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Published in: Clinical Oral Investigations 4/2019

01-04-2019 | Original Article

Risk factors for tooth loss in community-dwelling Japanese aged 40 years and older: the Yamagata (Takahata) study

Authors: Shigeo Ishikawa, Tsuneo Konta, Shinji Susa, Kenichiro Kitabatake, Kenichi Ishizawa, Hitoshi Togashi, Atsushi Tsuya, Yoshiyuki Ueno, Isao Kubota, Hidetoshi Yamashita, Takamasa Kayama, Mitsuyoshi Iino

Published in: Clinical Oral Investigations | Issue 4/2019

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Abstract

Objectives

The aim of the present study was to investigate comprehensively the risk factors, including some lifestyle-associated factors, oral health habits, and socioeconomic status, for having less than 20 teeth in cross-sectional study in the general population of Japan.

Materials and methods

The survey population was the general population of individuals aged greater than or equal to 40 years in Takahata town, Japan in 2005. A postal survey with a self-administered questionnaire was distributed, and 7542 participants were entered into the final statistical analysis. The self-administered questionnaire contained items regarding some lifestyle-associated factors, oral health, and dietary intake, including alcohol and sucrose consumption. To confirm the independent association between the number of teeth and several parameters, a multivariate logistic regression analysis was used to estimate the adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs).

Results

A low educational status, no dental check-ups, low frequency of brushing, older age, and smoking habit were independent risk factors for less than 20 teeth. A low educational status was a particularly significant risk factor for less than 20 teeth (OR = 1.352, 95% CI = 1.125–1.624).

Conclusion

These results emphasize the importance of good oral health habits, such as frequent tooth brushing, routine dental check-ups, and no smoking, and indicate that more appropriate and compulsory education regarding oral health is needed to lessen the education level-derived differences in oral health.

