Affect Tooth Loss Research Articles

Tooth Retention and Clinical and Radiographic Long-Term Results Among Patients Treated with the Full-Mouth Laser-Assisted New Attachment Procedure (LANAP): A Case Series.

There are limited long-term treatment results for patients who receive full-mouth laser-assisted new attachment procedure (LANAP). The present study examined cases of full-mouth LANAP therapy for tooth retention, including clinical and radiographic changes. Sixty-six generalized stage III/IV periodontitis patients aged 30 to 76 years were identified via consecutive retrospective chart reviews in a private practice limited to periodontics. Following treatment with the LANAP protocol, differences between baseline and the patient's most recent periodontal maintenance visit (mean: 6.7 years) were determined regarding interproximal probing depths (iPD) and interproximal bone loss (iBL) percentages. Factors affecting tooth loss were analyzed using Cox proportional hazard regression survival analysis. The average tooth loss for the study population was 0.11 teeth/patient/year. Premolars were more likely to be retained compared to the reference group of incisors (hazard ratio = 0.38; 95% CI = 0.16 to 0.90; P = .03), adjusting for canines, molars, and other potential confounding factors. Age at the time of LANAP treatment, gender, history of diabetes, and baseline iBL and iPD were all significantly associated with tooth loss after full-mouth LANAP treatment. Clinical changes in iPD were more significant among premolars and molars when followed up for a period of less than 7 years. Tooth retention after full-mouth LANAP treatment was favorable in this cohort of private practice patients. Int J Periodontics Restorative Dent 2023;43:181-191. doi: 10.11607/prd.6418.

Eight-year retrospective study investigating tooth survival after primary non-surgical root canal treatment in a UK military cohort

IntroductionRoot canal treatment (RCT) plays an important role in preserving the dentition by deferring other invasive treatments. Data on tooth survival and predictive factors for tooth loss after RCT in...

Presence of Metabolic Syndrome Components Is Associated with Tooth Loss in Middle-Aged Adults.

PurposeIn general, the prevalence of metabolic syndrome (MS) and tooth loss increases with age. We investigated the relationship between the presence of MS, its elements, and tooth loss in middle-aged Korean adults.Materials and MethodsThis study included Korean adults between 30 and 64 years of age who resided in the capital area of Seoul. From January to June 2014, individuals interested in participating in the oral health survey among those who visited the university hospital's cardiovascular center and provided informed consent were selected. Among 748 subjects who responded to the oral health questionnaires, 30 were excluded due to unclear responses; therefore, a total of 718 were included in the final analysis.ResultsThe crude odds ratio (OR) of ≥one MS component affecting tooth loss was 1.45 [95% confidence interval (CI), 1.06–2.00]. After adjusting for sex, age, education, income level, occupation, smoking status, kidney disease, chronic obstructive pulmonary disease, and rheumatic disease, the adjusted OR was 1.47 (95% CI, 1.06–2.05), which was statistically significant (p<0.05). The OR for tooth loss was higher in the presence of ≥one component of MS (50–64 years of age) in females.ConclusionThis study suggests that female aged 50–64 years may have higher likelihood of tooth loss upon the presence of at least one MS component. Prevention against MS among female of older age could contribute to maintenance of remaining teeth. Further well-designed studies are needed.

