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Factors influencing tooth loss in European populations
Department of Restorative Dentistry, Periodontology, Endodontology and Preventive and Pediatric Dentistry, University Medicine Greifswald, Greifswald, Germany.
Institute of German Dentists (IDZ), Cologne, Germany.
Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Periodontology, The Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden.ORCID iD: 0000-0002-1125-9662
Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Futurum, Academy for Health and Care, Region Jönköping County and Department of Social Work, School of Health and Welfare, Jönköping University, Jönköping, Sweden.ORCID iD: 0000-0001-6804-9490
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2022 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 49, no 7, p. 642-653Article in journal (Refereed) Published
Abstract [en]

AIM: This study aimed to identify the factors influencing the changes in the number of teeth present, and the number of healthy or filled surfaces between two time-points.

MATERIALS AND METHODS: Repeated cross-sectional data from population-based studies, i.e., the German Oral Health Studies (DMS-III vs DMS-V), the Studies of Health in Pomerania (SHIP-START-0 vs. SHIP-TREND-0), and the Jönköping study (2003 vs. 2013), were analysed. Oaxaca decomposition models were constructed for the outcomes (number of teeth, number of healthy surfaces and number of filled surfaces).

RESULTS: The number of teeth increased between examinations [DMS: +2.26 (adults), +4.92 (seniors), SHIP: +1.67, Jönköping: +0.96]. Improvements in education and dental awareness brought a positive change in all outcomes. An increase in powered toothbrushing and interdental cleaning showed a great impact in DMS (adults: +0.25 tooth, +0.78 healthy surface, +0.38 filled surface; seniors: +1.19 teeth, 5.79 healthy surfaces, +0.48 filled surface). Interdental cleaning decreased by 4% between SHIP-START-0 and SHIP-TREND-0, which negatively affected the outcomes.

CONCLUSION: From this study, it can be concluded that education may be the most important factor having a direct and indirect effect on the outcomes. However, for better oral health, powered toothbrushing and interdental cleaning should not be neglected.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 49, no 7, p. 642-653
Keywords [en]
caries, interdental cleaning, periodontitis, powered toothbrush, risk factors
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hj:diva-56479DOI: 10.1111/jcpe.13642ISI: 000804050400001PubMedID: 35569026Scopus ID: 2-s2.0-85131078367Local ID: HOA;intsam;812060OAI: oai:DiVA.org:hj-56479DiVA, id: diva2:1658556
Funder
Futurum - Academy for Health and Care, Jönköping County Council, SwedenMedical Research Council of Southeast Sweden (FORSS)Available from: 2022-05-16 Created: 2022-05-16 Last updated: 2022-07-25Bibliographically approved

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Norderyd, OlaRolander, Bo

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Journal of Clinical Periodontology
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