Clinical relevance

Poor oral health habits and low educational status are the independent risk factors for having less than 20 teeth.
Literature
1.
go back to reference Aukes JN, Kayser AF, Felling AJ (1988) The subjective experience of mastication in subjects with shortened dental arches. J Oral Rehabil 15:321–324CrossRefPubMed Aukes JN, Kayser AF, Felling AJ (1988) The subjective experience of mastication in subjects with shortened dental arches. J Oral Rehabil 15:321–324CrossRefPubMed
2.
go back to reference Steele JG, Ayatollahi SM, Walls AW, Murray JJ (1997) Clinical factors related to reported satisfaction with oral function amongst dentate older adults in England. Community Dent Oral Epidemiol 25:143–149CrossRefPubMed Steele JG, Ayatollahi SM, Walls AW, Murray JJ (1997) Clinical factors related to reported satisfaction with oral function amongst dentate older adults in England. Community Dent Oral Epidemiol 25:143–149CrossRefPubMed
3.
go back to reference Tatematsu M, Mori T, Kawaguchi T, Takeuchi K, Hattori M, Morita I, Nakagaki H, Kato K, Murakami T, Tuboi S, Hayashizaki J, Murakami H, Yamamoto M, Ito Y (2004) Masticatory performance in 80-year-old individuals. Gerodontology 21:112–119CrossRefPubMed Tatematsu M, Mori T, Kawaguchi T, Takeuchi K, Hattori M, Morita I, Nakagaki H, Kato K, Murakami T, Tuboi S, Hayashizaki J, Murakami H, Yamamoto M, Ito Y (2004) Masticatory performance in 80-year-old individuals. Gerodontology 21:112–119CrossRefPubMed
4.
go back to reference Yamamoto T, Kondo K, Hirai H, Nakade M, Aida J, Hirata Y (2012a) Association between self-reported dental health status and onset of dementia: a 4-year prospective cohort study of older Japanese adults from the Aichi Gerontological evaluation study (AGES) project. Psychosom Med 74:241–248CrossRefPubMed Yamamoto T, Kondo K, Hirai H, Nakade M, Aida J, Hirata Y (2012a) Association between self-reported dental health status and onset of dementia: a 4-year prospective cohort study of older Japanese adults from the Aichi Gerontological evaluation study (AGES) project. Psychosom Med 74:241–248CrossRefPubMed
5.
go back to reference Komiyama T, Ohi T, Miyoshi Y, Murakami T, Tsuboi A, Tomata Y, Tsuji I, Watanabe M, Hattori Y (2016) Association between tooth loss, receipt of dental care, and functional disability in an elderly Japanese population: the Tsurugaya project. J Am Geriatr Soc 64:2495–2502CrossRefPubMed Komiyama T, Ohi T, Miyoshi Y, Murakami T, Tsuboi A, Tomata Y, Tsuji I, Watanabe M, Hattori Y (2016) Association between tooth loss, receipt of dental care, and functional disability in an elderly Japanese population: the Tsurugaya project. J Am Geriatr Soc 64:2495–2502CrossRefPubMed
6.
go back to reference Nilsson H, Berglund JS, Renvert S (2017) Periodontitis, tooth loss and cognitive functions among older adults. Clin Oral Investig Nilsson H, Berglund JS, Renvert S (2017) Periodontitis, tooth loss and cognitive functions among older adults. Clin Oral Investig
7.
go back to reference Yamamoto T, Kondo K, Misawa J, Hirai H, Nakade M, Aida J, Kondo N, Kawachi I, Hirata Y (2012b) Dental status and incident falls among older Japanese: a prospective cohort study. BMJ Open 2:e001262CrossRefPubMedPubMedCentral Yamamoto T, Kondo K, Misawa J, Hirai H, Nakade M, Aida J, Kondo N, Kawachi I, Hirata Y (2012b) Dental status and incident falls among older Japanese: a prospective cohort study. BMJ Open 2:e001262CrossRefPubMedPubMedCentral
8.
go back to reference Aida J, Kondo K, Hirai H, Nakade M, Yamamoto T, Hanibuchi T, Osaka K, Sheiham A, Tsakos G, Watt RG (2012) Association between dental status and incident disability in an older Japanese population. J Am Geriatr Soc 60:338–343CrossRefPubMed Aida J, Kondo K, Hirai H, Nakade M, Yamamoto T, Hanibuchi T, Osaka K, Sheiham A, Tsakos G, Watt RG (2012) Association between dental status and incident disability in an older Japanese population. J Am Geriatr Soc 60:338–343CrossRefPubMed
9.
go back to reference K M. 8020 movement (1992) J Jpn Dent Assoc:45 K M. 8020 movement (1992) J Jpn Dent Assoc:45