65세 이상 한국 노인들의 결손치와 흡연의 융합관계

본 연구는 제 4기 (2007-2009년도) 국민건강영양조사를 활용하여 65세 이상 1,565명 노인을 대상으로 결손치아에 미치는 요인과 결손치아와 흡연과의 연관성을 알아보고자 하였다. 인구사회학적 특성은 연령에서 나이가 들면서 결손치가 증가하였고, 특히 흡연과 결손치아의 연관성을 알아보기 위하여 사회경제적인 요인 및 행태들을 보정한 후 흡연상태와 성별, 사회경제적인지위, 치과방문패턴과 연관성을 알아본 결과, 남자보다 여자가 현재흡연상태에서 결손치아수가 높게 나타났으며, 사회경제적지위인 '하'에서 결손치아수가 높게 나타났다(p<0.000). 치과 방문패턴에서는 1년에 치과를 2번 이상 방문에서 결손치아수가 높게 나타나 향후 추가적인 연구를 통해 치과차원의 예방적인 금연정책이 필요할 것으로 보인다. This study aims to investigate the factors affecting tooth loss and the association between smoking and tooth loss, by using the forth Korea National Health and National Examination Survey(2007-2009) of 1,565 elderly people over 65 years old. In terms of the characteristics, as age increases, tooth loss increases. In particular, according to the results of the analysis that identify the correlation between smoking to gender, socio-economic status and dental visiting patterns after correcting socio-economic factors and behavior, it is clear that male's tooth loss is higher than female's in current smoking and tooth loss is caused highly in the lower socio-economic status. In the dental visiting patterns, tooth loss is high when visiting more than twice a year. Therefore, it seems to need a preventive non-smoking policy at the level of dental services through further studies.

Association of diabetes with tooth loss in Hispanic/Latino adults: findings from the Hispanic Community Health Study/Study of Latinos

ObjectivesTo investigate the association between diabetes mellitus and missing teeth in Hispanic/Latino adults from diverse heritage groups who reside in the USA.Research design and methodsThe Hispanic Community Health Study/Study of...

Prevalence of Tooth Loss in A Community in The South-West of Nigeria

ABSTRACT Aim The aim of this study was to determine the pattern and prevalence of tooth loss amongst community dwelling adults in a suburban area of Lagos. Methods A questionnaire based study was carried out in a community in Lagos, Nigeria. Causes, pattern and factors affecting tooth loss were elucidated. Result Prevalence of adults with at least one missing tooth was 33.6%. More than half (64.1%) of the respondents had lost their teeth for more than 5 years. Tooth loss (42.3%) was more in the lower posterior region. There was a significant association of tooth loss to increasing age, previous visit to the dentist and gender. The males had 38.7% tooth loss in the anterior region while females had more tooth loss in the posterior region. Conclusion Prevalence of tooth loss was high. Tooth loss was more in the males. A higher percentage of tooth loss was found amongst the elderly.

Is menopause associated with an increased risk of tooth loss in patients with periodontitis?

AimTo analyse the potential effects of menopause on tooth loss in women with chronic periodontitis. MethodsThe study included 102 women between 35 and 80 years old with chronic periodontitis and at least six teeth divided into two groups: the study group (SG), which consisted of 68 menopausal women, and the control group (CG), which consisted of 34 pre-menopausal women. Each participant was given a survey to collect several demographic data points, general and oral clinical histories, gynaecological history and behavioural habits. Several oral and periodontal measurements were recorded, including the number of teeth, plaque index, presence of calculus, probing depth, bleeding on probing, gingival recession and attachment loss. The following statistical tests were used: Chi-square, Fisher, t-test for independent samples, Wilcoxon–Mann–Whitney non-parametric test and ANCOVA. ResultsAt least one tooth was missing in 98% of the women in the study. The SG exhibited significantly fewer teeth than the CG (SG 10.83±5.90, CG 6.79±4.66), but the difference was not significant after adjusting for age (p<0.05). On the other hand, significant difference was not observed between the groups for the major periodontal measurements taken. ConclusionsMenopause did not appear to significantly affect tooth loss in the study population. The effect of menopause is likely small compared with other clinical and socioeconomic factors.

