Abstract

This study aimed to examine 20-year trends (1994–2014) in self-reported oral health and oral hygiene and to assess the associated factors in a Lithuanian population aged 20–64 years. Nationally representative cross-sectional data on 8612 men and 11,719 women were obtained from 11 biennial postal surveys of Lithuanian health behavior monitoring. Dentate status was assessed by asking about the number of missing teeth. Over the study period, the proportion of men with all teeth increased from 17.5% to 23.0% and the same proportion increased in women—from 12.5% to 19.6%. The prevalence of edentulousness was 2.8% in 2014. The proportion of individuals brushing teeth at least twice a day increased from 14.6% to 31.9% in men and from 33.0% to 58.8% in women. Multivariate logistic regression analysis revealed that older age, lower education, living in rural areas, daily smoking, confectionary consumption (only in women), obesity, no visits to a dentist during the past year, toothache and brushing teeth less than twice a day increased the odds of missing six or more teeth. Efforts should be made to promote good oral hygiene habits, prevent and control behavioral risk factors and increase access to dental care among risk groups.

Highlights

  • Oral health is an extremely important component of general health and physical and mental well-being

  • A new definition of oral health developed by the FDI World Dental Federation states that oral health “reflects the physiological, social, and psychological attributes that are essential to the quality of life” [1]

  • In 2015, the number of people with untreated oral conditions reached 3.5 billion and disability-adjusted life years due to untreated caries, severe periodontal disease and tooth loss increased by 64% from 1990 [3]

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Summary

Introduction

Oral health is an extremely important component of general health and physical and mental well-being. Despite the effort to improve oral health in recent decades, oral diseases remain highly prevalent worldwide, being one of the main public health challenges [2]. In 2015, the number of people with untreated oral conditions reached 3.5 billion and disability-adjusted life years due to untreated caries, severe periodontal disease and tooth loss increased by 64% from 1990 [3]. The Lithuanian population is characterized by poor oral health. According to data of epidemiological studies, more than 90% of the middle-aged and elderly population in Lithuania had dental caries or periodontal disease [4,5]. The prevalence of dental caries among 18-year-old Lithuanian adolescents was 78.3% [6]

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