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Changes in oral health-related quality of life (OHRQoL) related to long-term utilization of dental care among older people
aDepartment of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Örebro University, School of Health Sciences. Örebro University Hospital.ORCID iD: 0000-0001-8969-1650
Dental Commissioning Unit, Östergötland County Council, Linköping University, Linköping, Sweden.
aDepartment of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
2018 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, p. 1-8Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVE: To examine whether long-term utilization of dental care, treatment with fillings and crowns and persistent tooth loss between age 50 and 65 years associate with subsequent changes in OHRQoL from age 65 to 70 years.

METHOD: In 1992, a census of 50-year-olds received invitation to participate in a questionnaire survey. Of 6346 respondents, 3585 completed follow-ups in 1997, 2002, 2007 and 2012. OHRQoL was measured using the Oral Impacts on Daily Performances (OIDP) inventory.

RESULTS: Around 70.4%, 11.2% and 18.4% confirmed respectively, no change, worsening, and improvement in OIDP scores between age 65 and 70 years. Compared to those being permanent non-routine dental attenders, ORs of improving and worsening of OIDP were respectively, 0.4 and 0.6 if being a permanent routine dental attender. ORs for improving OIDP was 1.6 if reporting persistent specialist attendance and 2.5 if having received crowns and fillings. Participants with permanent tooth loss were most likely to both worsen and improve OIDP.

CONCLUSION: Long-term routine dental attendance and permanent tooth loss occurred as predictors simultaneously for improvement and worsening of OIDP. Accumulation of advantages and disadvantages throughout the life-course increases and decreases the probability of improvement and worsening in OIDP among older people in Sweden.

Place, publisher, year, edition, pages
Informa Healthcare, 2018. p. 1-8
Keywords [en]
Oral health, dental care, older adults
National Category
Dentistry
Identifiers
URN: urn:nbn:se:oru:diva-67062DOI: 10.1080/00016357.2018.1474249PubMedID: 29772930OAI: oai:DiVA.org:oru-67062DiVA, id: diva2:1213316
Available from: 2018-06-04 Created: 2018-06-04 Last updated: 2018-06-04Bibliographically approved

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Ekbäck, Gunnar

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