Department of Periodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Orthodontics, School of Dentistry, University of Cagliari, Cagliari, Italy.
J Public Health Dent. 2021 Sep;81(3):206-213. doi: 10.1111/jphd.12433. Epub 2020 Dec 21.
Depression and tooth loss are significant health problems that affect individuals' functionality and quality of life. Comorbidity between depression and oral diseases has been reported. The aim of this study was to investigate the association between depression and tooth loss in a US representative adult sample.
This study included data from 22,532 adults ≥18 years by combining six 2-year cross-sectional cycles of the National Health and Nutrition Examination Survey (NHANES) administered between 2005 and 2016. Data were analyzed using descriptive statistics and multinomial logistic regression adjusted for gender, age, race/ethnicity, smoking, education, socioeconomic status, body mass index, diabetes, and alcohol intake.
Of the total sample, 4.5 percent were edentulous, 10.3 percent were lacking functional dentition (1-19 remaining teeth) and 85.2 percent had functional dentition (≥20 remaining teeth); among whom, the prevalence of depression was 12.4, 11.7, and 5.9 percent, respectively. Compared to individuals without depression, those with depression were more likely to be edentulous or lacking functional dentition versus having functional dentition (adjusted odds ratios (95% CI): 1.48 (1.16-1.89) and 1.43 (1.18-1.75), respectively).
Depression was associated with edentulism and a lack of functional dentition. Further longitudinal and interventional studies are needed to elucidate the nature and direction of the relationship between depression and tooth loss.
抑郁和牙齿缺失是影响个体功能和生活质量的重大健康问题。已有报道称抑郁和口腔疾病之间存在共病现象。本研究旨在调查美国代表性成年样本中抑郁与牙齿缺失之间的关联。
本研究通过结合 2005 年至 2016 年期间进行的六次 2 年横断面周期的国家健康和营养检查调查（NHANES）数据，纳入了 22532 名年龄≥18 岁的成年人。采用描述性统计和多变量逻辑回归分析（调整性别、年龄、种族/民族、吸烟、教育、社会经济地位、体重指数、糖尿病和饮酒量）对数据进行分析。
在总样本中，4.5%的人无牙，10.3%的人缺失功能牙（1-19 颗剩余牙齿），85.2%的人有功能牙（≥20 颗剩余牙齿）；其中，抑郁的患病率分别为 12.4%、11.7%和 5.9%。与无抑郁者相比，抑郁者更有可能无牙或缺失功能牙，而非拥有功能牙（调整后的优势比（95%置信区间）：1.48（1.16-1.89）和 1.43（1.18-1.75））。
抑郁与无牙和功能牙缺失有关。需要进一步进行纵向和干预性研究，以阐明抑郁与牙齿缺失之间的性质和方向关系。
