Dental and prosthodontic status of an over 40 year-old population in Shandong Province, China
Identifieur interne : 004245 ( Main/Exploration ); précédent : 004244; suivant : 004246Dental and prosthodontic status of an over 40 year-old population in Shandong Province, China
Auteurs : Qian Zhang [République populaire de Chine] ; Dick J. Witter [Pays-Bas] ; Ewald M. Bronkhorst [Pays-Bas] ; Nico Hj Creugers [Pays-Bas]Source :
- BMC Public Health [ 1471-2458 ] ; 2011.
Abstract
This study aims to (1) describe the dental status using DMFT for the whole dentition and the anterior, premolar and molar regions; (2) determine associations of demographic variables and socio-economic status (SES) with DMFT and tooth replacement; (3) analyze to what extent the goal as proposed by the WHO -'the retention of not less than 20 teeth throughout life' is achieved.
DMFT and tooth replacement data of 1588 subjects over 40 years from urban and rural sites in Qingdao (Shandong Province, China) were collected. Relative D, M, and F scores per dental region were calculated and compared by paired T-tests. Multivariable logistic regression was used to determine relationships with age, gender, place of residence, and SES.
Mean numbers of D and F were low (1.36 respectively 0.27) at all ages. Molars had highest chance for D and M. For the molar region every additional year of age gave significantly lower chance for D and higher chance for M (OR: 0.98 and 1.02 respectively; both p ≤ 0.01). Mean number of M was associated with age (approximately 1.5 in each jaw at 40 years and 6 at 80 years). Females had higher chance for D (OR: 1.34; p ≤ 0.05) and F (OR: 1.69; p ≤ 0.01), and lower chance for M (OR: 0.60; p ≤ 0.01). Urban and rural subjects had similar chance for D; urban subjects had approximately 5 times more chance for F (p ≤ 0.01). SES had no relationship with D and M, however SES low was associated with F (OR: 0.45; p ≤ 0.01). Replacements were significantly associated with age (all dental regions except anterior region), gender (all dental regions), place of residence (whole dentition and molar region), and SES (whole dentition and premolar and molar regions).
The majority of subjects presented a reduced dentition. Molars were most frequently affected by D and M. D, M, F and replaced teeth were associated with the background variables, however differently for different dental regions. Above the age of 70 years, only 64% of the subjects presented 'not less than 20 natural teeth'.
Url:
DOI: 10.1186/1471-2458-11-420
PubMed: 21631917
PubMed Central: 3129312
Affiliations:
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Witter</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Bronkhorst, Ewald M" sort="Bronkhorst, Ewald M" uniqKey="Bronkhorst E" first="Ewald M" last="Bronkhorst">Ewald M. Bronkhorst</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Creugers, Nico Hj" sort="Creugers, Nico Hj" uniqKey="Creugers N" first="Nico Hj" last="Creugers">Nico Hj Creugers</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21631917</idno><idno type="pmc">3129312</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3129312</idno><idno type="RBID">PMC:3129312</idno><idno type="doi">10.1186/1471-2458-11-420</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">002862</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002862</idno><idno type="wicri:Area/Pmc/Curation">002862</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002862</idno><idno type="wicri:Area/Pmc/Checkpoint">002211</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002211</idno><idno type="wicri:Area/Ncbi/Merge">003679</idno><idno type="wicri:Area/Ncbi/Curation">003679</idno><idno type="wicri:Area/Ncbi/Checkpoint">003679</idno><idno type="wicri:Area/Main/Merge">004271</idno><idno type="wicri:Area/Main/Curation">004245</idno><idno type="wicri:Area/Main/Exploration">004245</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Dental and prosthodontic status of an over 40 year-old population in Shandong Province, China</title><author><name sortKey="Zhang, Qian" sort="Zhang, Qian" uniqKey="Zhang Q" first="Qian" last="Zhang">Qian Zhang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Prosthetic Dentistry, Affiliated Hospital of Medical School, Qingdao University, Jiangsu Road 16#, Qingdao, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Prosthetic Dentistry, Affiliated Hospital of Medical School, Qingdao University, Jiangsu Road 16#, Qingdao</wicri:regionArea><wicri:noRegion>Qingdao</wicri:noRegion></affiliation></author><author><name sortKey="Witter, Dick