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Low Bone Mass Is a Risk Factor in Periodontal Disease-Related Tooth Loss in Patients with Intellectual Disability

Teeth are fundamental to maintaining good quality of life, but are often lost prematurely in individuals with intellectual disability. Furthermore, since bone mass decreases in menopausal women, women with intellectual disability have an augmented risk of losing their teeth. However, the relationshi...

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Autores principales: Numoto, Yoko, Mori, Takayuki, Maeda, Shigeru, Tomoyasu, Yumiko, Higuchi, Hitoshi, Egusa, Masahiko, Miyawaki, Takuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866628/
https://www.ncbi.nlm.nih.gov/pubmed/24358063
http://dx.doi.org/10.2174/1874210601307010157
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author Numoto, Yoko
Mori, Takayuki
Maeda, Shigeru
Tomoyasu, Yumiko
Higuchi, Hitoshi
Egusa, Masahiko
Miyawaki, Takuya
author_facet Numoto, Yoko
Mori, Takayuki
Maeda, Shigeru
Tomoyasu, Yumiko
Higuchi, Hitoshi
Egusa, Masahiko
Miyawaki, Takuya
author_sort Numoto, Yoko
collection PubMed
description Teeth are fundamental to maintaining good quality of life, but are often lost prematurely in individuals with intellectual disability. Furthermore, since bone mass decreases in menopausal women, women with intellectual disability have an augmented risk of losing their teeth. However, the relationship between periodontal disease-related tooth loss and bone mass has never been studied specifically in patients with intellectual disability. This study evaluated this relationship in a retrospective cohort study. Participants were female dental patients aged between 20 and 50 years and with an intellectual disability, who were treated in the Special Needs Dentistry unit of the Okayama University Hospital from January 2009 to March 2010. Logistic regression analysis was used to analyze which factors affect periodontal disease-related tooth loss. Information relating to 12 predictor variables, including age and bone mass level, was derived from medical records. The 27 subjects had a total of 704 teeth at the time of initial examination, but 20 teeth (2.8%) had been lost owing to periodontal disease by the time bone mass measurements were recorded. Results of the multinomial logistic regression analysis indicated a significant odds ratio for three items: number of missing teeth at the time of initial examination, bone mass, and living environment. This result suggests that low bone mass is an independent risk factor in tooth loss secondary to periodontal disease in patients with intellectual disability. Dentists should thus take account of this heightened risk of tooth loss when caring for post-menopausal women with intellectual disability.
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spelling pubmed-38666282013-12-19 Low Bone Mass Is a Risk Factor in Periodontal Disease-Related Tooth Loss in Patients with Intellectual Disability Numoto, Yoko Mori, Takayuki Maeda, Shigeru Tomoyasu, Yumiko Higuchi, Hitoshi Egusa, Masahiko Miyawaki, Takuya Open Dent J Article Teeth are fundamental to maintaining good quality of life, but are often lost prematurely in individuals with intellectual disability. Furthermore, since bone mass decreases in menopausal women, women with intellectual disability have an augmented risk of losing their teeth. However, the relationship between periodontal disease-related tooth loss and bone mass has never been studied specifically in patients with intellectual disability. This study evaluated this relationship in a retrospective cohort study. Participants were female dental patients aged between 20 and 50 years and with an intellectual disability, who were treated in the Special Needs Dentistry unit of the Okayama University Hospital from January 2009 to March 2010. Logistic regression analysis was used to analyze which factors affect periodontal disease-related tooth loss. Information relating to 12 predictor variables, including age and bone mass level, was derived from medical records. The 27 subjects had a total of 704 teeth at the time of initial examination, but 20 teeth (2.8%) had been lost owing to periodontal disease by the time bone mass measurements were recorded. Results of the multinomial logistic regression analysis indicated a significant odds ratio for three items: number of missing teeth at the time of initial examination, bone mass, and living environment. This result suggests that low bone mass is an independent risk factor in tooth loss secondary to periodontal disease in patients with intellectual disability. Dentists should thus take account of this heightened risk of tooth loss when caring for post-menopausal women with intellectual disability. Bentham Open 2013-11-29 /pmc/articles/PMC3866628/ /pubmed/24358063 http://dx.doi.org/10.2174/1874210601307010157 Text en © Numoto et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Numoto, Yoko
Mori, Takayuki
Maeda, Shigeru
Tomoyasu, Yumiko
Higuchi, Hitoshi
Egusa, Masahiko
Miyawaki, Takuya
Low Bone Mass Is a Risk Factor in Periodontal Disease-Related Tooth Loss in Patients with Intellectual Disability
title Low Bone Mass Is a Risk Factor in Periodontal Disease-Related Tooth Loss in Patients with Intellectual Disability
title_full Low Bone Mass Is a Risk Factor in Periodontal Disease-Related Tooth Loss in Patients with Intellectual Disability
title_fullStr Low Bone Mass Is a Risk Factor in Periodontal Disease-Related Tooth Loss in Patients with Intellectual Disability
title_full_unstemmed Low Bone Mass Is a Risk Factor in Periodontal Disease-Related Tooth Loss in Patients with Intellectual Disability
title_short Low Bone Mass Is a Risk Factor in Periodontal Disease-Related Tooth Loss in Patients with Intellectual Disability
title_sort low bone mass is a risk factor in periodontal disease-related tooth loss in patients with intellectual disability
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866628/
https://www.ncbi.nlm.nih.gov/pubmed/24358063
http://dx.doi.org/10.2174/1874210601307010157
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