Depression as a Risk Factor for Denture Dissatisfaction - Dentures (Prosthodontics) Articles

Depression as a Risk Factor for Denture Dissatisfaction
2007
M.T. John1,*, W. Micheelis2, and J.G. Steele3
Journal of Dental Research

© 2007 International and American Associations for Dental Research

1 Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, 515 Delaware Street SE, Minneapolis, MN 55455, USA;
2 Institute of German Dentists, Universitâtsstr. 73, 50931 Kàln, Germany; and
3 Department of Restorative Dentistry, School of Dental Sciences, Framlington Place, University of Newcastle upon Tyne, Newcastle upon Tyne NE2 4BW, UK

* corresponding author, mtjohn@umn.edu

Depression is associated with impaired health outcomes. This study investigated whether there is a significant association between depression and dissatisfaction with dentures in older adults. In a population-based study (1180 adults aged 65Ò74 yrs), depression was measured by an abbreviated Geriatric Depression Scale. Denture dissatisfaction was assessed with a five-point Likert-type question ("very dissatisfied" to "very satisfied"). The depression-denture dissatisfaction association was analyzed with simple (dissatisfied vs. not dissatisfied outcome) and ordinal logistic regression (based on outcomeÌs full range). For each unit increase on the 15-point depression scale, the probability of denture dissatisfaction increased by 24% [95% confidence interval, 15Ò34%, P < 0.001 (simple logistic regression)] and the probability for higher levels on the five-point dissatisfaction scale increased by 16% [95% CI, 11Ò22%, P < 0.001 (ordinal logistic regression)], adjusted for potential confounding variables. The likely causal association in older adults has major implications for the evaluation of treatment effects and the demand for prosthodontic therapy.

KEY WORDS: depression Ô satisfaction Ô dentures Ô older adults Ô population-based study

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