Prevalence Of Tooth Loss Research Articles

Alveolar bone loss is a significant contributor to tooth loss in dentate HIV+ patients: A retrospective study.

The study objectives were to determine tooth loss prevalence and to investigate the relationship between tooth loss and potential risk factors among adult dentate HIV+ patients on newer antiretroviral therapy (ART) regimens. Health records of 450 human immunodeficiency virus (HIV)-infected individuals were surveyed. Eighty-eight records of dentate HIV+ individuals with full-mouth periodontal charting and intra-oral periapical radiographs were identified. We collected data on demographics, systemic risk factors, oral health, and HIV disease measures. Caries exposure and alveolar bone loss (ABL) were radiographically assessed. Eighty-eight percent of patients showed tooth loss. Patients with ABL ≥15% had a higher number of missing teeth (p<.01). Stepwise regression analyses indicated that tooth loss was positively associated with age (β=0.45, p<.01) and ABL (β=0.39, p<.01). By contrast number of years on ART was negatively associated with tooth loss (β=-0.28, p<.05). Tooth loss remains prevalent among HIV+ patients, and periodontal disease is a significant contributor. The number of years on ART seem to improve oral health behavior and reduce tooth loss.

Association of endogenous sex hormone levels with tooth loss due to periodontitis in men and post-menopausal women: Themulti-ethnic study of atherosclerosis.

To investigate the association between endogenous sex hormone levels and history of tooth loss related to periodontitis in healthy middle-aged to older men and post-menopausal women. This cross-sectional study included 5649 participants aged 45-84 (mean age, 63 ± 10 years) from the Multi-Ethnic Study of Atherosclerosis cohort who had sex hormone levels measured and answered a questionnaire regarding perceived periodontal status at exam 1. Multivariable logistic regression was used to examine the association of sex hormones (exposure) with history of tooth loss (outcome), stratified by sex. Among post-menopausal women, higher free testosterone (per 1SD) was associated with a greater prevalence of tooth loss [OR 1.49 (95% CI, 1.08-2.05)], whereas higher sex hormone binding globulin (SHBG) was associated with a lower prevalence of tooth loss [OR 0.74 (0.58-0.94)], after adjustment for cardiometabolic risk factors and reproductive factors. In men, higher free testosterone and lower SHBG were associated with a lower prevalent probability of tooth loss in unadjusted analysis, but these associations lost significance after covariate adjustment. A higher androgenic sex hormone profile in post-menopausal women (i.e., increased free testosterone, lower SHBG) was associated with an increased prevalence of tooth loss, after adjusting cardiometabolic risk factors. No such association was found in men. These findings suggest that sex hormones may influence or serve as a marker for periodontal health.

Pengaruh Pendidikan dan Pelatihan Kesehatan Gigi dan Mulut serta Gigi Tiruan Pada Lansia di Panti Werdha Berea Kedoya

Elderly are people aged 60 years or more. According to Riskesdas, the highest prevalence of tooth loss in Indonesia is in the age group over 60 years, specifically at 30.6%. Prosthodontic treatment can improve a patient's oral health, improve their masticatory and speech functions, and improve their aesthetics. However, the use of dentures requires proper care. The elderly need to be aware of how to maintain oral health and care for dentures to ensure its longevity. The purpose of this activity is to increase knowledge and change attitudes and behaviors concerning dental health care, denture care and oral hygiene in the elderly. In this activity, audio visual training techniques are applied by using powerpoint and videos as training tools to improve the retention of counseling materials by the elderly and avoid saturation. The delivery of materials is conducted using a language that is easily understood by the elderly. Based on the results of the pretest and posttest, this activity shows an increase in knowledge as well as the enthusiasm of the participants in asking questions about counseling and training related to maintaining oral health and the mouth as well as dentures. A good level of success can be achieved through this activity as it is supported by appropriate methods and good communication between the implementing team and the community.

Is tooth loss associated with oral health-related quality of life among young men? Findings from southern Brazil.