Relative contribution of restorative treatment to tooth extraction in a teaching institution

Teeth can be extracted due to multiple factors. The aim of this retrospective cross-sectional study was to identify the relative contribution of restorative treatments to tooth loss. The study reviewed records of 826 patients (1102 teeth). Patient's gender, age and education were obtained. In addition to the main reason for extraction (caries, periodontal disease, pre-prosthetic extraction, restorative failure and remaining root), the following information was collected about each extracted tooth: type, the status of caries if any (primary or secondary) and pulpal status (normal or reversible pulpitis, irreversible pulpitis, necrotic or root canal treated) and type and size of restoration, if present. Following data collection, descriptive analysis was performed. A log-linear model was used to examine the association between restorative treatment and tooth loss and between reasons for tooth loss and type of tooth. Lower molars followed by upper molars were the most commonly extracted teeth. Teeth with no restorations or with crowns were less likely to be extracted (P < 0·001). Lower and upper molars and lower premolars were more likely to be extracted due to restorative failure, while lower anterior teeth were more likely to be extracted due to periodontal disease (P < 0·05). Twenty two per cent of the extractions was due to restorative failure, and at least 65·9% of these teeth had secondary caries. Gender, age and educational level were factors that affect tooth loss. In conclusion, teeth receiving multiple restorative therapies were more likely to be extracted.

Tooth‐related risk factors for tooth loss in community‐dwelling elderly people

To appropriately explore risk factors for tooth loss operating at the tooth-level, subject-related factors and a hierarchical data structure have to be considered. The purpose of this study was to evaluate tooth-related and subject-related risk factors affecting tooth loss. A 10-year longitudinal survey was carried out on 286 elderly subjects. At baseline, the prosthodontic status and abutment function of the 5574 teeth were recorded. Tooth loss was defined as the main outcome variable, and a multilevel logistic regression model considering subject and tooth levels was applied. Tooth loss was found in 75% of subjects and most frequently in molars. A multivariable, multilevel logistic regression revealed that the following tooth-related variables were significantly related to tooth loss over 10 years: maxillary teeth, multirooted teeth, single crowns, abutment teeth for a fixed/removable partial denture (FPD/RPD), and periodontally involved teeth. Among them, single crowns, abutment teeth for an FPD, and teeth with severe periodontal disease at baseline had the highest odds of 5.1, 6.0, and 7.1, respectively. The findings of this study suggest that tooth loss is the result of complex interactions of tooth-related factors. Several tooth-related variables including multirooted teeth, abutments, and single crowns were found to be possible risk factors for tooth loss. Thus, these findings confirm and underline the potential benefit of minimizing prosthetic treatment of molars.

Parameters Affecting Tooth Loss during Periodontal Maintenance in a Greek Population

Investigators have evaluated predictive parameters of tooth loss during the maintenance phase (MP). The authors conducted a retrospective study to evaluate the rate of tooth loss and to explore the parameters that affect tooth loss during MP in a Greek population. A periodontist administered periodontal treatment and maintenance care to 280 participants with severe periodontitis for a mean period +/- standard deviation of 10.84 +/- 2.13 years. The periodontist recorded the following parameters for each participant: oral hygiene index level, simplified gingival index level, clinical attachment level, probing depth measurements, initial tooth prognosis, smoking status, tooth loss during active periodontal treatment and MP, and compliance with suggested maintenance visits. The authors found that total tooth loss during active treatment (n = 1,427) was greater than during MP (n = 918) and was associated with the initial tooth prognosis, tooth type group, participants' compliance with suggested maintenance visits, smoking status and acceptability of the quality of tooth restorations. Most of the teeth extracted during maintenance had an initial guarded prognosis (n = 612). Participants whose compliance was erratic had a greater risk of undergoing tooth extraction than did participants whose compliance was complete. Participants' initial tooth prognosis, tooth type, compliance with suggested maintenance visits and smoking status affected tooth loss during MP. Initial guarded prognosis and erratic compliance increased the risk of undergoing tooth extraction during maintenance. Determining predictive parameters for disease progression and tooth loss provides critical information to clinicians so that they can develop and implement rational treatment planning.

