Association Between Tobacco Smoking, Dental Status and Self-perceived Oral Health in Elderly Adults in Colombia.

Tobacco smoking is responsible for several health problems, including mouth diseases. The aim of the present study was to establish the association between smoking and dental status and self-perceived oral health in a large group of elderly Colombian adults. Analysis of 18,937 survey records of participants aged ≥ 60 years old was conducted. Information regarding age, sex, skin color, socioeconomic level, education, marital status, denture use, partial tooth loss or edentulism, Geriatric Oral Health Assessment Index (GOHAI) and tobacco smoking was retrieved from the database. A descriptive analysis and multivariate logistic regression analysis were performed. Half of the participants were edentulous in the maxilla while mandibular teeth were more frequently retained in more than 60% of the participants. After adjusting for sex and age, smoking consistently increased the odds of partial or complete edentulism in the maxilla (OR 1.05; 95% CI 1.02-1.09) and mandible (OR 1.04; 95% CI 1.00-1.08). Nonetheless, the increase in the odds in the mandible was not statistically significant. The habit of smoking was associated with increased tooth loss that in the long-term may result in poor oral health affecting the quality of life of elderly people.

Factores asociados al desdentamiento en adolescentes / Factors associated with teeth loss in adolescents

Fundamento: la pérdida de dientes puede afectar a las personas de cualquier edad es más frecuente en el adulto mayor, aunque en la actualidad se ha incrementado el número de jóvenes que desde edades tempranas, presentan dientes perdidos. Objetivo: identificar los factores asociados al desdentamiento en los adolescentes del municipio Cifuentes. Métodos: se realizó un estudio epidemiológico descriptivo de corte transversal en el Municipio Cifuentes desde septiembre de 2015 hasta marzo de 2017. El universo lo constituyó la población con edades entre 12 y 18 años conformados por un total de 465 estudiantes, de ellos se seleccionaron 180 mediante un muestreo probabilístico por conglomerados estratificado bietápico. Resultados: el desdentamiento en los adolescentes tuvo una prevalencia de 17,2 porciento lo que coincidió con el número de pacientes que presentaban obturaciones, la higiene bucal regular estuvo presente en el 51,7 porciento mientras que en el 58,2 porciento de los adolescentes las pérdidas dentarias fueron asociadas a la caries dental. Conclusiones: dentro de los factores asociados a dicho fenómeno cabe destacar: la edad, la presencia de obturaciones y la higiene bucal. La principal causa de desdentamiento fue la caries dental(AU)

Background: the loss of teeth can affect people of any age and although this is more frequent in the elder, presently it has increased the number of young persons that from early ages, present lost teeth. Objective: to identify the associated factors to the tooth loss in teenagers of the municipality of Cifuentes. Methods: a descriptive epidemic study of traverse court was carried out in the Municipality of Cifuentes from September, 2015 to March, 2017.The universe of population was constituted for ages between 12 and 18 years conformed by a total of 465 students, of them 180 were selected by means of a probabilistic sampling by two-stage stratified conglomerates. Results: the loss of teeth in the adolescents was of 17.2 percent same to the number of filled, the oral hygiene to regulate it was present in 51.7 percent also in the 58.2 percent the cause of teeth loss was a dental caries.Conclusions: among the factors associated to this phenomenon it is necessary to highlight: the age, the presence of filled and oral hygiene. The main cause of teeth loss was a dental cavity(AU)

Sex/Gender differences in tooth loss and edentulism: historical perspectives, biological factors, and sociologic reasons.

This review highlights what is known regarding differences in tooth loss by sex/gender, and describes: gender-related tooth ablation (the deliberate removal of anterior teeth during life) found in skulls from history and prehistory; potential mediators of the relationship between sex/gender and tooth loss; the current epidemiology of gender differences in tooth loss (limited to North America); and risk factors for tooth loss in the general population and in women.

[Severe periodontitis, edentulism and neuropathy in patients with type 2 diabetes mellitus]. / Periodontitis severa, edentulismo y neuropatía en pacientes con diabetes mellitus tipo 2.

UNLABELLED: Periodontitis is a frequent pathologic condition in diabetic patient, and has been associated with chronic complications like nephropathy, cardiovascular disease, peripheral artery disease or death. OBJECTIVE: To document the association between severe periodontitis and edentulism with the presence of sensory-motor neuropathy in diabetic patients. MATERIAL AND METHOD: Cross-sectional study in type 2 diabetic patients from the family medicine unit no. 27 of the IMSS in Tijuana, México. Patients were evaluated to identify periodontitis and sensory-motor neuropathy. Information was also obtained about sex, age, duration of diabetes, glycemic control, smoking and alcohol use. RESULTS: Four hundred and thirty-six patients completed all measurements. In 180 (41.3%) neuropathy was identified, and associated with age (p < 0.001); duration of diabetes (p < 0.001); fasting glucose (p < 0.001); severe periodontitis (OR: 2.7; IC 95%: 1.5-4.8);and with edentulism (OR: 4.4; IC 95%: 2.0-9.4). Logistic regression multivariable analysis kept as significative the association between severe periodontitis and edentulism with neuropathy (adjusted OR: 1.7; IC 95%: 1.1-2.6). CONCLUSIONS: Periodontitis and edentulism are associated with the presence of neuropathy in diabetic patients.

Periodontal disease and risk for neuropathic foot ulceration in type 2 diabetes.