10.
go back to reference Ueno M, Ohara S, Inoue M, Tsugane S, Kawaguchi Y (2012) Association between education level and dentition status in Japanese adults: Japan public health center-based oral health study. Community Dent Oral Epidemiol 40:481–487CrossRefPubMed Ueno M, Ohara S, Inoue M, Tsugane S, Kawaguchi Y (2012) Association between education level and dentition status in Japanese adults: Japan public health center-based oral health study. Community Dent Oral Epidemiol 40:481–487CrossRefPubMed
11.
go back to reference Kim HN, Ha TG, Kim MJ, Jun EJ, Jeong SH, Kim JB (2016) Factors related to number of present teeth in Korean elderly adults aged 55-84 years. Int J Dent Hyg 14:151–158CrossRefPubMed Kim HN, Ha TG, Kim MJ, Jun EJ, Jeong SH, Kim JB (2016) Factors related to number of present teeth in Korean elderly adults aged 55-84 years. Int J Dent Hyg 14:151–158CrossRefPubMed
12.
go back to reference Laguzzi PN, Schuch HS, Medina LD, de Amores AR, Demarco FF, Lorenzo S (2016) Tooth loss and associated factors in elders: results from a national survey in Uruguay. J Public Health Dent 76:143–151CrossRefPubMed Laguzzi PN, Schuch HS, Medina LD, de Amores AR, Demarco FF, Lorenzo S (2016) Tooth loss and associated factors in elders: results from a national survey in Uruguay. J Public Health Dent 76:143–151CrossRefPubMed
13.
go back to reference Lee JH, Oh JY, Choi JK, Kim YT, Park YS, Jeong SN, Choi SH (2017) Trends in the incidence of tooth extraction due to periodontal disease: results of a 12-year longitudinal cohort study in South Korea. Journal of periodontal & implant science 47:264–272CrossRef Lee JH, Oh JY, Choi JK, Kim YT, Park YS, Jeong SN, Choi SH (2017) Trends in the incidence of tooth extraction due to periodontal disease: results of a 12-year longitudinal cohort study in South Korea. Journal of periodontal & implant science 47:264–272CrossRef
14.
go back to reference Chambrone LA, Chambrone L (2011) Results of a 20-year oral hygiene and prevention programme on caries and periodontal disease in children attended at a private periodontal practice. Int J Dent Hyg 9:155–158CrossRefPubMed Chambrone LA, Chambrone L (2011) Results of a 20-year oral hygiene and prevention programme on caries and periodontal disease in children attended at a private periodontal practice. Int J Dent Hyg 9:155–158CrossRefPubMed
15.
go back to reference Kim S, Park S, Lin M (2017) Permanent tooth loss and sugar-sweetened beverage intake in U.S. young adults. J Public Health Dent 77:148–154CrossRefPubMed Kim S, Park S, Lin M (2017) Permanent tooth loss and sugar-sweetened beverage intake in U.S. young adults. J Public Health Dent 77:148–154CrossRefPubMed
16.
go back to reference Wagner MC, Haas AN, Oppermann RV, Rosing CK, Albandar JM, Susin C (2017) Effect of alcohol consumption on clinical attachment loss progression in an urban population from South Brazil: a 5-year longitudinal study. J Periodontol 88:1271–1280CrossRefPubMed Wagner MC, Haas AN, Oppermann RV, Rosing CK, Albandar JM, Susin C (2017) Effect of alcohol consumption on clinical attachment loss progression in an urban population from South Brazil: a 5-year longitudinal study. J Periodontol 88:1271–1280CrossRefPubMed
17.
go back to reference Yanagisawa T, Marugame T, Ohara S, Inoue M, Tsugane S, Kawaguchi Y (2009) Relationship of smoking and smoking cessation with number of teeth present: JPHC oral health study*. Oral Dis 15:69–75CrossRefPubMed Yanagisawa T, Marugame T, Ohara S, Inoue M, Tsugane S, Kawaguchi Y (2009) Relationship of smoking and smoking cessation with number of teeth present: JPHC oral health study*. Oral Dis 15:69–75CrossRefPubMed
18.
go back to reference Patel MH, Kumar JV, Moss ME (2013) Diabetes and tooth loss: an analysis of data from the National Health and nutrition examination survey, 2003-2004. J Am Dent Assoc 144:478–485CrossRefPubMed Patel MH, Kumar JV, Moss ME (2013) Diabetes and tooth loss: an analysis of data from the National Health and nutrition examination survey, 2003-2004. J Am Dent Assoc 144:478–485CrossRefPubMed
