scholarly journals Factors associated with oral pain and oral health-related productivity loss in the USA, National Health and Nutrition Examination Surveys (NHANES), 2015–2018

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258268
Author(s):  
Muath Aldosari ◽  
Suellen da Rocha Mendes ◽  
Ahad Aldosari ◽  
Abdullah Aldosari ◽  
Mauro Henrique Nogueira Guimarães de Abreu

Background Our aim was to identify clinical and sociodemographic factors associated with oral pain and oral health-related productivity loss among US adults. Methods We included adults aged ≥30 years who completed the dental examination, had at least one natural tooth, and provided an answer about their oral pain experience or oral health-related productivity loss in the 2015–2018 National Health and Nutrition and Examination Survey (NHANES). We performed descriptive analyses and multivariable binary logistic regression analyses on weighted data. Results One out of four adults had oral pain and 4% reported oral health-related productivity loss occasionally or often within the last year of the survey. The odds of oral pain were higher among non-Hispanic black (OR = 1.35; 95%CI = 1.08–1.62) and non-Hispanic Asian individuals (OR = 1.38; 95%CI = 1.07–1.78) compared to non-Hispanic white individuals, and individuals with untreated dental caries (OR = 2.06; 95%CI = 1.72–2.47). The odds for oral health-related productivity loss were 13.85 times higher among individuals who reported oral pain (95%CI = 8.07–23.77), and 2.18 times higher among individuals with untreated dental caries (95%CI = 1.65–2.89). The odds of oral pain and reported oral health-related productivity loss decreased as family income increased. Conclusions Factors including non-Hispanic black race/ethnicity, lower socio-economic status, and untreated dental caries are associated with oral pain experience, which increases the odds of oral health-related productivity losses. Identifying factors associated with oral pain and productivity loss will enable clinicians, policymakers, and employers to proactively target and prioritize the higher-risk groups in early interventions and policies.

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024189
Author(s):  
Nithya Puttige Ramesh ◽  
Manish Arora ◽  
Joseph M Braun

Study objectivesPerfluoroalkyl acids (PFAAs) are a class of anthropogenic and persistent compounds that may impact some biological pathways related to oral health. The objective of our study was to estimate the relationship between dental caries prevalence and exposure to four PFAA: perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), perfluorohexane sulfonic acid (PFHxS) and perfluorooctane sulfonic acid (PFOS) in a nationally representative sample of US adolescents.Setting/DesignWe analysed cross-sectional data from the National Health and Nutrition Examination Survey from 1999 to 2012 for 12–19-year-old US adolescents.ParticipantsOf 10 856 adolescents aged 12 to 19 years who had a dental examination, we included 2869 with laboratory measurements for serum PFAA concentrations and complete covariate data in our study.Primary and secondary outcome measuresDental caries prevalence was defined as the presence of decay or a restoration on any tooth surface, or the loss of a tooth due to tooth decay. We used multivariable logistic regression to estimate the covariate-adjusted association between serum PFAA concentrations and dental caries prevalence, accounting for the complex National Health and Nutrition Examination Survey design.ResultsOf 2869 adolescents, 59% had one or more dental caries. We observed no associations between the prevalence of dental caries and serum concentrations of PFOA, PFOS or PFHxS. The adjusted odds of caries were 21% (OR 0.79; 95% CI 0.63 to 1.01), 15% (OR 0.85; 95% CI 0.67 to 1.08) and 30% (OR 0.7; 95% CI 0.55 to 0.90) lower among adolescents in the 2nd, 3rd and 4th serum PFNA concentration quartiles compared to adolescents in the first quartile, respectively. The linear trend for this association was not statistically significant.ConclusionPFOA, PFOS and PFHxS were not associated with prevalence of dental caries. The prevalence of caries was reduced with increasing serum PFNA concentrations; however, these results should be interpreted cautiously given that we were unable to adjust for several factors related to oral health.


Author(s):  
Yun-Jeong Kim ◽  
Jae-Young Lee ◽  
Young Ku ◽  
Hyun-Jae Cho

Although the presence of prosthetic restorations has been associated with plaque accumulation, gingivitis, and periodontitis, there is a lack of large epidemiological investigations providing evidence on the association of prosthetic crowns with periodontitis. This study aimed to analyze the association between the number of prosthetic crowns and the presence of periodontitis. This study was based on the Seventh Korea National Health and Nutrition Examination Survey (2016–2018). A total of 12,689 participants over the age of 19 years were surveyed. Multivariate logistic regression analyses were used to identify the association between the number of prosthetic crowns and periodontitis after adjusting for potential confounders, including demographic variables, socio-economic characteristics, oral health-related variables, and oral and systemic clinical variables. The odds ratio of periodontitis showed statistically significant differences in the anterior and posterior regions, and the prevalence of periodontal disease increased as the number of crown prostheses increased. Participants with 6–10 and 11 prosthetic crowns had 1.24 and 1.28 times higher prevalence of periodontitis, respectively, than patients with no prosthetic crown. The results of this study show that the number of prosthetic crowns present in adults is related to the prevalence of periodontitis.


2021 ◽  
Author(s):  
Yu-Rin Kim

Abstract Background: Proper moisture is an essential condition for maintaining the homeostasis of the body, enhancing immunity, and preventing constipation, and it is an indispensable substance for maintaining human life and health. The bacteria that cause oral disease are affected by water intake. Therefore, this study aims to compare the relationship between dental caries and periodontal disease according to the amount of water drank per day.Methods: Among the data of the National Health and Nutrition Survey conducted annually by the Korea Centers for Disease Control and Prevention, the data for 7 years (2010-2017) were analyzed. Out of a total of 64,758 people, 134 people in the ‘< 1 cup’ group, 27,223 people in the ‘1-4 cups’ group, and 25,877 people in the ‘5 cups ≤’ group were selected as subjects.Results: As a result, the prevalence of periodontal disease increased by 1.018 times, the prevalence of dental caries increased by 1.032 times, and the experience of dental caries increased by 1.075 times each time a person drank one less cup of water per day. Even in model 2, for which age and gender were adjusted, there was a significant effect. In addition, there was significant impact in Model 3, which adjusted oral health behavior, except for permanent caries prevalence. Based on the above results, oral health behaviors and state were positive in those who consumed a lot of water per day.Conclusions: Therefore, it is considered that the government’s active promotion of water intake recommendations and policies should be prepared so that water intake can become a habit to improve oral health.


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