Tsai Su-Jen, Lin Ming-Shyan, Chiu Wen-Nan, Jane Su-Whi, Tu Liang-Tse, Chen Mei-Yen
College of Nursing, Chang Gung University of Science and Technology, Taoyuan city, Taiwan, Republic of China.
Department of Internal Medicine, Chang Gung Memorial Hospital, Yunlin County, Taiwan, Republic of China.
BMC Oral Health. 2015 Dec 11;15:158. doi: 10.1186/s12903-015-0147-y.
Some systematic reviews have consistently indicated a positive link between Metabolic syndrome, impairedfasting glucose, all-cause or circulatory disease-related mortality, general health, periodontitis, and toothloss. This study was to examine the prevalence of number of remaining teeth <20 and associated risk factors among adults in a rural area of Taiwan.
A community-based, cross-sectional study was conducted in southwestern coastal Taiwan in 2013; 6680 residents aged 20-64 years were studied. Oral hygiene, substance use, dietary habits, and metabolic syndrome were explored as potential risk factors for number of remaining teeth <20 using logistic regression analysis.
The mean number of remaining teeth was 24.6 (SD = 7.4), and 16.3 % (n = 1085) of the participants had number of remaining teeth <20. Men had significantly less frequent use of dental floss, unhealthy dietary habits, more substance use and metabolic syndrome than did women (p <0.001). However, women tended to have fewer teeth than men (p <0.001). After adjusting for potential confounders, older age (odds ratio [OR] = 4.56, 95 % confidence interval [CI]: 3.74-5.55), female (OR = 1.88, 95 % CI: 1.56-2.25), less education (OR = 2.40, 95 % CI: 1.90-3.02), infrequent use of dental floss (OR = 1.94, 95 % CI: 1.66-2.27), substance use (OR = 1.32, 95 % CI: 1.09-1.59), and number of metabolic syndrome components (OR = 1.10, 95 % CI: 1.04-1.16) were independently associated with a higher risk of number of remaining teeth <20.
Number of remaining teeth <20 was highly prevalent among rural adults. In addition to unmodifiable factors, infrequent use of dental floss, substance use, and metabolic syndrome were risk factors associated with tooth loss.
一些系统评价一致表明，代谢综合征、空腹血糖受损、全因或循环系统疾病相关死亡率、总体健康状况、牙周炎和牙齿脱落之间存在正相关。本研究旨在调查台湾农村地区成年人中剩余牙齿数<20颗的患病率及相关危险因素。
2013年在台湾西南沿海地区进行了一项基于社区的横断面研究；对6680名年龄在20 - 64岁的居民进行了研究。使用逻辑回归分析探讨口腔卫生、物质使用、饮食习惯和代谢综合征作为剩余牙齿数<20颗的潜在危险因素。
剩余牙齿的平均数为24.6颗（标准差=7.4），16.3%（n = 1085）的参与者剩余牙齿数<20颗。男性使用牙线的频率显著低于女性，饮食习惯不健康，物质使用和代谢综合征的发生率高于女性（p<0.001）。然而，女性的牙齿往往比男性少（p<0.001）。在调整潜在混杂因素后，年龄较大（比值比[OR]=4.56，95%置信区间[CI]：3.74 - 5.55）、女性（OR = 1.88，95% CI：1.56 - 2.25）、受教育程度较低（OR = 2.40，95% CI：1.90 - 3.02）、不经常使用牙线（OR = 1.94，95% CI：1.66 - 2.27）、物质使用（OR = 1.32，95% CI：1.09 - 1.59）和代谢综合征组分数量（OR = 1.10，95% CI：1.04 - 1.16）与剩余牙齿数<20颗的较高风险独立相关。
剩余牙齿数<20颗在农村成年人中非常普遍。除了不可改变的因素外，不经常使用牙线、物质使用和代谢综合征是与牙齿脱落相关的危险因素。
