ArticleInternational dental journal2019
Income or education, which has a stronger association with dental implant use in elderly people in Japan?
Article in International dental journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Patient Expectations and Dentists' Perceptions of Those Expectations in Dental Implant Therapy: A Mirror-Design Study.Healthcare (Basel, Switzerland) · 2026Article
- Prosthetic restoration patterns and patient satisfaction among partially dentate adults in Jordan: a cross-sectional correlational study.BMC oral health · 2026Article
- Oral Health and Social Isolation After 6 Years: Mediation of Oral Functions.Community dentistry and oral epidemiology · 2026Article
- Clinical Success Rates of Dental Implants with Bone Grafting in a Large-Scale National Dataset.Journal of functional biomaterials · 2026Article
- Article
- Prevalence and associated factors of dental implant use in adults and older adults according to self-report and clinical examination: population-based study, SB Brasil 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Income-related inequalities in the association of obesity and periodontal disease: a register-based cross-sectional analysis in the Tokyo metropolitan districts.Clinical oral investigations · 2025Article
- Oral function status of older patients seeking dental implant treatment.International journal of implant dentistry · 2024Article
- A cross-sectional survey of patient's perception and knowledge of dental implants in Japan.International journal of implant dentistry · 2022Article
- Sociodemographic Factors and Implant Consideration by Patients Attending Removable Prosthodontics Clinics.BioMed research international · 2022Article
- Effects of dental implant treatment on sleep quality in edentulous older people: A prospective cohort study.Medicina oral, patologia oral y cirugia bucal · 2021Article
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Authors and funding
8 authors.
Funding
Abstract
objectivesAlthough inequalities in dental implant use based on educational level have been reported, no study has used income as a proxy for the socioeconomic status. We examined: (i) income inequalities in implant use; and (ii) whether income or education has a stronger association with implant use in elder Japanese.
methodsIn 2016, a self-reported questionnaire was mailed to participants aged 65 years or older living across Japan as part of the ongoing Japan Gerontological Evaluation Study. We used data from 84,718 respondents having 19 or fewer teeth. After multiple imputation, multi-level logistic regression estimated the association of dental implant use with equivalised income level and years of formal education. Confounders were age, sex, and density of dental clinics in the residential area.
results3.1% of respondents had dental implants. Percentages of dental implant use among the lowest (≤ 9 years) and highest (≥ 13 years) educational groups were 1.8 and 5.1, respectively, and among the lowest (0 < 12.2 '1,000 USD/year') and highest (≥ 59.4 '1,000 USD/year') income groups were 1.7 and 10.4, respectively. A fully adjusted model revealed that both income and education were independently associated with dental implant use. Odds ratios for implant use in the highest education and income groups were 2.13 [95% CI = 1.94-2.35] and 4.85 [95% CI = 3.78-6.22] compared with the lowest education and income groups, respectively. From a model with standardised variables, income showed slightly stronger association than education.
conclusionThis study reveals a public health problem that even those with the highest education but low income might have limited accessibility to dental implant services.
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