TY - JOUR
T1 - Asthma, chronic obstructive pulmonary disease, tooth loss, and edentulism among adults in the United States
T2 - 2016 Behavioral Risk Factor Surveillance System survey
AU - Dwibedi, Nilanjana
AU - Wiener, R. Constance
AU - Findley, Patricia A.
AU - Shen, Chan
AU - Sambamoorthi, Usha
N1 - Funding Information:
The authors state that the results of the research reported in this article were presented as an abstract to the American Association of Public Health in 2018 and that this research was supported by award 2U54GM104942-02 from the National Institute of General Medical Sciences, National Institutes of Health.
Publisher Copyright:
© 2020 American Dental Association
PY - 2020/10
Y1 - 2020/10
N2 - Background: Adults with chronic respiratory conditions, specifically asthma or chronic obstructive pulmonary disease (COPD), may be at risk of experiencing poor oral health due to systemic inflammation, challenges in routine oral health care, and adverse effects of medications used to treat these conditions. The authors examined the association of asthma, COPD, and coexisting asthma and COPD (asthma-COPD overlap syndrome [ACOS]) with tooth loss among US adults. Methods: The authors conducted a cross-sectional study using 2016 Behavioral Risk Factor Surveillance System data (N = 387,217). The authors categorized the participants with missing permanent teeth into 4 groups: asthma only (n = 38,817), COPD only (n = 19,819), ACOS (n = 13,494), no asthma, no COPD (n = 315,087). The authors used adjusted multinomial logistic regressions to examine the associations between asthma and COPD categories and tooth loss. Results: According to the authors, 5.3% of study participants reported they were edentulous; 10.7% reported 6 or fewer missing teeth. Participants with asthma only, COPD only, and ACOS had higher odds of reporting tooth loss (6 or more teeth) than those in the no asthma, no COPD group; adjusted odds ratios were 1.12 (95% confidence interval, 1.00 to 1.26) to 2.04 (95% confidence interval, 1.85 to 2.26). A lower percentage of participants with COPD and ACOS visited dentists in the past year than those with no asthma and no COPD. Interactive associations suggested participants with asthma or COPD with dental visits were less likely to report edentulism than those with neither asthma nor COPD and no dental visits. Conclusions: Participants with asthma or COPD had higher odds of tooth loss compared with those with neither asthma nor COPD. Practical Implications: People with asthma or COPD should maintain routine dental visits to reduce the risk of experiencing tooth loss.
AB - Background: Adults with chronic respiratory conditions, specifically asthma or chronic obstructive pulmonary disease (COPD), may be at risk of experiencing poor oral health due to systemic inflammation, challenges in routine oral health care, and adverse effects of medications used to treat these conditions. The authors examined the association of asthma, COPD, and coexisting asthma and COPD (asthma-COPD overlap syndrome [ACOS]) with tooth loss among US adults. Methods: The authors conducted a cross-sectional study using 2016 Behavioral Risk Factor Surveillance System data (N = 387,217). The authors categorized the participants with missing permanent teeth into 4 groups: asthma only (n = 38,817), COPD only (n = 19,819), ACOS (n = 13,494), no asthma, no COPD (n = 315,087). The authors used adjusted multinomial logistic regressions to examine the associations between asthma and COPD categories and tooth loss. Results: According to the authors, 5.3% of study participants reported they were edentulous; 10.7% reported 6 or fewer missing teeth. Participants with asthma only, COPD only, and ACOS had higher odds of reporting tooth loss (6 or more teeth) than those in the no asthma, no COPD group; adjusted odds ratios were 1.12 (95% confidence interval, 1.00 to 1.26) to 2.04 (95% confidence interval, 1.85 to 2.26). A lower percentage of participants with COPD and ACOS visited dentists in the past year than those with no asthma and no COPD. Interactive associations suggested participants with asthma or COPD with dental visits were less likely to report edentulism than those with neither asthma nor COPD and no dental visits. Conclusions: Participants with asthma or COPD had higher odds of tooth loss compared with those with neither asthma nor COPD. Practical Implications: People with asthma or COPD should maintain routine dental visits to reduce the risk of experiencing tooth loss.
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U2 - 10.1016/j.adaj.2019.07.032
DO - 10.1016/j.adaj.2019.07.032
M3 - Article
C2 - 31732091
AN - SCOPUS:85075368705
SN - 0002-8177
VL - 151
SP - 735-744.e1
JO - Journal of the American Dental Association
JF - Journal of the American Dental Association
IS - 10
ER -