Association Between Oral Health and the Medical Costs of Dementia: A Longitudinal Study of Older Japanese.

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2021-01-01 DOI:10.1177/1533317521996142

Mizuki Saito, Yoshihiro Shimazaki, Toshiya Nonoyama, Kazushi Ohsugi

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Abstract

Objective: Oral health status may be associated with dementia, which in turn results in higher medical costs among older people.

Methods: This STUDY enrolled 4,275 older individuals. Generalized linear models were constructed with the medical costs of dementia as the dependent variable, and number of teeth, Community Periodontal Index (CPI), and other factors as independent variables.

Results: Individuals with fewer teeth or with poor periodontal condition had significantly higher medical costs ratios for dementia independent of other confounding variables. The adjusted medical costs ratios of dementia were 4.13 (95% CI [confidence interval]; 1.79-9.56) for those with ≤9 teeth compared with those with ≥20 teeth and 3.48 (95% CI; 1.71-7.08) for those with personal CPI code 4 compared with those with personal CPI code 0-2.

Conclusions: Oral health status was associated with the medical costs of dementia. Preventing tooth loss and maintaining periodontal health may contribute to controlling dementia costs.

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口腔健康与痴呆症医疗费用之间的关系：日本老年人纵向研究》。

目的：口腔健康状况可能与痴呆症有关：口腔健康状况可能与痴呆症有关，而痴呆症又会导致老年人的医疗费用增加：这项研究招募了 4275 名老年人。以痴呆症的医疗费用为因变量，以牙齿数量、社区牙周指数（CPI）和其他因素为自变量，建立了广义线性模型：结果：牙齿数量少或牙周状况差的人患痴呆症的医疗费用比率明显更高，这与其他干扰变量无关。与牙齿≥20颗的人相比，牙齿≤9颗的人患痴呆症的调整后医疗费用比率为4.13（95% CI [置信区间]；1.79-9.56）；与个人CPI代码为0-2的人相比，个人CPI代码为4的人患痴呆症的调整后医疗费用比率为3.48（95% CI；1.71-7.08）：口腔健康状况与痴呆症的医疗费用有关。预防牙齿脱落和保持牙周健康可能有助于控制痴呆症的费用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.