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Association of residual ridge resorption with systemic factors in home-living elderly subjects.

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Association of residual ridge resorption with systemic factors in home-living elderly subjects.

Auteurs : Q. Xie [Finlande] ; A. Ainamo ; R. Tilvis

Source :

RBID : pubmed:9370028

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English descriptors

Abstract

Residual ridge resorption after loss of teeth is a multifactorial oral problem. To examine the association of residual ridge resorption with systemic factors, a cross-sectional study was made of 177 edentulous subjects (43 men and 134 women) aged 76, 81, and 86 years. Resorption in the mandibular and maxillary residual ridges was assessed from panoramic radiographs. The effects on residual ridge resorption of the age, gender, smoking, alcohol intake, body mass index, functioning in daily living, and certain systemic diseases of the subjects were investigated. After adjustment for age and duration of edentulousness, the elderly women had a greater amount of reduction in the mandibular residual ridge than the men (P < 0.001). When the resorption was classified into slight or moderate and severe resorptions, the elderly with asthma were at high risk of severe reduction in the edentulous mandible (odds ratio, 6.0; 95% confidence interval (CI), 1.3-28.2); the elderly women were at high risk of severe resorption in the edentulous mandible, with an odds ratio of 4.5 (95% CI, 1.2-17.1); an inverse association was found between alcohol intake and severe resorption in the edentulous maxilla (odds ratio, 0.4; 95% CI, 0.2-0.9). This study suggests that asthma due to corticosteroid treatment is to be considered a risk indicator for severe resorption of the edentulous mandible, alcohol intake in the elderly may be related to a lesser degree of resorption of the edentulous maxilla. Female gender is confirmed as a major factor resulting in mandibular atrophy.

PubMed: 9370028

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pubmed:9370028

Le document en format XML

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<title xml:lang="en">Association of residual ridge resorption with systemic factors in home-living elderly subjects.</title>
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<nlm:affiliation>Department of Prosthetic Dentistry, University of Helsinki, Finland.</nlm:affiliation>
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<name sortKey="Ainamo, A" sort="Ainamo, A" uniqKey="Ainamo A" first="A" last="Ainamo">A. Ainamo</name>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alcohol Drinking (adverse effects)</term>
<term>Asthma (complications)</term>
<term>Atrophy</term>
<term>Body Mass Index</term>
<term>Bone Resorption (diagnostic imaging)</term>
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<term>Confidence Intervals</term>
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<term>Jaw, Edentulous (complications)</term>
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<term>Consommation d'alcool (effets indésirables)</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
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<term>Hormones corticosurrénaliennes (effets indésirables)</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Intervalles de confiance</term>
<term>Maladie</term>
<term>Maladies du maxillaire supérieur (imagerie diagnostique)</term>
<term>Maladies du maxillaire supérieur (étiologie)</term>
<term>Maladies mandibulaires (imagerie diagnostique)</term>
<term>Maladies mandibulaires (étiologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Radiographie panoramique</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
<term>Résorption osseuse (étiologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<term>Études transversales</term>
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<term>Maxillary Diseases</term>
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<term>Hormones corticosurrénaliennes</term>
<term>Tabagisme</term>
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<term>Bone Resorption</term>
<term>Mandibular Diseases</term>
<term>Maxillary Diseases</term>
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<term>Maladies du maxillaire supérieur</term>
<term>Maladies mandibulaires</term>
<term>Mâchoire édentée</term>
<term>Résorption osseuse</term>
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<term>Maladies du maxillaire supérieur</term>
<term>Maladies mandibulaires</term>
<term>Résorption osseuse</term>
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<term>Activities of Daily Living</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Atrophy</term>
<term>Body Mass Index</term>
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<term>Atrophie</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Intervalles de confiance</term>
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<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Radiographie panoramique</term>
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<front>
<div type="abstract" xml:lang="en">Residual ridge resorption after loss of teeth is a multifactorial oral problem. To examine the association of residual ridge resorption with systemic factors, a cross-sectional study was made of 177 edentulous subjects (43 men and 134 women) aged 76, 81, and 86 years. Resorption in the mandibular and maxillary residual ridges was assessed from panoramic radiographs. The effects on residual ridge resorption of the age, gender, smoking, alcohol intake, body mass index, functioning in daily living, and certain systemic diseases of the subjects were investigated. After adjustment for age and duration of edentulousness, the elderly women had a greater amount of reduction in the mandibular residual ridge than the men (P < 0.001). When the resorption was classified into slight or moderate and severe resorptions, the elderly with asthma were at high risk of severe reduction in the edentulous mandible (odds ratio, 6.0; 95% confidence interval (CI), 1.3-28.2); the elderly women were at high risk of severe resorption in the edentulous mandible, with an odds ratio of 4.5 (95% CI, 1.2-17.1); an inverse association was found between alcohol intake and severe resorption in the edentulous maxilla (odds ratio, 0.4; 95% CI, 0.2-0.9). This study suggests that asthma due to corticosteroid treatment is to be considered a risk indicator for severe resorption of the edentulous mandible, alcohol intake in the elderly may be related to a lesser degree of resorption of the edentulous maxilla. Female gender is confirmed as a major factor resulting in mandibular atrophy.</div>
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<AbstractText>Residual ridge resorption after loss of teeth is a multifactorial oral problem. To examine the association of residual ridge resorption with systemic factors, a cross-sectional study was made of 177 edentulous subjects (43 men and 134 women) aged 76, 81, and 86 years. Resorption in the mandibular and maxillary residual ridges was assessed from panoramic radiographs. The effects on residual ridge resorption of the age, gender, smoking, alcohol intake, body mass index, functioning in daily living, and certain systemic diseases of the subjects were investigated. After adjustment for age and duration of edentulousness, the elderly women had a greater amount of reduction in the mandibular residual ridge than the men (P < 0.001). When the resorption was classified into slight or moderate and severe resorptions, the elderly with asthma were at high risk of severe reduction in the edentulous mandible (odds ratio, 6.0; 95% confidence interval (CI), 1.3-28.2); the elderly women were at high risk of severe resorption in the edentulous mandible, with an odds ratio of 4.5 (95% CI, 1.2-17.1); an inverse association was found between alcohol intake and severe resorption in the edentulous maxilla (odds ratio, 0.4; 95% CI, 0.2-0.9). This study suggests that asthma due to corticosteroid treatment is to be considered a risk indicator for severe resorption of the edentulous mandible, alcohol intake in the elderly may be related to a lesser degree of resorption of the edentulous maxilla. Female gender is confirmed as a major factor resulting in mandibular atrophy.</AbstractText>
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