19.
go back to reference Ehrenthal JC, Graetz C, Plaumann A, Dorfer CE, Herzog W (2016) Number of teeth predict depressive symptoms in a longitudinal study on patients with periodontal disease. J Psychosom Res 89:16–19CrossRefPubMed Ehrenthal JC, Graetz C, Plaumann A, Dorfer CE, Herzog W (2016) Number of teeth predict depressive symptoms in a longitudinal study on patients with periodontal disease. J Psychosom Res 89:16–19CrossRefPubMed
20.
go back to reference Booth HP, Charlton J, Gulliford MC (2017) Socioeconomic inequality in morbid obesity with body mass index more than 40 kg/m(2) in the United States and England. SSM Popul Health 3:172–178CrossRefPubMed Booth HP, Charlton J, Gulliford MC (2017) Socioeconomic inequality in morbid obesity with body mass index more than 40 kg/m(2) in the United States and England. SSM Popul Health 3:172–178CrossRefPubMed
21.
go back to reference Suwannaphant K, Laohasiriwong W, Puttanapong N, Saengsuwan J, Phajan T (2017) Association between socioeconomic status and diabetes mellitus: the National Socioeconomics Survey, 2010 and 2012. Journal of clinical and diagnostic research : JCDR 11:LC18–LC22PubMed Suwannaphant K, Laohasiriwong W, Puttanapong N, Saengsuwan J, Phajan T (2017) Association between socioeconomic status and diabetes mellitus: the National Socioeconomics Survey, 2010 and 2012. Journal of clinical and diagnostic research : JCDR 11:LC18–LC22PubMed
22.
go back to reference Lagergren J, Andersson G, Talback M, Drefahl S, Bihagen E, Harkonen J et al (2016) Marital status, education, and income in relation to the risk of esophageal and gastric cancer by histological type and site. Cancer 122:207–212CrossRefPubMed Lagergren J, Andersson G, Talback M, Drefahl S, Bihagen E, Harkonen J et al (2016) Marital status, education, and income in relation to the risk of esophageal and gastric cancer by histological type and site. Cancer 122:207–212CrossRefPubMed
23.
go back to reference Tang KL, Pilote L, Behlouli H, Godley J, Ghali WA, investigators G-P (2018) An exploration of the subjective social status construct in patients with acute coronary syndrome. BMC Cardiovasc Disord 18:22CrossRefPubMedPubMedCentral Tang KL, Pilote L, Behlouli H, Godley J, Ghali WA, investigators G-P (2018) An exploration of the subjective social status construct in patients with acute coronary syndrome. BMC Cardiovasc Disord 18:22CrossRefPubMedPubMedCentral
24.
go back to reference Nichols L, Stirling C, Otahal P, Stankovich J, Gall S, Socioeconomic Disadvantage I (2017) Associated with a higher incidence of aneurysmal subarachnoid hemorrhage. J Stroke Cerebrovasc Dis Nichols L, Stirling C, Otahal P, Stankovich J, Gall S, Socioeconomic Disadvantage I (2017) Associated with a higher incidence of aneurysmal subarachnoid hemorrhage. J Stroke Cerebrovasc Dis
25.
go back to reference Noh JW, Park H, Kim M, Kwon YD Gender differences and socioeconomic factors related to osteoporosis: a cross-sectional analysis of nationally representative data. J Women's Health 2017 Noh JW, Park H, Kim M, Kwon YD Gender differences and socioeconomic factors related to osteoporosis: a cross-sectional analysis of nationally representative data. J Women's Health 2017
26.
go back to reference Fernandez de Grado G, Ehlinger V, Godeau E, Sentenac M, Arnaud C, Nabet C, Monsarrat P (2018) Socioeconomic and behavioral determinants of tooth brushing frequency: results from the representative French 2010 HBSC cross-sectional study. J Public Health Dent Fernandez de Grado G, Ehlinger V, Godeau E, Sentenac M, Arnaud C, Nabet C, Monsarrat P (2018) Socioeconomic and behavioral determinants of tooth brushing frequency: results from the representative French 2010 HBSC cross-sectional study. J Public Health Dent
27.
