Missing, unreplaced teeth and risk of all-cause and cardiovascular mortality

A dentition of at least 20 teeth is associated with sufficient masticatory efficiency and is a stated health goal of the World Health Organisation. We examined whether subjects with missing, unreplaced teeth had an increased mortality risk. We used data prospectively collected from those participant...

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Vydané v:	International journal of cardiology Ročník 167; číslo 4; s. 1430 - 1437
Hlavní autori:	Schwahn, Christian, Polzer, Ines, Haring, Robin, Dörr, Marcus, Wallaschofski, Henri, Kocher, Thomas, Mundt, Torsten, Holtfreter, Birte, Samietz, Stefanie, Völzke, Henry, Biffar, Reiner
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Shannon Elsevier Ireland Ltd 20.08.2013 Elsevier
Predmet:	Aged Biological and medical sciences Cardiology. Vascular system Cardiovascular Cardiovascular Diseases - diagnosis Cardiovascular Diseases - mortality Cause of death Cohort Studies Dental prosthesis Facial bones, jaws, teeth, parodontium: diseases, semeiology Fatal outcome Female Follow-Up Studies Germany - epidemiology Heart Humans Longitudinal Studies Male Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology Population Surveillance - methods Prospective Studies Risk Factors Survival Rate - trends Tooth loss Tooth Loss - diagnosis Tooth Loss - mortality Germany Tooth loss Prospective studies Dental prosthesis Cause of death Fatal outcome Prognosis Stomatology Prosthesis Mortality Dental disease Cardiovascular disease Risk Epidemiology Fatal course Prospective Bucco-dental health Cause Risk factor Evolution Death Tooth Cardiology Causality Public health
ISSN:	0167-5273, 1874-1754, 1874-1754
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Shrnutí:	A dentition of at least 20 teeth is associated with sufficient masticatory efficiency and is a stated health goal of the World Health Organisation. We examined whether subjects with missing, unreplaced teeth had an increased mortality risk. We used data prospectively collected from those participants in the population-based Study of Health in Pomerania who had fewer than 20 remaining teeth, resulting in a sample of 1803 participants with a median age of 64years. Of those, 188 subjects had 9 or more unreplaced teeth. During a median follow-up period of 9.9years, 362 subjects died, 128 of whom of cardiovascular causes. We found that having 9 or more unreplaced teeth was related to all-cause mortality (rate ratio 1.53, 95% CI: 1.11–2.10; adjusted for variables according to causal diagrams: remaining teeth, age, sex, education, income, marital status, partnership, and oral health behaviour) and cardiovascular mortality (rate ratio 1.94, 95% CI: 1.15–3.25). When adjusting not only for the variables according to causal diagrams but also for smoking, alcohol consumption, physical activity, obesity, hypertension, diabetes, and dyslipidemia, the rate ratio was 1.43 (95% CI: 1.05–1.96) for all-cause mortality and 1.88 (95% CI: 1.10–3.21) for cardiovascular mortality. A reduced, unrestored dentition is associated with increased mortality risk. Thus, clinicians and dietitians have a responsibility to consider individual chewing ability in nutritional recommendations.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0167-5273 1874-1754 1874-1754
DOI:	10.1016/j.ijcard.2012.04.061