Factors associated with tooth loss among junior high school students in Prachathipat Subdistrict, Thanyaburi District, Pathum Thani Province
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Abstract
Tooth loss is an important public health concern for global health that impacts peoples’ quality of life. This cross-sectional analytical research aimed to assess the tooth loss situation and identify factors associated with tooth loss among junior high school students in Prachathipat Subdistrict, Thanyaburi District, Pathum Thani Province. The study population consisted of 2,389 students. Data were collected through questionnaires and oral health examinations conducted between September 1st, 2023 to November 1st, 2023. Statistical analysis was conducted using both inferential and descriptive statistics, employing multivariable logistic regression with stepwise backward selection. The analysis presented adjusted odds ratios (ORadj) along with their 95% confidence intervals (95% CI), with a significance level set at 0.05. The study found that there was a 6.4% tooth loss rate among students. Female students had a significantly higher rate of tooth loss. Nearly half of the tooth loss cases (44.7%) were attributed to dental caries, while orthodontic treatment (32.9%) was the second leading cause. The factors related to tooth loss include age, type of school, orthodontic treatment, demand for orthodontic services, receiving dental treatment. Schools and public health agencies should therefore implement health promotion activities to provide knowledge and promote behaviors for oral health care, aiming to enhance good dental health and reduce tooth loss among early adolescent students.
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References
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res 2014;93(7 Suppl):20S-8S.
Bernabe E, Sheiham A. Tooth loss in the United Kingdom--trends in social inequalities: an age-period-and-cohort analysis. PLoS One. 2014;9(8):e104808.
Batista MJ, Lawrence HP, de Sousa MdLR. Impact of tooth loss related to number and position on oral health quality of life among adults. Health Qual Life Outcomes. 2014;12:165.
de Souza VGL, Herkrath FJ, Garnelo L, Gomes AC, Lemos UM, Parente RCP, et al. Contextual and individual factors associated with self-reported tooth loss among adults and elderly residents in rural riverside areas: A cross-sectional household-based survey. PLoS One. 2022;17(11):e0277845.
Yan R, Chen X, Gong X, Wang J, Yu J. The association of tooth loss, toothbrushing, and quality of life among cancer survivors. Cancer Med. 2018;7(12):6374-84.
Abbass MMS, AbuBakr N, Radwan IA, Rady D, El Moshy S, Ramadan M, et al. The potential impact of age, gender, body mass index, socioeconomic status and dietary habits on the prevalence of dental caries among Egyptian adults: a cross-sectional study. F1000Res. 2019;8:243.
Jurgensen N, Petersen PE. Oral health and the impact of socio-behavioural factors in a cross sectional survey of 12-year old school children in Laos. BMC Oral Health. 2009;9:29.
Östberg AL, Bengtsson C, Lissner L, Hakeberg M. Oral health and obesity indicators. BMC Oral Health. 2012;12:50.
Ostberg AL, Nyholm M, Gullberg B, Råstam L, Lindblad U. Tooth loss and obesity in a defined Swedish population. Scand J Public Health 2009;37(4):427-33.
Thomaz EB, Cangussu MC, da Silva AA, Assis AM. Is malnutrition associated with crowding in permanent dentition?. Int J Environ Res Public Health 2010;7(9):3531-44.
Tada A, Tano R, Miura H. The relationship between tooth loss and hypertension: a systematic review and meta-analysis. Sci Rep. 2022;12(1):13311.
Ahmadinia AR, Rahebi D, Mohammadi M, Ghelichi-Ghojogh M, Jafari A, Esmaielzadeh F, et al. Association between type 2 diabetes (T2D) and tooth loss: a systematic review and meta-analysis. BMC Endocr Disord. 2022;22(1):100.
Demirbuga S, Tuncay O, Cantekin K, Cayabatmaz M, Dincer AN, Kilinc HI, et al. Frequency and distribution of early tooth loss and endodontic treatment needs of permanent first molars in a Turkish pediatric population. Eur J Dent 2013;7(Suppl 1):S099-104.
Petersen PE. The burden of oral disease: challenges to improving oral health in the 21st century. Bull World Health Organ. 2005;83(1):3.
Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661-9.
Gill DS, Lee RT, Tredwin CJ. Treatment planning for the loss of first permanent molars. Dent Update. 2001;28(6):304-8.
Alesia K, Khalil HS. Reasons for and patterns relating to the extraction of permanent teeth in a subset of the Saudi population. Clin Cosmet Investig Dent. 2013;5:51-6.
Gorsuch MM, Sanders SG, Wu B. Tooth loss in Appalachia and the Mississippi delta relative to other regions in the United States, 1999-2010. Am J Public Health 2014;104(5):e85-91.
Daniel WW, Cross CL. Biostatistics: a foundation for analysis in the health sciences: Wiley; 2018.
Kim S, Park S, Lin M. Permanent tooth loss and sugar-sweetened beverage intake in U.S. young adults. J Public Health Dent 2017;77(2):148-54.
Batista MJ, Rihs LB, Sousa Mda L. Risk indicators for tooth loss in adult workers. Braz Oral Res. 2012;26(5):390-6.
Ribeiro LSFE, Dos Santos JN, Ramalho LMP, Chaves S, Figueiredo AL, Cury PR. Risk indicators for tooth loss in Kiriri Adult Indians: a cross-sectional study. Int Dent J 2015;65(6):316-21.
Tomar D, Menon I, Singh A, Tyagi U, Passi D, Goyal J. Comparative study of risk indicators associated with tooth loss among adult population in urban and rural areas of Muradnagar, Ghaziabad, Uttar Pradesh, India. J Family Med Prim Care 2019;8(2):528-34.
Gudipaneni RK, Albilasi RM, HadiAlrewili O, Alam MK, Patil SR, Saeed F. Association of body mass index and waist circumference with dental caries and consequences of untreated dental caries among 12- to 14-Year-old boys: a cross-sectional study. Int Dent J 2021;71(6):522-9.
Hasheminejad N, Malek Mohammadi T, Mahmoodi MR, Barkam M, Shahravan A. The association between beverage consumption pattern and dental problems in Iranian adolescents: a cross-sectional study. BMC Oral Health. 2020;20(1):74.
Khazaei S, Keshteli AH, Feizi A, Savabi O, Adibi P. Epidemiology and risk factors of tooth loss among Iranian adults: findings from a large community-based study. BioMed Res Int. 2013;2013:786462.
Silva Junior MF, Batista MJ, de Sousa M. Risk factors for tooth loss in adults: a population-based prospective cohort study. PLoS One. 2019;14(7):e0219240.
Passarelli PC, Pagnoni S, Piccirillo GB, Desantis V, Benegiamo M, Liguori A, et al. Reasons for tooth extractions and related risk factors in adult patients: a cohort study. Int J Environ Res Public Health 2020;17(7).