Tooth retention, health, and quality of life in older adults: a scoping review
Abstract Objective This scoping review describes the relationship between tooth retention, health, and quality of life in older adults. Methods Seven databases were searched for English language articles for subjects ≥ 65 y from 1981 to 2021. Exposure was tooth retention (≥ 20), and outcomes were ge...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-022-02210-5 |
| _version_ | 1811250894089486336 |
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| author | Adejare Jay Atanda Alicia A. Livinski Steven D. London Shahdokht Boroumand Darien Weatherspoon Timothy J. Iafolla Bruce A. Dye |
| author_facet | Adejare Jay Atanda Alicia A. Livinski Steven D. London Shahdokht Boroumand Darien Weatherspoon Timothy J. Iafolla Bruce A. Dye |
| author_sort | Adejare Jay Atanda |
| collection | DOAJ |
| description | Abstract Objective This scoping review describes the relationship between tooth retention, health, and quality of life in older adults. Methods Seven databases were searched for English language articles for subjects ≥ 65 y from 1981 to 2021. Exposure was tooth retention (≥ 20), and outcomes were general/systemic health and quality of life. Methodological quality was assessed using the Newcastle–Ottawa Scale and Cochrane Risk of Bias 2.0 tool. Results 140 articles were included, only four were randomized trials. Inter-rater agreement (κ) regarding study inclusion was 0.924. Most were assessed with low risk of bias (n = 103) and of good quality (n = 96). Most studies were conducted in Japan (n = 60) and Europe (n = 51) and only nine in the US. Tooth retention was referred to as “functional dentition” in 132 studies and “shortened dental arch” in 19 studies. Study outcomes were broadly synthesized as (1) cognitive decline/functional dependence, (2) health status/chronic diseases, (3) nutrition, and (4) quality of life. Discussion There is a positive relationship between tooth retention, overall health, and quality of life. Older adults retaining ≥ 20 teeth are less likely to experience poorer health. Having < 20 teeth increases the likelihood for functional dependence and onset of disability, and may affect successful ageing. This review supports the general finding that the more teeth older adults retain as they age, the less likely they are to have adverse health outcomes. However, significant knowledge gaps remain which can limit decision-making affecting successful ageing for many older adults. This review highlights the need to consider, as an important marker of oral health and function, the retention of a functional minimum of a natural dentition, rather than a simple numeric score of missing teeth. |
| first_indexed | 2024-04-12T16:11:34Z |
| format | Article |
| id | doaj.art-263e8c1ca1b346e89134d89ff930f9d6 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-12T16:11:34Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-263e8c1ca1b346e89134d89ff930f9d62022-12-22T03:25:52ZengBMCBMC Oral Health1472-68312022-05-0122111110.1186/s12903-022-02210-5Tooth retention, health, and quality of life in older adults: a scoping reviewAdejare Jay Atanda0Alicia A. Livinski1Steven D. London2Shahdokht Boroumand3Darien Weatherspoon4Timothy J. Iafolla5Bruce A. Dye6National Institute of Dental and Craniofacial Research, National Institutes of HealthNational Institutes of Health Library, Office of Research Services, OD, National Institutes of HealthNational Institute of Dental and Craniofacial Research, National Institutes of HealthNational Institute of Dental and Craniofacial Research, National Institutes of HealthSchool of Dentistry, University of MarylandNational Institute of Dental and Craniofacial Research, National Institutes of HealthNational Institute of Dental and Craniofacial Research, National Institutes of HealthAbstract Objective This scoping review describes the relationship between tooth retention, health, and quality of life in older adults. Methods Seven databases were searched for English language articles for subjects ≥ 65 y from 1981 to 2021. Exposure was tooth retention (≥ 20), and outcomes were general/systemic health and quality of life. Methodological quality was assessed using the Newcastle–Ottawa Scale and Cochrane Risk of Bias 2.0 tool. Results 140 articles were included, only four were randomized trials. Inter-rater agreement (κ) regarding study inclusion was 0.924. Most were assessed with low risk of bias (n = 103) and of good quality (n = 96). Most studies were conducted in Japan (n = 60) and Europe (n = 51) and only nine in the US. Tooth retention was referred to as “functional dentition” in 132 studies and “shortened dental arch” in 19 studies. Study outcomes were broadly synthesized as (1) cognitive decline/functional dependence, (2) health status/chronic diseases, (3) nutrition, and (4) quality of life. Discussion There is a positive relationship between tooth retention, overall health, and quality of life. Older adults retaining ≥ 20 teeth are less likely to experience poorer health. Having < 20 teeth increases the likelihood for functional dependence and onset of disability, and may affect successful ageing. This review supports the general finding that the more teeth older adults retain as they age, the less likely they are to have adverse health outcomes. However, significant knowledge gaps remain which can limit decision-making affecting successful ageing for many older adults. This review highlights the need to consider, as an important marker of oral health and function, the retention of a functional minimum of a natural dentition, rather than a simple numeric score of missing teeth.https://doi.org/10.1186/s12903-022-02210-5Functional dentitionShortened dental archTooth retentionTooth lossQuality of life |
| spellingShingle | Adejare Jay Atanda Alicia A. Livinski Steven D. London Shahdokht Boroumand Darien Weatherspoon Timothy J. Iafolla Bruce A. Dye Tooth retention, health, and quality of life in older adults: a scoping review BMC Oral Health Functional dentition Shortened dental arch Tooth retention Tooth loss Quality of life |
| title | Tooth retention, health, and quality of life in older adults: a scoping review |
| title_full | Tooth retention, health, and quality of life in older adults: a scoping review |
| title_fullStr | Tooth retention, health, and quality of life in older adults: a scoping review |
| title_full_unstemmed | Tooth retention, health, and quality of life in older adults: a scoping review |
| title_short | Tooth retention, health, and quality of life in older adults: a scoping review |
| title_sort | tooth retention health and quality of life in older adults a scoping review |
| topic | Functional dentition Shortened dental arch Tooth retention Tooth loss Quality of life |
| url | https://doi.org/10.1186/s12903-022-02210-5 |
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