Predicting tooth loss for older adults with special needs

Chen, Xi; Hodges, James S.; Shuman, Stephen K.; Gatewood, Laël C.; Xu, Jia

doi:10.1111/j.1600-0528.2009.00527.x

Cited by 12 publications

(25 citation statements)

References 41 publications

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“…A detailed description regarding study subjects, sample selection and data collection has been reported previously [18]. To facilitate discussion, the materials and methods are briefly described below.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the detailed tooth loss pattern in older adults with special needs remains unclear. Although multiple factors, such as old age [13-14, 16, 18], sociodemographic characteristics [18], poor oral health condition [13,18], cognitive impairment [17], physical disability [14,[18][19], systemic health and so on [13,17], are considered to be associated with tooth loss in special-needs individuals, how these risk factors interactively and synergistically affect tooth loss in these individuals remains unknown. The lack of understanding on these issues not only increases difficulty for dental professionals in managing tooth loss and associated oral dysfunction for older adults with special needs, but also affects quality of care for these vulnerable individuals.…”

Section: Introductionmentioning

confidence: 99%

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Tooth loss patterns in older adults with special needs: a Minnesota cohort

Chen

Clark

2011

Int J Oral Sci

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This study was conducted to detail tooth loss patterns in older adults with special needs. A total of 491 elderly subjects with special needs were retrospectively selected and followed during 10/1999-12/2006. Medical, dental, cognitive, and functional assessments were abstracted from dental records and used to predict risk of tooth loss. Tooth loss events were recorded for subjects during follow-up. Chi-squared tests were used to study the association between tooth loss and the selected risk factors. Logistic, poisson, and negative binomial regressions were developed to study tooth loss patterns. Overall, 27% of the subjects lost at least one tooth during follow-up. Fourteen subjects had tooth loss events per 100 person-years. Tooth loss pattern did not differ significantly among different special-needs subgroups (i.e. community-dwelling vs. long-term care, physically disabled vs. functionally independent). Special-needs subjects with three or more active dental conditions at arrival had more than twice the risk of losing teeth than those without any existing conditions. After adjusting other factors, the number of carious teeth or retained roots at arrival was a significant predictor of tooth loss for older adults with special needs (P=0.001). These findings indicate that appropriately managing active caries and associated conditions is important to prevent tooth loss for older adults with special needs.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Chen

Clark

2011

Int J Oral Sci

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“…Detailed characteristics of the study participants have been reported previously 20 . To facilitate the discussion, participant characteristics are briefly described here.…”

Section: Resultsmentioning

confidence: 99%

“…The institutional review board of the University of North Carolina approved the study protocol. The detailed materials and methods of this study have been reported previously 20 …”

Section: Methodsmentioning

confidence: 99%

Multidimensional Risk Assessment for Tooth Loss in a Geriatric Population with Diverse Medical and Dental Backgrounds

Chen¹,

Clark

2011

Journal of the American Geriatrics Society

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“…30,31 Tooth loss is the result of a number of factors, including the cumulative effects of dental disease, reduced salivary flow, 32 provider treatment preferences, and patient factors, including health literacy and financial concerns. The increased prevalence of chronic conditions among older as compared with younger adults 33 may also contribute to the decision to retain or extract teeth.…”

Section: Discussionmentioning

confidence: 99%

Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

Northridge¹,

Chakraborty²,

Salehabadi³

et al. 2018

Journal of Health Care for the Poor and Underserved

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Understanding the relationships among diabetes, teeth present, and dental insurance is essential to improving primary and oral health care. Participants were older adults who attended senior centers in northern Manhattan (New York, N.Y.). Sociodemographic, health, and health care information were obtained via intake interviews, number of teeth present via clinical dental examinations, and glycemic status via measurement of glycosylated hemoglobin (HbA1c). Complete data on dental insurance coverage status for 785 participants were available for analysis (1,015 after multiple imputation). For participants with no dental insurance and any private/other dental insurance, number of teeth present is less for participants with diabetes than for participants without diabetes; however, for participants with Medicaid coverage only, the relationship is reversed. Potential explanations include the limited range of dental services covered under the Medicaid program, inadequate diabetes screening and monitoring of Medicaid recipients, and the poor oral and general health of Medicaid recipients.

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Predicting tooth loss for older adults with special needs

Abstract: An evidence-based model with eight predictors was developed to quantitatively predict risk of tooth loss for OASN at the individual level.

Cited by 12 publications

References 41 publications

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Multidimensional Risk Assessment for Tooth Loss in a Geriatric Population with Diverse Medical and Dental Backgrounds

Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

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