Cigarette smoking and tooth loss experience among young adults: a national record linkage study

BackgroundVarious factors affect tooth loss in older age including cigarette smoking; however, evidence regarding the association between smoking and tooth loss during young adulthood is limited. The present study examined the association between cigarette smoking and tooth loss experience among adults aged 20–39 years using linked data from two national databases in Japan.MethodsTwo databases of the National Nutrition Survey (NNS) and the Survey of Dental Diseases (SDD), which were conducted in 1999, were obtained from the Ministry of Health, Labor and Welfare with permission for analytical use. In the NNS, participants received physical examinations and were interviewed regarding dietary intake and health practices including cigarette smoking, whereas in the SDD, participants were asked about their frequency of daily brushing, and received oral examinations by certified dentists. Among 6,805 records electronically linked via household identification code, 1314 records of individuals aged 20 to 39 years were analyzed. The prevalence of 1+ tooth loss was compared among non-, former, and current smokers. Multiple logistic regression models were constructed including confounders: frequency of tooth brushing, body mass index, alcohol consumption, and intake of vitamins C and E.ResultsSmoking rates differed greatly in men (53.3%) and women (15.5%). The overall prevalence of tooth loss was 31.4% (31.8% men and 31.1% women). Tooth loss occurred more frequently among current smokers (40.6%) than former (23.1%) and non-smokers (27.9%). Current smoking showed a significant association with 1+ tooth loss in men (adjusted OR = 2.21 [1.40–3.50], P = 0.0007) and women (1.70 [1.13–2.55], P = 0.0111). A significant positive exposure-related relationship between cigarette smoking status and tooth loss was observed (P for trend < 0.0001 and 0.0004 in men and women, respectively). Current smoking was also associated with the prevalence of decayed teeth (1.67 [1.28–2.20], P = 0.0002).ConclusionAn association between cigarette smoking and tooth loss was evident among young adults throughout Japan. Due to limitations of the available variables in the present databases, further studies including caries experience and its confounders should be conducted to examine whether smoking is a true risk of premature tooth loss in young adults.

Factors affecting tooth loss among rural Khon Kaen adults: Analysis of two data sets

Tooth loss is an oral health problem affecting Thai people and people of other nations as well. Not much of epidemiologic evidence concerning factors affecting tooth loss among Thai people has been reported although severity of tooth loss among Thai people has never been decreased. This study employed two existing data sets to evaluate the role of health behaviors such as tobacco smoking and betel quid chewing (a common habit prevalent among rural Thai females), together with other factors in relation to tooth loss among rural Thai people. The study population in the first (phase I) and second (phase II) data sets included 1484 and 3471 male and female adults residing in rural areas of Khon Kaen province, Thailand during 1990-1991 and 1992-1994, respectively. The data were obtained through oral examination and interview. Employing descriptive, bivariate, and multivariable Poisson regression, key risk indicators of tooth loss were identified for both data sets. The findings from final multivariable Poisson regression models were consistent in that tobacco smoking, betel quid chewing, age, dental caries (defined as decayed plus filled teeth) and periodontitis were significantly related to tooth loss among these rural populations. Therefore, preventive programs aiming at discouraging Thai people from smoking tobacco and/or chewing betel quid should be established so that healthy natural teeth can be maintained.

Association of the OGG1 Ser326Cys polymorphism with tooth loss

Although tooth loss is a serious health problem for elderly people, little is known about the genetic basis for susceptibility to it. In the present study we aimed to find a single nucleotide polymorphism (SNP) associated with tooth loss. DNA samples from 119 outpatients (mean age=78.8 years) were genotyped on seven polymorphisms (tumor necrosis factor-alpha -1031T/C, interleukin-1beta -511C/T, interleukin-6 -634C/G, macrophage migration inhibitory factor -173G/C, interleukin-1 receptor antagonist variable number of tandem repeat in intron 2, matrix metalloproteinase-1 -16071G/2G, and oxoguanine glycosylase 1 (OGG1) Ser326Cys (1245C/G)), and the results were statistically evaluated. Of the seven polymorphisms tested, only OGG1 Ser326Cys was revealed to associate with tooth loss at a statistically significant level (P=0.0086). In addition, a multivariate logistic regression analysis in which age, gender, body mass index (BMI), and ischemic heart disease were included as independent variables indicated that Ser326Cys could be an independent factor affecting tooth loss (OR, 3.191; 95%CI, 1.174-8.672). The data suggest that the OGG1 Ser326Cys polymorphism may be associated with tooth loss.

