Is parity a cause of tooth loss? Perceptions of northern Nigerian Hausa women

Oziegbe, Elizabeth O; Schepartz, Lynne A.

doi:10.1371/journal.pone.0226158

Cited by 6 publications

(11 citation statements)

References 48 publications

(53 reference statements)

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“…Also observed in this study is that parity was not associated with occurrence of dental caries, although prior studies had linked parity with tooth loss from caries [11][12][13]. The missing component was highest in the DMFT index.…”

Section: Discussionmentioning

confidence: 41%

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Relationship Between Socio-Demographic Profile, Parity and Dental Caries Among a Group of Nursing Mothers in South East, Nigeria

Onyejaka

Eboh²,

Amobi

et al. 2021

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To determine the prevalence and risk indicators of caries among nursing mothers in a tertiary hospital. Material and Methods: This was a cross-sectional study of 408 nursing mothers aged 15 to 52 years who brought their children for immunization in a tertiary hospital in Enugu, Nigeria. Data on sociodemographic profile, parity, dental visits were collected. The presence of dental caries was recorded using the World Health Organization criteria. Results: The prevalence of dental caries was 11.0%, and the mean DMFT was 0.18. There was a statistically significant association between level of education (p<0.001), past dental visit (p<0.001) and the occurrence of dental caries. Caries was more prevalent in the mandibular teeth than the maxillary teeth. The left mandibular first and second permanent molars had the highest occurrence of dental caries. Missing (M) component of the DMFT index was highest and the care index was low. The significant predictors of caries among nursing mothers were fair oral hygiene and having below tertiary education. Conclusion: The prevalence of caries and the care index were both low in this study population. The significant predictors of dental caries were a tertiary level of education and poor oral hygiene. Incorporating oral health education during postnatal care can help reduce dental caries' occurrence and complications among nursing mothers in the study population.

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Section: Discussionmentioning

confidence: 41%

“…Dental caries has also been associated with parity. A recent study in Nigeria found that parity was linked indirectly with tooth loss [11]. Even in Japan and the United States of America, parity was associated with tooth loss as a result of caries or periodontal disease [12,13].…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Socio-Demographic Profile, Parity and Dental Caries Among a Group of Nursing Mothers in South East, Nigeria

Onyejaka

Eboh²,

Amobi

et al. 2021

Pesqui. Bras. Odontopediatria Clín. Integr.

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“…The phrase "A tooth for every child," which implies that a mother loses one tooth every time she gives birth to a child, is commonly used in many countries. Higher parities are thought to be risk factors for tooth loss (Christensen et al 1998;Ueno et al 2013;Oziegbe and Schepartz 2019). Clinically, it is well known that periodontal disease, which is one of the most common diseases resulting in tooth loss, worsens during pregnancy (Taani et al 2003;Russell et al 2010;Gil et al 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Clinically, it is well known that periodontal disease, which is one of the most common diseases resulting in tooth loss, worsens during pregnancy (Taani et al 2003;Russell et al 2010;Gil et al 2019). However, there is a paucity of epidemiological investigations regarding the association between the tooth number and parity, and to the best of our knowledge, only nine epidemiological studies have determined this association (Stalp and Zuhrt 1979;Wysokińska-Miszczuk 1987;Rundgren and Osterberg 1987;Christensen et al 1998;Scheutz et al 2002;Russell et al 2008;Ueno et al 2013;Han et al 2017;Oziegbe and Schepartz 2019). In six of these nine studies, increased parity was associated with a decreased number of teeth (Rundgren and Osterberg 1987;Christensen et al 1998;Russell et al 2008;Ueno et al 2013;Han et al 2017;Oziegbe and Schepartz 2019).…”

Section: Introductionmentioning

confidence: 99%

High Parity Is an Independent Risk Factor for Tooth Loss in Women: A Community-Based Takahata Study in Japan

Ishikawa

Konta

Susa

et al. 2021

Tohoku J. Exp. Med.

