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Total tooth loss and complete denture use in older adults with intellectual disabilities in I reland
Author(s) -
Mac Giolla Phadraig Caoimhin,
McCallion Philip,
Cleary Eimear,
McGlinchey Eimear,
Burke Eilish,
McCarron Mary,
Nunn June
Publication year - 2014
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/jphd.12077
Subject(s) - edentulism , medicine , dentures , propensity score matching , longitudinal study , tooth loss , population , gerontology , dentistry , oral health , environmental health , pathology
Abstract Objectives The objectives of this study were to describe the reported dentate status and complete denture use of older people with intellectual disability ( ID ) and compare with those of older people in the general population in I reland. Methods The first wave of the I ntellectual D isability S upplement to T he I rish L ongitudinal S tudy on A geing ( IDS ‐ TILDA ) study provides opportunity to measure edentulism and complete denture use in a nationally representative sample of older people with ID in I reland. Data drawn from the first wave of IDS ‐ TILDA were matched using propensity score matching with data from T he I rish L ongitudinal S tudy on A geing ( TILDA ), a study among older adults in I reland. All IDS ‐ TILDA variables showing significant association ( P < 0.05) with edentulism were entered into a regression model to identify predictors of edentulism. Result The proportion of the 478 IDS ‐ TILDA participants with no teeth was higher (34.1 percent) than the proportion of participants with no teeth in the 478 matched TILDA participants (14.9 percent). Only age was predictive of edentulism among older adults with ID . Edentulism was prevalent earlier for those with ID . Notably, 61.3 percent of edentulous older people with ID were without dentures. Conclusion Older people with ID are more likely to be edentulous than those without ID in I reland and when they lose their teeth, they are unlikely to use dentures. This suggests a need for targeted measures to maintain the teeth of this group and, in the short term, the provision of replacement teeth in this population, where indicated.