Normative prosthodontic care need: does it impact the daily life of young Saudis with high level of oral diseases? A cross sectional study

Abstract

BackgroundAssessing the need for prosthodontic care previously included older age groups. There is less information about younger populations who may need this care because of high disease levels. The aim of this study was to assess the normative need for prosthodontic care in a young Saudi population with high oral disease levels, the associated factors and its impact on daily life.MethodsA cross sectional study included Saudi adults in the Eastern Province in 2016. A questionnaire was used to assess personal background (confounders), risk factors affecting oral diseases (exposures) and the impact of oral problems on daily life. A clinical examination assessed tooth loss, the presence of prosthodontic appliances, the presence of untreated decay and need for periodontal care. Directed acyclic graphs identified the confounders to be included in regression models with separate outcomes: normative need for prosthodontic care (binary logistic model) and impact on 6 daily life aspects (ordinal regression models).ResultsComplete data were available for 574/ 700 = 82% and 46.7% needed prosthodontic care with 2 lost teeth on average among adults of mean age = 33.2 years. The confounders controlled for the need for prosthodontic care included socioeconomic status (SES), dental visits last year and health insurance. The confounders for the impact on daily life included age and SES. In adjusted models, normative need for prosthodontic care was significantly associated with untreated decay (OR = 2.09, 95% C.I. = 1.37, 3.19). The impact on daily life was not significantly associated with prosthodontic care need but with untreated decay, especially sleeplessness (regression coefficient = 0.53, 95% C.I. = 0.02, 1.04) and dropping daily activities (regression coefficient = 0.79, 95% C.I. = 0.13, 1.46). In addition, the need for periodontal care was associated with food avoidance (regression coefficient = 0.73, 95% C.I. = 0.28, 1.18).ConclusionsIn Saudi adults in the Eastern Province, there was a considerable normative need for prosthodontic care due to untreated decay. The impact on daily life was related to the underlying oral diseases rather than the need for prosthodontic care itself.Electronic supplementary materialThe online version of this article (10.1186/s12903-017-0418-x) contains supplementary material, which is available to authorized users.

Prosthodontic Need among Adults of Hubli, Karnataka India

“…These findings are in accordance with the prosthetic needs among the Saudi adult subjects being 46.7%. 6 But contrast findings were seen in the adults of Nalgonda region of Andhra Pradesh which is a sister state of Karnataka, where the prosthodontic needs are only 35%. 11 This means that, there exists clear regional disparity in the prosthodontic needs and accordingly prosthodontic services has to be planned.…”

“…Prosthodontic needs also vary with socio demographic parameter like age, sex, income, religion etc as the individual's preferences for oral care are influenced by these social variables. 6 In fast developing and diverse country like India, individuals show a profound retrograde negligent attitude towards oral health as compared to general health. 7 This is mainly due to the nature of the oral diseases which are not life threatening but contributing for prosthodontic need if untreated.…”

A Cross-Sectional Study of Endogenous Antioxidants and Patterns of Dental Visits of Periodontitis Patients

“…Periodontal pathogenic infections cause inflammation and oxidative stress in the body and lead to the destruction of periodontal tissues; therefore, eliminating excess oxidative stress can retard the disease activity of periodontitis [9]. Periodontal disease is preventable by controlling risk factors, such as low frequencies of dental visits and professional cleaning, diabetes, smoking, and poor oral hygiene behaviors [10,11,12]. All of the risk factors for periodontitis are related to inflammation.…”