Community dental health最新文献

Periodontitis and multimorbidity: A conceptual framework. 牙周炎和多病：一个概念框架。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-04 DOI: 10.1177/0265539X261485620

Manisha Tamrakar, Najith Amarasena, Liana Luzzi, Gloria Mejia

{"title":"Periodontitis and multimorbidity: A conceptual framework.","authors":"Manisha Tamrakar, Najith Amarasena, Liana Luzzi, Gloria Mejia","doi":"10.1177/0265539X261485620","DOIUrl":"https://doi.org/10.1177/0265539X261485620","url":null,"abstract":"Periodontitis is a chronic inflammatory disease that has been consistently linked to a range of chronic conditions, including diabetes, cardiovascular disease, and neurodegenerative disorders. Multimorbidity, defined as the co-occurrence of two or more chronic conditions in an individual, shares complex and multifactorial pathways with periodontitis, with both increasing in prevalence with age. However, the nature of their relationship, whether driven by shared risk factors or causal interactions, remains unclear. Several independent conceptual models have been developed to identify the determinants of periodontitis and multimorbidity. However, no unified frameworks currently exist to understand the interconnections between oral health, particularly periodontitis and chronic conditions. Given that oral health is an integral component of general health, developing an integrated conceptual model is essential to illustrate plausible pathways, guide future research, and support integrated prevention strategies. Therefore, this paper proposes an integrated conceptual framework to illustrate the potential association between periodontitis and multimorbidity, grounded in shared biological mechanisms and informed by the Common Risk Factor Approach and social determinants of health. The model integrates structural, behavioural, and biological factors within a single framework centred on biological pathways. This framework provides a foundation for future research and may support the development of integrated prevention and management strategies.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261485620"},"PeriodicalIF":1.3,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teaching dental public health using a socially accountable approach. 使用对社会负责的方法教授牙科公共卫生。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-12-03 DOI: 10.1177/0265539X251406498

Anastasios Plessas, Martha Paisi, Nilufar Ahmed, Zoe Brookes, Robert Witton

{"title":"Teaching dental public health using a socially accountable approach.","authors":"Anastasios Plessas, Martha Paisi, Nilufar Ahmed, Zoe Brookes, Robert Witton","doi":"10.1177/0265539X251406498","DOIUrl":"10.1177/0265539X251406498","url":null,"abstract":"Traditional approaches to dental public health education across Europe remain dominated by lecture-based learning which often fail to cultivate critical reflection on inequities, privilege, and the broader social determinants of oral health. Social accountability has been recognized as core competency for dental graduates, requiring dental professionals to align professional practice with the health needs of communities. Community-engaged education is a promising pedagogical model that situates learning within real-world contexts, fosters empathy, cultural competence, and advocacy skills, and strengthens professional identity formation. This paper discusses the Peninsula Dental School's innovative model, which integrates community engagement, reflective practice, and interprofessional education within a spiral curriculum. Through the Interprofessional Engagement (IPE) module, students collaborate with local community organisations to co-design health improvement projects, critically reflect on their experiences, and gain deeper insight into oral health inequities. Embedding community engagement and social accountability across European dental curricula is both timely and necessary to equip future practitioners to address oral health inequities, meet evolving societal needs, and contribute to a more just healthcare system.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"257-262"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of oral health status between children from North Korean Refugee and South Korean families using the DMFT/Dmft-index: Cross-sectional study. 使用DMFT/ DMFT指数比较朝鲜难民和韩国家庭儿童的口腔健康状况：横断面研究

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-11-24 DOI: 10.1177/0265539X251385507

