Tooth loss among older adults according to poverty status in the United States from 1999 through 2004 and 2009 through 2014

Dye, Bruce A.; Weatherspoon, Darien; Mitnik, Gabriela Lopez

doi:10.1016/j.adaj.2018.09.010

Cited by 82 publications

(97 citation statements)

References 38 publications

(52 reference statements)

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“…Having less wealth, being unemployed, being black/African American vs white, and being male were also significant factors associated with edentulism. Socioeconomic and racial disparities in tooth loss are well documented . The finding that males had greater odds than females might be related to the higher prevalence of periodontitis among men than women in the United States and lower prevalence of an annual dental visit .…”

Section: Discussionmentioning

confidence: 99%

“…Socioeconomic and racial disparities in tooth loss are well documented. 2 The finding that males had greater odds than females might be related to the higher prevalence of periodontitis among men than women in the United States 20 and lower prevalence of an annual dental visit. 21 Despite the many baseline prevalence and derived incidence variables of comorbidities and functional difficulties included in the analysis, they were captured in the final model by baseline self-report of fair/poor health at baseline and incidence of pain, which were both associated with edentulism.…”

Section: Discussionmentioning

confidence: 99%

“…Pain, infection, and inflammation in the mouth that can lead to tooth loss can affect other organ systems and vice versa. In the United States, edentulism prevalence has been decreasing . However, from 2009 to 2014, based on National Health and Nutrition Examination Survey (NHANES) data, edentulism still affected 6.2 million Americans aged 50 years and older, 17.6% of adults aged 65 years and older, and 22.5% of those aged 75 years and older.…”

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confidence: 99%

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Factors Associated With Becoming Edentulous in the US Health and Retirement Study

Weintraub

Orleans

Fontana

et al. 2019

J American Geriatrics Society

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BACKGROUND/OBJECTIVE To determine factors associated with older adults becoming edentulous (complete tooth loss). DESIGN Longitudinal study over a 6‐year period. SETTING United States, 2006, 2012. PARTICIPANTS Nationally representative US sample of adults, aged 50 years and older (n = 9982), participating in the Health and Retirement Study in 2006 and 2012. At the outset, they were dentate and not institutionalized. INTERVENTION None. MEASUREMENTS Self‐report of being dentate or edentulous, demographic variables, dental utilization and other health behaviors, self‐rated general health, and incidence between 2006 and 2012 of comorbid medical conditions, functional limitations, and disabilities. RESULTS From 2006 to 2012, 563 individuals (5%) became edentulous and 9419 (95%) remained dentate. Adults who became edentulous by 2012 were more likely than those who remained dentate to be black/African American compared to white, to be less educated, were current smokers, had diabetes, and reported poorer self‐rated general health, more functional limitations and disabilities, and fewer dental visits (all P < .0001), among other factors. Of those with regular dental visits (at least once every 2 years during the 6‐year period), 2.3% became edentulous compared to 9.9% among those without regular dental visits. After adjusting for age and other potential confounders, there was a strong association with poor dental attendance and smoking. Nonregular dental attenders were more likely than regular attenders to become edentulous (odds ratio [OR] = 2.74; 95% confidence interval [CI] = 2.12‐3.53), and current smokers were more likely than never smokers to become edentulous (OR = 2.46; 95% CI = 1.74‐3.46). CONCLUSION Although more contemporaneous data are needed to determine causality, regular dental utilization and smoking are modifiable factors that could prevent edentulism, even when many other comorbid conditions are present. J Am Geriatr Soc, 1–7, 2019. J Am Geriatr Soc 67:2318–2324, 2019

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Factors Associated With Becoming Edentulous in the US Health and Retirement Study

Weintraub

Orleans

Fontana

et al. 2019

J American Geriatrics Society

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“…Tooth loss is the most common type of oral impairment and disability, with 79% of American adults aged 50 years and older having lost one or more teeth and 11% being edentulous. 80 in a genome-wide association study context. 81 Conceptually, this analysis can be considered analogous to a genome-wide association study of all-cause mortality.…”