go back to reference Moradi G, Moinafshar A, Adabi H, Sharafi M, Mostafavi F, Bolbanabad AM (2017) Socioeconomic inequalities in the oral health of people aged 15-40 years in Kurdistan, Iran in 2015: a cross-sectional study. Journal of preventive medicine and public health = Yebang Uihakhoe chi 50:303–310CrossRefPubMedPubMedCentral Moradi G, Moinafshar A, Adabi H, Sharafi M, Mostafavi F, Bolbanabad AM (2017) Socioeconomic inequalities in the oral health of people aged 15-40 years in Kurdistan, Iran in 2015: a cross-sectional study. Journal of preventive medicine and public health = Yebang Uihakhoe chi 50:303–310CrossRefPubMedPubMedCentral
28.
go back to reference Tashiro A, Aida J, Shobugawa Y, Fujiyama Y, Yamamoto T, Saito R, Kondo K (2017) Association between income inequality and dental status in Japanese older adults: analysis of data from JAGES2013. [Nihon koshu eisei zasshi] Japanese journal of public health 64:190–196PubMed Tashiro A, Aida J, Shobugawa Y, Fujiyama Y, Yamamoto T, Saito R, Kondo K (2017) Association between income inequality and dental status in Japanese older adults: analysis of data from JAGES2013. [Nihon koshu eisei zasshi] Japanese journal of public health 64:190–196PubMed
29.
go back to reference Reich MR, Ikegami N, Shibuya K, Takemi K (2011) 50 years of pursuing a healthy society in Japan. Lancet 378:1051–1053CrossRefPubMed Reich MR, Ikegami N, Shibuya K, Takemi K (2011) 50 years of pursuing a healthy society in Japan. Lancet 378:1051–1053CrossRefPubMed
30.
go back to reference Kobayashi S, Murakami K, Sasaki S, Okubo H, Hirota N, Notsu A, Fukui M, Date C (2011) Comparison of relative validity of food group intakes estimated by comprehensive and brief-type self-administered diet history questionnaires against 16 d dietary records in Japanese adults. Public Health Nutr 14:1200–1211CrossRefPubMed Kobayashi S, Murakami K, Sasaki S, Okubo H, Hirota N, Notsu A, Fukui M, Date C (2011) Comparison of relative validity of food group intakes estimated by comprehensive and brief-type self-administered diet history questionnaires against 16 d dietary records in Japanese adults. Public Health Nutr 14:1200–1211CrossRefPubMed
31.
go back to reference Kobayashi S, Honda S, Murakami K, Sasaki S, Okubo H, Hirota N, Notsu A, Fukui M, Date C (2012) Both comprehensive and brief self-administered diet history questionnaires satisfactorily rank nutrient intakes in Japanese adults. Journal of epidemiology 22:151–159CrossRefPubMedPubMedCentral Kobayashi S, Honda S, Murakami K, Sasaki S, Okubo H, Hirota N, Notsu A, Fukui M, Date C (2012) Both comprehensive and brief self-administered diet history questionnaires satisfactorily rank nutrient intakes in Japanese adults. Journal of epidemiology 22:151–159CrossRefPubMedPubMedCentral
32.
go back to reference Ishikawa S, Ishikawa H, Shindo T, Yoshida T, Shimoyama Y, Satomi T, Fujii S, Hamamoto Y, Iino M, Fukao A (2013) Effects of occupational environmental controls and work management on chromosomal damage in dental technicians in Japan. Int J Hyg Environ Health 216:100–107CrossRefPubMed Ishikawa S, Ishikawa H, Shindo T, Yoshida T, Shimoyama Y, Satomi T, Fujii S, Hamamoto Y, Iino M, Fukao A (2013) Effects of occupational environmental controls and work management on chromosomal damage in dental technicians in Japan. Int J Hyg Environ Health 216:100–107CrossRefPubMed
33.
34.
go back to reference Bachkati KH, Mortensen EL, Bronnum-Hansen H, Holm-Pedersen P (2017) Midlife cognitive ability, education, and tooth loss in older Danes. J Am Geriatr Soc 65:194–199CrossRefPubMed Bachkati KH, Mortensen EL, Bronnum-Hansen H, Holm-Pedersen P (2017) Midlife cognitive ability, education, and tooth loss in older Danes. J Am Geriatr Soc 65:194–199CrossRefPubMed
35.
go back to reference Ribeiro LS, Dos Santos JN, Ramalho LM, Chaves S, Figueiredo AL, Cury PR (2015) Risk indicators for tooth loss in Kiriri adult Indians: a cross-sectional study. Int Dent J 65:316–321CrossRefPubMed Ribeiro LS, Dos Santos JN, Ramalho LM, Chaves S, Figueiredo AL, Cury PR (2015) Risk indicators for tooth loss in Kiriri adult Indians: a cross-sectional study. Int Dent J 65:316–321CrossRefPubMed
36.
