Regular dental scaling associated with decreased tooth loss in the middle-aged and elderly in Korea: A 3-year prospective longitudinal study

Context: Tooth loss exacerbates the deterioration of physical function and induces illness. Numerous studies have identified the risk factors for tooth loss, and several have identified an association of tooth loss with sociodemographic factors, general health status, and lifestyle. Aims: The objective of the present cohort study was to elucidate the relationship between regular dental scaling and tooth loss in middle-aged and elderly individuals in Korea. Settings and Design: The study was 3-year prospective longitudinal study and conducted in Wonju-si of South Korea. Methods: In total, 557 subjects (219 men, 338 women; 40–75 years) were included in our 3-year follow-up survey (2010–2014). Data from the Korean Genome and Epidemiology Study on Atherosclerosis Risk of Rural Areas in the Korean General Population (KOGES-ARIRANG) were used. All subjects underwent an oral examination and face-to-face interview for taking oral health behavior, sociodemographic status, and the utilization of dental service. Statistical Analysis Used: Logistic regression analysis was used to determine the effects of regular dental scaling on tooth loss after adjusting for history of oral examinations and dental visits, oral health behavior, and sociodemographic status. Results: In total, 263 subjects (47.2%) experienced a loss of one or more teeth during the 3-year period, and lost a mean of 1.54 ± 2.53 teeth. The incidence of tooth loss was 1.87 (1.03–3.38) times higher in participants who did not undergo dental scaling during the 3-year period than in those who regularly received dental scaling. Conclusions: This study showed the potential causal relationship between tooth loss and regular dental scaling for preventing oral disease. Further study is needed to consolidate the evidence that regular dental scaling is effective in preventing tooth loss.

[1]  H. Worthington,et al.  Routine scale and polish for periodontal health in adults. , 2018, The Cochrane database of systematic reviews.

[2]  Namhee Kim,et al.  Utilization of Preventive Dental Services Before and After Health Insurance Covered Dental Scaling in Korea , 2017, Asia-Pacific journal of public health.

[3]  M. Bravo,et al.  Tooth loss and alveolar bone crest loss during supportive periodontal therapy in patients with generalized aggressive periodontitis: retrospective study with follow-up of 8 to 15 years. , 2016, Journal of clinical periodontology.

[4]  Yutaka Watanabe,et al.  Factors associated with older adults' need for oral hygiene management by dental professionals , 2016, Geriatrics & gerontology international.

[5]  R. Manski,et al.  Differences Among Older Adults in the Types of Dental Services Used in the United States , 2016, Inquiry : a journal of medical care organization, provision and financing.

[6]  Sun-Young Han,et al.  Does denture-wearing status in edentulous South Korean elderly persons affect their nutritional intakes? , 2016, Gerodontology.

[7]  Bok-Ghee Han,et al.  Cohort Profile Cohort Profile : The Korean Genome and Epidemiology Study ( KoGES ) Consortium , 2017 .

[8]  C. Marya,et al.  Periodontal status and oral health‐related quality of life in elderly residents of aged care homes in Delhi , 2016, Geriatrics & gerontology international.

[9]  N. Kim,et al.  Community periodontal treatment needs in South Korea. , 2015, International journal of dental hygiene.

[10]  W. Brandt,et al.  An Evaluation of Non-Surgical Periodontal Therapy in Patients with Rheumatoid Arthritis , 2015, The open dentistry journal.

[11]  D. E. Slot,et al.  Effect of professional mechanical plaque removal on secondary prevention of periodontitis and the complications of gingival and periodontal preventive measures: consensus report of group 4 of the 11th European Workshop on Periodontology on effective prevention of periodontal and peri-implant disease , 2015, Journal of clinical periodontology.

[12]  A. Åstrøm,et al.  Life-course social influences on tooth loss and oral attitudes among older people: evidence from a prospective cohort study. , 2015, European journal of oral sciences.

[13]  G. Tsakos,et al.  Tooth Loss Associated with Physical and Cognitive Decline in Older Adults , 2015, Journal of the American Geriatrics Society.

[14]  H. Lawrence,et al.  Impact of tooth loss related to number and position on oral health quality of life among adults , 2014, Health and Quality of Life Outcomes.

[15]  N. Higaki,et al.  Do sensation differences exist between dental implants and natural teeth?: a meta-analysis. , 2014, Clinical oral implants research.

[16]  F. Lobbezoo,et al.  Dental status and oral health-related quality of life. A population-based study. , 2014, Journal of oral rehabilitation.

[17]  Jae-Kwan Lee,et al.  Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults , 2014, Journal of periodontal & implant science.

[18]  Tzeng-Ji Chen,et al.  Dental scaling and atrial fibrillation: a nationwide cohort study. , 2013, International journal of cardiology.

[19]  Chung-Yi Li,et al.  Effects of Tooth Scaling Reminders for Dental Outpatients , 2013, Journal of telemedicine and telecare.

[20]  C. Lustig,et al.  Everyday memory errors in older adults , 2013, Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition.

[21]  M. Glick,et al.  FDI Vision 2020: shaping the future of oral health. , 2012, International dental journal.

[22]  Chia-Hung Chiang,et al.  The association of tooth scaling and decreased cardiovascular disease: a nationwide population-based study. , 2012, The American journal of medicine.

[23]  A. Čelebić,et al.  A 3-year longitudinal study of quality-of-life outcomes of elderly patients with implant- and tooth-supported fixed partial dentures in posterior dental regions. , 2012, Gerodontology.

[24]  Y. Chan,et al.  Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy. , 2011, Journal of clinical periodontology.

[25]  J. John,et al.  Prevalence of permanent tooth loss among children and adults in a suburban area of Chennai. , 2011, Indian journal of dental research : official publication of Indian Society for Dental Research.

[26]  L. Patton,et al.  Chewing function impacts oral health-related quality of life among institutionalized and community-dwelling Korean elders. , 2009, Community dentistry and oral epidemiology.

[27]  Hidetada Sasaki,et al.  Functional tooth number and 15‐year mortality in a cohort of community‐residing older people , 2007 .

[28]  Rodrigo Neiva,et al.  Risk indicators for tooth loss due to periodontal disease. , 2005, Journal of periodontology.

[29]  Y. Maki Oral health care systems for elderly in Asia and Japan , 2004 .

[30]  B. Dye,et al.  Oral health care utilization by US rural residents, National Health Interview Survey 1999. , 2003, Journal of public health dentistry.

[31]  R. Garcia,et al.  Validation of self-reported oral health measures. , 2002, Journal of public health dentistry.

[32]  M. Walsh,et al.  Dental hygiene : theory and practice , 1994 .