Life-course Determinants of Need for Dental Prostheses at Age 24

This study aimed to assess the prevalence of use and need for dental prostheses (UNDP) by individuals at age 24 and their life-course determinants. A representative sample (n = 720) of all 5914 births occurring in Pelotas in 1982 were prospectively investigated, and the UNDP were assessed in 2006. E...

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Veröffentlicht in:Journal of dental research 2010-07, Vol.89 (7), p.733-738
Hauptverfasser: Correa, M.B., Peres, M.A., Peres, K.G., Horta, B.L., Gigante, D.P., Demarco, F.F.
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container_end_page 738
container_issue 7
container_start_page 733
container_title Journal of dental research
container_volume 89
creator Correa, M.B.
Peres, M.A.
Peres, K.G.
Horta, B.L.
Gigante, D.P.
Demarco, F.F.
description This study aimed to assess the prevalence of use and need for dental prostheses (UNDP) by individuals at age 24 and their life-course determinants. A representative sample (n = 720) of all 5914 births occurring in Pelotas in 1982 were prospectively investigated, and the UNDP were assessed in 2006. Exploratory variables included demographic and socio-economic, oral health, and dental service utilization patterns during the life-course. The prevalence of UNDP was 2.1% and 29.7%, respectively. Multivariable Poisson regression analysis showed that low socio-economic status through the life-course [Prevalence Ratio (PR) = 1.56 (95% CI: 1.08-2.26)], lower maternal schooling in childhood [PR 2.79 (1.34-5.79)], no oral hygiene instruction by a dentist at age 15 [PR 1.64 (1.11-2.41)], and caries presence at age 15 (high DMFT tertile) [PR 2.90 (1.98-4.24)] were associated with prosthetic treatment needs. These results support the hypothesis that life-course socio-economic, behavioral, and clinical determinants are associated with the need for dental prostheses.
doi_str_mv 10.1177/0022034510366681
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Dental surgery. Orthodontics ; Health Education, Dental ; Humans ; Income ; Male ; Maxillofacial surgery. Dental surgery. Orthodontics ; Medical sciences ; Mothers - education ; Needs Assessment - statistics &amp; numerical data ; Non tumoral diseases ; Oral Health ; Oral Hygiene ; Otorhinolaryngology. Stomatology ; Prevalence ; Prospective Studies ; Risk Factors ; Social Class ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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A representative sample (n = 720) of all 5914 births occurring in Pelotas in 1982 were prospectively investigated, and the UNDP were assessed in 2006. Exploratory variables included demographic and socio-economic, oral health, and dental service utilization patterns during the life-course. The prevalence of UNDP was 2.1% and 29.7%, respectively. Multivariable Poisson regression analysis showed that low socio-economic status through the life-course [Prevalence Ratio (PR) = 1.56 (95% CI: 1.08-2.26)], lower maternal schooling in childhood [PR 2.79 (1.34-5.79)], no oral hygiene instruction by a dentist at age 15 [PR 1.64 (1.11-2.41)], and caries presence at age 15 (high DMFT tertile) [PR 2.90 (1.98-4.24)] were associated with prosthetic treatment needs. These results support the hypothesis that life-course socio-economic, behavioral, and clinical determinants are associated with the need for dental prostheses.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20505051</pmid><doi>10.1177/0022034510366681</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Age Factors
Biological and medical sciences
Brazil - epidemiology
Cohort Studies
Dental Care - utilization
Dental Caries - epidemiology
Dental Prosthesis - statistics & numerical data
Dentistry
Denture, Partial, Fixed - statistics & numerical data
Denture, Partial, Removable - statistics & numerical data
DMF Index
Educational Status
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Follow-Up Studies
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Health Education, Dental
Humans
Income
Male
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Mothers - education
Needs Assessment - statistics & numerical data
Non tumoral diseases
Oral Health
Oral Hygiene
Otorhinolaryngology. Stomatology
Prevalence
Prospective Studies
Risk Factors
Social Class
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tooth Loss - epidemiology
Young Adult
title Life-course Determinants of Need for Dental Prostheses at Age 24
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