So-Yeong Kim, Seong-Woo Choi

{"title":"Comparison of oral health status between children from North Korean Refugee and South Korean families using the DMFT/Dmft-index: Cross-sectional study.","authors":"So-Yeong Kim, Seong-Woo Choi","doi":"10.1177/0265539X251385507","DOIUrl":"10.1177/0265539X251385507","url":null,"abstract":"Objective: This study compared the oral health status of children from North Korean refugees(NKR) and South Korean(SK) families. Basic research design: The DMFT index of children from NKR families was compared to those from SK families. The NRK underwent oral examinations to determine the Decayed-Filled-Teeth (dft), Decayed Teeth (dt), and Filled Teeth (ft) index was determined through an oral examination. Also, DMFT index of children from SK families was confirmed using oral examination data from the 2019 Korea National Health and Nutrition Examination Survey(KNHANES) and cross-sectional study using matched comparison groups. Clinical setting: The oral health status of a total of 304 childrens, including 154 NKR childrens and 154 SK children was assessed. The NKR childrens were recommended by the participants recruited using the snowball sampling method and SK childrens were matched 1:1 by sex and age with NK Childrens. NK childrens were Face-to-face surveys were conducted between January 2021 and December 2022. Data on SK children were obtained from the oral examination findings of the KNHANES. Results: NKR children had a higher incidence of dental caries than SK childrens (odds ratio = 2.68; 95% confidence interval = 1.34-5.37). NKR and SK children's dft scores were 3.82 ± 2.98 and 2.29 ± 2.88, respectively, with a significant difference between groups (p = 0.026). Conclusions: All oral health indicators, including dental caries status, and DT of children from NKR families, were poorer than those of children from SK families. Therefore, oral health education is necessary to improve oral health and prevent oral diseases.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"295-301"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145596055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caregiver's oral health status as a risk factor for dental caries in children: A systematic review. 照顾者的口腔健康状况是儿童龋齿的危险因素：一项系统综述。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-11-20 DOI: 10.1177/0265539X251400913

Winston Samuel Ng Kwok Cheung, Evonne Su, Tahlia Isabelle Baker, Jeroen Kroon

{"title":"Caregiver's oral health status as a risk factor for dental caries in children: A systematic review.","authors":"Winston Samuel Ng Kwok Cheung, Evonne Su, Tahlia Isabelle Baker, Jeroen Kroon","doi":"10.1177/0265539X251400913","DOIUrl":"10.1177/0265539X251400913","url":null,"abstract":"Objective: To investigate the association between caregiver's oral health status and children's caries by way of a systematic review.Research design: The Cochrane Handbook for Systematic Reviews was used to conduct this review and the PRISMA-P 2015 statement as a reporting guideline. Specific inclusion and exclusion criteria were established based on prescribed guidelines. PubMed, Cinahl, Scopus, Cochrane Library, and Web of Science were searched up to September 2023. The Newcastle-Ottawa Scale was used for quality assessment. Frequency distribution of results was calculated for preschool children and children.Results: All 10 studies eligible for inclusion in the final review were assessed as a low risk of bias. In all studies, the mother was reported as the primary caregiver. A significant association between oral health of caregivers and their children was found for dental caries in seven of the 10 included studies; four for preschoolers and two for children in the deciduous dentition, and one for children in the permanent dentition.Conclusions: This review emphasises the need for early intervention programs in addressing dental caries in children at the family-level, with particular focus on maternal oral health. These programmes should emphasise the critical role of caregivers and be tailored to identify and support high-risk households.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"286-294"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145563272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dental public health in action: 'First Dental Steps' - An oral health improvement intervention embedded in the healthy child programme. 牙科公共卫生的行动：“牙科的第一步”——一项纳入健康儿童方案的改善口腔健康的干预措施。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-12-02 DOI: 10.1177/0265539X251405594

