Table 2 - uploaded by Carmen Koster
Content may be subject to copyright.
Mean number of missing teeth per person stratified by age and country 

Mean number of missing teeth per person stratified by age and country 

Source publication
Article
Full-text available
Australian adults reportedly have poor oral health when compared to 28 other OECD countries. The Australian ranking was based on edentulism and caries experience data from selected age groups that apparently were collected in 1987-88. The objective of this study was to compare the oral health of Australian adults with that of three other western co...

Context in source publication

Context 1
... mean number of missing teeth per person was lower in Australia than in the UK and Germany (Table 2). When compared with the UK, the greatest relative difference was observed for 16-24 year olds while the smallest difference was between people aged 65 years or more. ...

Similar publications

Article
Full-text available
To identify self-perceived oral health in adults and associated variables. The study involved primary data from the Brazilian Oral Health Survey (SBBrasil) 2010 with 2,456 adults aged 35 to 44 in the Northeastern Brazil. The dependent variable was self-perceived oral health and the independent variables were grouped into four blocks: demographic, p...

Citations

... Our results agreed with those of a large cohort study from Brazil in which researchers reported that women and people with less education had a higher prevalence of edentulism, 27 which was consistent with findings from other countries. 5,[29][30][31][32] The main limitation of our study is that it was cross-sectional, which does not indicate causality; therefore, the results should be analyzed carefully. Nonetheless, as we have stated, our findings are consistent with those of previous studies that used different methodologies and corroborated the scientific evidence. ...
Article
Full-text available
Background: Chronic health conditions and socioeconomic problems that affect the well-being and life expectancy of older adults are common. The objective of this cross-sectional study was to analyze the association between sociodemographic variables, oral conditions, and general health and the biomarkers of older adults using machine learning (ML). Methods: A total of 15,068 surveys from the national study of Health, Well-Being and Aging (Salud, Bienestar y Envejecimiento) data set were used for this secondary analysis. Of these, 3,128 people provided blood samples for the analysis of blood biomarkers. Sociodemographic, oral health, and general health variables were analyzed using ML and logistic regression. Results: The results of clustering analysis showed that dyslipidemia was associated with poor oral condition, lower socioeconomic status, being female, and low education. The self-perception of oral health in older adults was not associated with the presence of teeth, blood biomarkers, or socioeconomic variables. However, the necessity of replacing a dental prosthesis was associated with the lowest self-perception of oral health. Edentulism was associated with being female, increased age, and smoking. Conclusions: Socioeconomic and educational disparities, sex, and smoking are important factors for tooth loss and suboptimal blood biomarkers in older adults. ML is a powerful tool for identifying potential variables that may aid in the prevention of systemic and oral diseases in older adults, which would improve geriatric dentistry. Practical implications: These findings can help the academic community identify critical sociodemographic and clinical factors that influence the process of healthy aging and serve as a useful guide to enhance health care policies and geriatric oral health care services.
... Existen países con prevalencias muy altas de edéntulos, entre ellos, Irán con alrededor del 50 % de edéntulos completos (Rabiei et al., 2019). En países como Alemania, Australia y Estados Unidos, el edentulismo completo se encuentra entre el 20 y 25 % (Crocombe et al., 2009). En Finlandia y Suecia, los estudios longitudinales han mostrado incidencias de edentulismo tan bajas como el 5.4 %; Europa es un claro ejemplo de la variabilidad que se presenta en la condición (De Palma et al., 2005;Müller et al., 2007). ...
