Association between shortened dental configurations and health outcomes: a scoping review
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Universidade Federal de Minas Gerais
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This study mapped defnitions of shortened dental confgurations and health outcomes employed in association
studies. A scoping review was conducted using the PubMed/Medline, Scopus, Web of Science, SciELO and Cochrane
databases. Two trained researchers selected studies and extracted data. Studies that investigated the association
between shortened dental confgurations (exposure) and person-centered outcomes (general and oral health) related
to health behavior (dietary patterns). Clinical outcomes were classifed according to the International Classifcation
of Functioning, Disability and Health and the International Classifcation of Diseases of the World Health Organization
(WHO). Shortened dental confgurations were defned as at least 20/21 teeth or the position of the teeth, including esthetics, dental occlusion and periodontal status (Eichner Index, Shortened Dental Arches, Functional Dentition
Classifcation System, Posterior Occluding Pairs, Functional Tooth Units). The initial search resulted in 12,525 records
in English, Portuguese and Spanish, 432 of which addressed the association of interest. General health (n = 203)
and oral health (n = 201) were addressed in a similar number of studies. Most outcomes were related to general
health (n = 184), the most frequent of which were endocrine, nutritional or metabolic diseases (n = 57) and mental
functions (n = 26). Person-centered measures were addressed in 153 studies, most of which were about oral health
and oral health-related quality of life (n = 62). Oral health outcomes were predominantly related to intake functions
(n = 44) and diseases or disorders of the orofacial complex (n = 24). Dietary patterns (n = 43) and mortality (n = 38)
were also studied. The cross-sectional design (n = 257) and non-probabilistic sampling (n = 218) were more frequent.
The shortened dental confgurations defned by the WHO were the most frequent in the studies (n = 206). The efects
of shortened dental confgurations have been investigated mainly in relation to endocrine, nutritional or metabolic
diseases and measures of oral health-related quality of life. The fndings point to a diversity of health outcomes
assessed and substantial methodological variability.
Abstract
Assunto
Dental arch, Dental occlusion, Dentition, Patient satisfaction, Quality of life
Palavras-chave
Health, Oral health, Quality of life, Review, Dental arch, Patient satisfaction
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https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-023-03714-4