To determine the association between tooth loss and oral health-related quality of life (OHRQoL) among young men from southern Brazil. Cross-sectional study of 518 young men aged 18-19 years enlisted for mandatory military service in the Brazilian Army in two cities of southern Brazil in 2019-2021. Participants were clinically examined regarding gingivitis, dental caries experience (caries lesions, missing and filled surfaces), and malocclusion. A questionnaire collected socioeconomic information and the Oral Health Impact Profile 14 (OHIP-14). The outcome was OHRQoL, modeled as a discrete variable. The main explanatory variable was tooth loss due to caries (0 or ≥1). Negative binomial regression analysis was used; rate ratios (RR) and 95% confidence intervals (CI) were estimated. Tooth loss prevalence was 22.2%. Associations were detected between tooth loss and OHRQoL in the physical pain and handicap domains. Individuals with at least one missing tooth had 17% higher OHIP-14 scores in the physical pain domain (adjusted RR=1.17; 95%CI=1.01, 1.35) and 49% higher in the handicap domain (adjusted RR=1.49; 95%CI=1.03, 2.15) than those with no tooth loss. Tooth loss was negatively associated with OHRQoL among 18-19-year-old Brazilian Army conscripts, and this association was related to physical pain and handicap domains.

Association between bullying at school and tooth loss among 15-19-year-olds from southern Brazil.

This study aimed to investigate the association between bullying at school and tooth loss in southern Brazilian adolescents. This population-based cross-sectional study included a representative sample of 15-19-year-old students attending high schools in Santa Maria, southern Brazil. Data on sociodemographic and behavioral variables were collected through questionnaires. Contextual data on bullying at school was provided by educational institutions (bullying episodes in the previous year: 'no,' 'sometimes,' or 'often'). Tooth loss was clinically assessed by the M component of the DMFT index, modeled as a discrete variable. Multilevel Poisson regression was used, and rate ratios (RR) and 95% confidence intervals (CI) were estimated. The prevalence of tooth loss was 9.2% (95%CI = 7.5-10.8). Adolescents who attended the schools where bullying events often occurred had 0.39 (95%CI = 0.33-0.45) missing teeth, on average, in contrast to an average of 0.14 (95%CI = 0.08-0.19) among those whose schools did not experience bullying in the previous year. After adjusting for important cofactors, the contextual variable of bullying at school remained significantly associated with the study outcome. Adolescents who attended schools where bullying frequently occurred were 2.49-fold more likely to have an additional missing tooth than those whose school did not experience bullying in the previous year (RR = 2.49, 95%CI = 1.37-4.51, p = 0.003). In conclusion, the frequent bullying episodes at school were associated with more permanent teeth lost due to caries in this population. Hence, improving the school environment may improve the oral health of adolescents.

Втрата зубів. Фактори ризику, поширеність, етіологія, зв’язок із соматичною патологією (огляд літератури)

Introduction. According to the World Health Organization (WHO), a key aspect of oral health is the lifelong preservation of a functional dentition consisting of at least 20 teeth without the need for replacement. Tooth loss is one of the most common conditions that affects millions of people worldwide and is associated with a higher risk of mortality and systemic diseases, leads to functional, aesthetic and social impairments, reduces the quality of human life and can be an effective determinant of oral health. cavity of the population. Purpose: on the basis of a thorough analysis of literary sources, to study the risk factors, prevalence, etiology of tooth loss and its connection with somatic pathology. Materials and methods. Information search and analysis of scientific sources using scientometric databases Web of Science, PubMed, Google Scholar over the past 15 years. Conclusion. The analysis of the literature data of recent years has shown the high prevalence of tooth loss in dental patients and the need to develop and implement modern multidisciplinary approaches to the treatment of this contingent of patients in health care practice. Key words: partial loss of teeth, complete loss of teeth, somatic pathology, caries, periodontitis.

