Tooth loss in middle-aged adults with diabetes and hypertension: Social determinants, health perceptions, oral impact on daily performance (OIDP) and treatment need.

Fbm Maia,Fc Sampaio,Chsm Freitas,Et De Sousa,Fds Forte

doi:10.4317/medoral.22176

Abstract

BackgroundThis study aimed to explore the association between tooth loss and social determinants, health self-perceptions, OIDP and self-concept of dental treatment need in middle-aged adults with diabetes and hypertension.Material and MethodsA cross-sectional study was developed with 212 hypertensive and diabetic middle-aged adults (50-65 years). Data were collected from clinical examinations (DMFT) and a questionnaire regarding socioeconomic status, dental health assistance, self-perceptions of oral and general health, OIDP, and the self-concept of dental treatment need. Tooth loss was dichotomized considering the cutoff point of 12 (Model I) or 24 missing teeth (Model II). Data were analyzed using Chi-square, Fisher’s exact test and logistic regression (p≤0.05).ResultsTooth loss was significantly associated with variables such as last dental visit, reason for dental visit, OIDP, perception of dental treatment need, and general self-perception (Model I). Schooling, last dental visit, oral health self-perception and perception of dental treatment need were significantly associated with tooth loss in the Model II. When Model 1 and 2 were adjusted, they demonstrated that last dental visit and perception of dental treatment need were predictor variables.ConclusionsThe annual dental visit and the self-concept of dental treatment need were associated with tooth loss, demonstrating that these variables reduce the tooth loss prevalence. Key words:Access /barriers to care, Dental treatment, Geriatric dentistry.

Highlights

Increasing longevity is a trend in developed and developing countries around the globe [1]
This study aimed to explore the associations between tooth loss severity and social determinants, health self-perceptions, OIDP and self-concept of dental treatment need in middle-aged adults with diabetes and hypertension
The Model II demonstrated that schooling, last dental visit, self-perception of oral health, and self-concept of dental treatment need were variables significantly associated with the extensive tooth loss - p

Summary

Introduction

Increasing longevity is a trend in developed and developing countries around the globe [1]. This multifaceted dynamics considered a challenge to society, must be understood in a holistic way In this context, the global health scenario has shown an epidemic prevalence of chronic diseases that represents 60% of global deaths, mainly related to hypertension and diabetes [3]. This study aimed to explore the associations between tooth loss severity and social determinants, health self-perceptions, OIDP and self-concept of dental treatment need in middle-aged adults with diabetes and hypertension. This study aimed to explore the association between tooth loss and social determinants, health selfperceptions, OIDP and self-concept of dental treatment need in middle-aged adults with diabetes and hypertension. Conclusions: The annual dental visit and the self-concept of dental treatment need were associated with tooth loss, demonstrating that these variables reduce the tooth loss prevalence

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