Tooth loss from caries and periodontal disease is an outcome of complex, chronic conditions. Several biopsychosocial factors are involved, including accessing care. Individuals reporting dental anxiety may avoid dental care, and individuals with depression may be negligent in self-care. In this study, researchers examined a potential association of tooth loss with depression and anxiety.
The Behavioral Risk Factor Surveillance System (BRFSS) Survey is a complex telephone survey conducted by the Centers for Disease Control and Prevention and state health departments. In this study, the researchers used the BRFSS 2010 data (451,075 respondents). Analysis involved frequency, Chi-square analysis and complex survey logistic regression. Criteria for participants’ eligibility included being 19 years or older and having complete data on depression, anxiety and tooth loss.
Among 76,292 eligible participants, 13.4 percent reported anxiety, 16.7 percent reported depression and 5.7 percent reported total tooth loss. Chi-square analysis by tooth loss revealed that participants with depression, anxiety or a combined category of depression or anxiety diff ered significantly in tooth loss (p <0.0001)from participants without those conditions.
At the conclusion of this national study, the researchers found that depression and anxiety are
associated with tooth loss. The research study titled “Association of Tooth Loss and Depression and Anxiety,” was presented by R.Constance Wiener, PhD, at the 43rd annual meeting and exhibition of the American Association for Dental Research held March 19-22 in Charlotte, N.C.
From CDA Journal June 2014