Evidence map›Paper›PMID 40457379›Full record

ArticleBMC oral health2025

Associations between cumulative exposure to potentially traumatic events and self-reported oral health in the Tromsø Study: Tromsø7.

Hege Nermo, Jeppe Bjørnskov Goll, Simen Isaksen, Sigurd Eggen Trondsen, Kamilla Rognmo, Jens C Thimm, Catharina Elisabeth Arfwedson Wang, Tiril Willumsen, Jan-Are K Johnsen

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Hege NermoThe Public Dental Health Competence Center of Northern Norway, Tromsø, Norway. hege.nermo@uit.no.ORCID http://orcid.org/0000-0002-1434-1573
Jeppe Bjørnskov GollNordland Hospital Trust, Bodø, Norway.
Simen IsaksenNordland Hospital Trust, Bodø, Norway.
Sigurd Eggen TrondsenHelgeland Hospital Trust, Mo i Rana, Norway.
Kamilla RognmoDepartment of Psychology, UiT The Arctic University of Norway, Tromsø, Norway.
Jens C ThimmDepartment of Psychology, UiT The Arctic University of Norway, Tromsø, Norway.
Catharina Elisabeth Arfwedson WangDepartment of Psychology, UiT The Arctic University of Norway, Tromsø, Norway.
Tiril WillumsenDepartment of Pediatric Dentistry and Behavioural Science, University of Oslo, Oslo, Norway.
Jan-Are K JohnsenDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPotentially Traumatic Events (PTEs), such as accidents, childhood neglect or abuse, can affect mental and physical health. The study investigated the association between PTEs and self-reported oral health (SROH), focusing on cumulative exposure to multiple events, the types of events, and the timing of exposure.

methodsData were collected from the seventh survey of the Tromsø Study, which invited all residents over 40 in Tromsø, Norway. A total of 21,069 participants took part, comprising 47,5% male and 52,5% female respondents, who completed assessments of PTEs and SROH. Chi-square (Χ²) tests evaluated unadjusted associations, and a series of logistic regression models were employed to investigate the association of PTEs with poor SROH, controlling for sociodemographic variables, emotional distress, and oral health-related behaviours.

findingsThe likelihood of reporting poor SROH was higher among those who experienced more PTEs, and this relationship persisted after adjusting for sex, age, socioeconomic status, oral health-related behaviour, dental anxiety, emotional distress and adverse dental events. Subsequent analyses differentiated the associations by type and timing (before and after age 18) of events. Interpersonal events involve direct interactions with others (e.g., abuse, bullying), while impersonal events refer to broader circumstances (e.g., accidents, natural disasters). Adverse dental events, classified as impersonal events, demonstrated the strongest association with poor SROH. The associations between interpersonal events and poor SROH varied more depending on covariates than impersonal events. The association strengthened when adjusting for sociodemographic factors but weakened when accounting for oral health behaviours, dental anxiety, and emotional distress. Notably, impersonal events occurring before age 18 were consistently associated with poor SROH across all models.

conclusionsExperiencing multiple PTEs throughout life is associated with poor SROH. Among the various PTEs, adverse dental events showed the strongest association with poor SROH, emphasising the importance of addressing dental care's emotional and psychological aspects, particularly in paediatric settings, to support long-term oral health outcomes. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Life Change EventsOral HealthAccidentsAdultAgedFemaleHumansMaleMiddle AgedNorwaySelf ReportDental anxietyDental healthOral healthPotentially traumatic eventsPublic healthTrauma-informed care

Identifiers

PMID40457379
PMCPMC12131559

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Registered trials

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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.