The Experts below are selected from a list of 297 Experts worldwide ranked by ideXlab platform
Richard G Watt - One of the best experts on this subject based on the ideXlab platform.
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Oral health and depressive symptoms: findings from the English Longitudinal Study of Ageing
British Dental Journal, 2021Co-Authors: Renato Venturelli, Alex Blokland, Cesar De Oliveira, Carolina Machuca, Richard G WattAbstract:Highlights the existing evidence of the relationship between depressive symptoms and oral health measures among older adult populations. Using a nationally representative sample of English adults, this study found a significant association between depressive symptoms and self-rated oral health, even after accounting for a number of key potential factors. Emphasises the need for better integration of oral health into primary care, as well as the need to tackle the broader sociodemographic determinants of (oral) health. Aim We assessed the cross-sectional association between depressive symptoms and oral health using a nationally representative sample of older adults aged 50 years and older living in England. Methods Data came from wave 7 (2014-2015) of the English Longitudinal Study of Ageing. Multiple logistic regression analyses were conducted to assess the association between depressive symptoms, measured through the eight-item Centre for Epidemiologic Studies Depression Scale and three oral health outcomes, namely self-rated oral health, Edentulousness and oral impacts. Results The analytical sample comprised 3,617 individuals. The proportion of participants that reported poor self-rated oral health, being edentate and having at least one oral health impact in the last six months was 19.8%, 7.7% and 8.9%, respectively. Around a tenth of the participants reported having depressive symptoms (10%). All unadjusted associations between depressive symptoms and the oral health measures were statistically significant. However, after accounting for potential confounders, only the relationship between depressive symptoms and self-rated oral health remained significant (OR = 1.38; 95% CI 1.01-1.89). Socioeconomic and general health-related variables appeared to influence the associations between depressive symptoms and oral health, particularly Edentulousness and oral impacts. Conclusion Depressive symptoms were associated with poor self-rated oral health in older English adults.
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social gradients in oral health in older adults findings from the english longitudinal survey of aging
American Journal of Public Health, 2011Co-Authors: Georgios Tsakos, Panayotes Demakakos, Elizabeth Breeze, Richard G WattAbstract:Objectives. We examined prospective associations between socioeconomic position (SEP) markers and oral health outcomes in a national sample of older adults in England.Methods. Data were from the English Longitudinal Survey of Aging, a national cohort study of community-dwelling people aged 50 years and older. SEP markers (education, occupation, household income, household wealth, subjective social status, and childhood SEP) and sociodemographic confounders (age, gender, and marital status) were from wave 1. We collected 3 self-reported oral health outcomes at wave 3: having natural teeth (dentate vs edentate), self-rated oral health, and oral impacts on daily life. Using multivariate logistic regression models, we estimated associations between each SEP indicator and each oral health outcome, adjusted for confounders.Results. Irrespective of SEP marker, there were inverse graded associations between SEP and Edentulousness, with proportionately more edentate participants at each lower SEP level. Lower SEP ...
Marcello Tonelli - One of the best experts on this subject based on the ideXlab platform.
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Patterns of oral disease in adults with chronic kidney disease treated with hemodialysis
Nephrology dialysis transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2015Co-Authors: Suetonia C. Palmer, Pauline J. Ford, Marinella Ruospo, Germaine Wong, Jonathan C. Craig, Massimo Petruzzi, Michele De Benedittis, David W. Johnson, Marcello Tonelli, Patrizia NataleAbstract:Background Oral disease is a potentially treatable determinant of mortality and quality of life. No comprehensive multinational study to quantify oral disease burden and to identify candidate preventative strategies has been performed in the dialysis setting. Methods The ORAL disease in hemoDialysis (ORALD) study was a prospective study in adults treated with hemodialysis in Europe (France, Hungary, Italy, Poland, Portugal and Spain) and Argentina. Oral disease was assessed using standardized WHO methods. Participants self-reported oral health practices and symptoms. Sociodemographic and clinical factors associated with oral diseases were determined and assessed within nation states. Results Of 4726 eligible adults, 4205 (88.9%) participated. Overall, 20.6% were edentulous [95% confidence interval (CI), 19.4-21.8]. Participants had on average 22 (95% CI 21.7-22.2) decayed, missing or filled teeth, while moderate to severe periodontitis affected 40.6% (95% CI 38.9-42.3). Oral disease patterns varied markedly across countries, independent of participant demographics, comorbidity and health practices. Participants in Spain, Poland, Italy and Hungary had the highest mean adjusted odds of Edentulousness (2.31, 1.90, 1.90 and 1.54, respectively), while those in Poland, Hungary, Spain and Argentina had the highest odds of ≥14 decayed, missing or filled teeth (23.2, 12.5, 8.14 and 5.23, respectively). Compared with Argentina, adjusted odds ratios for periodontitis were 58.8, 58.3, 27.7, 12.1 and 6.30 for Portugal, Italy, Hungary, France and Poland, respectively. National levels of tobacco consumption, diabetes and child poverty were associated with Edentulousness within countries. Conclusions Oral disease in adults on hemodialysis is very common, frequently severe and highly variable among countries, with much of the variability unexplained by participant characteristics or healthcare. Given the national variation and high burden of disease, strategies to improve oral health in hemodialysis patients will require implementation at a country level rather than at the level of individuals.
