Changes in oral health-related quality of life (OHRQoL) related to long-term utilization of dental care among older people.

Abstract:

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.

journal_name

Acta Odontol Scand

authors

Åstrøm AN,Ekback G,Ordell S,Gulcan F

doi

10.1080/00016357.2018.1474249

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

559-566

issue

8

eissn

0001-6357

issn

1502-3850

journal_volume

76

pub_type

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