Joelle Booth, Reena Patel, Zoe Marshman, Robert Witton

{"title":"Dental public health in action: 'First Dental Steps' - An oral health improvement intervention embedded in the healthy child programme.","authors":"Joelle Booth, Reena Patel, Zoe Marshman, Robert Witton","doi":"10.1177/0265539X251405594","DOIUrl":"10.1177/0265539X251405594","url":null,"abstract":"Dental caries remains a significant public health problem with almost a quarter of children in England having experience of caries by the time they are five. This implementation focused paper presents an overview of the local dental public health team working collaboratively with health visiting teams in the South West of England to deliver a multistranded oral health improvement programme embedded into the Healthy Child Programme. At aged nine to 12 months children receive a mandated health check conducted by health visitors which provides an opportunity to deliver an oral health intervention. The intervention, First Dental Steps, includes oral health training, distribution of oral health packs, a referral pathway for high-risk children and a data capture template. Health visiting teams have shown high levels of engagement with the initiative, which has also included the innovative recording of oral health information as part of clinical notes taken by health visiting teams. Implementation of First Dental Steps varied across local teams, with fidelity of programme delivery, such as distribution of oral health packs and appointment of oral health champions, differing between health visiting teams. This evaluation relied primarily on process-based outcomes, which posed challenges for health visitors to collect consistently due to differences in electronic patient record systems and the need for resource-intensive manual extraction in some localities. Future plans for the programme involve adapting the intervention for inclusion health groups and creating a repository of oral health resources for health visiting teams.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"310-314"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dental utilisation patterns among older adults in Belgium: A retrospective observational study. 比利时老年人牙科使用模式：一项回顾性观察研究。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-11-26 DOI: 10.1177/0265539X251400580

Aster De Vleeschauwer, Louise Poppe, Didier Willaert, Hervé Avalosse, Peter Pype, Barbara Janssens

{"title":"Dental utilisation patterns among older adults in Belgium: A retrospective observational study.","authors":"Aster De Vleeschauwer, Louise Poppe, Didier Willaert, Hervé Avalosse, Peter Pype, Barbara Janssens","doi":"10.1177/0265539X251400580","DOIUrl":"10.1177/0265539X251400580","url":null,"abstract":"Background: Oral pathology (e.g. caries, periodontal disease, edentulism) contributes to poor overall health and negatively impacts quality of life. Ageing increases susceptibility to oral diseases and poor oral health is common among older adults. In contrast, dental attendance is low among this group. This descriptive study aims to examine dental utilisation patterns among older adults in Flanders, Belgium. Methods: The study included all members from the two largest Belgian healthcare insurance funds aged 65 and older, residing in Flanders (Belgium). Descriptive and bivariate analyses were performed with dental utilisation patterns as main outcome and socio-demographic data, care dependency and oral status as covariates. Statistical analysis was performed using chi-square tests, with effect sizes calculated using Cramér's V. Results: Data from 911,159 older adults were analysed. Between 2020 and 2022, preventive care was regularly received by 36.8% of the participants, 37.0% had no contact with an oral health professional and 21.9% only received curative care. Lower utilisation of preventive care was observed in the following groups: the oldest-old (Cramér's V = 0.136), individuals having an increased reimbursement (Cramér's V = 0.171), residents of long-term care facilities (Cramér's V = 0.090), recipients of domiciliary nursing care (Cramér's V = 0.121), and edentulous older adults (Cramér's V = 0.362). Conclusion: A significant proportion of older adults did not attend a dentist or only received curative care. Further research is needed to investigate whether health promotion campaigns and enhanced collaboration among health professionals can motivate these older adults to engage in preventive oral care.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"302-309"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145602955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evidence for effectiveness and economic benefit of fluoride varnish provided by non-dental health professionals: A systematic review. 非牙科卫生专业人员提供的氟化物清漆的有效性和经济效益的证据：一项系统评价。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-11-26 DOI: 10.1177/0265539X251400584

Tan Minh Nguyen, Tejashree Kangutkar, Clare Lin, Bradley Christian, Mark Gussy, Hanny Calache

