A Cross-Sectional Study of Perceived Dental Treatment Needs and Oral Health Status in Community-Dwelling Older Australian Men: The Concord Health and Ageing in Men Project

Affiliations

¹ Centre for Education and Research on Ageing, Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Department of Public Health, Tokyo Women's Medical University, Tokyo, Japan. Electronic address: takehara.ohp@gmail.com.
² Centre for Education and Research on Ageing, Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Ageing and Alzheimer's Institute, Aged Chronic Care and Rehabilitation, Concord Repatriation General Hospital, Concord, NSW, Australia.
³ School of Life and Environmental Sciences, Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia.
⁴ Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia.
⁵ Centre for Education and Research on Ageing, Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Ageing and Alzheimer's Institute, Aged Chronic Care and Rehabilitation, Concord Repatriation General Hospital, Concord, NSW, Australia.
⁶ Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Ageing and Alzheimer's Institute, Aged Chronic Care and Rehabilitation, Concord Repatriation General Hospital, Concord, NSW, Australia.
⁷ Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; ANZAC Research Institute, Concord Hospital, University of Sydney, Sydney, NSW, Australia.
⁸ ANZAC Research Institute, Concord Hospital, University of Sydney, Sydney, NSW, Australia.
⁹ School of Public Health, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.

PMID: 34024332
PMCID: PMC9275195
DOI: 10.1111/idj.12623

A Cross-Sectional Study of Perceived Dental Treatment Needs and Oral Health Status in Community-Dwelling Older Australian Men: The Concord Health and Ageing in Men Project

Sachiko Takehara et al. Int Dent J. 2021 Jun.

. 2021 Jun;71(3):224-232.

doi: 10.1111/idj.12623. Epub 2021 Jan 27.

Authors

Affiliations

¹ Centre for Education and Research on Ageing, Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Department of Public Health, Tokyo Women's Medical University, Tokyo, Japan. Electronic address: takehara.ohp@gmail.com.
² Centre for Education and Research on Ageing, Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Ageing and Alzheimer's Institute, Aged Chronic Care and Rehabilitation, Concord Repatriation General Hospital, Concord, NSW, Australia.
³ School of Life and Environmental Sciences, Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia.
⁴ Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia.
⁵ Centre for Education and Research on Ageing, Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Ageing and Alzheimer's Institute, Aged Chronic Care and Rehabilitation, Concord Repatriation General Hospital, Concord, NSW, Australia.
⁶ Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; Ageing and Alzheimer's Institute, Aged Chronic Care and Rehabilitation, Concord Repatriation General Hospital, Concord, NSW, Australia.
⁷ Concord Clinical School, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia; ANZAC Research Institute, Concord Hospital, University of Sydney, Sydney, NSW, Australia.
⁸ ANZAC Research Institute, Concord Hospital, University of Sydney, Sydney, NSW, Australia.
⁹ School of Public Health, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.

PMID: 34024332
PMCID: PMC9275195
DOI: 10.1111/idj.12623

Abstract

Background: Assessing perceived needs for dental treatment is important in understanding and predicting people's health behaviours. The purpose of this study is to examine older men's perceptions regarding dental treatment needs, and to investigate the disparity between perceived needs and the actual oral health of a population of community-dwelling older Australians.

Methods: Using cross-sectional data from the 4th wave of the Concord Health and Ageing in Men Project, logistic regression analysis of perceived needs for dental treatment was conducted for 596 men aged 78 and over, with functional tooth units (FTUs), number of decayed tooth surfaces, and periodontitis as independent variables.

Results: Thirty-six percent (n = 216) of the participants believed they required some form of dental treatment. The remaining participants did not perceive a need for treatment, yet 65.3% objectively required prosthodontic or restorative care. The regression model showed men with lower FTUs were significantly more likely to report a perceived need for dental treatment than those with 12 FTUs [0-6 FTUs: adjusted odds ratio (OR) 2.58, 95% CI 1.28-5.20; 7-11 FTUs: adjusted OR 2.43, 95% CI 1.16-5.10]. However, neither the number of decayed tooth surfaces nor the existence of periodontitis was associated with perceived dental treatment needs.

Conclusions: Most older men viewed their oral health positively, and the majority of those with objectively assessed needs, did not perceive themselves as requiring dental treatment. Loss of FTUs appears to alert participants to seek treatment, but not the presence of dental caries or periodontitis.

Keywords: Australia; Community-dwelling older men; Dental caries; Functional tooth unit; Perceived dental treatment needs; Periodontitis.

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Figures

**Fig. 1**
Flowchart of the 8-year follow-up population, remaining participants and reasons for loss.

See this image and copyright information in PMC

References

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1. Tonetti MS, Bottenberg P, Conrads G, et al. Dental caries and periodontal diseases in the ageing population: call to action to protect and enhance oral health and well-being as an essential component of healthy ageing – consensus report of group 4 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44(Suppl 18):S135–S144. - PubMed
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A Cross-Sectional Study of Perceived Dental Treatment Needs and Oral Health Status in Community-Dwelling Older Australian Men: The Concord Health and Ageing in Men Project

Affiliations

A Cross-Sectional Study of Perceived Dental Treatment Needs and Oral Health Status in Community-Dwelling Older Australian Men: The Concord Health and Ageing in Men Project

Authors

Affiliations

Abstract

Figures

References

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical