The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Relationship between usage of removable denture and depression in Korean adults with loss of multiple teeth: A cross-sectional study using the seventh Korea National Health and Nutrition Examination Survey

다수 치아를 상실한 한국 성인에서 가철성 의치의 장착 여부와 우울증의 연관성: 국민건강영양조사 제 7기 자료를 활용한 단면 연구

  • Shim, Jaeseung (Department of Prosthodontics, Graduate School, Kyung Hee University) ;
  • Lee, Younghoo (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Hong, Seoung-Jin (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Noh, Kwantae (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Pae, Ahran (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Paek, Janghyun (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 심재승 (경희대학교 대학원 치의학과 치과보철학 전공) ;
  • 이영후 (경희대학교 치과대학 치과보철학교실) ;
  • 홍성진 (경희대학교 치과대학 치과보철학교실) ;
  • 노관태 (경희대학교 치과대학 치과보철학교실) ;
  • 배아란 (경희대학교 치과대학 치과보철학교실) ;
  • 김형섭 (경희대학교 치과대학 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학 치과보철학교실) ;
  • 백장현 (경희대학교 치과대학 치과보철학교실)
  • Received : 2020.07.10
  • Accepted : 2020.10.14
  • Published : 2021.01.29
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Abstract

Purpose: The purpose of this study is to evaluate the relationship between removable denture and depression. This study aims to investigate the relationship between depression and each group by dividing them into a group that were using removable dentures and a group that needed removable dentures but were not using removable dentures. Materials and methods: This study was conducted using raw data from the 7th Korea National Health and Nutrition Examination Survey (KNHNES). By using variables related to the state of the prosthesis and the need for prosthesis among oral examination data, the oral examination data were classified into two groups; group using removable denture and group in need of removable dentures. In addition, the variables of depression were classified into normal (0-4), mild depression (5-9), moderate depression (10-19), and severe depression (20-27) using the values of PHQ-9. For statistical analysis, logistic regression analysis was performed using SAS 9.4. Results: In the group in need of removable dentures, the risk of severe depression was statistically and significantly higher than the group using removable dentures. Conclusion: In patient who have lost multiple teeth, rehabilitation of the missing area with removable dental prosthesis is expected to decrease the occurrence of severe depression.

목적: 이 연구의 목적은 가철성 의치 장착 여부와 우울증의 연관성을 평가하는 것이다. 가철성 의치를 장착한 군과 가철성 의치의 장착이 필요하나 사용하지 않은 군으로 구분하여 각 군과 우울증의 관련성에 대해 알아보고자 한다. 대상 및 방법: 국민건강영양조사(Korea National Health and Nutrition Examination Survey, KNHNES) 제 7기 원시자료를 활용하였다. 가철성 의치의 장착에 관한 자료로는 구강검진자료 중 보철물 상태, 보철물 필요 여부에 관한 변수를 이용하여 가철성 의치를 사용하고 있는 군, 가철성 의치가 필요한 군으로 분류하였다. 그리고 우울증에 관한 변수로는 PHQ-9의 값을 활용하여 정상(0-4), 경증 우울증(5-9), 중등도 우울증(10-19), 중증 우울증(20-27)로 구분하였다. 통계 분석은 SAS 9.4를 이용하여 로지스틱 회귀분석을 시행하였다. 결과: 가철성 의치 장착 필요군에서, 가철성 의치를 장착하고 있는 군과 비교하여 중증 우울증의 위험이 통계적으로 유의하게 높았다. 결론: 가철성 의치를 이용한 치료는 다수의 치아를 상실한 환자에게 중증 우울증 발병의 가능성을 줄일 수 있을 것으로 기대된다.

Keywords

References

  1. Carr AB, Brown DT. McCracken's removable partial prosthodontics. 12th ed. St. Louis; Elsevier Mosby; 2011.
  2. Shillingburg, HT, Sather DA, Wilson Jr, EL, Cain, JR, Mitchel DL, Blanco LJ. Fundamentals of fixed prosthodontics. 4th ed. Chicago; Quintessence; 2012.
  3. Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes 2010;8:126. https://doi.org/10.1186/1477-7525-8-126
  4. Riekman GA, el Badrawy HE. Effect of premature loss of primary maxillary incisors on speech. Pediatr Dent 1985;7:119-22.
  5. Okoro CA, Strine TW, Eke PI, Dhingra SS, Balluz LS. The association between depression and anxiety and use of oral health services and tooth loss. Community Dent Oral Epidemiol 2012;40:134-44.
  6. Okamoto N, Morikawa M, Tomioka K, Yanagi M, Amano N, Kurumatani N. Association between tooth loss and the development of mild memory impairment in the elderly: the Fujiwara-kyo study. J Alzheimers Dis 2015;44:777-86. https://doi.org/10.3233/JAD-141665
  7. Kanasi E, Ayilavarapu S, Jones J. The aging population: demographics and the biology of aging. Periodontol 2000 2016;72:13-8. https://doi.org/10.1111/prd.12126
  8. Choi C, Bum CH. Physical leisure activity and work for quality of life in the elderly. J Phys Educ Sport 2019;19:1230-5.
  9. American Psychiatiric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA; American Psychiatric Association; 2013.
  10. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1789-858. https://doi.org/10.1016/s0140-6736(18)32279-7
  11. Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJ, Vos T, Whiteford HA. Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLoS Med 2013;10:e1001547. https://doi.org/10.1371/journal.pmed.1001547
  12. Onyike CU, Crum RM, Lee HB, Lyketsos CG, Eaton WW. Is obesity associated with major depression? Results from the Third National Health and Nutrition Examination Survey. Am J Epidemiol 2003;158:1139-47. https://doi.org/10.1093/aje/kwg275
  13. de Groot M, Anderson R, Freedland KE, Clouse RE, Lustman PJ. Association of depression and diabetes complications: a meta-analysis. Psychosom Med 2001;63: 619-30. https://doi.org/10.1097/00006842-200107000-00015
  14. Sarfo FS, Jenkins C, Singh A, Owolabi M, Ojagbemi A, Adusei N, Saulson R, Ovbiagele B. Post-stroke depression in Ghana: Characteristics and correlates. J Neurol Sci 2017;379:261-5. https://doi.org/10.1016/j.jns.2017.06.032
  15. Sararoudi RB, Motmaen M, Maracy MR, Pishghadam E, Kheirabadi GR. Efficacy of illness perception focused intervention on quality of life, anxiety, and depression in patients with myocardial infarction. J Res Med Sci 2016;21:125. https://doi.org/10.4103/1735-1995.196607
  16. Richardson LP, Lozano P, Russo J, McCauley E, Bush T, Katon W. Asthma symptom burden: relationship to asthma severity and anxiety and depression symptoms. Pediatrics 2006;118:1042-51. https://doi.org/10.1542/peds.2006-0249
  17. Shin HS, Ahn YS, Lim DS. Association between chewing difficulty and symptoms of depression in adults: Results from the Korea National Health and Nutrition Examination Survey. J Am Geriatr Soc 2016;64:e270-8. https://doi.org/10.1111/jgs.14502
  18. Hwang SH, Park SG. The relationship between depression and periodontal diseases. Community Dent Health 2018;35:23-9.
  19. Kwon SH, Kim HG. Influencing factors on anxiety and depression before and after dental prosthetic treatment in the patients. J Korean Soc Dent Hyg 2015;15:777-86. https://doi.org/10.13065/jksdh.2015.15.05.777
  20. Xie Q, Ding T, Yang G. Rehabilitation of oral function with removable dentures-still an option? J Oral Rehabil 2015;42:234-42. https://doi.org/10.1111/joor.12246
  21. Bessadet M, Nicolas E, Sochat M, Hennequin M, Veyrune JL. Impact of removable partial denture prosthesis on chewing efficiency. J Appl Oral Sci 2013;21:392-6. https://doi.org/10.1590/1679-775720130046
  22. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001;16:606-13. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  23. Moon E, Sakong JK, Jung SW, Sung HM, Lee JY, Koo BH, Kim YT, Shin IH, Cho H, Kim DH, Kim MK, Choi JS, Jung IM, Kim JB. Development of clinical guideline for the diagnosis and evaluation of depression: focused on evaluation guideline. J Korean Neuropsychiatr Assoc 2014;53:24-31. https://doi.org/10.4306/jknpa.2014.53.1.24
  24. Han C, Jo SA, Kwak JH, Pae CU, Steffens D, Jo I, Park MH. Validation of the patient health questionnaire-9 Korean version in the elderly population: the Ansan geriatric study. Compr Psychiatry 2008;49:218-23. https://doi.org/10.1016/j.comppsych.2007.08.006
  25. Schutt PE, Kung S, Clark MM, Koball AM, Grothe KB. Comparing the Beck Depression Inventory-II (BDI-II) and Patient Health Questionnaire (PHQ-9) depression measures in an outpatient bariatric clinic. Obes Surg 2016;26:1274-8. https://doi.org/10.1007/s11695-015-1877-2
  26. Roohafza H, Afghari P, Keshteli AH, Vali A, Shirani M, Adibi P, Afshar H. The relationship between tooth loss and psychological factors. Community Dent Health 2015;32:16-9.
  27. Cho MJ, Ma JK. Relationship between the number of remaining teeth and depression in Korean adults. J Korean Soc Dent Hyg 2016;16:19-25. https://doi.org/10.13065/jksdh.2016.16.01.19
  28. Yang CM, Baek JW. Association of depression with chewing problems in Koreans: A cross-sectional study using the Korea National Health and Nutrition Examination Survey 2016. J Dent Rehabil Appl Sci 2020;36:12-20. https://doi.org/10.14368/jdras.2020.36.1.12
  29. Park YR, Son YJ. Relationship of satisfaction with appearance, self-esteem, depression, and stress to health related quality of life in women across the lifespan. J Korean Acad Fundam Nurs 2009;16:353-61.

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