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Risk factors for tooth loss have been widely examined previously. However, no previous study has comprehensively investigated the risk factors, including lifestyle-related specific factors (parity, oral health habits, and socioeconomic status), for fewer than 20 teeth among women in the general population in Japan. This cross-sectional study explored the association of these risk factors, especially parity, with having fewer than 20 teeth among Japanese women. A self-reported questionnaire including items on lifestyle-related risk factors (parity, oral health, diet [e.g., alcohol and sucrose consumption]) and socioeconomic status was sent by post to female residents (age ≥ 40 years) of Takahata town, Yamagata Prefecture, in 2005. Multivariate logistic regression analysis including 3,854 eligible participants was performed to investigate the association between various factors (including parity) and having fewer than 20 teeth. The results indicated that, compared with nulliparous women, women with two, three, and four completed pregnancies had 2.485-, 2.844-, and 4.305-fold increased risk of having fewer than 20 teeth, respectively. Our study is the largest-scale study of the general female population in Japan and the first study to comprehensively investigate risk factors (parity, oral health status, and socioeconomic status) for fewer than 20 teeth. We thus found that higher parity, especially, two or more, was independent risk factors for having less than 20 teeth among Japanese women. In conclusion, the present study emphasizes the importance of good oral health habits in women, especially, during pregnancy and in the postpartum period, to maintain 20 or more teeth.

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“…As the potential to carry out such a study was possible in northern Nigeria, Hausa women were studied as part of a larger project on maternal and child oral health in a high parity population. The research included quantitative assessments of oral health, socioeconomic parameters and oral health behaviors and well as a qualitative analysis of women's perceptions on parity, pregnancy, and tooth loss (Oziegbe & Schepartz, 2019a).…”

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confidence: 99%

Association between parity and tooth loss among northern Nigerian Hausa women

Oziegbe

Schepartz

2020

American J Phys Anthropol

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Background: Female reproduction is associated with physiological, metabolic, and nutritional demands that can negatively affect health and are possibly cumulative when parity is high. While it is probable that maternal oral health is similarly affected, available evidence is based on fairly low parity populations and likely confounders affecting oral health status were not considered. Aim: To determine the relationship between parity and tooth loss in a population with many high parity women. Contributions of age, reproductive and socioeconomic parameters, and oral health practices were considered. Materials and methods: This was a cross-sectional study involving 612 Hausa women of all parity levels aged 13-65 years. Women with ≥5 children were considered high parity. Sociodemographic status and oral health practices were collected using a structured interviewer-administered questionnaire. All teeth present, (excluding third molars) and missing teeth were noted, with inquiries regarding tooth loss etiology. Associations with tooth loss were evaluated through correlations, ANOVA, post hoc analyses and Student's t tests. Effect sizes were used to interpret the magnitude of differences. Multiple regression (negative binomial model) was used to investigate predictors of tooth loss. Results: Hausa women had a low prevalence of tooth loss, despite poor oral hygiene, and limited dental care. Older, middle SES, and higher parity women experienced significantly more tooth loss. Additionally, increased duration of reproductively active years was significantly related to fewer remaining teeth. Conclusion: Higher parity was related to greater tooth loss in Hausa women. Women with ≥5 children experienced more loss than lower parity age mates.

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Is parity a cause of tooth loss? Perceptions of northern Nigerian Hausa women

Cited by 6 publications

References 48 publications

Relationship Between Socio-Demographic Profile, Parity and Dental Caries Among a Group of Nursing Mothers in South East, Nigeria

Relationship Between Socio-Demographic Profile, Parity and Dental Caries Among a Group of Nursing Mothers in South East, Nigeria

High Parity Is an Independent Risk Factor for Tooth Loss in Women: A Community-Based Takahata Study in Japan

Association between parity and tooth loss among northern Nigerian Hausa women

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