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dental health and mortality in people with end stage kidney disease treated with hemodialysis a multinational cohort study
American Journal of Kidney Diseases, 2015Co-Authors: Suetonia C. Palmer, Marinella Ruospo, Germaine Wong, Jonathan C. Craig, Massimo Petruzzi, Michele De Benedittis, David W. Johnson, P J Ford, Marcello TonelliAbstract:Background Dental disease is more extensive in adults with chronic kidney disease, but whether dental health and behaviors are associated with survival in the setting of hemodialysis is unknown. Study Design Prospective multinational cohort. Setting & Participants 4,205 adults treated with long-term hemodialysis, 2010 to 2012 (Oral Diseases in Hemodialysis [ORAL-D] Study). Predictors Dental health as assessed by a standardized dental examination using World Health Organization guidelines and personal oral care, including Edentulousness; decayed, missing, and filled teeth index; teeth brushing and flossing; and dental health consultation. Outcomes All-cause and cardiovascular mortality at 12 months after dental assessment. Measurements Multivariable-adjusted Cox proportional hazards regression models fitted with shared frailty to account for clustering of mortality risk within countries. Results During a mean follow-up of 22.1 months, 942 deaths occurred, including 477 cardiovascular deaths. Edentulousness (adjusted HR, 1.29; 95% CI, 1.10-1.51) and decayed, missing, or filled teeth score ≥ 14 (adjusted HR, 1.70; 95% CI, 1.33-2.17) were associated with early all-cause mortality, while dental flossing, using mouthwash, brushing teeth daily, spending at least 2 minutes on oral hygiene daily, changing a toothbrush at least every 3 months, and visiting a dentist within the past 6 months (adjusted HRs of 0.52 [95% CI, 0.32-0.85], 0.79 [95% CI, 0.64-0.97], 0.76 [95% CI, 0.58-0.99], 0.84 [95% CI, 0.71-0.99], 0.79 [95% CI, 0.65-0.95], and 0.79 [95% CI, 0.65-0.96], respectively) were associated with better survival. Results for cardiovascular mortality were similar. Limitations Convenience sample of clinics. Conclusions In adults treated with hemodialysis, poorer dental health was associated with early death, whereas preventive dental health practices were associated with longer survival.
David W. Johnson - One of the best experts on this subject based on the ideXlab platform.
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Patterns of oral disease in adults with chronic kidney disease treated with hemodialysis
Nephrology dialysis transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2015Co-Authors: Suetonia C. Palmer, Pauline J. Ford, Marinella Ruospo, Germaine Wong, Jonathan C. Craig, Massimo Petruzzi, Michele De Benedittis, David W. Johnson, Marcello Tonelli, Patrizia NataleAbstract:Background Oral disease is a potentially treatable determinant of mortality and quality of life. No comprehensive multinational study to quantify oral disease burden and to identify candidate preventative strategies has been performed in the dialysis setting. Methods The ORAL disease in hemoDialysis (ORALD) study was a prospective study in adults treated with hemodialysis in Europe (France, Hungary, Italy, Poland, Portugal and Spain) and Argentina. Oral disease was assessed using standardized WHO methods. Participants self-reported oral health practices and symptoms. Sociodemographic and clinical factors associated with oral diseases were determined and assessed within nation states. Results Of 4726 eligible adults, 4205 (88.9%) participated. Overall, 20.6% were edentulous [95% confidence interval (CI), 19.4-21.8]. Participants had on average 22 (95% CI 21.7-22.2) decayed, missing or filled teeth, while moderate to severe periodontitis affected 40.6% (95% CI 38.9-42.3). Oral disease patterns varied markedly across countries, independent of participant demographics, comorbidity and health practices. Participants in Spain, Poland, Italy and Hungary had the highest mean adjusted odds of Edentulousness (2.31, 1.90, 1.90 and 1.54, respectively), while those in Poland, Hungary, Spain and Argentina had the highest odds of ≥14 decayed, missing or filled teeth (23.2, 12.5, 8.14 and 5.23, respectively). Compared with Argentina, adjusted odds ratios for periodontitis were 58.8, 58.3, 27.7, 12.1 and 6.30 for Portugal, Italy, Hungary, France and Poland, respectively. National levels of tobacco consumption, diabetes and child poverty were associated with Edentulousness within countries. Conclusions Oral disease in adults on hemodialysis is very common, frequently severe and highly variable among countries, with much of the variability unexplained by participant characteristics or healthcare. Given the national variation and high burden of disease, strategies to improve oral health in hemodialysis patients will require implementation at a country level rather than at the level of individuals.
