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Incidence of Tooth Loss and Prosthodontic Dental Care: Effect on Chewing Difficulty Onset, a Component of Oral Health–Related Quality of Life

Identifieur interne : 007043 ( Istex/Corpus ); précédent : 007042; suivant : 007044

Incidence of Tooth Loss and Prosthodontic Dental Care: Effect on Chewing Difficulty Onset, a Component of Oral Health–Related Quality of Life

Auteurs : Gregg H. Gilbert ; Xiaoxian Meng ; R. Paul Duncan ; Brent J. Shelton

Source :

RBID : ISTEX:E23C6447289E5C4059390140BBB0FD7C7DB71118

English descriptors

Abstract

Objectives: To quantify incidence of tooth loss, prosthodontic dental restoration, and chewing difficulty onset and the effect of tooth loss and prosthodontic restoration on chewing difficulty onset.

Url:
DOI: 10.1111/j.1532-5415.2004.52253.x

Links to Exploration step

ISTEX:E23C6447289E5C4059390140BBB0FD7C7DB71118

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To quantify incidence of tooth loss, prosthodontic dental restoration, and chewing difficulty onset and the effect of tooth loss and prosthodontic restoration on chewing difficulty onset.</p>
<p>
<hi rend="bold">Design: </hi>
A prospective cohort study of oral health and related behaviors with in‐person interviews and clinical examinations conducted at baseline and 24 months. Telephone interviews were conducted every 6 months between these sessions.</p>
<p>
<hi rend="bold">Setting: </hi>
A community‐based sample of four counties in north Florida.</p>
<p>
<hi rend="bold">Participants: </hi>
Eight hundred seventy‐three persons who had at least one tooth and were aged 45 and older at baseline.</p>
<p>
<hi rend="bold">Measurements: </hi>
Persons were queried regarding onset of chewing difficulty, an important component of oral health–related quality of life (OHRQoL). The chewing index of Leake, with minor revision, was the primary outcome of interest. Tooth loss was measured using direct clinical examination. Dental care use was reported during each interview.</p>
<p>
<hi rend="bold">Results: </hi>
Approximately 22% of participants reported tooth loss during follow‐up. Fixed prosthodontics (crowns and bridges) was the most common form of new prosthodontic treatment. People who reported tooth loss were 2.7 times more likely to report chewing difficulty onset than people without tooth loss (
<hi rend="italic">P</hi>
<.001). Having fewer occluding pairs of teeth at baseline was significantly associated with an increased probability of chewing difficulty onset. People who received removable prosthodontic treatment were much less likely to report chewing difficulty onset than people who did not (
<hi rend="italic">P</hi>
<.01).</p>
<p>
<hi rend="bold">Conclusion: </hi>
Incident tooth loss and removable prosthodontic restoration strongly predicted chewing difficulty, an important component of OHRQoL.</p>
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<correspondenceTo>Address correspondence to Dr. Gregg H. Gilbert, Professor, Chair, Department of Diagnostic Sciences, UAB School of Dentistry, SDB Room 109, 1530 3rd Avenue South, Birmingham, AL 35294. E‐mail:
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<title type="short">CHEWING DIFFICULTY ONSET</title>
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<p>
<b>Objectives: </b>
To quantify incidence of tooth loss, prosthodontic dental restoration, and chewing difficulty onset and the effect of tooth loss and prosthodontic restoration on chewing difficulty onset.</p>
<p>
<b>Design: </b>
A prospective cohort study of oral health and related behaviors with in‐person interviews and clinical examinations conducted at baseline and 24 months. Telephone interviews were conducted every 6 months between these sessions.</p>
<p>
<b>Setting: </b>
A community‐based sample of four counties in north Florida.</p>
<p>
<b>Participants: </b>
Eight hundred seventy‐three persons who had at least one tooth and were aged 45 and older at baseline.</p>
<p>
<b>Measurements: </b>
Persons were queried regarding onset of chewing difficulty, an important component of oral health–related quality of life (OHRQoL). The chewing index of Leake, with minor revision, was the primary outcome of interest. Tooth loss was measured using direct clinical examination. Dental care use was reported during each interview.</p>
<p>
<b>Results: </b>
Approximately 22% of participants reported tooth loss during follow‐up. Fixed prosthodontics (crowns and bridges) was the most common form of new prosthodontic treatment. People who reported tooth loss were 2.7 times more likely to report chewing difficulty onset than people without tooth loss (
<i>P</i>
<.001). Having fewer occluding pairs of teeth at baseline was significantly associated with an increased probability of chewing difficulty onset. People who received removable prosthodontic treatment were much less likely to report chewing difficulty onset than people who did not (
<i>P</i>
<.01).</p>
<p>
<b>Conclusion: </b>
Incident tooth loss and removable prosthodontic restoration strongly predicted chewing difficulty, an important component of OHRQoL.</p>
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<p>This investigation was supported by National Institutes of Health Grants DE‐11020 and DE‐14164. Opinions and assertions herein are those of the authors and are not to be constructed as necessarily representing the views of the universities or the National Institutes of Health. An Internet home page devoted to details about the Florida Dental Care Study can be found at
<url href="http://nersp.nerdc.ufl.edu/~gilbert/">http://nersp.nerdc.ufl.edu/~gilbert/</url>
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<abstract>Measurements: Persons were queried regarding onset of chewing difficulty, an important component of oral health–related quality of life (OHRQoL). The chewing index of Leake, with minor revision, was the primary outcome of interest. Tooth loss was measured using direct clinical examination. Dental care use was reported during each interview.</abstract>
<abstract>Results: Approximately 22% of participants reported tooth loss during follow‐up. Fixed prosthodontics (crowns and bridges) was the most common form of new prosthodontic treatment. People who reported tooth loss were 2.7 times more likely to report chewing difficulty onset than people without tooth loss (P<.001). Having fewer occluding pairs of teeth at baseline was significantly associated with an increased probability of chewing difficulty onset. People who received removable prosthodontic treatment were much less likely to report chewing difficulty onset than people who did not (P<.01).</abstract>
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