Article
Full-text available
El edentulismo es una condición irreversible. La pérdida dental encuentra conexión con los discursos positivos del envejecimiento, así como unas amplias repercusiones en estos, que han cobrado fuerza hacia finales del siglo XX y principios del siglo XXI, limitando procesos de participación social, generando cambios en la calidad de vida, teniendo una articulación fuerte con las relaciones biológicas de las personas y siendo altamente inequitativo entre grupos sociales. Dado lo anterior, el presente artículo pretende desarrollar y argumentar tres ideas clave para sustentar que el envejecimiento desde el discurso positivo se ve limitado cuando la persona no tiene dientes: la primera es que la vida sin dientes restringe el desarrollo personal y social, la siguiente es que la conexión de la cavidad oral con las condiciones biológicas es muy estrecha y la tercera es la estereotipación y el juzgamiento del viejo edéntulo en la sociedad actual. Las ideas sustentadas argumentaron y soportaron la necesidad de dar importancia a la condición de ser edéntulo en el marco de un envejecimiento positivo y como interven- ción en salud pública. Envejecer bien es la bandera de las políticas mundiales, incluyendo la Década del Envejecimiento Saludable (2020-2030); el entender y la cohesión de la salud en todas sus disciplinas es trascendental en pro del viejo actual y del logro de su gerotrascen- dencia. La geriatría, la gerontología, la salud pública e incluso la misma odontología, hoy más que nunca, deben trabajar en favor de la mitigación de la aparición del edentulismo en las sociedades actuales.
... This might support the reasoning of an increased risk of caries only at higher BMI levels. Internationally, few studies have reported on the caries prevalence in adults and the data collection methods differ [40]. However, Sweden has been recognized as having among the lowest caries prevalence rates in adults [41]. ...
Article
Full-text available
Objective: To explore oral health by increasing degree of obesity and the influence of modifying factors. Materials and methods: A cross-sectional design was used. Swedish females (n = 118; 18-35 years) with morbid obesity were recruited from the BAriatric SUbstitution and Nutrition study (BASUN). Body mass index (BMI) was used as continuous and categorized into 35-39.9 kg/m2/40-44.9 kg/m2/≥45 kg/m2. Oral examinations assessed dental caries using the ICDAS system, periodontal status and saliva characteristics. Information on sociodemographics, oral health behaviour and symptoms was collected via a questionnaire. Results: Mean BMI was 42.2 kg/m3 (SD 4.0; range 35.0-63.7). Significantly higher frequencies of dentine caries (p = .001) and total caries (p = .046) were found with higher BMI with an increase in total caries by 0.59 tooth surface (p = .025) for each increasing BMI degree. There were consistent associations between obesity and dentine caries for the group with the highest BMI (≥45), adjusted RR 2.08 (95% CI 1.20-3.61), and all stages of caries, adjusted RR 1.41 (95% CI 1.02-1.96). High scores were found for dental plaque (50.2%) and gingivitis (34.5%). Conclusion: Young obese women exhibited poor oral health with higher caries levels by higher BMI. Dental care should adapt the prevention efforts for obese individuals. Trial Registration: The trial was prospectively registered on March 03; 2015; NCT03152617.
... International comparative studies have shown that the oral health of Israel's older adults is inferior to that of their peers in many developed countries [6,9,16]. Partially, the explanation lies in the barriers that hamper Israel's older adults from taking up dental services. ...
... Another comparative study from Australia showed that in 2004-06, in the 65-74 age group, 20.3% had no teeth, and in the 75+ age group, 35.7% had none. In Germany, in the 65-74 age group, 22.6% had no teeth [9]. In Britain, the percentage of edentulous people in the 65+ age group dropped from 28% in 1978 to 6% in 2009 [19]. ...
... In the US, the average number of teeth in the 65-74 age group is 23.7, and in the 75 + age group-22.8; in Australia these figures are 22.9 and 21.0, respectively; in Germany, in the 75 + age group-17.3 [9]. In the US State of Ohio, 50.6% of the 65+ age group have fewer than 20 teeth, and 28.6% of this age group have no teeth [13]. ...
