Effect of dental practice characteristics on racial disparities in patient-specific tooth loss

Medical Care
Gregg H GilbertMark S Litaker

Abstract

The objective of this study was to test the hypothesis that dental practice characteristics are associated with tooth loss incidence with both tooth-specific and patient-specific characteristics already taken into account. A population-based prospective cohort study was conducted. In-person interviews and clinical examinations were done at baseline, 24, and 48 months, with telephone interviews every 6 months. Practices that coincidentally served participants in the study completed practice characteristics questionnaires. To increase inferential power when testing practice-level effects, detailed tooth-specific and patient-specific data were simultaneously taken into account in tests for association between practice-level effects and tooth loss. Data were from the Florida Dental Care Study. The key health outcome was tooth loss, a leading measure of a population's oral health. Eight hundred seventy-three African-Americans and non-Hispanic whites who had at least 1 tooth. Certain practice characteristics were associated with tooth loss, including the racial mix of the practice's patient population; persons who attended practices with higher percentages of African-Americans were more likely to receive a dental extraction regardles...Continue Reading

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Citations

Oct 12, 2012·Journal of Dental Research·N KakudateV V Gordan
Dec 4, 2009·Operative Dentistry·Valeria V GordanUNKNOWN DPBRN Collaborative Group
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