Socio-Economic Factors and Tooth Loss in Young Adults With Periodontitis
Objectives: To investigate the relationship between education/income and tooth loss over 10 years in young adults with periodontitis Methods: This register-based study was conducted retrospectively on 471 patients aged <36 years who had been diagnosed and treated for periodontitis at two specialist clinics in periodontology in Stockholm Sweden between 2003 and 2009. A majority had periodontitis Stage 3 and Grade C at baseline. The variables were collected from the baseline clinical examination and from two national healthregisters; the Swedish dental health register at the National Board of Health and Welfare and the LISA register at SCB Statistics Sweden. The tooth loss between the years 2009-2019 was registered. Statistical analyses were performed with negative binomial regression. Confounding variables to the relationship between tooth loss and education/income were included in the analysis. Results: The mean number of lost teeth due to periodontal reasons during the follow-up period was 1.4 (range 0-26). The tooth loss was significantly (p=0.004) lower for individuals with a post-secondary education >3 years while income had no influence on tooth loss. The confounders smoking, interruption of specialist treatment and age were significantly correlated to tooth loss. Conclusions: Tooth loss for young adults with periodontitis, was significantly lower among the group with a post-secondary education >3 years, when adjusted for confounding variables.
2023 Continental European and Scandinavian Divisions Meetings (Rhodes, Greece) Rhodes, Greece
2023 0185 Periodontal Research-Diagnosis/Epidemiology
Modin, Carolina
( Folktandvården Eastmaninstitutet
, Stockholm
, Sweden
; Karolinska Institutet
, Huddinge
, Sweden
)
Jansson, Leif
( Folktandvården Eastmaninstitutet
, Stockholm
, Sweden
; Karolinska Institutet
, Huddinge
, Sweden
)
Gustafsson, Anders
( Karolinska Institutet
, Huddinge
, Sweden
)
Lindberg, Tülay
( Karolinska Institutet
, Huddinge
, Sweden
)
NONE
Oral Session
Oral session 13 - Behavioural, Epidemiolology and Health Services Research
Thursday,
09/21/2023
, 04:00PM - 06:00PM
Table 1 Characteristics of the study population. N=471
Variable
Description
Age (years, mean (SD))
27.7 (6.5)
Females (N (%))
266 (56.5)
Smoking habits (N (%)): Non-smoker Smoker Former smoker
- 305 (65.7) 128 (27.6) 31 (6.7)
Systemic disease (N (%))
38 (8.9)
Education (N (%)): Elementary school <9 years Gymnasium 2-3 years Post-secondary education <3 years Post-secondary education >3 years
- 75 (16.0) 214 (45.7) 75 (16.0) 104 (22.2)
Annual income (swedish crowns (N (%)): <240.000 >240.000 and <430.000 >430.000
- 146 (31.1) 172 (36.6) 152 (32.3)
Periodontal classification (N (%)): Periodontitis stage I Periodontitis stage II Periodontitis stage III Periodontitis stage IV
- 14 (3.0) 59 (15.6) 366 (78.2) 29 (6.2)
Periodontitis grade (N (%)): A B C
- 2 (0.4) 86 (18.4) 380 (81.2)
Extent of periodontitis (N (%)): Generalized Localized Molar/incisor pattern
- 223 (47.6) 148 (31.6) 97 (20.7)
Interruption of specialist treatment
246 (52.2)
Supportive care during follow-up period (N (%)): Never Less than every two years Every two years At least every year
- 56 (11.9) 182 (38.6) 163 (34.6) 70 (14.9)
TABLE 2 Negative binomial regression analysis: tooth loss due to periodontal reasons in relation to education and income after inclusion of confounding variables. N=471.
Variable
Incidence risk ratio
95% Confidence interval
p
Education (N (%)): Elementary school <9 years Gymnasium 2-3 years Post-secondary education <3 years Post-secondary education >3 years
- 2.06 2.02 1.99 1
1.30 – 3.28 1.37 – 2.99 1.25 – 3.16
0.002 <0.001 0.004
Annual income (swedish crowns (N (%)): <240.000 >240.000 and <430.000 >430.000