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Risk factors for tooth loss in postmenopausal women.

机译:绝经后妇女牙齿脱落的危险因素。

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摘要

Problem statement. Tooth loss diminishes quality of life by causing loss of function, esthetics and consequently self-esteem. About {dollar}1.5 billion is spent annually in the United States for replacement of missing teeth. Postmenopausal women represent a subpopulation with unique factors that may influence tooth loss differently compared to general population such as estrogen deficiency, hormone therapy and lower bone mineral density.; Methods. The aims of this cohort study were to describe the incidence of tooth loss and determine baseline variables associated with incident tooth loss in postmenopausal women. Study population consisted of white postmenopausal women with at least 6 teeth at baseline who participated in a cross-sectional study of risk factors for periodontal disease between 1989 and 1991. Exclusion criteria included history of cancer and age at menopause 40 years. Participants completed self-report questionnaires on medical and dental histories as well as demographics, life style and health at both baseline and follow-up. Assessment of baseline periodontal status was performed clinically by trained and calibrated dentists and included mean alveolar bone loss (mm), mean clinical attachment loss (mm), number of sites with probing depth ≥5 mm, and presence or absence of eight subgingival microorganisms. Covariates included age (years), household income ({dollar}10,000, {dollar}10,000--29,999, >{dollar}30,000), smoking status (never, former, current), hormone therapy (never, ever), number of systemic diseases (history of osteoporosis, diabetes, hypertension, myocardial infarction or stroke), number of snacks (2/day, ≥2/day) and number of teeth with decayed or filled root. At follow-up, number of teeth lost was assessed clinically by a periodontist and was defined as 0 versus ≥1.; Results. A total of 61 (57.5%) out of 106 subjects lost at least one tooth during follow-up. Mean number of tooth loss during follow-up was 1.81 +/- 2.77 and the median was 1. Multiple logistic regression analyses showed that mean alveolar bone loss (OR = 2.79; 95% CI: 1.36--5.73), current smoking (OR = 2.38; 95% CI: 1.01--5.60), household income ≥30,000 (OR = 2.81; 95% CI: 1.08--8.84) and 2 or more snacks per day (OR = 1.81; 95% CI: 1.04--3.14) were related with increased risk of incident tooth loss; hormone therapy (OR = 0.44; 95% CI: 0.23--0.86) and household income {dollar}10,000--29,999 (OR = 0.28; 95% CI: 0.13--0.62) were related with decreased risk of incident tooth loss. There was a significant interaction between Bacteroides forsythus and number of systemic diseases (OR = 4.18; 95% CI: 1.02--17.16).; Conclusions. We can conclude that periodontal disease at baseline, especially measured by alveolar bone loss, hormone therapy, smoking, household income and snacks are important independent predictors for incident tooth loss in postmenopausal women.
机译:问题陈述。牙齿脱落会导致功能丧失,美观并因此导致自尊,从而降低生活质量。在美国,每年约有15亿美元花费在更换牙齿上。绝经后妇女代表的亚人群具有独特的因素,这些因素可能与普通人群相比,例如雌激素缺乏症,激素治疗和较低的骨矿物质密度,对牙齿脱落的影响不同。方法。这项队列研究的目的是描述绝经后妇女牙齿脱落的发生率并确定与牙齿脱落相关的基线变量。研究人群包括基线时至少有6颗牙齿的绝经后白人妇女,他们参加了1989年至1991年间牙周病危险因素的横断面研究。排除标准包括癌症史和更年期小于40岁的年龄。参与者在基线和随访期间完成了有关医学和牙科历史以及人口统计学,生活方式和健康状况的自我报告调查表。基线牙周状况的评估是由经过培训和校准的牙医进行临床评估的,包括平均牙槽骨丢失(mm),平均临床附着力丢失(mm),探查深度≥5mm的部位数量以及是否存在八种龈下微生物。协变量包括年龄(年),家庭收入(<10,000美元,10,000--29,999美元,30,000美元),吸烟状况(从不,以前,当前),激素疗法(从不,曾经),人数全身疾病(骨质疏松症,糖尿病,高血压,心肌梗塞或中风的病史),零食数量(<2 /天,≥2天)和根腐烂或充实的牙齿数量。在随访中,牙周病患者对牙齿脱落的数量进行了临床评估,并将其定义为0对≥1。结果。在随访期间,共有106名受试者中的61名(57.5%)失去了至少一颗牙齿。随访期间平均掉牙次数为1.81 +/- 2.77,中位数为1。多项逻辑回归分析显示,当前吸烟(OR)的平均牙槽骨损失(OR = 2.79; 95%CI:1.36--5.73)。 = 2.38; 95%CI:1.01--5.60),家庭收入≥30,000(OR = 2.81; 95%CI:1.08--8.84)和每天2次或以上的零食(OR = 1.81; 95%CI:1.04-- 3.14)与牙齿脱落风险增加有关;激素疗法(OR = 0.44; 95%CI:0.23--0.86)和家庭收入10,000--29,999美元(OR = 0.28; 95%CI:0.13--0.62)与减少掉牙的风险有关。连翘拟杆菌和系统性疾病数量之间存在显着的相互作用(OR = 4.18; 95%CI:1.02--17.16)。结论。我们可以得出结论,基线时的牙周疾病,特别是通过牙槽骨丢失,激素治疗,吸烟,家庭收入和零食来衡量,是绝经后妇女发生牙缺失的重要独立预测因子。

著录项

  • 作者

    Tezal, Mine.;

  • 作者单位

    State University of New York at Buffalo.;

  • 授予单位 State University of New York at Buffalo.;
  • 学科 Health Sciences Dentistry.; Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2004
  • 页码 234 p.
  • 总页数 234
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 口腔科学;预防医学、卫生学;
  • 关键词

  • 入库时间 2022-08-17 11:43:22

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