Depression is related to edentulism and lack of functional dentition: An analysis of NHANES data, 2005-2016.

Publisher: American Association of Public Health Dentists Country of Publication: United States NLM ID: 0014207 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1752-7325 (Electronic) Linking ISSN: 00224006 NLM ISO Abbreviation: J Public Health Dent Subsets: MEDLINE

Original Publication: Raleigh, NC : American Association of Public Health Dentists

Dentition* ; Tooth Loss*/epidemiology; Adult ; Cross-Sectional Studies ; Depression/epidemiology ; Humans ; Nutrition Surveys ; Quality of Life

Objective: Depression and tooth loss are significant health problems that affect individuals' functionality and quality of life. Comorbidity between depression and oral diseases has been reported. The aim of this study was to investigate the association between depression and tooth loss in a US representative adult sample.
Methods: This study included data from 22,532 adults ≥18 years by combining six 2-year cross-sectional cycles of the National Health and Nutrition Examination Survey (NHANES) administered between 2005 and 2016. Data were analyzed using descriptive statistics and multinomial logistic regression adjusted for gender, age, race/ethnicity, smoking, education, socioeconomic status, body mass index, diabetes, and alcohol intake.
Results: Of the total sample, 4.5 percent were edentulous, 10.3 percent were lacking functional dentition (1-19 remaining teeth) and 85.2 percent had functional dentition (≥20 remaining teeth); among whom, the prevalence of depression was 12.4, 11.7, and 5.9 percent, respectively. Compared to individuals without depression, those with depression were more likely to be edentulous or lacking functional dentition versus having functional dentition (adjusted odds ratios (95% CI): 1.48 (1.16-1.89) and 1.43 (1.18-1.75), respectively).
Conclusions: Depression was associated with edentulism and a lack of functional dentition. Further longitudinal and interventional studies are needed to elucidate the nature and direction of the relationship between depression and tooth loss.
(© 2020 American Association of Public Health Dentistry.)

Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, Listl S, Celeste RK, Guarnizo-Herreño CC, Kearns C, Benzian H, Allison P, Watt RG. Oral diseases: a global public health challenge. Lancet. 2019;394(10194):249-60.
Rozier RG, White BA, Slade GD. Trends in Oral diseases in the U.S. population. J Dent Educ. 2017;81(8):eS97-eS109.
Parker ML, Thornton-Evans G, Wei L, Griffin SO. Prevalence of and changes in tooth loss among adults aged >/=50 years with selected chronic conditions - United States, 1999-2004 and 2011-2016. MMWR Morb Mortal Wkly Rep. 2020;69(21):641-6.
Griffin SO, Jones JA, Brunson D, Griffin PM, Bailey WD. Burden of oral disease among older adults and implications for public health priorities. Am J Public Health. 2012;102(3):411-8.
Bortoluzzi MC, Traebert J, Lasta R, Da Rosa TN, Capella DL, Presta AA. Tooth loss, chewing ability and quality of life. Contemp Clin Dent. 2012;3(4):393-7.
Holm-Pedersen P, Schultz-Larsen K, Christiansen N, Avlund K. Tooth loss and subsequent disability and mortality in old age. J Am Geriatr Soc. 2008;56(3):429-35.
Hasin DS, Sarvet AL, Meyers JL, Saha TD, Ruan WJ, Stohl M, Grant BF. Epidemiology of adult DSM-5 major depressive disorder and its specifiers in the United States. JAMA Psychiat. 2018;75(4):336-46.
Mojtabai R, Olfson M, Han B. National Trends in the prevalence and treatment of depression in adolescents and young adults. Pediatrics. 2016;138(6):e20161878.
GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392(10159):1789-858.
Hugo FN, Hilgert JB, de Sousa MD, Cury JA. Depressive symptoms and untreated dental caries in older independently living south Brazilians. Caries Res. 2012;46(4):376-84.
Okoro CA, Strine TW, Eke PI, Dhingra SS, Balluz LS. The association between depression and anxiety and use of oral health services and tooth loss. Commun Dent Oral Epidemiol. 2012;40(2):134-44.
Ren C, McGrath C, Yang Y. Edentulism and associated factors among community-dwelling middle-aged and elderly adults in China. Gerodontology. 2017;34(2):195-207.
Saman DM, Lemieux A, Arevalo O, Lutfiyya MN. A population-based study of edentulism in the US: does depression and rural residency matter after controlling for potential confounders? BMC Public Health. 2014;14:65.
Tyrovolas S, Koyanagi A, Panagiotakos DB, Haro JM, Kassebaum NJ, Chrepa V, Kotsakis GA. Population prevalence of edentulism and its association with depression and self-rated health. Sci Rep. 2016;6:37083.
Urzua I, Mendoza C, Arteaga O, Rodríguez G, Cabello R, Faleiros S, Carvajal P, Muñoz A, Espinoza I, Aranda W, Gamonal J. Dental caries prevalence and tooth loss in chilean adult population: First national dental examination survey. International Journal of Dentistry. 2012;2012:1-6. http://dx.doi.org/10.1155/2012/810170.
Anttila S, Knuuttila M, Ylostalo P, Joukamaa M. Symptoms of depression and anxiety in relation to dental health behavior and self-perceived dental treatment need. Eur J Oral Sci. 2006;114(2):109-14.
Cademartori MG, Gastal MT, Nascimento GG, Demarco FF, Correa MB. Is depression associated with oral health outcomes in adults and elders? A systematic review and meta-analysis. Clin Oral Investig. 2018;22(8):2685-702.
Kisely S, Sawyer E, Siskind D, Lalloo R. The oral health of people with anxiety and depressive disorders - a systematic review and meta-analysis. J Affect Disord. 2016;200:119-32.
Hybels CF, Bennett JM, Landerman LR, Liang J, Plassman BL, Wu B. Trajectories of depressive symptoms and oral health outcomes in a community sample of older adults. Int J Geriatr Psychiatry. 2016;31(1):83-91.
Silveira ML, Whitcomb BW, Pekow P, Carbone ET, Chasan-Taber L. Anxiety, depression, and oral health among US pregnant women: 2010 behavioral risk factor surveillance system. J Public Health Dent. 2016;76(1):56-64.
Singh H, Maharaj RG, Naidu R. Oral health among the elderly in 7 Latin American and Caribbean cities, 1999-2000: a cross-sectional study. BMC Oral Health. 2015;15:46.
Wiener RC, Wiener MA, McNeil DW. Comorbid depression/anxiety and teeth removed: behavioral risk factor surveillance system 2010. Commun Dent Oral Epidemiol. 2015;43(5):433-43.
Centers for Disease Control and Prevention. National health and nutrition examination survey [internet]. United States Department of Health and Human Services 2017 [cited 2020 March 21]. Available from: https://wwwn.cdc.gov/nchs/nhanes/Default.aspx.
Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64(2):258-66.
Patel JS, Oh Y, Rand KL, Wu W, Cyders MA, Kroenke K, Stewart JC. Measurement invariance of the patient health questionnaire-9 (PHQ-9) depression screener in U.S. adults across sex, race/ethnicity, and education level: NHANES 2005-2016. Depression and Anxiety. 2019;36(9):813-823. http://dx.doi.org/10.1002/da.22940.
Alhassani AA, Al-Zahrani MS. Is inadequate sleep a potential risk factor for periodontitis? PLoS One. 2020;15(6):e0234487.
Butler L, Popkin BM, Poti JM. Associations of alcoholic beverage consumption with dietary intake, waist circumference, and body mass index in US adults: National Health and nutrition examination survey 2003-2012. J Acad Nutr Diet. 2018;118(3):409-20 e403.
Dumitrescu AL. Depression and inflammatory periodontal disease considerations-an interdisciplinary approach. Front Psychol. 2016;7:347.
Coles E, Chan K, Collins J, Humphris GM, Richards D, Williams B, Freeman R. Decayed and missing teeth and oral-health-related factors: predicting depression in homeless people. J Psychosom Res. 2011;71(2):108-12.
Al-Zahrani MS, Zawawi KH, Austah ON, Al-Ghamdi HS. Self reported halitosis in relation to glycated hemoglobin level in diabetic patients. Open Dent J. 2011;5:154-7.

Keywords: National Health and Nutrition Examination Survey; cohort study; depression; tooth loss

Date Created: 20201222 Date Completed: 20211101 Latest Revision: 20211101

20240829

10.1111/jphd.12433

33349927