Food avoidance is associated with reduced dentitions and edentulousness
Objectives To investigate associations between food avoidance and dental status, age, gender, and socio-economic status (SES). Materials and methods The Chinese sample comprised 1463 dentulous (≥ 1 tooth in each jaw) and 124 edentulous (in one or both jaws) participants aged ≥ 40 yrs. The Vietnamese...
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Published in | Clinical oral investigations Vol. 24; no. 2; pp. 849 - 856 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.02.2020
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Summary: | Objectives
To investigate associations between food avoidance and dental status, age, gender, and socio-economic status (SES).
Materials and methods
The Chinese sample comprised 1463 dentulous (≥ 1 tooth in each jaw) and 124 edentulous (in one or both jaws) participants aged ≥ 40 yrs. The Vietnamese sample comprised 2820 dentulous and 253 edentulous participants aged ≥ 20 yrs. Food avoidance due to chewing difficulties was scored for regionally common 4 soft and 4 hard foods. Dental status was classified according to the multi-level hierarchical dental functional classification system (HDFC) based on the number and location of teeth and posterior occlusal pairs. Associations were analyzed using multivariate logistic regression analyses.
Results
For dentulous participants, the chance of avoiding foods was significantly larger with < 10 teeth in each jaw (
OR
= 2.26 (Chinese sample), respectively 1.74 (Vietnamese sample)), incomplete anterior region (
OR
= 1.78, respectively 1.84), “impaired” premolar region (
OR
= 2.22, respectively 1.71), or “impaired” molar region (
OR
= 2.46, respectively 1.84). Edentulous participants had twice the chance of avoiding foods (
OR
= 2.01 respectively 2.20). Avoiding foods was significantly associated with higher age. Participants of low SES (Chinese sample,
OR
= 1.93) and females (Vietnamese sample,
OR
= 1.27) had a larger chance of avoiding foods.
Conclusions
Avoiding foods was significantly associated with reduced dentitions, edentulousness, and higher age; low SES only in the Chinese and being female only in the Vietnamese sample.
Clinical relevance
Incomplete anterior regions, “impaired” premolar or molar regions, and especially edentulousness can be considered significant risk indicators for food avoidance. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1432-6981 1436-3771 |
DOI: | 10.1007/s00784-019-02975-0 |