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dental health and mortality in people with end stage kidney disease treated with hemodialysis a multinational cohort study
American Journal of Kidney Diseases, 2015Co-Authors: Suetonia C. Palmer, Marinella Ruospo, Germaine Wong, Jonathan C. Craig, Massimo Petruzzi, Michele De Benedittis, David W. Johnson, P J Ford, Marcello TonelliAbstract:Background Dental disease is more extensive in adults with chronic kidney disease, but whether dental health and behaviors are associated with survival in the setting of hemodialysis is unknown. Study Design Prospective multinational cohort. Setting & Participants 4,205 adults treated with long-term hemodialysis, 2010 to 2012 (Oral Diseases in Hemodialysis [ORAL-D] Study). Predictors Dental health as assessed by a standardized dental examination using World Health Organization guidelines and personal oral care, including Edentulousness; decayed, missing, and filled teeth index; teeth brushing and flossing; and dental health consultation. Outcomes All-cause and cardiovascular mortality at 12 months after dental assessment. Measurements Multivariable-adjusted Cox proportional hazards regression models fitted with shared frailty to account for clustering of mortality risk within countries. Results During a mean follow-up of 22.1 months, 942 deaths occurred, including 477 cardiovascular deaths. Edentulousness (adjusted HR, 1.29; 95% CI, 1.10-1.51) and decayed, missing, or filled teeth score ≥ 14 (adjusted HR, 1.70; 95% CI, 1.33-2.17) were associated with early all-cause mortality, while dental flossing, using mouthwash, brushing teeth daily, spending at least 2 minutes on oral hygiene daily, changing a toothbrush at least every 3 months, and visiting a dentist within the past 6 months (adjusted HRs of 0.52 [95% CI, 0.32-0.85], 0.79 [95% CI, 0.64-0.97], 0.76 [95% CI, 0.58-0.99], 0.84 [95% CI, 0.71-0.99], 0.79 [95% CI, 0.65-0.95], and 0.79 [95% CI, 0.65-0.96], respectively) were associated with better survival. Results for cardiovascular mortality were similar. Limitations Convenience sample of clinics. Conclusions In adults treated with hemodialysis, poorer dental health was associated with early death, whereas preventive dental health practices were associated with longer survival.
Suetonia C. Palmer - One of the best experts on this subject based on the ideXlab platform.
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Patterns of oral disease in adults with chronic kidney disease treated with hemodialysis
Nephrology dialysis transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2015Co-Authors: Suetonia C. Palmer, Pauline J. Ford, Marinella Ruospo, Germaine Wong, Jonathan C. Craig, Massimo Petruzzi, Michele De Benedittis, David W. Johnson, Marcello Tonelli, Patrizia NataleAbstract:Background Oral disease is a potentially treatable determinant of mortality and quality of life. No comprehensive multinational study to quantify oral disease burden and to identify candidate preventative strategies has been performed in the dialysis setting. Methods The ORAL disease in hemoDialysis (ORALD) study was a prospective study in adults treated with hemodialysis in Europe (France, Hungary, Italy, Poland, Portugal and Spain) and Argentina. Oral disease was assessed using standardized WHO methods. Participants self-reported oral health practices and symptoms. Sociodemographic and clinical factors associated with oral diseases were determined and assessed within nation states. Results Of 4726 eligible adults, 4205 (88.9%) participated. Overall, 20.6% were edentulous [95% confidence interval (CI), 19.4-21.8]. Participants had on average 22 (95% CI 21.7-22.2) decayed, missing or filled teeth, while moderate to severe periodontitis affected 40.6% (95% CI 38.9-42.3). Oral disease patterns varied markedly across countries, independent of participant demographics, comorbidity and health practices. Participants in Spain, Poland, Italy and Hungary had the highest mean adjusted odds of Edentulousness (2.31, 1.90, 1.90 and 1.54, respectively), while those in Poland, Hungary, Spain and Argentina had the highest odds of ≥14 decayed, missing or filled teeth (23.2, 12.5, 8.14 and 5.23, respectively). Compared with Argentina, adjusted odds ratios for periodontitis were 58.8, 58.3, 27.7, 12.1 and 6.30 for Portugal, Italy, Hungary, France and Poland, respectively. National levels of tobacco consumption, diabetes and child poverty were associated with Edentulousness within countries. Conclusions Oral disease in adults on hemodialysis is very common, frequently severe and highly variable among countries, with much of the variability unexplained by participant characteristics or healthcare. Given the national variation and high burden of disease, strategies to improve oral health in hemodialysis patients will require implementation at a country level rather than at the level of individuals.
