A history of frequent dental care reduces the risk of tooth loss but not periodontitis in older subjects

Document type: Journal Articles
Article type: Review
Peer reviewed: Yes
Author(s): Stefan Renvert, Ringmor Persson, Rutger Persson
Title: A history of frequent dental care reduces the risk of tooth loss but not periodontitis in older subjects
Journal: Swedish Dental Journal
Year: 2011
Volume: 35
Issue: 2
Pagination: 69-75
ISSN: 0347-9994
Publisher: Swedish Dental Association and the Swedish Dental Society
ISI number: 000293103100003
Organization: Blekinge Institute of Technology
Department: School of Health Science (Sektionen för hälsa)
School of Health Science S-371 79 Karlskrona
+46 455 38 50 00
Language: English
Abstract: Objectives: Information on the significance of dental care in older adults is limited. We hypothesized that regular dental visits has an effect on the number of remaining teeth and periodontal conditions in older subjects. Materials and Methods:1020 randomly selected individuals age 60-96 from the Swedish National Study on Aging and Care Blekinge received a comprehensive oral health examination. Results: Dentate women and men had, on average 18.4 teeth (SD +7.6,) and 18.9 teeth (SD + 7.5) respectively (NS). In the youngest group (60 and 66 years old) with less than one dental visit per year, 37 % had <20 teeth, compared with 73 % among those with at least annual visits. Among the old-old, comparable figures were 1.8 % and 37 % respectively. Across age groups, bleeding on probing was 23 %. When adjusting for age, and number of teeth GLM univariate analysis failed to demonstrate an effect of dental visit frequency on alveolar bone loss (p = 0.18), the number of periapical lesions (p = 0.65), or the number of endodontically treated teeth (p = o.41). Frequent dental visitors had more teeth than infrequent visitors (p = 0.001). Conclusions: Tooth loss and alveolar bone loss severity increase with age. Individuals with regular dental visits retained more teeth but the frequency of dental visits had no impact on plaque deposits, gingival inflammation, or alveolar bone levels.
Subject: Medical Sciences
Keywords: Dental care, Older, Oral health, Periodontitis, Tooth loss