Prevalence of Tooth Loss due to Periodontitis in Patients Visiting Tertiary Care Hospital

Introduction: Epidemiological studies have been showing that caries is the main reason for tooth loss. But nowadays, it seems to show an increasing trend of tooth loss due to periodontal reasons rather than caries. The retention of natural teeth can improve the quality of life by maintaining the ability to chew and digest food. Thus, directly or indirectly periodontitis leading to tooth loss affects quality of life.&#x0D; Objective: To determine the prevalence of tooth loss in periodontitis patients.&#x0D; Methods: A cross-sectional study was done in Department of Periodontology and Oral Implantology from June 2023 to September 2023 after obtaining ethical clearance from institutional review committee. Study participants were patients diagnosed as periodontitis according to world workshop in periodontics 2017 classification and prevalence of tooth loss was recorded according to the history of mobile tooth. Poor prognosis and hopeless prognosis were counted as to be extracted tooth in the study. Collected data were entered into the excel sheet and further statistical analysis was done using SPSS v.20.&#x0D; Results: Mean of tooth loss due to periodontitis was found to be 3.74±3.285 and tooth to be extracted is 1.94±1.884. &#x0D; Conclusion: As the age increases number of tooth loss increases, likewise current smokers have more amount of tooth loss than that of former and nonsmokers. Likewise, mandibular anterior region was most common for prevalence for tooth loss.

Association of Sleep Duration with Tooth Loss and Periodontitis: Insights from the National Health and Nutrition Examination Surveys (2005-2020).

Sleep disorders such as insomnia, apnea, and restless leg syndrome can negatively affect a person's overall health and maycause hypertension, heart failure, and coronary heart disease. Likewise, periodontitis, a gum disease, can lead to both physical and psychological health issues, exerting a considerable effect on one's overall well-being-periodontitis stands as a primary cause of tooth loss. Nevertheless, there has been insufficient research on the correlation between the amount of sleep individuals get and the occurrence of periodontitis/tooth loss among Americans. Therefore, this study aimed to assess the influence of sleep length on periodontitis in the American population. Periodontitis severity was classified (none, mild, moderate, and severe) using American Periodontal Association criteria. Sleep duration was assessed by self-reported dataand categorized into three groups (deficient, adequate, and excessive).Tooth loss was assessed by the oral examination. To establish a connection between the duration of sleep and periodontitis/tooth loss, a weighted multivariable logistic regression analysis was employed. A GAM analysis and smooth curve fitting assessment were conducted to identify non-linear relationships. Subgroup, interaction, and mediation analyses were also performed. The prevalence of tooth loss was significantly high, affecting 96.4% of the individuals, whereas 46.6% of the study sample experienced moderate to severe periodontitis. The average age of participants was 52.7years. After adjusting for potential confounding factors, the analysis of weighted multivariable logistic regression revealed a significant association between sleep insufficiency and moderate/severe periodontitis (OR 1.15, 95% CI 1.01-1.30, P = 0.0298), as well as tooth loss (OR 1.16, 95% CI 1.01-1.33, P = 0.0371). Additionally, the research showed a correlation between the length of sleep and periodontitis that followed a U-shaped pattern. In addition, the analysis of mediation revealed that high blood pressure explained 7.0% (95% CI 4.0% to 12.9%; P < 0.0001) of the link between the amount of sleep and the likelihood of losing teeth. Sleep duration was independently correlated with moderate/severe periodontitis/tooth loss and had a non-linear relationship.

BASIC SCREENING SURVEY IN DETROIT SENIOR CENTERS

Abstract The objective of the Senior Oral Health Equity Project (SOHEP) Basic Screening Survey (BSS) was to determine the oral health status of seniors 55yrs and older in Detroit senior centers. The ASTDD BSS tool was used to collect the data. The screenings were conducted in two local senior centers to determine the prevalence of dental disease as well as dental care needs. The data were collected using Qualtrics© and analyzed using SPSS©. Majority of the seniors (n=67) screened were African American (88.9%), female (79.1%) and between the ages of 65 and 85 yrs. (89.6%). Results showed that there is a high prevalence of tooth loss (6 or more teeth – 59.6%), untreated decay (38.8%), need for periodontal care (52.2%) and need for dental care (43.3%). The results suggest that the senior center participants have limited access to dental care. There is a need to develop preventive dental programs for seniors where they congregate and live.