J" sort="Witter, Dick J" uniqKey="Witter D" first="Dick J" last="Witter">Dick J. Witter</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Bronkhorst, Ewald M" sort="Bronkhorst, Ewald M" uniqKey="Bronkhorst E" first="Ewald M" last="Bronkhorst">Ewald M. Bronkhorst</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Creugers, Nico Hj" sort="Creugers, Nico Hj" uniqKey="Creugers N" first="Nico Hj" last="Creugers">Nico Hj Creugers</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>This study aims to (1) describe the dental status using DMFT for the whole dentition and the anterior, premolar and molar regions; (2) determine associations of demographic variables and socio-economic status (SES) with DMFT and tooth replacement; (3) analyze to what extent the goal as proposed by the WHO -'the retention of not less than 20 teeth throughout life' is achieved.</p></sec><sec><title>Methods</title><p>DMFT and tooth replacement data of 1588 subjects over 40 years from urban and rural sites in Qingdao (Shandong Province, China) were collected. Relative D, M, and F scores per dental region were calculated and compared by paired T-tests. Multivariable logistic regression was used to determine relationships with age, gender, place of residence, and SES.</p></sec><sec><title>Results</title><p>Mean numbers of D and F were low (1.36 respectively 0.27) at all ages. Molars had highest chance for D and M. For the molar region every additional year of age gave significantly lower chance for D and higher chance for M (OR: 0.98 and 1.02 respectively; both p ≤ 0.01). Mean number of M was associated with age (approximately 1.5 in each jaw at 40 years and 6 at 80 years). Females had higher chance for D (OR: 1.34; p ≤ 0.05) and F (OR: 1.69; p ≤ 0.01), and lower chance for M (OR: 0.60; p ≤ 0.01). Urban and rural subjects had similar chance for D; urban subjects had approximately 5 times more chance for F (p ≤ 0.01). SES had no relationship with D and M, however SES low was associated with F (OR: 0.45; p ≤ 0.01). Replacements were significantly associated with age (all dental regions except anterior region), gender (all dental regions), place of residence (whole dentition and molar region), and SES (whole dentition and premolar and molar regions).</p></sec><sec><title>Conclusions</title><p>The majority of subjects presented a reduced dentition. Molars were most frequently affected by D and M. D, M, F and replaced teeth were associated with the background variables, however differently for different dental regions. Above the age of 70 years, only 64% of the subjects presented 'not less than 20 natural teeth'.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Luan, Wm" uniqKey="Luan W">WM Luan</name></author><author><name sortKey="Baelum, V" uniqKey="Baelum V">V Baelum</name></author><author><name sortKey="Chen, X" uniqKey="Chen X">X Chen</name></author><author><name sortKey="Fejerskov, O" uniqKey="Fejerskov O">O Fejerskov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, Hc" uniqKey="Lin H">HC Lin</name></author><author><name sortKey="Wong, Mcm" uniqKey="Wong M">MCM Wong</name></author><author><name sortKey="Zhang, Hg" uniqKey="Zhang H">HG Zhang</name></author><author><name sortKey="Lo, Ecm" uniqKey="Lo E">ECM Lo</name></author><author><name sortKey="Schwarz, E" uniqKey="Schwarz E">E Schwarz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lo, Ecm" uniqKey="Lo E">ECM Lo</name></author><author><name sortKey="Schwarz, E" uniqKey="Schwarz E">E Schwarz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name></author><author><name sortKey="Cheng, Rb" uniqKey="Cheng R">RB Cheng</name></author><author><name sortKey="Liu, L" uniqKey="Liu L">L Liu</name></author><author><name sortKey="Tao, W" uniqKey="Tao W">W Tao</name></author><author><name sortKey="Lu, Zf" uniqKey="Lu Z">ZF Lu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name></author><author><name sortKey="Cheng, M" uniqKey="Cheng M">M Cheng</name></author><author><name sortKey="Li, Y" uniqKey="Li Y">Y Li</name></author><author><name sortKey="Cheng, Rb" uniqKey="Cheng R">RB Cheng</name></author><author><name sortKey="Liu, L" uniqKey="Liu L">L Liu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Du, M" uniqKey="Du M">M Du</name></author><author><name sortKey="Jiang, H" uniqKey="Jiang H">H Jiang</name></author><author><name sortKey="Tai, B" uniqKey="Tai B">B Tai</name></author><author><name sortKey="Zhou, Y" uniqKey="Zhou Y">Y Zhou</name></author><author><name sortKey="Wu, B" uniqKey="Wu B">B Wu</name></author><author><name sortKey="Bian, Z" uniqKey="Bian Z">Z