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Are routine dental check-ups associated with better health outcomes among US adults?. Chao Sun, MD, MPH; V. James Guillory, DO, MPH; Paul Dew, MD, MPH. Dept. Of Preventive Medicine, University of Health Sciences, Kansas City, Missouri. Background(1). How oral health affects quality of life
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Are routine dental check-ups associated with better health outcomes among US adults? Chao Sun, MD, MPH; V. James Guillory, DO, MPH; Paul Dew, MD, MPH. Dept. Of Preventive Medicine, University of Health Sciences, Kansas City, Missouri
Background(1) How oral health affects quality of life • Oral pain • Difficulty eating • Total tooth loss • Use of dentures • Multiple medications • Diseases related to the mouth
Background(2) The American Dental Association recommendation • Brushing and flossing • Regular dental visits The Healthy People 2010 objective • Increase the proportion of dental care utilization • 56% of persons(>=2yrs) have access to see dentists
Background(3) Challenge to meet the objective • Overlooked issue • Beneficial evidence • Risk factors • Behavioral change
Purpose of the study The purpose of this study was to assess if routine dental check-ups are associated with better health outcomes among US adults
Methods(1) Data source • The 1996 Medical Expenditure Panel Survey Study population • Adults aged 18 and older Measure of variables (1) • Routine dental check-ups
Methods(2) Measures of variables (2) • Health outcomes 1. Emergency room visits 2. Perceived health status 3. Wearing dentures 4. Lost all adult teeth
Methods(3) Socio-demographic factors • Age, sex, race, education & health insurance Statistical analysis • Statistical software: SAS 8.0 • Descriptive analysis • Multiple linear regression modeling
Results Socio-demographic information • Table 1 Association between dental check-ups and socio-demographic factors • Table 2 Association between dental check-ups and health outcomes • Table 3
Summary(1) • 59% of adults had a routine dental check-up in the past year • 16.8% of adults never had dental check-up • Males, minorities, older people, & people with lower education or with no health insurance were less likely to have a routine dental check-up in the past year
Summary (2) • Routine dental check-ups were associated with better health outcomes • Health insurance & education are most important to reduce the disparity in access to dental service