{"title":"Evidence for effectiveness and economic benefit of fluoride varnish provided by non-dental health professionals: A systematic review.","authors":"Tan Minh Nguyen, Tejashree Kangutkar, Clare Lin, Bradley Christian, Mark Gussy, Hanny Calache","doi":"10.1177/0265539X251400584","DOIUrl":"10.1177/0265539X251400584","url":null,"abstract":"ObjectivesThis review aims to understand the effectiveness and/or economic benefit of non-dental health professionals providing fluoride varnish for the management of dental caries.MethodsThe population included all ages, countries and settings. Included studies were published between January 2000 and October 2024. Risk of study bias was conducted using the JBI Critical Appraisal Tools. Outcomes were reported following the narrative synthesis in systematic reviews framework.ResultsAfter screening 555 unique records, 16 papers met the study selection criteria. The majority of studies were from the United States (n = 15; 94%) and targeted children under 6 years old (n = 15; 94%). Most studies were rated as higher quality studies (n = 13; 81%). Most studies (n = 9/13) reported positive effects on dental caries related outcomes. Six studies reported positive effects on changing oral health behaviour. Three economic evaluation studies reported fluoride varnish interventions were more costly and more effective compared to 'no intervention', while cost-effectiveness was uncertain.ConclusionsFluoride varnish interventions provided by non-dental health professionals are effective, but whether they are cost-effective remains unclear. Trained non-dental professionals applying fluoride varnish can play a critical role in dental caries prevention.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"315-334"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145630970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parents' and caregivers' knowledge and attitudes toward the use of fluoride treatments and dental sealants in the Eastern Province of Saudi Arabia. 沙特阿拉伯东部省父母和照顾者对使用氟化物治疗和牙科密封剂的知识和态度。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-11-19 DOI: 10.1177/0265539X251400598

Diaa Almutairi, Elaf Alshamrani, Saeed Mastour Alshahrani, Abeer Alshamlan, Hutham Almugim, Maha A Alharbi, Mashael Alzayani, Wejdan Alharthy, Modhi Hakami, Amirah Almehmmadi, Reem Alnamshan, Shamayl Alqahtani, Raghad Al-Dera

{"title":"Parents' and caregivers' knowledge and attitudes toward the use of fluoride treatments and dental sealants in the Eastern Province of Saudi Arabia.","authors":"Diaa Almutairi, Elaf Alshamrani, Saeed Mastour Alshahrani, Abeer Alshamlan, Hutham Almugim, Maha A Alharbi, Mashael Alzayani, Wejdan Alharthy, Modhi Hakami, Amirah Almehmmadi, Reem Alnamshan, Shamayl Alqahtani, Raghad Al-Dera","doi":"10.1177/0265539X251400598","DOIUrl":"10.1177/0265539X251400598","url":null,"abstract":"Children's dental health is closely linked to the knowledge and practices of parents and caregivers, especially regarding caries prevention. This study aims to assess their knowledge and attitudes toward fluoride treatments and dental sealants for children aged 6 to 12 in the Eastern Province of Saudi Arabia. A cross-sectional study was conducted using convenience sampling to recruit parents and caregivers from the Eastern Province. Participants were invited to complete an online questionnaire shared via social media platforms such as Twitter, Facebook, and Snapchat. A total of 336 parents and caregivers from the Eastern Province participated. Most parents demonstrated good knowledge of caries prevention, especially regarding regular toothpaste use (97%), brushing (96.4%), and filling decayed teeth (85.4%). Awareness of fluoride mouthwash, fluoridated water, flossing, and professional fluoride application was lower (<70%). Regular dental visits (69.6%) and brushing children's teeth (88.4%) were common, while daily flossing (53.3%), professional fluoride application (59.2%), fluoride mouthwash use (51.8%), and consumption of fluoridated water (49.1%) were less frequent. Sealant application was reported by 61.3% of participants. While parents show strong engagement with basic dental care, gaps remain in understanding and utilizing additional preventive measures. Targeted educational efforts are recommended to raise awareness about fluoride applications, promote daily flossing, and encourage the establishment of a dental home by age one.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"263-271"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145556218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oral health and workforce efficiency: Analyzing productivity loss using NHANES data. 口腔健康和劳动力效率：使用NHANES数据分析生产力损失。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-11-20 DOI: 10.1177/0265539X251400505

