ArticleAmerican journal of preventive medicine2023
Oral Health and Mortality Among Older Adults: A Doubly Robust Survival Analysis.
Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Deteriorated oral health and function as risk factors for physical disability and mortality in community-dwelling older adults: a systematic review and meta-analysis.European geriatric medicine · 2026Pooled it
- Identifying High-Priority Profiles for Edentulism and Other Health Outcomes Through Population-Based Clustering.AJPM focus · 2026Article
- Periodontitis and all-cause mortality in 60- and 66-year-old individuals: a 23-year prospective cohort study.Acta odontologica Scandinavica · 2026Article
- Dental healthcare utilization and mortality: a population-based prospective cohort study in southern Sweden.Acta odontologica Scandinavica · 2026Article
- Association between dental caries and self-reported COPD prevalence in U.S. adults ages ≥ 60-year: a cross-sectional analysis of NHANES 2015-2020.Journal of oral microbiology · 2026Article
- Oral health and healthy aging: A multiregional review.JAR life · 2026Review
- Could periodontitis be associated with overall and cancer-specific mortality risk; a 35-year Swedish cohort study.Acta odontologica Scandinavica · 2025Article
- Edentulism as an independent risk factor for sarcopenia: evidence from cross-sectional and longitudinal analyses based on the CHARLS cohort.BMC oral health · 2025Article
- The influence of negative wealth shock on depressive symptoms and major depressive episode among older adults.SSM - population health · 2025Article
- A Novel Therapeutic Calcium Peroxide Loaded Injectable Bio-adhesive Hydrogel Against Periodontitis.International dental journal · 2025Article
- Uncovering the Biological Toll of Neighborhood Physical Disorder: Links to Metabolic and Inflammatory Biomarkers in Older Adults.medRxiv : the preprint server for health sciences · 2024Article
- Periodontitis and dental quality of life predict long-term survival in head and neck cancer.BMC oral health · 2024Article
- Article
- Research hotspots and trends of oral health in older adults from 2013 to 2023: A bibliometric and visual analysis.Heliyon · 2024Article
- Advancing Universal Oral Health Coverage via Person-Centred Outcomes.International dental journal · 2023Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionEvidence on the association between oral health and mortality is inconclusive, and few studies have accounted for the nonrandom selection bias in estimating their relationship. This study aims to investigate the link between oral health and mortality in community-dwelling older adults by adjusting for confounding factors with a doubly robust survival estimation.
methodsData came from the third National Health and Nutrition Examination Survey (1988-1994) and were linked to the National Death Index mortality data through December 2015. The analytic sample consisted of 4,880 adults aged ≥60 years. Oral health measures included objective clinical indicators (edentulism, periodontitis, and untreated dental caries) and self-rated oral health. Cox proportional hazards regression models and inverse probability weighting with regression adjustment for observational survival-time estimation were utilized to assess the relationship between oral health and mortality. Analyses were conducted in 2021.
resultsEdentulism (average treatment effect= -26.13, 95% CI= -48.69, -3.57) was associated with a reduction in survival time. Periodontal conditions and dental caries were related to all-cause mortality in Cox models but became nonsignificant when inverse probability weighting with regression adjustment survival estimation was applied. Good self-rated oral health was significantly related to an increase in survival time (average treatment effect=21.50; 95% CI= 4.92, 38.07).
conclusionsBoth objective and subjective oral health are risk factors for mortality among older adults. Improving access to dental screening and treatment among community-dwelling older adults has the potential to reduce oral health‒related risks of mortality.
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