Epidemiology and risk factors of tooth loss among Iranian adults: findings from a large community-based study.
Epidemiology and risk factors of tooth loss among Iranian adults: findings from a large community-based study.
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DOI：
10.1155/2013/786462
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发表时间：
2013
影响因子：
--
通讯作者：
Adibi P
中科院分区：
文献类型：
--
作者：
Khazaei S;Keshteli AH;Feizi A;Savabi O;Adibi P
目标。调查伊朗成年人牙齿脱落和不同假肢康复的患病率，以及牙齿脱落的潜在决定因素。方法。在一项以社区为基础的横断面研究中，8094名居住在伊斯法罕省的伊朗成年人进行了一项自我管理的问卷调查，以评估牙齿脱落的流行病学特征。结果。32%的受试者牙齿完好，58.6%的受试者牙齿脱落少于6颗，7.2%的受试者牙齿脱落超过6颗。无牙者169人（2.2%）。在参与者中，2.3%的人使用单颌可移动局部义齿，3.6%的人使用双颌可移动全义齿，4.6%的人使用固定义齿。另有89.5%的患者没有进行假肢康复。在年龄亚组分析中（≤35岁和≤35岁），男性牙齿脱落的发生率高于女性（OR = 2.8和1.9）。， p < 0.01)。此外，在这两个年龄组中，现在和以前吸烟的人比不吸烟的人牙齿脱落程度更高（P < 0.001和P < 0.05）。此外，在bb0 ~ 35岁年龄组中，牙齿脱落与代谢异常呈正相关（校正OR = 1.29, P < 0.01）。结论。牙齿脱落在伊朗成年人中非常普遍。促进口腔健康以预防牙齿脱落的社区计划应考虑到其主要决定因素，包括低教育水平、男性、吸烟和代谢异常。
Objectives. To investigate the prevalence of tooth loss and different prosthetic rehabilitations among Iranian adults, as well as the potential determinants of tooth loss. Methods. In a cross-sectional community-based study conducted among 8094 Iranian adults living in Isfahan province, a self-administered questionnaire was used to assess epidemiologic features of tooth loss. Results. Thirty-two percent of subjects had all their teeth, 58.6% had lost less than 6, and 7.2% of participants had lost more than 6 teeth. One hundred and sixty-nine individuals (2.2%) were edentulous. Among participants, 2.3% had single jaw removable partial denture, 3.6% had complete removable denture in both jaws, and 4.6% had fixed prosthesis. Others reported no prosthetic rehabilitation (89.5%). In the age subgroup analysis (≤35 and >35 years old) tooth loss was more prevalent among men than women (OR = 2.8 and 1.9, resp., P < 0.01). Also, in both age groups, current and former smokers had higher levels of tooth loss than nonsmokers (P < 0.001 and P < 0.05, resp.). In addition, tooth loss was positively related to metabolic abnormality for age group >35 years (adjusted OR = 1.29, P < 0.01). Conclusions. Tooth loss is highly prevalent in Iranian adult population. Community programs promoting oral health for prevention of tooth loss should be considered taking into account its major determinants including lower educational level, male gender, smoking, and metabolic abnormality.