Shanghai Journal of Stomatology ›› 2019, Vol. 28 ›› Issue (6): 622-626.doi: 10.19439/j.sjos.2019.06.013

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Epidemiological investigation and analysis of risk factor of tooth loss in older people aging 65-74 years in Shanghai

BIAN Tian-ying1,3, ZHANG Hao1,3, MAO Yan-min2,3, DONG Hua4, HUA Min5, JIANG Yi-wei1,3, WANG Yan1,3   

  1. 1.Department of Preventive Dentistry, Shanghai Stomatological Hospital, Fudan University. Shanghai 200001;
    2.Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University. Shanghai 200001;
    3.Department of Orthodontics, Shanghai Stomatological Hospital, Fudan University. Shanghai 200001;
    4.Department of Preventive Dentistry, Jiading District Odontopathy Dispensary. Shanghai 201800;
    5.Department of Preventive Dentistry, Huangpu District Odontopathy Dispensary. Shanghai 200002, China
  • Received:2019-03-29 Online:2019-12-25 Published:2020-01-14

Abstract: PURPOSE: To investigate tooth loss status and associated risk factors in older adults aging 65-74 years in Shanghai. METHODS: Seven hundred and seventy-six participants aging between 65-74 years were randomly selected in a cross-sectional study according to the requirements of the fourth national oral health epidemiological investigation of China. Data was obtained via questionnaires and clinical examination. Non-parametric analysis was performed to compare the numbers of lost teeth and molars between groups. Logistic regression analysis was performed to assess risk factors for tooth loss with SPSS 21.0 software package. RESULTS: The average numbers of lost teeth and lost molars were 5.94 and 2.59, respectively. 42.3% subjects had periodontal pockets and 83.0% had at least 4 mm attachment loss. Males lost more teeth and molars than females (P<0.05). Smoking was a risk factor for maintaining functional dentition, especially when the smoking amount reached 6/d (odds ratio=1.88, 95% confidence interval: 1.231-2.872, P<0.01). Less than 6 years schooling and occupation requiring hard physical labor were also important risk factors for tooth loss. CONCLUSIONS: Gender, oral hygiene habits, smoking, educational level and occupation are important risk factors for tooth loss in 65-74 year old adults in Shanghai.

Key words: Older people, Tooth loss, Epidemiological investigation, Risk factor

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