Life-course determinants of need for dental prostheses at age 24.
This study aimed to assess the prevalence of use and need for dental prostheses (UNDP) by individuals at age 24 and their life-course determinants. A representative sample (n = 720) of all 5914 births occurring in Pelotas in 1982 were prospectively investigated, and the UNDP were assessed in 2006. Exploratory variables included demographic and socio-economic, oral health, and dental service utilization patterns during the life-course. The prevalence of UNDP was 2.1% and 29.7%, respectively. Multivariable Poisson regression analysis showed that low socio-economic status through the life-course [Prevalence Ratio (PR) = 1.56 (95% CI: 1.08-2.26)], lower maternal schooling in childhood [PR 2.79 (1.34-5.79)], no oral hygiene instruction by a dentist at age 15 [PR 1.64 (1.11-2.41)], and caries presence at age 15 (high DMFT tertile) [PR 2.90 (1.98-4.24)] were associated with prosthetic treatment needs. These results support the hypothesis that life-course socio-economic, behavioral, and clinical determinants are associated with the need for dental prostheses.
Correa
M B
MB
Department of Operative Dentistry, Faculty of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, 5 degrees andar - Centro, CEP: 96015568 Pelotas, RS, Brazil.
Peres
M A
MA
Peres
K G
KG
Horta
B L
BL
Gigante
D P
DP
Demarco
F F
FF
D000293:Adolescent; D000367:Age Factors; D001938:Brazil / Q000453:epidemiology; D015331:Cohort Studies; D004245:DMF Index; D003729:Dental Care / Q000706:statistics & numerical data; D003731:Dental Caries / Q000453:epidemiology; D017266:Dental Prosthesis / Q000706:statistics & numerical data*; D003830:Denture, Partial, Fixed / Q000706:statistics & numerical data; D003832:Denture, Partial, Removable / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006267:Health Education, Dental; D006801:Humans; D007182:Income; D008297:Male; D009035:Mothers / Q000193:education; D020380:Needs Assessment / Q000706:statistics & numerical data*; D009909:Oral Health; D009910:Oral Hygiene; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012923:Social Class; D016388:Tooth Loss / Q000453:epidemiology; D055815:Young Adult