Factors Associated With Tooth Loss in Periodontal Maintenance Patients: A Retrospective Study

Authors

Nicholas D. Stolze, University of Nebraska Medical CenterFollow
Randin A. Rawlings, University of Nebraska Medical CenterFollow
W. Edward Hardy, University of Nebraska Medical CenterFollow
Kaeli K. Samson, University of Nebraska Medical CenterFollow
Laura E. Ruiz, University of Nebraska Medical CenterFollow
Bobbie J. Fowler, University of Nebraska Medical CenterFollow
Kavya Shankar Muttanahally, University of Nebraska Medical CenterFollow
Jeffrey B. Payne, University of Nebraska Medical CenterFollow

ORCID (Optional)

Nicholas D. Stolze 0009-0003-8951-0305

Randin A. Rawlings 0009-0006-9210-9426

W. Edward Hardy 0009-0004-1263-7479

Kaeli K. Samson 0000-0001-6446-7695

Laura E. Ruiz 0009-0006-2364-6252

Bobbie J. Fowler 0009-0003-9580-0587

Kavya Shankar Muttanahally 0000-0002-7109-1734

Jeffrey B. Payne 0000-0001-9920-7746

Document Type

Original Report

Disciplines

Dentistry | Medicine and Health Sciences | Periodontics and Periodontology

Abstract

Background. Tooth retention is related to overall health and quality of life. Thus, it is important to understand factors associated with tooth loss. The objective of this cross-sectional study was to evaluate associations between systemic and oral factors with tooth loss in a retrospective study of periodontal maintenance patients.

Methods. Periodontal maintenance patients seen in both 2013 and 2019 at the University of Nebraska Medical Center College of Dentistry were included. Demographic data, smoking status, diabetes status, periodontitis stage and extent, medication use, alveolar bone height, probing depths, and tooth mobility were recorded from the electronic dental record. Adjusted odds ratios (AORs) for tooth loss and their associated 95% confidence intervals (CIs) were derived from a logistic regression, which included age, gender, smoking status, diabetes, periodontitis stage and extent, and antidepressant usage.

Results. After adjusting for covariates, patients taking an antidepressant at baseline had 2.68 (95% CI, 1.30 to 5.50) times the odds of losing at least one tooth during the study period than patients who did not. Similarly, a higher adjusted odds of losing at least one tooth was associated with older age (in decades; AOR = 1.33; 95% CI, 1.06 to 1.66), a baseline diagnosis of diabetes (AOR = 2.55; 95% CI, 1.15 to 5.65), and higher baseline periodontitis stage (AOR = 2.66; 95% CI, 1.36 to 5.21).

Conclusion. Our study contributes evidence for the association between antidepressant usage and tooth loss in periodontal maintenance patients. In addition, age, diabetes, and periodontitis stage at baseline were associated with tooth loss. It is recommended that dentists and physicians leverage collaborative strategies to improve tooth retention in patients with periodontitis.

DOI

https://doi.org/10.32873/unmc.dc.gmerj.7.2.009

Keywords

Tooth loss, antidepressant, age, periodontitis, diabetes, smoking

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Recommended Citation

Stolze, N. D., Rawlings, R. A., Hardy, W., Samson, K. K., Ruiz, L. E., Fowler, B. J., Muttanahally, K., , Payne, J. B. Factors Associated With Tooth Loss in Periodontal Maintenance Patients: A Retrospective Study. Graduate Medical Education Research Journal. 2025 Dec 31; 7(2).
https://digitalcommons.unmc.edu/gmerj/vol7/iss2/9