Oral health condition and occurrence of depression in the elderly

Skośkiewicz−Malinowska, Katarzyna; Malicka, Barbara; Ziętek, Marek; Kaczmarek, Urszula

doi:10.1097/md.0000000000012490

Cited by 67 publications

(65 citation statements)

References 43 publications

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“…In general, individuals with depressive disorders can find activities of daily living, such as oral hygiene, challenging and may consume a cariogenic diet which in turn can lead to periodontal diseases and development of dental caries. 26 The National Center for Health Statistics reports 12.7% of the population has taken an antidepressant medication in the last month. 27 Our analysis adjusted for individuals taking antidepressant and/or antipsychotic medications, the rationale being that psychotherapeutic medications has been associated with a significantly greater risk for symptoms of xerostomia (dry mouth).…”

Section: Discussionmentioning

confidence: 99%

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Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009–2014

et al. 2020

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PurposeThis study aimed to investigate the association between self-reported depressive symptoms and oral diseases in US adults, including periodontitis, caries, missing teeth and untreated dental caries.DesignThis study was designed as a secondary data analysis of a cross-sectional survey. We conducted descriptive, multivariable logistic and Poisson regression analyses on weighted data.SettingUS National Health and Nutrition Examination Survey 2009–2014 data.ParticipantsIndividuals aged ≥30 years who completed a periodontal examination and depression screening (n=9799).Results21.6% (28.9 million) of adults aged ≥30 years reported depressive symptoms, with a higher prevalence among females, current smokers and participants with lower income and education status. More than half of the adults with moderate depressive symptoms had periodontal diseases, and more than one-third had teeth with untreated dental caries. After adjusting for sociodemographics, behavioural factors, having diabetes and psychotherapeutic medication use, depressive symptoms were associated with poorer oral health. Severe depressive symptoms were associated with higher odds of mild periodontitis (2.20; 99% CI 1.03 to 4.66). For those with mild depressive symptoms, the mean number of missing teeth was 1.20 (99% CI 1.06 to 1.37) times the average of non-symptomatic individuals; and 1.38 times (99% CI 1.15 to 1.66) among individuals with moderate depressive symptoms.ConclusionsDepressive symptoms were associated with mild periodontitis and a greater number of missing teeth, while having teeth with untreated dental caries was attributed to sociodemographic factors. Awareness of oral health status among patients with depressive symptoms can inform both dental and mental health providers to develop tailored treatment and help patients achieve overall wellness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009–2014

et al. 2020

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“…High sugar consumption is also a risk factor for plaque accumulation and poor oral hygiene, which are risk factors for several oral and general health problems [ 12 ]. Depression leads to reductions in energy and self-esteem, which may lead to poor oral hygiene behaviors and health status [ 13 , 14 ]. Poor oral health is also a risk factor for depression [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria

et al. 2021

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Background Oral health is a less-recognized correlate of overall and mental wellbeing. This study aimed to assess the relationship between suicidal behavior (ideation and attempt) and oral health practices and status, and to determine the effect of sex on these associations among Nigerian adolescents. Methods Household survey data were collected from 10 to 19-year-old adolescents in southwestern Nigeria. Dependent variables were daily tooth brushing, daily consumption of refined carbohydrates between meals, and oral hygiene status (measured by plaque index). The independent variable was lifetime suicidal ideation/attempt, dichotomized into ‘yes’ and ‘never’. ‘Daily tooth brushing’ and ‘daily consumption of refined carbohydrates between meals’ were included in two separate logistic regression models, and ‘oral hygiene status’ was included in a linear regression model. The models were adjusted for sex, age, and socioeconomic status. The linear regression model was also adjusted for frequency of daily tooth-brushing and of consumption of refined carbohydrates between meals. Interactions between sex and suicidal ideation/suicide attempt in association with dependent variables were assessed. Significance was set at 5%. Results We recruited 1,472 participants with mean age (standard deviation) of 14.6 (2.6) years. The mean plaque index was 0.84 (0.56), and 66 (4.5%) adolescents reported ever having suicidal ideation/attempt. Suicidal ideation/attempt was associated with significantly lower likelihood of tooth brushing (OR = 0.48, 95% CI: 0.26, 0.91), higher likelihood of consuming refined carbohydrates between meals (OR = 2.30, 95% CI: 1.29, 4.10), and having poor oral hygiene (B = 0.18, 95% CI: 0.05, 0.32). Among males, suicidal ideation/attempt was associated with less likelihood of eating refined carbohydrates between meals (OR = 0.96, 95% CI: 0.35, 2.61). Conversely, it was associated with a significantly higher likelihood of this outcome (OR = 4.85, 95% CI: 2.23, 10.55) among females. Conclusion The study findings suggest that poor tooth brushing habits and poor oral hygiene are indicators for risk of suicidal behavior for adolescents in Nigeria, while high sugar consumption may be an additional risk factor for adolescent females. These findings support the role of dental practitioners as members of healthcare teams responsible for screening, identifying and referring patients at risk for suicidal ideation/attempt.

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“…Consequences to tooth loss are not only evident in the loss of oral functions and impaired quality of life, but also psychological disturbances are anticipated. A recent study found that among people aged 65 and over, the severity of depression increases with a higher number of missing teeth and the number of decayed teeth [20], an association that was detected previously between DM and depression [21].…”

Section: Discussionmentioning

confidence: 78%

Association of Dental Caries, Retained Roots, and Missing Teeth with Physical Status, Diabetes Mellitus and Hypertension in Women of the Reproductive Age

Dar‐Odeh

Borzangy

Babkair

et al. 2019

IJERPH

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Objectives: To investigate in women of reproductive age a possible association between particular dental diseases—dental caries, retained roots, and missing teeth—with some systemic conditions—physical status score- ASA (American Society for Anesthesiologists), diabetes mellitus, and hypertension. Methods: Dental and medical history were retrieved from the electronic files of dental patients. Statistical analysis was performed using cross tabulation with the Chi-square test to explore the significance of an association between variables pertaining to dental diseases and the investigated systemic conditions. Logistic regression was further used to explore the significance of the above dental diseases as predictors for systemic conditions. Results: A total of 1768 female patients in the age range 18–55 were included, with a mean age of 31.2 ± 10.13 years. A total of 228 (12.9%) patients had a chronic systemic disease within the ASA II category, 66 (3.7%) were diabetic, and 76 (4.3%) were hypertensive. Missing teeth were significantly associated with the ASA II category, diabetes mellitus, and hypertension (p < 0.001, p = 0.009, p = 0.005 respectively), while retained roots were significantly associated with the ASA II category only (p = 0.023). Logistic regression showed a low predictive capacity of models describing the three systemic conditions. Conclusions: Diabetes mellitus and hypertension were the most common systemic diseases among the study sample. While carious teeth had no significant association with the investigated systemic conditions, retained roots were significantly associated with the ASA II category only, and missing teeth were significantly associated with all investigated systemic conditions. However, oral diseases expressed a low predictive power of these systemic conditions.

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Oral health condition and occurrence of depression in the elderly

Cited by 67 publications

References 43 publications

Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009–2014

Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009–2014

Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria

Association of Dental Caries, Retained Roots, and Missing Teeth with Physical Status, Diabetes Mellitus and Hypertension in Women of the Reproductive Age

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