Evidence map›Paper›PMID 33303491›Full record

ArticleFamily medicine and community health2020

Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009-2014.

Muath Aldosari, Mohammad Helmi, Erinne N Kennedy, Riddhi Badamia, Satomi Odani, Israel Agaku, Constantine Vardavas

Open access · diamondAbstract read
In one paragraph

Article in Family medicine and community health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 4 countries.

Muath AldosariPeriodontics and Community Dentistry, King Saud University College of Dentistry, Riyadh, Saudi Arabia amuath@ksu.edu.sa.ORCID 0000-0002-2200-2408
Mohammad HelmiPeriodontics and Community Dentistry, King Saud University College of Dentistry, Riyadh, Saudi Arabia.
Erinne N KennedyOral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Riddhi BadamiaOral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Satomi OdaniSchool of Medicine, University of Crete, Heraklion, Crete, Greece.
Israel AgakuOral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Constantine VardavasOral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Harvard University · USCenters for Disease Control and Prevention · USKing Saud University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate the association between self-reported depressive symptoms and oral diseases in US adults, including periodontitis, caries, missing teeth and untreated dental caries.

designThis study was designed as a secondary data analysis of a cross-sectional survey. We conducted descriptive, multivariable logistic and Poisson regression analyses on weighted data.

settingUS National Health and Nutrition Examination Survey 2009-2014 data.

participantsIndividuals aged ≥30 years who completed a periodontal examination and depression screening (n=9799).

results21.6% (28.9 million) of adults aged ≥30 years reported depressive symptoms, with a higher prevalence among females, current smokers and participants with lower income and education status. More than half of the adults with moderate depressive symptoms had periodontal diseases, and more than one-third had teeth with untreated dental caries. After adjusting for sociodemographics, behavioural factors, having diabetes and psychotherapeutic medication use, depressive symptoms were associated with poorer oral health. Severe depressive symptoms were associated with higher odds of mild periodontitis (2.20; 99% CI 1.03 to 4.66). For those with mild depressive symptoms, the mean number of missing teeth was 1.20 (99% CI 1.06 to 1.37) times the average of non-symptomatic individuals; and 1.38 times (99% CI 1.15 to 1.66) among individuals with moderate depressive symptoms.

conclusionsDepressive symptoms were associated with mild periodontitis and a greater number of missing teeth, while having teeth with untreated dental caries was attributed to sociodemographic factors. Awareness of oral health status among patients with depressive symptoms can inform both dental and mental health providers to develop tailored treatment and help patients achieve overall wellness.

Indexed as

AdultAgedAnimalsCross-Sectional StudiesDental CariesDepressionFemaleHumansMaleMiddle AgedNutrition SurveysOral HealthPeriodontitisPoisson DistributionSelf ReportTooth Lossdepressionoral health

Identifiers

PMID33303491
PMCPMC7733179
OpenAlexW3113189668

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.