AIMS: Diabetic neuropathy (DN) has been associated with oral dryness, tooth loss and an increased risk for foot ulceration, but the association between periodontal problems and DN has not been fully elucidated. This study investigated whether the risk for neuropathic foot ulceration (DM-NFUR) was associated with periodontal disease (PD) in patients with type 2 diabetes mellitus. METHODS: This cross-sectional study examined 122 patients with type 2 diabetes for PD; findings were compared with results for presence of DM-NFUR. PD severity was classified as none/mild (NM-PD), moderate/severe (MS-PD) and edentulous (E). RESULTS: NM-PD was found in 40.2% patients; MS-PD, in 32.0%; and 27.8% were edentulous. DM-NFUR was detected in 18.4% of the patients in the NM-PD group, in 68.2% in the MS-PD group, and in 61.8% of completely edentulous individuals. PD was significantly correlated with DM-NFUR (p

Correlates of partial tooth loss and edentulism in the Brazilian elderly.

BACKGROUND: In South American older adults the association between tooth loss and demographic, predisposing and enabling factors has not been determined. The purpose of this study was to evaluate the association between partial and complete tooth loss and demographic, predisposing, enabling and need factors, and quality of life variables in the Brazilian older adults. METHODS: In this cross-sectional study, 5349 subjects aged 65-74 years were evaluated using conglomerate random sampling. Data collection included dental examinations and questionnaires evaluating demographic, predisposing, enabling and need factors, and quality of life variables. Multinomial logistic regression was carried out to evaluate correlates of tooth loss. The number of teeth was set as the outcome and categorized as: edentulous, subjects with 1-19 teeth, and subjects with 20 or more teeth. RESULTS: Predisposing factors including age, female gender and schooling were independently associated with edentulism. Female gender was associated with partial tooth loss. The only enabling factor associated with edentulism was car ownership. Need factors were associated with edentulism and partial tooth loss. Edentulous subjects perceived the need for dental treatment less frequently. Quality of life factors were associated with partial tooth loss and edentulism. Subjects with 1-19 teeth and edentulous subjects were more likely to rate their chewing ability as not good. Edentulous subjects were more likely to rate their speech ability and their dental appearance as good. CONCLUSIONS: The results indicate that tooth loss and edentulism were complex phenomena, with intricate predisposing, demographic, enabling and need factors playing a role.

[Dental mutilation: rural workers' concepts of responsibility for tooth loss]. / Mutilação dentária: concepções de trabalhadores rurais sobre a responsabilidade pela perda dentária.

Brazilian oral hygiene institutions have promoted tooth extraction as a dental health practice. This article investigates the issue of dental loss within a rural drought area in the State of Bahia. Based on verbal information provided by local inhabitants, the author investigates dental extraction as perceived by the community, i.e., as a commonplace fact. The main goal is to analyze both representations of the oral cavity based on individual experiences and their associations with oral care practices, derived from the social reality in which they are immersed. The author considers the issues of both individual responsibility and that of government agencies and dentists.

Terceira idade: quais os problemas bucais existentes? / The elderly: what are the existing oral health problems?

Com o aumento estimado da populaçäo idosa, observa-se a necessidade de o CD aprimorar seus conhecimentos a respeito dessa faixa etária, visto que näo é raro termos um paciente nessa situaçäo. Assim sendo, foi realizada uma pesquisa na Universidade Federal de Pelotas - RS, através de inquérito domiciliar, a qual visava obter alguns dados da condiçäo bucal dessas pessoas. A populaçäo estudada era de baixa renda, sendo a maioria do sexo feminino (64,3 por cento), com média de idade de 65 anos. Dos idosos, 64,6 por cento eram edentados totais e soemente 73,4 por cento destes faziam uso de aparelhos protéticos, sendo a maioria de prótese total superior. Foi observado grande número de portadores de candidíase, peridontite severa e hiperplasia no palato devido ao uso de prótese total com câmara de sucçäo. Eventualmente, também foram encontrados lígua saburrosa, língua fissurada, leucoplasia e outros

Registro da relaçäo central no desdentado total, utilizando os métodos com o "jig" de Lucia e o guiado näo forçado / Registration of the centric relation in the edentulous patients, using \"jig\" and guided methods

Foi feito um estudo comparativo entre os métodos do "jig" e guiado näo forçado para a determinaçäo da relaçäo central em pacientes desdentados totais. Foram utilizados 40 pacientes, observando-se o seguinte critério para a seleçäo: - desdentados bimaxilares; - pacientes com fibromucosa resiliente; - livre movimentaçäo mandibular; - pacientes que näo apresentavam quaisquer sintomas de disfunçäo temporomandibular. Para a determinaçäo da relaçäo central pelo método do "jig", confeccionou-se o "jig" com resina acrílica incolor autopolimerizável sobre os seis dentes anteriores, previamente montados no plano de cera superior. Para a determinaçäo da relaçäo central pelo método guiado näo forçado, utilizou-se um dispositivo composto de um pino inscritor colocado no plano de cera superior e placa de registro montada no plano de cera inferior...

Relaçäo central em desdentados totais: estudo comparativo entre os métodos do "jig" e intra-oral / Centric relation in edentulous patients: comparative study between \"jig\" and intra-oral methods

Foi realizado um estudo comparativo entre os métodos intra-oral e do "jig" para a determinaçäo da relaçäo central em pacientes desdentados totais. Foram utilizados 30 pacientes, observando-se o seguinte critério para a seleçäo: - desdentados bimaxilares; - pacientes com fibromucosa resiliente; - livre movimentaçäo mandibular; - pacientes que näo apresentavam quaisquer sintomas de disfunçäo temporomandibular. Para determinaçäo da relaçäo central pelo método intra-oral, utilizou-se um dispositivo, composto de uma pua ou pino inscritor e placas para o registro, o pino era colocado na placa de cera superior, enquanto que a placa era colocada no plano de cera inferior. Para determinaçäo da relaçäo central pelo método do "jig", foi confeccionado o "jig" com resina acrílica incolor autopolimerizável, sobre os seis dentes anteriores, previamente montados no plano de cera superior...