Layla Abuljadayel, Mona Rajeh, Alaa Kabbarah, Dalia Meisha, Dania Sabbahi, Lina Bahanan, Heba Ashi, Mohamed Bamashmous

{"title":"Oral health and workforce efficiency: Analyzing productivity loss using NHANES data.","authors":"Layla Abuljadayel, Mona Rajeh, Alaa Kabbarah, Dalia Meisha, Dania Sabbahi, Lina Bahanan, Heba Ashi, Mohamed Bamashmous","doi":"10.1177/0265539X251400505","DOIUrl":"10.1177/0265539X251400505","url":null,"abstract":"Objective: Oral diseases impair quality of life and may contribute to reduced work productivity. This study aimed to estimate productivity loss due to oral health conditions and to examine its association with oral health conditions using data from the National Health and Nutrition Examination Survey (NHANES) during 2017-2018 and 2019-2020. Methods: A cross-sectional analysis of data from 6830 NHANES-participating adults ≥30 years who had received dental examinations and self-reported oral health-related productivity loss-was conducted. Oral health was measured using various proxy indicators such as self-rated oral health; periodontal disease awareness; bone loss; and the decayed, missing, and filled teeth (DMFT) index. Associations (odds ratios [OR]) with 95% confidence intervals (CI) for oral health problems were estimated using logistic regression models adjusted for demographic variables, with productivity loss as the dependent variable. Results: Of all the participants, 3.69% reported that they faced productivity problems frequently due to oral health problems. Poor self-rated oral health (OR = 17.76), self-reported bone loss around the teeth (OR = 1.56), and higher DMFT scores were significantly associated with productivity loss. Non-Hispanic Black participants reported greater productivity loss compared with non-Hispanic White participants (OR = 2.4). Conclusion: The study findings demonstrated that poor oral health-including periodontal disease, bone loss, and dental caries-was significantly associated with productivity loss among US adults. Addressing this problem by providing access to dental care and preventive measures can increase workforce productivity and reduce economic losses.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"272-279"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socioeconomic inequalities in the association between secondhand smoke exposure and tooth loss in Brazil. 巴西二手烟暴露与牙齿脱落之间的社会经济不平等关系。

IF 1.3 4区医学

Community dental health Pub Date : 2026-09-01 Epub Date: 2025-11-21 DOI: 10.1177/0265539X251400595

Leandro M Oliveira, Fernando L Kloeckner, Jaíne C Uliana, Karla Z Kantorski, Fabrício B Zanatta

{"title":"Socioeconomic inequalities in the association between secondhand smoke exposure and tooth loss in Brazil.","authors":"Leandro M Oliveira, Fernando L Kloeckner, Jaíne C Uliana, Karla Z Kantorski, Fabrício B Zanatta","doi":"10.1177/0265539X251400595","DOIUrl":"10.1177/0265539X251400595","url":null,"abstract":"ObjectiveTo determine if (a) secondhand smoke (SHS) exposure is associated with tooth loss and (b) such a relationship is modified by socioeconomic position (SEP).MethodsData were from the 2019 Brazilian National Health Survey. Zero-inflated negative binomial regression and binary logistic regression were employed to examine the association between monthly exposure to SHS at home or at work with extent of teeth lost and lack of functional dentition (FD), respectively. Effect Measure Modification (EMM) analyses and the simple slope test explored whether the association varied with levels of education, wealth, and income.ResultsThe sample comprised 53,295 never smoker adults. Those exposed to SHS had 4% (95% CI: 1.01; 1.07) more lost teeth, were 19% (95% CI: 0.72; 0.92) more likely to have lost teeth, and were 25% (95% CI: 1.06; 1.47) more likely to lack a FD. A super-additive association was found when comparing participants exposed to SHS with incomplete elementary school and those unexposed to SHS with complete higher education (relative excess risk due to interaction of 0.97 [95% CI: 0.45; 1.49]). Such an EMM was less noticeable when examining other SEP measures.ConclusionSHS exposure was consistently associated with tooth loss; however, there appear to be key differences according to education levels.","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"280-285"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0