Section: Tooth Morbiditymentioning

confidence: 99%

Genomics of periodontal disease and tooth morbidity

Morelli

Agler

Divaris

2019

Periodontology 2000

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In this review we critically summarize the evidence base and the progress to date regarding the genomic basis of periodontal disease and tooth morbidity (ie, dental caries and tooth loss), and discuss future applications and research directions in the context of precision oral health and care. Evidence for these oral/dental traits from genome‐wide association studies first emerged less than a decade ago. Basic and translational research activities in this domain are now under way by multiple groups around the world. Key departure points in the oral health genomics discourse are: (a) some heritable variation exists for periodontal and dental diseases; (b) the environmental component (eg, social determinants of health and behavioral risk factors) has a major influence on the population distribution but probably interacts with factors of innate susceptibility at the person‐level; (c) sizeable, multi‐ethnic, well‐characterized samples or cohorts with high‐quality measures on oral health outcomes and genomics information are required to make decisive discoveries; (d) challenges remain in the measurement of oral health and disease, with current periodontitis and dental caries traits capturing only a part of the health‐disease continuum, and are little or not informed by the underlying biology; (e) the substantial individual heterogeneity that exists in the clinical presentation and lifetime trajectory of oral disease can be identified and leveraged in a precision medicine framework or, if unappreciated, can hamper translational efforts. In this review we discuss how composite or biologically informed traits may offer improvements over clinically defined ones for the genomic interrogation of oral diseases. We demonstrate the utility of the results of genome‐wide association studies for the development and testing of a genetic risk score for severe periodontitis. We conclude that exciting opportunities lie ahead for improvements in the oral health of individual patients and populations via advances in our understanding of the genomic basis of oral health and disease. The pace of new discoveries and their equitable translation to practice will largely depend on investments in the education and training of the oral health care workforce, basic and population research, and sustained collaborative efforts..

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“…7,8 The average number of missing teeth because of caries ranges widely; however, there are reports that caries accounts for 8.35 of missing teeth (the M component of decayed missing filled teeth) in 20-to 64-year olds. 7,8 The average number of missing teeth because of caries ranges widely; however, there are reports that caries accounts for 8.35 of missing teeth (the M component of decayed missing filled teeth) in 20-to 64-year olds.…”

Section: Tooth Loss and Miss Ing Tee Thmentioning

confidence: 99%

In the dental implant era, why do we still bother saving teeth?

Clark

Levin

2019

Dental Traumatology

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Teeth are vital sensory organs that contribute to our daily activities of living. Unfortunately, teeth can be lost for several reasons including trauma, caries, and periodontal disease. Although dental trauma injuries and caries are more frequently encountered in a younger population, tooth loss because of periodontal disease occurs in the older population. In the dental implant era, the trend sometimes seems to be to extract compromised teeth and replace them with dental implants. However, the long‐term prognosis of teeth might not be comparable with the prognosis of dental implants. Complications, failures, and diseases such as peri‐implantitis are not uncommon, and, despite popular belief, implants are not 99% successful. Other treatment options that aim to save compromised or diseased teeth such as endodontic treatment, periodontal treatment, intentional replantation, and autotransplantation should be considered on an individual basis. These treatments have competing success rates to dental implants but, more importantly, retain the natural tooth in the dentition for a longer period of time. These options are important to discuss in detail during treatment planning with patients in order to clarify any misconceptions about teeth and dental implants. In the event a tooth does have to be extracted, procedures such as decoronation and orthodontic extrusion might be useful to preserve hard and soft tissues for future dental implant placement. Regardless of the treatment modality, it is critical that strict maintenance and follow‐up protocols are implemented and that treatment planning is ethically responsible and evidence based.

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Tooth loss among older adults according to poverty status in the United States from 1999 through 2004 and 2009 through 2014

Cited by 82 publications

References 38 publications

Factors Associated With Becoming Edentulous in the US Health and Retirement Study

Factors Associated With Becoming Edentulous in the US Health and Retirement Study

Genomics of periodontal disease and tooth morbidity

In the dental implant era, why do we still bother saving teeth?

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