The Salivary Microbiome and Predicted Metabolite Production Are Associated with Barrett's Esophagus and High-Grade Dysplasia or Adenocarcinoma.

Esophageal adenocarcinoma (EAC) is rising in incidence, and established risk factors do not explain this trend. Esophageal microbiome alterations have been associated with Barrett's esophagus (BE) and dysplasia and EAC. The oral microbiome is tightly linked to the esophageal microbiome; this study aimed to identify salivary microbiome-related factors associated with BE, dysplasia, and EAC. Clinical data and oral health history were collected from patients with and without BE. The salivary microbiome was characterized, assessing differential relative abundance of taxa by 16S rRNA gene sequencing and associations between microbiome composition and clinical features. Microbiome metabolic modeling was used to predict metabolite production. A total of 244 patients (125 non-BE and 119 BE) were analyzed. Patients with high-grade dysplasia (HGD)/EAC had a significantly higher prevalence of tooth loss (P = 0.001). There were significant shifts with increased dysbiosis associated with HGD/EAC, independent of tooth loss, with the largest shifts within the genus Streptococcus. Modeling predicted significant shifts in the microbiome metabolic capacities, including increases in L-lactic acid and decreases in butyric acid and L-tryptophan production in HGD/EAC. Marked dysbiosis in the salivary microbiome is associated with HGD and EAC, with notable increases within the genus Streptococcus and accompanying changes in predicted metabolite production. Further work is warranted to identify the biological significance of these alterations and to validate metabolic shifts. There is an association between oral dysbiosis and HGD/EAC. Further work is needed to establish the diagnostic, predictive, and causal potential of this relationship.

Marginalization and tooth loss in older Mexican adults.

To examine the association between the level of marginalization and tooth loss in adults aged ≥50 years in Mexico. A retrospective cross‑sectional study was conducted on 2098 adults selected from communities presenting both high and medium levels of marginalization, with data obtained from the annual reports of the Epidemiological Surveillance System of Oral Pathologies 2019-2022. Analysis considered sociodemographic characteristics such as sex, age, and years of education. The prevalence of tooth loss was determined using the Decayed, Missing and Filled teeth (DMFT) index. Negative binomial regression was used to estimate rate ratio (RR) and 95% confidence intervals (CIs), using the presence of lost teeth as an outcome. Most (62.4%) participants had lost at least one tooth, of whom 60.3% had a medium level of marginalization, 28.8% a high level, and 10.9% a very high level. More adults who lived in high or very high marginalization communities had lost teeth [RR=1.19 (95% CI 1.08 - 1.30)] than those living in communities with a medium level of marginalization. More males [RR=1.19 (95% CI 1.09 - 1.31)], adults ≥70 years [RR=1.77 (95% CI 1.57 - 1.99)], people who were illiterate [RR=1.60 (95% CI 1.35 - 1.88)] or who had poor oral hygiene [RR=1.26 (95% CI 1.15 - 1.38)] had also lost teeth. High and very high marginalization was associated with tooth loss in adults ≥50 years in Mexico. Effective oral health strategies are required to prevent tooth loss, as are interventions to improve access to and quality of dental services for marginalized communities.

Comparison of Dental Caries and Tooth Loss Prevalence between Diabetic and Non-diabetic Patients: Kabul, Afghanistan

Background: Diabetes is a systematic disease that reduces the amount of fluid in the body and causes Xerostomia or dry mouth, which leads to dental caries. Besides, type 2 diabetes is an inflammation-related disease that negatively affects the inflammatory response to dental plaque, leading to intense periodontitis that, if untreated, results in total tooth loss. Aim and Purpose: This study aimed to evaluate the prevalence of dental caries and tooth loss by comparison in diabetic and non-diabetic patients. Material and Method: The cross-sectional study was carried out on 1391 OPD patients over 16 in two governmental hospitals, Kabul University Hospital and National and Specialized Stomatology Hospital. The needed information has been obtained through a questionnaire. Then the oral cavity and the teeth of patients were examined directly in a dental unit in sufficient light and using dental instruments such as dental mirrors and dental explorers. Afterward, data analysis was performed in IBM SPSS Statistic 25.0. Result: The finding of this study shows that 100% of examined patients were suffering from dental caries, and on average, at least there were six teeth lost in each patient. Besides, 55.51% of patients had diabetes with tooth defects. There was 29.92% tooth decay and 25.59% tooth loss, with a remarkable difference between anterior and posterior teeth, as the significant percentage of tooth decay and tooth loss in anterior teeth of diabetic patients than non-diabetics.