Article
Full-text available
Background In 2019, a reform of dental services for older adults was implemented in Israel to improve access and reduce barriers that stood in their way. The reform stipulated that preventive and restorative dentistry would be included in the basket of services of the National Health Insurance Law. The current study was conducted by the Myers-JDC-Brookdale Institute (MJB) and the Division of Dental Health of Israel’s Ministry of Health to examine the dental status and patterns of utilizations of dental services among the 65+ age group. This paper reports on the dental status of the 65+ age group in comparison with the same population two decades earlier. Goals To describe the dental status of Israel’s 65+ age group, and to identify the population at risk of dental morbidity. Methodology Telephone interviews were conducted with a representative sample of 512 older adults aged 65+, from February to April 2020. Main findings Some two-thirds of the 65+ age group assessed their oral health as good or very good. Twenty-four percent did not have natural teeth, while the rest had 19 teeth on average. Ten percent had not lost any teeth. In the 65–74 age group, 19% had no natural teeth and the rest had 20 teeth on average. In contrast, in the 85+ age group, 38% were edentulous and the rest had 13 teeth on average. Of the older adults who found it difficult to cover their monthly expenses, 39% were edentulous—twice the percentage of those who did manage to cover their monthly expenses (19%). Of the 65+ age group 44% had dentures—37% in the 65–74 age group, and 66% in the 85+ age group. Approximately 40% of the 65+ age group saw a dentist for preventive check-ups. The rest did not, mainly due to lack of awareness of the importance of doing so. Conclusions and recommendations The perceived status of oral health among the 65+ age group is currently better than it was 22 years ago. However, despite the improvement in oral health and health behavior, there are still barriers to the utilization of dental services. The main barriers are a lack of awareness of the importance of proper health behavior, and the cost of care for people with financial difficulty. This study provides decision-makers with data on the status of oral health, the utilization of dental services and the geographical disparities. The findings will help policy makers evaluate the effectiveness of the reform and fine tuning it in the future. Policies should be instated to increase awareness of constituencies and their access to the services, in addition to the entitlements the reform granted.
... 8 The use of conventional complete dentures is one of the commonest treatment options in the rehabilitation of complete edentulism and has been shown to improve the OHRQoL of patients. 19,20 Despite some reported drawbacks with its use, it still remains a popular choice among the elderly population as they may also possess co-morbid conditions which may render them unfit for implant surgery, 21,22 and also for its affordability. Most of the studies done in the past have been hospital-based and carried out on patients who presented for treatment and who could be termed "motivated". ...
Article
Full-text available
Aim and objective: To compare the oral health-related quality of life (OHRQoL) of patients seeking complete denture treatment before rehabilitation with that of completely edentulous patients not seeking treatment using the Geriatric Oral Health Assessment Index (GOHAI) scale. Materials and methods: The study comprised two groups of completely edentulous patients with twenty patients in each group (group I and II). Group I patients comprised completely edentulous patients who sought treatment for their edentulous state. Their OHRQoL was assessed using the GOHAI scale before treatment and 3 months after treatment with complete dentures. Group II patients, on the other hand, comprised persons who were completely edentulous and have never sought treatment or used dentures. They filled the baseline GOHAI questionnaire only, following which oral health education was given to them. In addition to their OHRQoL assessment, their mental attitude toward treatment was also assessed for both groups of patients. Results: The study comprised a total of forty completely edentulous patients with an age range of 60–89 years and a mean age of 74.2± 8.3 years. A higher GOHAI-T mean score of 20.7± 3.9 was found among the non-denture wearers compared to 14.1± 1.8 observed in the complete denture wearers. However, a higher GOHAI-T mean score of 32.1± 1.1 was found among the complete-denture wearers 3 months after treatment with complete dentures compared to 20.7± 3.9 observed in the non-wearers at baseline. Conclusion: The OHRQoL of completely edentulous non-denture wearers was observed to be higher than that of the completely edentulous denture wearers before rehabilitation. However, following rehabilitation with complete dentures, the OHRQoL of complete denture wearers was significantly higher than that of non-denture wearers. Keywords: Complete denture, Edentulism, Quality of life. International Journal of Prosthodontics and Restorative Dentistry (2021): 10.5005/jp-journals-10019-1303
... Rehabilitation of complete edentulism with the use of complete dentures has been reported in previous studies to improve oral health-related quality of life (OHRQoL) of patients. 20,21 Their affordability, ease of fabrication and repair if need be has also made them useful appliances in the management of complete edentulism especially among low income earners and those residing in a developing country like Nigeria. Furthermore, they have been reported to improve oral appearance and social interactions of individuals, which might enhance self-esteem and thus contribute to psychological well-being. ...