go back to reference Stephens RG, Kogon SL, Jarvis AM (1991) A study of the reasons for tooth extraction in a Canadian population sample. J Can Dent Assoc 57:501–504PubMed Stephens RG, Kogon SL, Jarvis AM (1991) A study of the reasons for tooth extraction in a Canadian population sample. J Can Dent Assoc 57:501–504PubMed
37.
go back to reference Reich E, Hiller KA (1993) Reasons for tooth extraction in the western states of Germany. Community Dent Oral Epidemiol 21:379–383CrossRefPubMed Reich E, Hiller KA (1993) Reasons for tooth extraction in the western states of Germany. Community Dent Oral Epidemiol 21:379–383CrossRefPubMed
38.
go back to reference Ugolini A, Salamone S, Agostino P, Sardi E, Silvestrini-Biavati A (2018) Trends in early childhood caries: an Italian perspective. Oral health & preventive dentistry 16:87–92 Ugolini A, Salamone S, Agostino P, Sardi E, Silvestrini-Biavati A (2018) Trends in early childhood caries: an Italian perspective. Oral health & preventive dentistry 16:87–92
39.
go back to reference Carino KM, Shinada K, Kawaguchi Y (2003) Early childhood caries in northern Philippines. Community Dent Oral Epidemiol 31:81–89CrossRefPubMed Carino KM, Shinada K, Kawaguchi Y (2003) Early childhood caries in northern Philippines. Community Dent Oral Epidemiol 31:81–89CrossRefPubMed
40.
go back to reference Sakuma S, Ikeda S, Miyazaki H, Kobayashi S (2004) Fluoride mouth rinsing proficiency of Japanese preschool-aged children. Int Dent J 54:126–130CrossRefPubMed Sakuma S, Ikeda S, Miyazaki H, Kobayashi S (2004) Fluoride mouth rinsing proficiency of Japanese preschool-aged children. Int Dent J 54:126–130CrossRefPubMed
41.
go back to reference Hashizume LN, Lima YB, Kawaguchi Y, Cury JA (2003) Fluoride availability and stability of Japanese dentifrices. J Oral Sci 45:193–199CrossRefPubMed Hashizume LN, Lima YB, Kawaguchi Y, Cury JA (2003) Fluoride availability and stability of Japanese dentifrices. J Oral Sci 45:193–199CrossRefPubMed
42.
go back to reference Ueno M, Takeuchi S, Oshiro A, Kawaguchi Y (2013) Relationship between oral health literacy and oral health behaviors and clinical status in Japanese adults. J Dent Sci 8:170–176CrossRef Ueno M, Takeuchi S, Oshiro A, Kawaguchi Y (2013) Relationship between oral health literacy and oral health behaviors and clinical status in Japanese adults. J Dent Sci 8:170–176CrossRef
43.
go back to reference Tokuda Y, Doba N, Butler JP, Paasche-Orlow MK (2009) Health literacy and physical and psychological wellbeing in Japanese adults. Patient Educ Couns 75:411–417CrossRefPubMed Tokuda Y, Doba N, Butler JP, Paasche-Orlow MK (2009) Health literacy and physical and psychological wellbeing in Japanese adults. Patient Educ Couns 75:411–417CrossRefPubMed
44.
go back to reference Buhlin K, Gustafsson A, Andersson K, Hakansson J, Klinge B (2002) Validity and limitations of self-reported periodontal health. Community Dent Oral Epidemiol 30:431–437CrossRefPubMed Buhlin K, Gustafsson A, Andersson K, Hakansson J, Klinge B (2002) Validity and limitations of self-reported periodontal health. Community Dent Oral Epidemiol 30:431–437CrossRefPubMed
45.
go back to reference Ueno M, Shimazu T, Sawada N, Tsugane S, Kawaguchi Y (2018) Validity of self-reported tooth counts and masticatory status study of a Japanese adult population. J Oral Rehabil 45:393–398CrossRefPubMed Ueno M, Shimazu T, Sawada N, Tsugane S, Kawaguchi Y (2018) Validity of self-reported tooth counts and masticatory status study of a Japanese adult population. J Oral Rehabil 45:393–398CrossRefPubMed
Metadata
Title
Risk factors for tooth loss in community-dwelling Japanese aged 40 years and older: the Yamagata (Takahata) study
Authors
Shigeo Ishikawa
Tsuneo Konta
Shinji Susa
Kenichiro Kitabatake
Kenichi Ishizawa
Hitoshi Togashi
Atsushi Tsuya
Yoshiyuki Ueno
Isao Kubota
Hidetoshi Yamashita
Takamasa Kayama
Mitsuyoshi Iino
Publication date
01-04-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 4/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2604-x

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