the risk for an increase in severity of periodontal disease, independent of lifestyle factors, has been examined (211,236).…”