Tooth loss from caries and periodontal disease is an outcome from complex, chronic conditions that involve several biopsychosocial factors including accessing care. Patients that report dental anxiety may avoid dental care; and individuals with depression may be negligent in self-care.
In a study Association of Tooth Loss and Depression and Anxiety - researchers examined this potential association of tooth loss with depression and anxiety. The study was presented by R. Constance Wiener of West Virginia University in Morgantown, W. Va. for the annual meeting and exhibition of the American Association for Dental Research in conjunction with the annual meeting of the Canadian Association for Dental Research.
The researchers used the Behavioral Risk Factor Surveillance System (BRFSS) Survey - a complex, telephone survey of the Centers for Disease Control and Prevention and state health departments. Analysis of 451,075 respondents involved frequency, Chi square analysis, and complex survey logistic regression. For eligibility, participants had to be 19 years or older, and have complete data on depression, anxiety and tooth loss.
Of the 76,292 eligible participants, 13.4% reported anxiety, 16.7% reported depression, and 5.7% reported total tooth loss. The sample was evenly distributed between males and females; there were 68.7% non-Hispanic whites, 12.7% non-Hispanic blacks, 12.5% Hispanics, and 6.8% other. In Chi-square analysis by tooth loss: depression, anxiety, and a combined category of depression or anxiety were significantly different in tooth loss vs. participants without the conditions.
The unadjusted odds ratio for tooth loss and anxiety was 1.58 (95% CI: 1.46, 1.71; p<.0001 for p and anxiety or depression as a combined the adjusted odds ratio was in separate analysis of category aor depression:="" ci:="" category:="">
The researchers concluded that depression and anxiety are associated with tooth loss.