PREVALENCE OF EDENTULISM AND PREFERRED PROSTHESIS AMONG YOUNG ADULTS - A QUESTIONNAIRE STUDY

Background: We conducted this study to gather baseline data on tooth loss and preferred prosthesis as there were only few epidemiological studies on tooth loss, especially in young adults (18–26 years).Aim: The aim of the study is to analyze the prevalence of tooth loss and their preferred prosthesis among young adults (18-26years) who arrived to the private dental institutions for treatment or to accompany them. A total of 634 young adults (18-26 years) were included Materials and methodology: in the study, individual questionnaire were given for assess the oral health followed by examination of edentulism. Out of total samples 28.7% had Results: tooth loss, 71.3% don't. The causes of tooth loss are 67.9% tooth decay, 13.6% trauma, 10% congenital missing, and 8.6% mobility. The population with treatment needs 30.5%, 12.8% underwent treatment for tooth loss and 56.8% are not in need of treatment/not willing for treatment. The population preferred xed prosthesis is 49.8%, 10.2% removable prosthesis, 40% implant. The need for prosthetic Conclusion: care among young individuals and the associated risk factors for tooth loss are highlighted in this study. The purpose of this study was to inform participants about the effects of tooth loss, the signicance of replacing missing teeth, and the many treatment choices that are accessible to them

Pérdida dental y sobrepeso u obesidad en un grupo de mujeres de Tuxtla Gutiérrez; Chiapas, México

The objective of this study was to estimate the association between the prevalence of tooth loss (PD) in a group of overweight or obese women from Tuxtla Gutiérrez, Chiapas. Method: a cross-sectional study was carried out in 113 women between ages of 15 and 68 years, who were selected according to convenience sampling. The variables studied were the prevalence of PD, coding as 0 = women without dental loss and, 1 = women who had at least one tooth loss and the prevalence of overweight and obesity was 0 = normal weight, 1 = overweight, 2 = class I obesity , 3 = obesity class 2 and, 4 = obesity class 3. Data were collected through a questionnaire and oral examination conducted by eight previously calibrated examiners (Kappa = 0.82) and statistically analyzed using both the percentage distribution (prevalence) and the Prevalence Ratio (PR) test. Results: the average age was 40.01 ± 12.9. The prevalence of women with PD was 65.6%, none of whom had total edentulism. Of the group studied, 31 (27.4%) had normal weight and 82 (72.5%) were overweight and had some degree of obesity. When calculating PR, there was a 1.5 times greater probability of having PD in overweight or obese women than in women with normal weight, this relationship was not significant with a type 1 error of 0.05. Conclusion: both PD and being overweight or obese represent a global public health problem. Overweight or obese women were not associated in the present study, however, the point estimate (PR 1.5), shows that there may be an association , to be verified in an analytical design.

Analysis of epidemiological trends of and associated factors for tooth loss among 35- to 44-year-old adults in Guangdong, Southern China, 1995–2015: a population-based cross-sectional survey

