DOI: 10.1034/j.1600-0528.2002.300105.x. Tooth loss in the very old: 13

Tooth loss in the very old: 13–15‐year incidence among elderly Iowans

10.1034/j.1600-0528.2002.300105.x

Crossref journal-article

Wiley

Community Dentistry and Oral Epidemiology (311)

Abstract

Abstract Objectives: Very few studies have reported tooth loss incidence over a period of 10 years or more, and fewer have reported tooth loss occurrence in subjects aged 80 and older, so that the long‐term pattern of tooth loss in the very old is largely unknown. This study assessed 13–15‐year tooth loss incidence among a cohort of Iowans, aged 65 and older at baseline. Methods: Oral examinations were conducted on 520 subjects beginning in 1983, and periodically until 1988, with another round of examinations conducted on surviving members of the initial cohort during 1996–98. Results: Of the 73 remaining subjects, 45 subjects lost a total of 153 teeth during the period (mean=2.1 teeth lost), with a maximum of 17 teeth lost. Molars were the most commonly lost teeth, while canines and maxillary incisors were the least commonly lost. Bivariate analyses found that tooth loss was associated with untreated decay at baseline and level of periodontal attachment loss at earlier examinations. Logistic regression identified only greater severity of attachment loss as a significant risk factor for tooth loss (Adjusted odds ratio=2.4, P=0.006). The impact of tooth loss on subjects' lives was assessed using OHIP and other questions. The occurrence of tooth loss over the study period had little impact, but the number of remaining teeth significantly impacted subjects' ability to eat or chew food, swallow, or their willingness to smile. Conclusions: These results suggest that tooth loss continues in the very old, that periodontal attachment loss is associated with tooth loss in this age group, and that loss of teeth over one's lifetime does affect certain quality‐of‐life measures.

Bibliography

Warren, J. J., Watkins, C. A., Cowen, H. J., Hand, J. S., Levy, S. M., & Kuthy, R. A. (2002). Tooth loss in the very old: 13â15âyear incidence among elderly Iowans. Community Dentistry and Oral Epidemiology, 30(1), 29â37. Portico.

Authors 6

John Joseph Warren (first)
Catherine Ann Watkins (additional)
Howard Jeffry Cowen (additional)
Jed Stephen Hand (additional)
Steven Marc Levy (additional)
Raymond Andrew Kuthy (additional)

References 40 Referenced 54

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10.14219/jada.archive.1987.0052
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{'key': 'e_1_2_6_11_2', 'first-page': '3', 'article-title': "Some factors related to dentists' decisions to extract teeth", 'volume': '4', 'author': 'Kay EJ', 'year': '1987', 'journal-title': 'Community Dent Health'} / Community Dent Health / Some factors related to dentists' decisions to extract teeth by Kay EJ (1987)
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{'key': 'e_1_2_6_13_2', 'first-page': '104', 'article-title': 'Tooth mortality in dental patients in a U.S', 'volume': '2', 'author': 'Katz RV', 'year': '1986', 'journal-title': 'urban area. Gerodontics'} / urban area. Gerodontics / Tooth mortality in dental patients in a U.S by Katz RV (1986)
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Dates

Type	When
Created	22 years, 5 months ago (March 11, 2003, 8:09 a.m.)
Deposited	1 year, 10 months ago (Oct. 17, 2023, 4:34 a.m.)
Indexed	2 weeks, 6 days ago (Aug. 5, 2025, 8:36 a.m.)
Issued	23 years, 6 months ago (Feb. 1, 2002)
Published	23 years, 6 months ago (Feb. 1, 2002)
Published Online	23 years, 5 months ago (March 25, 2002)
Published Print	23 years, 6 months ago (Feb. 1, 2002)

Funders 0

None

BibTeX

@article{Warren_2002, title={Tooth loss in the very old: 13–15‐year incidence among elderly Iowans}, volume={30}, ISSN={1600-0528}, url={http://dx.doi.org/10.1034/j.1600-0528.2002.300105.x}, DOI={10.1034/j.1600-0528.2002.300105.x}, number={1}, journal={Community Dentistry and Oral Epidemiology}, publisher={Wiley}, author={Warren, John Joseph and Watkins, Catherine Ann and Cowen, Howard Jeffry and Hand, Jed Stephen and Levy, Steven Marc and Kuthy, Raymond Andrew}, year={2002}, month=feb, pages={29–37} }

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