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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| Veröffentlicht in: | International journal of cardiology Jg. 167; H. 4; S. 1430 - 1437 |
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| Hauptverfasser: | , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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Shannon
Elsevier Ireland Ltd
20.08.2013
Elsevier |
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| ISSN: | 0167-5273, 1874-1754, 1874-1754 |
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| Abstract | 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. |
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| AbstractList | Abstract Background 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. Methods 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 64 years. Of those, 188 subjects had 9 or more unreplaced teeth. During a median follow-up period of 9.9 years, 362 subjects died, 128 of whom of cardiovascular causes. Results 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. Conclusions 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. 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. 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.BACKGROUNDA 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 64 years. Of those, 188 subjects had 9 or more unreplaced teeth. During a median follow-up period of 9.9 years, 362 subjects died, 128 of whom of cardiovascular causes.METHODSWe 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 64 years. Of those, 188 subjects had 9 or more unreplaced teeth. During a median follow-up period of 9.9 years, 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.RESULTSWe 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.CONCLUSIONSA reduced, unrestored dentition is associated with increased mortality risk. Thus, clinicians and dietitians have a responsibility to consider individual chewing ability in nutritional recommendations. 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 64 years. Of those, 188 subjects had 9 or more unreplaced teeth. During a median follow-up period of 9.9 years, 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. |
| Author | Mundt, Torsten Völzke, Henry Kocher, Thomas Dörr, Marcus Schwahn, Christian Haring, Robin Biffar, Reiner Polzer, Ines Wallaschofski, Henri Holtfreter, Birte Samietz, Stefanie |
| Author_xml | – sequence: 1 givenname: Christian surname: Schwahn fullname: Schwahn, Christian email: schwahn@uni-greifswald.de organization: Department of Prosthetic Dentistry, Gerodontology and Biomaterials, Centre of Oral Health, University of Greifswald, 17487 Greifswald, Rotgerberstraße 8, Germany – sequence: 2 givenname: Ines surname: Polzer fullname: Polzer, Ines organization: Department of Prosthetic Dentistry, Gerodontology and Biomaterials, Centre of Oral Health, University of Greifswald, 17487 Greifswald, Rotgerberstraße 8, Germany – sequence: 3 givenname: Robin surname: Haring fullname: Haring, Robin organization: Institute for Community Medicine, Study of Health in Pomerania, University of Greifswald, 17487 Greifswald, Walther-Rathenau-Straße 48, Germany – sequence: 4 givenname: Marcus surname: Dörr fullname: Dörr, Marcus organization: Centre of Internal Medicine, Department of Cardiology, University of Greifswald, 17487 Greifswald, Friedrich-Loeffler-Straße 23a, Germany – sequence: 5 givenname: Henri surname: Wallaschofski fullname: Wallaschofski, Henri organization: Institute of Clinical Chemistry and Laboratory Medicine, University of Greifswald, 17487 Greifswald, Sauerbruchstraße, Neues Klinikum, Germany – sequence: 6 givenname: Thomas surname: Kocher fullname: Kocher, Thomas organization: Department of Restorative Dentistry, Periodontology and Endodontology, Centre of Oral Health, University of Greifswald, 17487 Greifswald, Rotgerberstraße 8, Germany – sequence: 7 givenname: Torsten surname: Mundt fullname: Mundt, Torsten organization: Department of Prosthetic Dentistry, Gerodontology and Biomaterials, Centre of Oral Health, University of Greifswald, 17487 Greifswald, Rotgerberstraße 8, Germany – sequence: 8 givenname: Birte surname: Holtfreter fullname: Holtfreter, Birte organization: Department of Restorative Dentistry, Periodontology and Endodontology, Centre of Oral Health, University of Greifswald, 17487 Greifswald, Rotgerberstraße 8, Germany – sequence: 9 givenname: Stefanie surname: Samietz fullname: Samietz, Stefanie organization: Department of Prosthetic Dentistry, Gerodontology and Biomaterials, Centre of Oral Health, University of Greifswald, 17487 Greifswald, Rotgerberstraße 8, Germany – sequence: 10 givenname: Henry surname: Völzke fullname: Völzke, Henry organization: Institute for Community Medicine, Study of Health in Pomerania, University of Greifswald, 17487 Greifswald, Walther-Rathenau-Straße 48, Germany – sequence: 11 givenname: Reiner surname: Biffar fullname: Biffar, Reiner organization: Department of Prosthetic Dentistry, Gerodontology and Biomaterials, Centre of Oral Health, University of Greifswald, 17487 Greifswald, Rotgerberstraße 8, Germany |
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| Keywords | 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 |
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| Snippet | 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... Abstract Background A dentition of at least 20 teeth is associated with sufficient masticatory efficiency and is a stated health goal of the World Health... |
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| SubjectTerms | 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 |
| Title | Missing, unreplaced teeth and risk of all-cause and cardiovascular mortality |
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