10-year trend of tooth loss and associated factors in a Japanese population-based longitudinal study

Objectives We examined the trend in the number of missing teeth in a Japanese community over a 10-year period and the potential associated explanatory factors.Design Prospective cohort study.Setting A population-based study conducted in 2007, 2012 and 2017 in Japan (Hisayama Study).Participants Resi...

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Main Authors: Michiko Furuta, Kenji Takeuchi, Yoshihiro Shimazaki, Toru Takeshita, Yukie Shibata, Jun Hata, Daigo Yoshida, Toshiharu Ninomiya, Yoshihisa Yamashita, Shino Suma, Shinya Kageyama, Mikari Asakawa
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e048114.full
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author Michiko Furuta
Kenji Takeuchi
Yoshihiro Shimazaki
Toru Takeshita
Yukie Shibata
Jun Hata
Daigo Yoshida
Toshiharu Ninomiya
Yoshihisa Yamashita
Shino Suma
Shinya Kageyama
Mikari Asakawa
author_facet Michiko Furuta
Kenji Takeuchi
Yoshihiro Shimazaki
Toru Takeshita
Yukie Shibata
Jun Hata
Daigo Yoshida
Toshiharu Ninomiya
Yoshihisa Yamashita
Shino Suma
Shinya Kageyama
Mikari Asakawa
author_sort Michiko Furuta
collection DOAJ
description Objectives We examined the trend in the number of missing teeth in a Japanese community over a 10-year period and the potential associated explanatory factors.Design Prospective cohort study.Setting A population-based study conducted in 2007, 2012 and 2017 in Japan (Hisayama Study).Participants Residents of a Japanese community aged 40–79 years undergoing dental examination in 2007 (n=2665), 2012 (n=2325) and 2017 (n=2285).Outcome measures The number of missing teeth, periodontal condition, dental caries experience, dental plaque index and oral health behaviours were evaluated each year. The longitudinal analysis of variation in these factors were assessed using mixed models.Results The age-adjusted and sex-adjusted mean number of missing teeth decreased with time (6.80 in 2007, 6.01 in 2012 and 4.99 in 2017). The mean clinical attachment level (CAL), prevalence of periodontitis and dental plaque index decreased over the study period, while dental caries experience slightly increased. The level of oral health behaviour increased over time. Poisson mixed models showed that changes in mean CAL and dental caries experience were positively associated with the change in the number of missing teeth over time. Linear mixed models showed that changes in dental plaque index and no regular dental visit were positively associated with changes in mean CAL.Conclusions These findings suggest that a decreasing trend regarding the number of missing teeth in Japan might be associated with improvements in the periodontal condition due to changes in oral hygiene level and oral health behaviour.
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spelling doaj-art-771344471dd040dfb5fa9244f79c9b5b2025-08-20T02:30:58ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2020-04811410-year trend of tooth loss and associated factors in a Japanese population-based longitudinal studyMichiko Furuta0Kenji Takeuchi1Yoshihiro Shimazaki2Toru Takeshita3Yukie Shibata4Jun Hata5Daigo Yoshida6Toshiharu Ninomiya7Yoshihisa Yamashita8Shino Suma9Shinya Kageyama10Mikari Asakawa11Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, JapanDepartment of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Nagoya, JapanSection of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, JapanSection of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Japan4 Department of Medicine and Clinical Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanCenter for Cohort Studies, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanSection of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, JapanSection of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, JapanSection of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, JapanSection of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, JapanObjectives We examined the trend in the number of missing teeth in a Japanese community over a 10-year period and the potential associated explanatory factors.Design Prospective cohort study.Setting A population-based study conducted in 2007, 2012 and 2017 in Japan (Hisayama Study).Participants Residents of a Japanese community aged 40–79 years undergoing dental examination in 2007 (n=2665), 2012 (n=2325) and 2017 (n=2285).Outcome measures The number of missing teeth, periodontal condition, dental caries experience, dental plaque index and oral health behaviours were evaluated each year. The longitudinal analysis of variation in these factors were assessed using mixed models.Results The age-adjusted and sex-adjusted mean number of missing teeth decreased with time (6.80 in 2007, 6.01 in 2012 and 4.99 in 2017). The mean clinical attachment level (CAL), prevalence of periodontitis and dental plaque index decreased over the study period, while dental caries experience slightly increased. The level of oral health behaviour increased over time. Poisson mixed models showed that changes in mean CAL and dental caries experience were positively associated with the change in the number of missing teeth over time. Linear mixed models showed that changes in dental plaque index and no regular dental visit were positively associated with changes in mean CAL.Conclusions These findings suggest that a decreasing trend regarding the number of missing teeth in Japan might be associated with improvements in the periodontal condition due to changes in oral hygiene level and oral health behaviour.https://bmjopen.bmj.com/content/11/8/e048114.full
spellingShingle Michiko Furuta
Kenji Takeuchi
Yoshihiro Shimazaki
Toru Takeshita
Yukie Shibata
Jun Hata
Daigo Yoshida
Toshiharu Ninomiya
Yoshihisa Yamashita
Shino Suma
Shinya Kageyama
Mikari Asakawa
10-year trend of tooth loss and associated factors in a Japanese population-based longitudinal study
BMJ Open
title 10-year trend of tooth loss and associated factors in a Japanese population-based longitudinal study
title_full 10-year trend of tooth loss and associated factors in a Japanese population-based longitudinal study
title_fullStr 10-year trend of tooth loss and associated factors in a Japanese population-based longitudinal study
title_full_unstemmed 10-year trend of tooth loss and associated factors in a Japanese population-based longitudinal study
title_short 10-year trend of tooth loss and associated factors in a Japanese population-based longitudinal study
title_sort 10 year trend of tooth loss and associated factors in a japanese population based longitudinal study
url https://bmjopen.bmj.com/content/11/8/e048114.full
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