Bian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gerritsen, Ae" uniqKey="Gerritsen A">AE Gerritsen</name></author><author><name sortKey="Allen, Pf" uniqKey="Allen P">PF Allen</name></author><author><name sortKey="Witter, Dj" uniqKey="Witter D">DJ Witter</name></author><author><name sortKey="Bronkhorst, Em" uniqKey="Bronkhorst E">EM Bronkhorst</name></author><author><name sortKey="Creugers, Nhj" uniqKey="Creugers N">NHJ Creugers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, Q" uniqKey="Zhang Q">Q Zhang</name></author><author><name sortKey="Kreulen, Cm" uniqKey="Kreulen C">CM Kreulen</name></author><author><name sortKey="Witter, Dj" uniqKey="Witter D">DJ Witter</name></author><author><name sortKey="Creugers, Nhj" uniqKey="Creugers N">NHJ Creugers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gotfredsen, K" uniqKey="Gotfredsen K">K Gotfredsen</name></author><author><name sortKey="Walls, Aw" uniqKey="Walls A">AW Walls</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Nguyen, Tc" uniqKey="Nguyen T">TC Nguyen</name></author><author><name sortKey="Witter, Dj" uniqKey="Witter D">DJ Witter</name></author><author><name sortKey="Bronkhorst, Em" uniqKey="Bronkhorst E">EM Bronkhorst</name></author><author><name sortKey="Truong, Nb" uniqKey="Truong N">NB Truong</name></author><author><name sortKey="Creugers, Nhj" uniqKey="Creugers N">NHJ 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Goswami</name></author><author><name sortKey="Mathur, Vp" uniqKey="Mathur V">VP Mathur</name></author><author><name sortKey="Nongkynrih, B" uniqKey="Nongkynrih B">B Nongkynrih</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kularatne, S" uniqKey="Kularatne S">S Kularatne</name></author><author><name sortKey="Ekanayake, L" uniqKey="Ekanayake L">L Ekanayake</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baelum, V" uniqKey="Baelum V">V Baelum</name></author><author><name sortKey="Pongpaisal, S" uniqKey="Pongpaisal S">S Pongpaisal</name></author><author><name sortKey="Pithpornchaiyakul, W" uniqKey="Pithpornchaiyakul W">W Pithpornchaiyakul</name></author><author><name sortKey="Pisuithanakan, S" uniqKey="Pisuithanakan S">S Pisuithanakan</name></author><author><name sortKey="Teanpaisan, R" uniqKey="Teanpaisan R">R Teanpaisan</name></author><author><name sortKey="Papapanou, Pn" uniqKey="Papapanou P">PN 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Zhang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Luan, Wm" uniqKey="Luan W">WM Luan</name></author><author><name sortKey="Baelum, V" uniqKey="Baelum V">V Baelum</name></author><author><name sortKey="Chen, X" uniqKey="Chen X">X Chen</name></author><author><name sortKey="Fejerskov, O" uniqKey="Fejerskov O">O Fejerskov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, Hc" uniqKey="Lin H">HC Lin</name></author><author><name sortKey="Corbet, Ef" uniqKey="Corbet E">EF Corbet</name></author><author><name sortKey="Lo, Ecm" uniqKey="Lo E">ECM Lo</name></author><author><name sortKey="Zhang, Hg" uniqKey="Zhang H">HG Zhang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Osterberg, T" uniqKey="Osterberg T">T Osterberg</name></author><author><name sortKey="Johanson, C" uniqKey="Johanson C">C Johanson</name></author><author><name sortKey="Sundh, V" uniqKey="Sundh V">V Sundh</name></author><author><name sortKey="Steen, B" uniqKey="Steen B">B Steen</name></author><author><name sortKey="Birkhed, D" uniqKey="Birkhed D">D Birkhed</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Muller, F" uniqKey="Muller F">F Müller</name></author><author><name sortKey="Naharro, M" uniqKey="Naharro M">M Naharro</name></author><author><name sortKey="Carlsson, Ge" uniqKey="Carlsson G">GE Carlsson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li><li>République populaire de Chine</li></country><region><li>Gueldre</li></region><settlement><li>Nimègue</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhang, Qian" sort="Zhang, Qian" uniqKey="Zhang Q" first="Qian" last="Zhang">Qian Zhang</name></noRegion></country><country name="Pays-Bas"><region name="Gueldre"><name sortKey="Witter, Dick J" sort="Witter, Dick J" uniqKey="Witter D" first="Dick J" last="Witter">Dick J. Witter</name></region><name sortKey="Bronkhorst, Ewald M" sort="Bronkhorst, Ewald M" uniqKey="Bronkhorst E" first="Ewald M" last="Bronkhorst">Ewald M. Bronkhorst</name><name sortKey="Creugers, Nico Hj" sort="Creugers, Nico Hj" uniqKey="Creugers N" first="Nico Hj" last="Creugers">Nico Hj Creugers</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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