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dental health and mortality in people with end stage kidney disease treated with hemodialysis a multinational cohort study
American Journal of Kidney Diseases, 2015Co-Authors: Suetonia C. Palmer, Marinella Ruospo, Germaine Wong, Jonathan C. Craig, Massimo Petruzzi, Michele De Benedittis, David W. Johnson, P J Ford, Marcello TonelliAbstract:Background Dental disease is more extensive in adults with chronic kidney disease, but whether dental health and behaviors are associated with survival in the setting of hemodialysis is unknown. Study Design Prospective multinational cohort. Setting & Participants 4,205 adults treated with long-term hemodialysis, 2010 to 2012 (Oral Diseases in Hemodialysis [ORAL-D] Study). Predictors Dental health as assessed by a standardized dental examination using World Health Organization guidelines and personal oral care, including Edentulousness; decayed, missing, and filled teeth index; teeth brushing and flossing; and dental health consultation. Outcomes All-cause and cardiovascular mortality at 12 months after dental assessment. Measurements Multivariable-adjusted Cox proportional hazards regression models fitted with shared frailty to account for clustering of mortality risk within countries. Results During a mean follow-up of 22.1 months, 942 deaths occurred, including 477 cardiovascular deaths. Edentulousness (adjusted HR, 1.29; 95% CI, 1.10-1.51) and decayed, missing, or filled teeth score ≥ 14 (adjusted HR, 1.70; 95% CI, 1.33-2.17) were associated with early all-cause mortality, while dental flossing, using mouthwash, brushing teeth daily, spending at least 2 minutes on oral hygiene daily, changing a toothbrush at least every 3 months, and visiting a dentist within the past 6 months (adjusted HRs of 0.52 [95% CI, 0.32-0.85], 0.79 [95% CI, 0.64-0.97], 0.76 [95% CI, 0.58-0.99], 0.84 [95% CI, 0.71-0.99], 0.79 [95% CI, 0.65-0.95], and 0.79 [95% CI, 0.65-0.96], respectively) were associated with better survival. Results for cardiovascular mortality were similar. Limitations Convenience sample of clinics. Conclusions In adults treated with hemodialysis, poorer dental health was associated with early death, whereas preventive dental health practices were associated with longer survival.
Bjorn Ludwig - One of the best experts on this subject based on the ideXlab platform.
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Microanchor mediated upper molar intrusion in deep posterior bite after long-term Edentulousness for prosthetic reconstruction with dental implants
Oral and Maxillofacial Surgery, 2008Co-Authors: Constantin A Landes, Bettina Glasl, S Kopp, Robert Sader, Bjorn LudwigAbstract:Introduction Long-term Edentulousness can lead to elongation of antagonistic teeth, making prosthetic rehabilitation impossible. An interdisciplinary case is presented where elongated teeth were successfully intruded by micoranchor-mediated orthodontic movement. Discussion To the right mandible, implants had been inserted correspondingly to the alveolar process height. However, the patient waited over 1 year for prosthetic treatment. The antagonistic maxillary teeth had elongated considerably. On the left side, elongated upper molars occluded with previously crowned and in the meantime unprovided teeth 35 and 37. On the right side, two palatal, three vestibular microanchors of 8 mm length and 1.6 mm diameter were used, on the left side, two palatal and two vestibular microanchors to intrude the teeth 14 to 17 and 26. The screwheads were connected to individually model-casted splints for bodily intrusion of the molars. Conclusion This case illustrates how vertical tooth movements can be ventured by the use of orthodontic microscrews before either conventional or implant-borne prosthetic rehabilitation.
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microanchor mediated upper molar intrusion in deep posterior bite after long term Edentulousness for prosthetic reconstruction with dental implants
Oral and Maxillofacial Surgery, 2008Co-Authors: Constantin A Landes, Bettina Glasl, S Kopp, Robert Sader, Bjorn LudwigAbstract:Introduction Long-term Edentulousness can lead to elongation of antagonistic teeth, making prosthetic rehabilitation impossible. An interdisciplinary case is presented where elongated teeth were successfully intruded by micoranchor-mediated orthodontic movement.
