Autoren

Schützhold, Svenja

Holtfreter, Birte

Hoffmann, Thomas

Kocher, Thomas

Micheelis, Wolfgang


Schlagwörter

National oral health studies

Dental caries

Adult

Epidemiologic studies

Cross-sectional survey

Publikation — Zeitschriftenbeiträge

Titel
Trends in dental health of 35- to 44-year-olds in West and East Germany after reunification

Titel kurz
J Public Health Dent

Titel Ausgeschrieben
Journal of Public Health Dentistry

ISSN
1752-7325 (Electronic); 0022-4006 (Linking)

Jahr
2013

Ausgabe
73

Issue
1

Seitenzahl
65-73

Erscheinungsdatum
01.01.2013

DOI
10.1111/jphd.12007

Trends in den­tal health of 35- to 44-​year-olds in West and East Ger­many after re­uni­fi­ca­ti­on

OBJECTIVES: The German reunification (1990) resulted in huge social upheavals in East Germany involving changes in health-care systems. We aimed to assess the changes of dental health between 1989 and 2005, hypothesizing that dental health converged in West and East Germany.

METHODS: We evaluated data from 855 East and 1,456 West Germans aged 35-44 years from the cross-sectional German Oral Health Studies (Deutsche Mundgesundheitsstudien) conducted in 1989/92, 1997, and 2005. Regression models were applied to assess associations between region, survey year, their interactions and variables assessing dental disease status [number of decayed (DT), missing (MT), and filled teeth (FT), the DMFT-index, the probability of having </= 20 teeth and the number of sound teeth (ST)], adjusting for potential risk factors for caries.

RESULTS: After a slight increase of MT between 1989/92 and 1997 (West: 3.6 to 3.6; East: 4.5 to 4.9), numbers of MT considerably decreased between 1997 and 2005 (West: 3.6 to 2.2; East: 4.9 to 3.1). East Germans had consistently more MT. Numbers of FT, DT, ST, and the DMFT-index equalized at the latest in 2005. The East German DMFT-index increased between 1989/92 and 1997 and slightly decreased between 1997 and 2005, whereas the West German DMFT-index steadily decreased between 1989/92 and 2005.

CONCLUSIONS: Dental health converged in West and East Germany, but the higher number of MT in 2005 indicates that East Germany was not able to catch up completely with West Germany.







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