The number of teeth remaining in adults was evaluated with specific reference to the frequency of tooth-brushing. The sample consisted of 5028 dentate subjects, representing the Finnish population aged 30 years and older. Their mean age was 47.5 years. The presence or absence of each individual tooth was recorded. A total of 91,332 teeth was registered. Forty-eight per cent of the women had retained no fewer than 21 teeth, 20% had 20-11 teeth, and 32% had 10-1 teeth. For men the percentages were 52%, 23%, and 25%, respectively. The number of a subject's remaining teeth was strongly related to the frequency to tooth-brushing (p less than 0.001). The more frequent it had been, the more teeth the subjects, both women and men, had retained. This trend was also seen for the teeth in each jaw, and even for type of tooth. The trend was also present when the number of teeth was analyzed in accordance with a subject's income.
The aim of this study, which was part of the Mini-Finland Oral Health Survey, was to evaluate the effect of smoking on periodontal condition in the Finnish adult population. A representative sample was drawn from the population aged 30 years and over. The total number of subjects was 8000, 90% of whom participated in the clinical examination. Periodontal diagnoses were made according to the modified Periodontal Treatment Need System (PTNS). Information about age, toothbrushing, and smoking habits was collected by personal interviews. When the sample was divided into two groups (with and without periodontal pockets), the overall risk ratio (RR) was 1.39 and was slightly higher for men than for women. A log-linear model was used to study simultaneous associations and interactions between smoking, periodontal disease, and some background factors. In this model, smoking had not significantly affected the periodontal condition.
Using a representative sample of 5028 dentulous Finnish adults the occurrence of dental caries was studied among removable partial denture (RPD) wearers and non-wearers. Of the subjects wearing no RPD(s) 61.4% had one or more carious teeth, among those wearing a single RPD the figure was 60.5% and among those wearing RPDs in both jaws 62.7%, respectively. When sociodemographic background, other oral status measures than caries and oral health care habits were simultaneously controlled, subjects wearing RPDs in both jaws had slightly increased (P less than 0.05) probability of having one or more carious teeth compared to those with no RPD(s). Subjects with a single RPD did not have a statistically significantly increased probability of having carious teeth. Among those 3075 subjects who had one or more carious teeth the wearing of one or two RPDs did not significantly increase the number of carious teeth. Because the subjects wearing RPDs in both jaws were seen to have a slightly increased risk of having caries, this confirms the view that dentists should emphasize good oral hygiene habits and regular dental attendance among RPD wearers.
Using a representative sample of 5028 dentulous Finnish adults the occurrence of periodontal pockets was studied separately for the maxillae and the mandibles among removable partial denture (RPD) wearers and non-wearers. RPD(s) were worn in 11.2% of the 3444 maxillae with at least four natural teeth remaining, and in 7.7% of the 4706 corresponding mandibles (P less than 0.001). Periodontal pockets were more frequently observed in maxillae than mandibles. Wearing of RPDs highly significantly (P less than 0.0001) increased the odds of having periodontal pockets in general (4 mm or more) as well as the odds of having deeper periodontal pockets (exceeding 6 mm). This phenomenon was observed both in the maxillae and in the mandibles. These results suggest that wearing of RPD is a threat to periodontal tissues and that dentists should take care to frequently recall their patients fitted with RPD(s). During the recall visits more attention should be paid to the periodontal conditions of patients wearing RPD(s).