BackgroundTooth loss is a known marker of oral and systemic health, but large-scale population-based and cross-sectional multi-year comparative studies on tooth loss have yet to be much studied in China. This study explores the changing trends in tooth loss status and the associated factors influencing the prevalence of tooth loss over the past two decades in Guangdong, Southern China.MethodsData from three cross-sectional, representative oral epidemiological surveys in Guangdong Province were analyzed, including 400 in 1995, 720 in 2005, and 288 in 2015, for a total of 1408 participants. Sample selection is based on the National Census of China published by the National Bureau of Statistics. In this study, each year, the number of missing teeth (MT) and the prevalence of tooth loss (MT > 0) were calculated. Basic demographic information, socioeconomic status, caries and periodontal status, personal lifestyle factors, and dental health care behaviors were analyzed by multivariate logistic regression to estimate their associations with tooth loss. Statistical significance was evaluated with 2-sided tests with a significance level of P < 0.05.ResultsThis study found that the mean number of missing teeth and the prevalence of tooth loss among adults aged 35–44 years in Guangdong Province did not change significantly in the first decade (1995–2005) but decreased significantly in the second decade (2005–2015) (0.94 and 40.8% in 1995, 0.99 and 42.9% in 2005, and 0.63 and 33.3% in 2015, respectively). The mean number of MT by tooth position was highest for the first and second molars, and both were larger in the mandible than in the maxilla. In 1995, populations with low educational attainment and the presence of caries or periodontal pocket (periodontal probing depth ≥ 4 mm) were associated with a higher chance of MT > 0. In 2005, those with low educational attainment, the presence of caries, and 40–44 years old were associated with a higher chance of MT > 0. Moreover, in 2015, females, rural residents, and those with caries or periodontal pocket were associated with a higher chance of MT > 0.ConclusionsAlthough tooth retention has improved recently (2005–2015) and the preventive effect of education level on tooth loss has increased over time, efforts to prevent tooth loss in adults need to be strengthened. Particular attention should be given to preventive interventions for women, rural residents, and those suffering from caries or periodontal pocket.

Mesenchymal condensation in tooth development and regeneration: a focus on translational aspects of organogenesis.

The teeth are vertebrate-specific, highly specialized organs performing fundamental functions of mastication and speech, the maintenance of which is crucial for orofacial homeostasis and is further linked to systemic health and human psychosocial well-being. However, with limited ability for self-repair, the teeth can often be impaired by traumatic, inflammatory, and progressive insults, leading to high prevalence of tooth loss and defects worldwide. Regenerative medicine holds the promise to achieve physiological restoration of lost or damaged organs, and in particular an evolving framework of developmental engineering has pioneered functional tooth regeneration by harnessing the odontogenic program. As a key event of tooth morphogenesis, mesenchymal condensation dictates dental tissue formation and patterning through cellular self-organization and signaling interaction with the epithelium, which provides a representative to decipher organogenetic mechanisms and can be leveraged for regenerative purposes. In this review, we summarize how mesenchymal condensation spatiotemporally assembles from dental stem cells (DSCs) and sequentially mediates tooth development. We highlight condensation-mimetic engineering efforts and mechanisms based on ex vivo aggregation of DSCs, which have achieved functionally robust and physiologically relevant tooth regeneration after implantation in animals and in humans. The discussion of this aspect will add to the knowledge of development-inspired tissue engineering strategies and will offer benefits to propel clinical organ regeneration.

Nanoparticles and Inert Coating Materials: A Potential Enhancer of Antimicrobial Property of Polymethyl-Methacrylate (PMMA) Based Denture

Oral health is one of the significant determinants of general health, happiness and life quality. Dental caries, oro-dental trauma, periodontal disease and birth abnormalities including cleft lip and palate are among the reasons for tooth loss. High prevalence of tooth loss is the major cause of morbidity due to oral diseases in low and middle-income countries (WHO report,). Polymethyl-methacrylate (PMMA) bases are the preferred option for replacing missing teeth because of its biocompatibility, stability, easy handling, and low toxicity. Though PMMA is the most preferable material for denture preparation, lack of antimicrobial potential, thermal conductivity and radiopacity limits its diverse application. Seminal findings have shown, incorporation of certain nanoparticles may increase the antimicrobial potential, thermal conductivity and radiopacity of the PMMA. In the current review, we have elucidated light on the antimicrobial potential of PMMA based on the available information. We also focused on the current advancement and strategy regarding the improvement of antimicrobial potential of PMMA and other base materials. The information has been collected from published article available on PubMed up to 31 May 2022. The available studies supported that the antimicrobial property of PMMA can be improved by incorporation of nanoparticles such as graphene silver nanoparticles, TiO2, ZnO, SiO2/Ag These nanoparticles have been found to be effective against Staphylococcus aureus, Streptococcus mutans, Candida albicans, Escherichia coli, Pseudomonas fuorescense. In addition to nanoparticles, inert coating materials such as ammonium chitosan, sodium alginate, bioactive glass, chlorhexidine and organoselenium can be incorporated to enhance the antimicrobial properties of PMMA base denture material as well as inert coating material can be used to prevent the metal ion toxicity and a probable vehicle to leach the desired product at targeted site.