Article
Full-text available
Objective: To assess the impact of conventional removable complete dentures on the oral-health related quality of life of completely edentulous patients. Methods: Conventional removable complete dentures were fabricated for 20 completely edentulous elderly patients at the University of Benin Prosthetic Dental clinic. Their oral-health related quality of life was assessed using the 11-item modified Geriatric Oral Health Assessment Index (GOHAI) Questionnaire, before treatment, 1 month and 3 months post insertion of complete dentures. Results: There was a significant increase (P=0.0001) in the mean GOHAI scores across all domains following treatment with complete dentures. The highest mean score was observed in the psychosocial function domain from 6.0±1.1 prior to treatment with complete dentures to 13.0±1.1, 1 month after treatment and eventually to 14.7±0.7 recorded 3 months after treatment with complete dentures (P=0.0001). The lowest mean score was observed in the pain and discomfort domain from 3.7±1.0 at baseline to 5.1±0.4, 1 month after treatment to 6.0±0.2 recorded 3 months after treatment (P=0.0001). A significant increase (P=0.0001) in the GOHAI-T mean score was also observed from 14.1±1.8 at baseline to 26.5±1.4, 1 month after treatment to 32.1±1.1 recorded 3 months after treatment with complete dentures. Conclusion: Conventional removable complete dentures impacts positively on the Oral health-related quality of life of edentulous patients Keywords: Conventional removable complete dentures, Oral health-related quality of life, complete edentulism, Geriatric Oral Health Assessment Index.
... The development of this information could inform health professionals about the what motivates people to perform dental hygiene care, the type and pattern of use of services and programmes, as well as patient satisfaction with the treatments received. 6,7,17 The present review arises from the apparent lack of clarity and consistency on the meaning and measurement of OHRQoL, and seeks to update the knowledge about the general characteristics and psychometrics of the instruments that emerged after the 1997 conference . 36 ...
Article
Full-text available
Purpose: A growing recognition of the importance of oral health-related quality of life (OHRQoL) has led to the development of several instruments to measure their relationship with health. The objective of this review was to update the knowledge on the general and psychometric characteristics of the instruments to measure the quality of life (QoL) related to oral health that emerged after publication in 1997 of the results of the conference 'Measuring Oral Health and QoL'. Materials and methods: A bibliographic search was carried out to identify publications published in January from 1998 to June 2018, using EMBASE, PubMed, Scopus, CINAHL and Web of Science databases. Specific criteria were established based on international reference frameworks for the inclusion, collection, and analysis of general and psychometric properties of the instruments. Results: 233 articles were identified, of which 10 met the eligibility criteria and were included. All the instruments were multidimensional, presented psychometric properties and were mostly based on prior measurement tools and the classification of impairments and disabilities. All studies presented information on the internal consistency of their instruments. Validity to discriminate was also rated positively in all of the instruments except OHRQoL-UK instrument. Among the instruments, the criterion that was found to be least was a response to change, as only three instruments met the criteria. Reliability and construct validity criteria were also present in most of the studies. Conclusion: The dental profession has shown great progress towards a more comprehensive measurement of the oral health needs of the population, it is necessary to move from focusing on sick patients and theories of disabilities to incorporating healthy patients and resource-based theories and capacities in their measurements of OHRQoL, that would improve patient safety, quality of care and risk management, and improve clinical decision making for healthcare professionals.
... One of the rare residual international comparisons with a genuine population perspective is the work of Crocombe, et al. [8], which uses different single indicators for a few age-brackets. However, as their results are contradictory in sub-areas, it is difficult to draw clear, final conclusions. ...
