Functional, esthetical, and periodontal determination of the dentition in 35- to 44-year-old Brazilian adults

Chalub, Loliza Luiz Figueiredo Houri; Ferreira, Raquel Conceição; Vargas, Andréa Maria Duarte

doi:10.1007/s00784-015-1637-7

Cited by 13 publications

(25 citation statements)

References 23 publications

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“…The main independent variables were four definitions of FD:FDWHO: the presence of 20 or more teeth – established by the WHO in the scope of global goals in oral health [14];WDT: based on the concept of 20 “well-distributed teeth”, which establishes at least 10 in each arch [15, 16];FD Class5 : classified by esthetics and occlusion – sequential presence of one tooth in each arch ➔ ≥ 10 teeth in each arch ➔ 12 anterior teeth ➔ three premolar POPs ➔ ≥ one molar POP bilaterally [16];FD Class6 : classified by esthetics, occlusion and periodontal status, corresponding to the same conditions as FD Class5 plus all sextants with CPI ≤ 3 and/or CAL ≤ 1 [17]. …”

Section: Methodsmentioning

confidence: 99%

“…FD Class6 : classified by esthetics, occlusion and periodontal status, corresponding to the same conditions as FD Class5 plus all sextants with CPI ≤ 3 and/or CAL ≤ 1 [17]. …”

Section: Methodsmentioning

confidence: 99%

“…This novel dental configuration for defining FD has been employed in studies involving populations in countries in Europe and Southeast Asia [1, 3, 16]. The system was first employed in the Americas by Chalub et al [17, 18] and the dentition that takes into account all levels of the system originated a new definition of FD denominated FD Class5 by these authors [17]. …”

Section: Introductionmentioning

confidence: 99%

“…Better oral health and regular follow up of patients submitted to periodontal support therapy are also reflected in fewer impacts on daily performance (IDP) measured using the OIDP [24]. By including the periodontal criterion to the system proposed by Nguyen et al [16], a definition of FD that encompasses criteria addressing esthetics, occlusion and periodontal status was established, denominated FD Class6 by the authors [17]. …”

Section: Introductionmentioning

confidence: 99%

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Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study

2017

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BackgroundDental esthetics, chewing and speech should be preserved in a dentition denominated functional and are closely related to satisfaction with oral health (SOH), impacts caused by oral problems and have a possible association with Oral Health-Related Quality of Life. Thus, the purpose of the present study was to investigate the influence of different concepts of functional dentition (FD) on both SOH and impacts on daily performance (IDP) among Brazilian adults.MethodsA cross-sectional study was conducted with 9564 adults (35–44 years). SOH and IDP were evaluated using the Oral Impacts on Daily Performance (OIDP) questionnaire. FD was considered based on four different definitions: I-classification of the World Health Organization (FDWHO = ≥20 teeth); II-well-distributed teeth (WDT = ≥10 teeth in each arch); III-classified by esthetics and occlusion (FDClass5 = sequential presence of one tooth in each arch, ≥10 teeth in each arch, 12 anterior teeth, ≥three posterior occluding pairs [POPs] of premolars and ≥one POP molar bilaterally); and IV-classified by esthetics, occlusion and periodontal status (FDClass6 = FDClass5 plus all sextants with CPI ≤ 3 and/or CAL ≤ 1). The proportion of adults satisfied with oral health and without overall impact (OIDP = 0) was calculated for each definition of FD. Multiple Poisson regression models were adjusted by demographic-socioeconomic characteristics, self-reported oral problems and the use of dental services for each dependent variable.ResultsWhen FDClass5 and FDClass6 were considered a greater proportion of adults reported being satisfied (52.1 and 53.1%, respectively) and have OIDP = 0 (52.4 and 53.3, respectively). In the multiple models, SOH was associated with FDClass5 (RP = 1.21) and FDClass6 (RP = 1.24) and OIDP = 0 was associated with WDT (RP = 1.14) and FDClass6 (RP = 1.21).ConclusionsThe greater influence of WDT, FDClass5 and FDClass6 on aspects related to quality of life in comparison to FDWHO demonstrates the need for the establishment of a broader definition of FD that encompasses subjective aspects.

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Section: Methodsmentioning

confidence: 99%

“…FD Class6 : classified by esthetics, occlusion and periodontal status, corresponding to the same conditions as FD Class5 plus all sextants with CPI ≤ 3 and/or CAL ≤ 1 [17]. …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study

2017

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“…[7] developed a dental functional status classification system with five levels that consider the following requirements: at least one tooth in each arch, at least 10 teeth in each arch, all maxillary and mandibular anterior teeth, three to four posterior occluding pairs (POPs) and at least one molar POP bilaterally. This new definition of FD has been evaluated in different populations in Europe and Southeast Asia [7–9] and has been employed recently in Latin America [10]. The functionality criteria of this system have demonstrated positive impacts on chewing function for both fibrous and pasty foods [11,12] as well as greater satisfaction with mouth [8] and better oral health-related quality of life (OHRQoL) [9].…”

