Influence of poor oral health on physical frailty: a population based cohort study of older British men

Abstract Background To understand determinants of oral health inequalities, multilevel modelling is a useful manner to study contextual factors in relation to individual oral health. Several studies outside Europe have been performed so far, however, contextual variables used are diverse and results conflicting. Therefore, this study investigated whether neighbourhood level differences in oral health exist, and whether any of the neighbourhood characteristics used were associated with oral health. Methods This study is embedded in The Generation R Study, a prospective cohort study conducted in The Netherlands. In total, 5 960 6-year-old children, representing 158 neighbourhoods in the area of Rotterdam, were included. Data on individual and neighbourhood characteristics were derived from questionnaires, and via open data resources. Caries was assessed via intraoral photographs, and defined as decayed, missing and filled teeth (dmft). Results Differences between neighbourhoods explained 13.3% of the risk of getting severe caries, and 2% of the chance of visiting the dentist yearly. After adjustments for neighbourhood and individual characteristics, neighbourhood deprivation was significantly associated with severe dental caries (OR: 1.48, 95% CI: 1.02–2.15), and suggestive of a low odds of visiting the dentist yearly (OR: 0.81, 95% CI: 0.56–1.18). Conclusions Childhood caries and use of dental services differs between neighbourhoods and living in a deprived neighbourhood is associated with increased dental caries and decreased yearly use of dental services. This highlights the importance of neighbourhoods for understanding differences in children’s oral health, and for targeted policies and interventions to improve the oral health of children living in deprived neighbourhoods.

Download Full-text

Association between oral health and incidence of pneumonia: a population-based cohort study from Korea

Scientific Reports ◽

10.1038/s41598-020-66312-2 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Minkook Son ◽

Sangyong Jo ◽

Ji Sung Lee ◽

Dong Hyun Lee

Keyword(s):

Cohort Study ◽

Oral Health ◽

Population Based

Download Full-text

Oral health of high-cost patients and evaluation of oral health measures as predictors for high-cost patients in South Korea: a population-based cohort study

BMJ Open ◽

10.1136/bmjopen-2019-032446 ◽

2019 ◽

Vol 9 (9) ◽

pp. e032446 ◽

Cited By ~ 1

Author(s):

Yeonkook Joseph Kim

Keyword(s):

Cohort Study ◽

Oral Health ◽

South Korea ◽

National Health ◽

Health Behaviours ◽

Population Based ◽

Health Measures ◽

Patient Status ◽

Increased Risk ◽

Oral Health Behaviours

ObjectiveTo examine the oral health conditions and oral health behaviour of high-cost patients and evaluate oral health measures as predictors of future high-cost patients.DesignA retrospective, population-based cohort study using administrative healthcare records.SettingThe National Health Insurance Service (NHIS) medical check-up database (a.k.a. NHIS—national health screening cohort database) in South Korea.Participants131 549 individuals who received biennial health check-ups including dental check-ups in 2011 or 2012, aged 49–88.Primary outcome measuresCurrent and subsequent year high-cost patient status.ResultsHigh-cost patients, on average, incur higher dental costs, suffer more from periodontal disease, brush their teeth less and use secondary oral hygiene products less. Some of the self-reported oral health behaviours and oral symptom variables show statistically significant associations with subsequent year high-cost patient indicators, even after adjusting for demographic, socioeconomic, medical conditions, and prior healthcare cost and utilisation.ConclusionsWe demonstrate that oral health measures are associated with an increased risk of becoming a high-cost patient.

Download Full-text

A population-based cohort study of oral health in South Brazil: The Porto Alegre Study

Revista Brasileira de Epidemiologia ◽

10.1590/1980-5497201500020018 ◽

2015 ◽

Vol 18 (2) ◽

pp. 515-519 ◽

Cited By ~ 3

Author(s):

Alex Nogueira Haas ◽

Eduardo José Gaio ◽

Marcius Comparsi Wagner ◽

Fernando Silva Rios ◽

Ricardo dos Santos Araujo Costa ◽

...

Keyword(s):

Latin America ◽

Cohort Study ◽

Oral Health ◽

Periodontal Disease ◽

Tooth Loss ◽

Gingival Recession ◽

Population Based ◽

Porto Alegre ◽

South Brazil

Few population-based cohort studies have been established in Dentistry and this is especially true for Latin America. We conducted a population-based prospective study focusing on oral health in Porto Alegre, south Brazil, and herein we describe its methodology and discuss directions for further research. The cohort was established in 2001 using a multistage probability sample of 1,465 toothed and 121 edentulous subjects. A 5-year follow-up was performed in 2006 that included 755 individuals. The main aim of this study was to determine the pattern and risk factors for periodontal disease progression and tooth loss incidence. A full-mouth protocol was used including periodontal assessments at six sites per tooth. Primary outcomes were periodontal attachment loss and tooth loss. Oral mucosal lesions, dental plaque, gingivitis, supragingival calculus, probing depths, gingival recession, and dental caries were also assessed. This is the first population-based cohort study to focus on periodontal disease in Latin America. Findings will contribute to our understanding of the epidemiology of periodontal disease and provide valuable data for the planning and implementation of preventive and therapeutic strategies.

Download Full-text