Association of Tooth Loss with Psychosocial Factors in Male Japanese Employees

Association of Tooth Loss with Psychosocial Factors in Male Japanese Employees: Naoji Hayashi, et al. Department of Preventive Dentistry, Graduate School of Dentistry, Osaka University—It would seem that good psychosocial conditions would have a positive effect on oral health, but few data exist regarding the association of psychosocial factors with tooth loss. The association between psychosocial factors and tooth loss was studied in male industrial workers in Japan. In an annual health checkup, tooth loss status was assessed by oral examination in 252 workers (age 2059 yr). Information pertaining to psychosocial factors, lifestyle and oral health behavior was also obtained through a self‐administered questionnaire. The mean tooth loss per worker showed a significant increasing trend with age. Mean tooth loss was 0.32 in the 20‐29‐yr‐old group, 0.82 in the 30‐39‐yr‐old group, 1.28 in the 40‐49‐yr‐old group and 2.91 in the 50‐59‐yr‐old group. Bivariate analyses revealed that age (P&lt;0.01) and alexithymia (P&lt;0.05) were significantly associated with tooth loss. In contrast, work stress, depression, type A behavior, job‐ and life‐satisfaction were not significantly associated with tooth loss. In multivariate analyses, the associations of age (P&lt;0.02) and alexithymia (P&lt;0.05) remained statistically significant after adjustment for oral health behavior and lifestyle variables. We suggest that an alexithymic personality may affect tooth loss status in male employees.

The tooth as a marker of developing world quality of life: A field study in Guatemala

A geographical sample in a rural area of eastern Guatemala revealed widespread, premature and heavy losses of permanent teeth. Social and environmental influences that affect tooth loss include inadequate diet, refined sugar, poor oral hygiene, absence of fluoride, lack of preventive education and insufficiency of dental care services. Land hunger and family poverty are of paramount importance. Gender-based cultural differences are apparent in tooth extraction rates, and use of dentures. No one escapes visitations of severe orofacial pain that cast a blight upon the quality of rural life. Periodontal disease drives the poorest of the poor to spend disproportionately large sums on pharmaceutical pain-killers and destructive traditional medicines. Lay ‘tooth-pullers’ visit remote rural homes to extract teeth. Only full edentulism can bring patients permanent somatic and financial relief. Community dental health is conspicuously neglected in official policies and plans for rural development.

Remaining teeth, oral dryness and dental health habits in middle-aged Norwegian rheumatoid arthritis patients.

The aim of the study was to assess the effect of rheumatoid arthritis (RA) upon dental health. A questionnaire was mailed to all seropositive rheumatoid arthritis (RA) patients aged 44-56 yr in the files of the two main departments of rheumatology in South Eastern Norway. Data were obtained from 125 patients, constituting 91% of the target group. The number of remaining teeth in these patients was not related to disease duration or physical dysfunction, whereas a relationship to prolonged use of medication for pain relief was indicated. Factors known to affect tooth loss in the general population, such as smoking habits, dental attendance, interdental cleaning habits, previous dental disease, and place of residence were found to be important in RA patients as well. The RA patients from Oslo had a mean number of 25 remaining teeth, which is the same as reported for the general Oslo population at this age. Oral dryness was reported by more than 50% of the RA patients, but was not related to the number of teeth. The conclusion is that serious and long lasting rheumatoid arthritis had little influence on the number of remaining teeth in this middle-aged group of Norwegians.