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Self‐reported oral health predicts tooth loss after five and ten years in a population‐based study
Author(s) -
Meisel Peter,
Holtfreter Birte,
Völzke Henry,
Kocher Thomas
Publication year - 2018
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12997
Subject(s) - tooth loss , medicine , oral health , periodontitis , odds , odds ratio , logistic regression , dentistry , population , environmental health
Aim To assess the suitability of self‐reported oral health status to predict 5‐ and 10‐year tooth loss without involvement of any clinical measures. Materials and Methods Within the population Study of Health in Pomerania ( SHIP ), 2,776 subjects with 5‐year follow‐up data and 2,016 subjects with 10‐year follow‐up examination data were studied. Self‐rated oral health was assessed at baseline and related to 5‐ and 10‐year tooth loss. Odds ratios and probability of loss were estimated. Results Five‐ and 10‐year tooth loss was significantly associated with baseline self‐rated oral health. The predictive value of oral health ratings for tooth loss was comparable to that of the CDC / AAP case definition or caries and periodontitis diagnostics. In regression analyses including age, sex, smoking, education, income, and further items collected from questionnaires, odds ratios for dichotomous tooth loss associated with rating of oral health as poor were 3.04 (95% CI: 2.43–3.82) and 2.80 (2.11–3.71) after 5 and 10 years, respectively. Prediction with cut‐off probability at 0.25 resulted in sensitivity 85.8% and specificity 44.2% for 5 years, and that with cut‐off probability at 0.40 resulted in sensitivity 83.5% and specificity 46.5% for 10 years. Conclusion Self‐reported oral health provides reliable predictions of tooth loss comparable to those assessed by clinical diagnostics.