Home visits in rural areas: demands in primary care.

The rural population suffers from important limitations in accessing health care, often lacking a public policy approach to the health and sanitation conditions of their environment. In this sense, primary care emerges with the objective of offering comprehensive care to the population, applying some of its principles as territorialization, person-centered care, longitudinality, and resolution in health care. The goal is to offer the basic health needs of the population considering the determinants and conditions of health in each territory. The present study is an experience report that aimed to raise the main health demands of the rural population in the areas of nursing, dentistry, and psychology of a village in the state of Minas Gerais through home visits carried out as part of primary care. Depression and psychological exhaustion were identified as the main psychological demands. Related to nursing, the difficulty of controlling chronic diseases was notable. Regarding dental care, the high prevalence of tooth loss was evident. In an attempt to minimize the limitations of access to health care, some strategies were created targeting the rural population. A radio program that aimed to disseminate basic health information in an accessible way was the main one. Therefore, the importance of home visits is evident, especially in rural areas, favoring educational health and preventive practices in primary care and considering the adoption of more effective care strategies for rural populations.

The alcohol harm paradox and tooth loss among Brazilian older adults.

To investigate whether the association between alcohol consumption and tooth loss is modified across socioeconomic positions (SEPs) in Brazilian older adults. We conducted a secondary analysis using data of The Brazilian Longitudinal Study of Ageing (ELSI-Brazil 2015-2016). Effect Measure Modification (EMM) analyses using multivariable Poisson regression models tested whether the association between heavy drinking and lack of functional dentition (FD) varies in magnitude and direction according to levels of Household Wealth index (HWI) and educational attainment, assessed by the Relative Excess Risk due to Interaction (RERI). Sensitivity analyses using lifetime exposure to alcohol were performed. The analytical sample comprised 8078 participants. Heavy drinkers living in low-wealth households and with lower education presented 7% (95% CI: 1.01-1.14) and 36% (95% CI: 1.28-1.44) higher prevalence of lack of FD, respectively, than their counterparts, and super-additive associations were detected [RERI for HWI: 0.12 (95% CI: 0.02-0.21); RERI for educational attainment: 0.20 (95% CI: 0.09-0.30)]. The associations were also super-additive in the sensitivity analyses when controlling for abstainer reference group bias. We suggest that alcohol consumption disproportionately impacts the prevalence of tooth loss in Brazilian older adults from lower SEP groups.

Evaluation and Correlation of Bite Force With Electromyography (EMG) Activity Before and After Rehabilitation of the First Molar With an Implant-Supported Prosthesis.

Background Prevalence of tooth loss significantly increases as age advances. The permanent first molar is regarded as the key to proper occlusion and, thus, its loss causes significant deterioration of the functioning of the masticatory apparatus and overall stomatognathic system. It not only affects the occlusal integrity but also the activity of surrounding tissues and muscles. Aim and objectives To evaluate and correlate the maximum bite force (MBF) and electromyography (EMG) activity before and after 24 hours and two months of rehabilitation of the missing permanent first molar with single-implant crowns. Materials and methodology This observational, prospective in-vivo type of study was done on 10 patients receiving dental implants for missing molars. Results There was a significant correlation between bite force and EMG activity post-treatment. Conclusion Dental implant therapy can be very well utilized for the replacement of single missing teeth.