Section: Introductionmentioning

confidence: 99%

Functional Dentition in Brazilian Adults: An Investigation of Social Determinants of Health (SDH) Using a Multilevel Approach

et al. 2016

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ObjectivesEstimate the prevalence of functional dentition among Brazilian adults using four different definitions and identify associated factors.MethodsA cross-sectional study was conducted involving 9564 Brazilian adults aged 35–44 years who participated in the 2010 National Oral Health Survey. Data collection involved oral examinations and the administration of questionnaires. The following definitions were used: 1—WHO Functional Dentition (FDWHO: ≥ 20 teeth present); 2—well-distributed teeth (WDT: ≥ 10 teeth in each arch); 3 –Functional dentition classified by esthetics and occlusion (FDClass5: dentitions that sequentially exhibit at least one tooth in each arch, at least 10 teeth in each arch, all maxillary and mandibular anterior teeth, three or four premolar posterior occluding pairs [POPs], and at least one molar POP bilaterally); 4—Functional dentition classified by esthetics, occlusion and periodontal status (FDClass6: corresponds to FDClass5 with the addition of periodontal status of all sextants in the oral cavity with, at most, shallow pockets and/or clinical attachment level of 5 mm (CPI ≤ 3 and/or CAL ≤ 1). The independent variables were individual factors (gender, self-declared skin color, schooling, monthly household income, age group, self-rated treatment need, dental pain, dental appointment in the previous 12 months and dental services) and contextual factors (Municipal Human Development Index [MHDI]), Gini coefficient, fluoridated water supply and oral health coverage). Multilevel mixed-effect Poisson regression analyses were performed.ResultsThe prevalence of functional dentition based on the FDWHO, WDT, FDClass5 and FDClass6 definitions was 77.9%, 72.9%, 42.6% and 40.3%, respectively. Adults with ≥12 years of schooling and monthly household income from US$ 853 to 2557 had higher prevalence rates of FDWHO (PR: 1.41 and 1.10, respectively), WDT (PR: 1.58 and 1.14, respectively), FDClass5 (PR: 2.03 and 1.27, respectively) and FDClass6 (PR: 2.15 and 1.35, respectively). These values in the final models were adjusted for gender, self-declared skin color (FDClass5), age group, self-rated treatment need (FDWHO, FDClass5 and FDClass6), dental appointment in the previous 12 months (FDWHO and WDT), dental services (FDWHO and WDT) and contextual factors. A very high MHDI and presence of fluoridated water supply were associated with higher prevalence rates of the four outcomes.ConclusionsThe incorporation of the criteria of new definitions of functional dentition led to a lower prevalence rate among Brazilian adults. Striking individual and contextual inequalities were identified with regard to the four definitions analyzed, which need to be addressed through inter-sector efforts.

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Functional dentition, dietary intake and nutritional status in Thai older adults

2019

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Objectives To explore the relationship between functional dentition and nutritional status among Thai older adults, and the role of nutrient intake in this association. Background Evidence on the interplay between tooth retention, diet and nutritional status is still inconclusive, with most evidence coming from Western countries. Methods Seven hundred and eighty‐eight Thai adults, aged 60+ years, living in Phetchaburi Province, Thailand, participated in this cross‐sectional study. Data were collected through questionnaires, body measurements and dental examinations. Being underweight (Body Mass Index < 18.5) and overweight/obese (BMI > 25) were the two outcome measures. Functional dentition was defined as having 10+ functional tooth units. The association of functional dentition with each outcome was assessed in regression models adjusted for sociodemographic factors, behaviours, chronic conditions and total energy intake. The role of various nutrients in explaining the above associations was quantified via the per cent attenuation in the coefficient for functional dentition. Results Functional dentition was associated with being underweight but not with being overweight/obese. After adjustments, participants with functional dentition were 61% (prevalence ratio: 0.39, 95% CI: 0.16, 0.95) less likely to be underweight than those with neither functional dentition nor dentures. In addition, participants with functional dentition had significantly greater intake of dietary fibre and thiamine (Vitamin B1) than those with neither functional dentition nor dentures. The two nutrients explained a small part of the association between functional dentition and being underweight. Conclusion Having a functional dentition was negatively associated with being underweight. The consumption of dietary fibre and thiamine explained a small part of this association.

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Functional, esthetical, and periodontal determination of the dentition in 35- to 44-year-old Brazilian adults

Abstract: The indication and planning of prosthetic rehabilitation should not only be based on the absence of teeth but also the distribution and periodontal status of the teeth present.

Cited by 13 publications

References 23 publications

Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study

Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study

Functional Dentition in Brazilian Adults: An Investigation of Social Determinants of Health (SDH) Using a Multilevel Approach

Functional dentition, dietary intake and nutritional status in Thai older adults

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