... Loss of teeth remains a significant health problem worldwide. For example, 20% of senior adults in Western countries are considered "orally disabled, " and tooth loss is associated with a compromised quality of life, manifesting as difficulties in chewing and speaking, pain or alterations in other oral sensations such as stereognosis and proprioception, as well as impaired memory, cognitive and emotional functions (for reviews see Feine and Carlsson, 2003;Crocombe et al., 2009;Avivi-Arber et al., 2011;Trulsson et al., 2012;Sessle et al., 2013;Klineberg et al., 2014;Cerutti-Kopplin et al., 2016). Since life expectancy is progressively increasing in most populations, tooth loss and the associated impairments represent an increasing societal burden (Avivi-Arber et al., 2011;Trulsson et al., 2012). ...
Article
Full-text available
Tooth loss is associated with altered sensory, motor, cognitive and emotional functions. These changes vary highly in the population and are accompanied by structural and functional changes in brain regions mediating these functions. It is unclear to what extent this variability in behavior and function is caused by genetic and/or environmental determinants and which brain regions undergo structural plasticity that mediates these changes. Thus, the overall goal of our research program is to identify genetic variants that control structural and functional plasticity following tooth loss. As a step toward this goal, here our aim was to determine whether structural magnetic resonance imaging (sMRI) is sensitive to detect quantifiable volumetric differences in the brains of mice of different genetic background receiving tooth extraction or sham operation. We used 67 adult female mice of 7 strains, comprising the A/J (A) and C57BL/6J (B) strains and a randomly selected sample of 5 of the 23 AXB-BXA strains (AXB1, AXB4, AXB24, BXA14, BXA24) that were produced from the A and B parental mice by recombinations and inbreeding. This panel of 25 inbred strains of genetically diverse inbred strains of mice is used for mapping chromosomal intervals throughout the genome that harbor candidate genes controlling the phenotypic variance of any trait under study. Under general anesthesia, 39 mice received extraction of 3 right maxillary molar teeth and 28 mice received sham operation. On post-extraction day 21, post-mortem whole-brain high-resolution sMRI was used to quantify the volume of 160 brain regions. Compared to sham operation, tooth extraction was associated with a significantly reduced regional and voxel-wise volumes of cortical brain regions involved in processing somatosensory, motor, cognitive and emotional functions, and increased volumes in subcortical sensorimotor and temporal limbic forebrain regions including the amygdala. Additionally, comparison of the 10 BXA14 and 21 BXA24 mice revealed significant volumetric differences between the two strains in several brain regions. These findings highlight the utility of high-resolution sMRI for studying tooth loss-induced structural brain plasticity in mice, and provide a foundation for further phenotyping structural brain changes following tooth loss in the full AXB-BXA panel to facilitate mapping genes that control brain plasticity following orofacial injury.
... An example of the rare residual international comparisons with a genuine population perspective is the work of Crocombe et al 10 . Here, the findings for the numerous clinical indicators used differ according to the index employed and the reference group, making it difficult to draw a clear, final conclusion. ...
Article
Objective: To propose new analytical tools that facilitate the obtention of quantifiable results for evaluating different dental care systems. Methods: The paper describes the construction of a composite indicator that measures dental health on a population basis in one overall indicator, the Dental Health Index (DHI). If the DHI is combined with a Dental Care Cost Index, an efficiency index (EI) can be created. Results: The use of these new instruments for analysing different dental care systems reveals that the Swedish and Danish populations enjoy the best dental health status, followed by US, Japanese, Australian and Canadian citizens. Germany ranks in the middle, while the Dutch and Finnish populations enjoy a lesser degree of dental health. Advanced dental health can be achieved in any oral healthcare system, irrespective of the underlying cost-sharing and funding structures. As a benchmark for industrialised countries, cost levels for dental care between 0.5% and 0.7% of GDP, seem to be the international norm. A population's dental status is determined by the degree to which preventive and tooth-preserving treatment approaches are practised, also amongst adults. Conclusion: The new instruments broaden the diagnostic possibilities for investigating different dental care systems. The greater the degree to which preventive and tooth-preserving treatment methods for the entire population are incorporated in daily clinical practice, the faster and better such systems progress and perform in terms of efficacy and efficiency.