Epidemiol Health.
2022;44(1):e2022091. 10.4178/epih.e2022091.
Incidence of edentulism among older adults using the Korean National Health Insurance Service database, 2013-2018
- Affiliations
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- 1Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, Korea
- 2Department of Dental Hygiene, Kyungpook National University, Sangju, Korea
- 3Department of Preventive Dentistry and Public Oral Health, Yonsei University College of Dentistry, Seoul, Korea
- 4Department of Health Convergence, Ewha Womans University, Seoul, Korea
- 5Department of Social and Humanity in Dentistry, Wonkwang University School of Dentistry, Iksan, Korea
- 6Department of Preventive Dentistry, Osaka University Graduate School of Dentistry, Osaka, Japan
- 7Institute for Translational Research in Dentistry, Kyungpook National University, Daegu, Korea
- KMID: 2541354
- DOI: http://doi.org/10.4178/epih.e2022091
Abstract
OBJECTIVES
Population aging is rapidly accelerating worldwide. Oral diseases related to aging are also on the rise. This study examined trends in the incidence of edentulism among the older Korean population using data from the Korean National Health Insurance Service (KNHIS).
METHODS
Data on older adults, aged ≥75 years of age, were obtained from the KNHIS for the period 2013-2018. Edentulism was defined as a treatment history of complete dentures in the KNHIS database. The exclusion criteria consisted of both disease codes and treatment codes related to conservative dental treatment, including periodontal and extraction treatment afterward. Crude incidence rates (CIRs) and age-standardized incidence rates (AIRs) with 95% confidence intervals were calculated and reported per 100,000 person-years by the direct method. Trends were tested by Cochrane Armitage models.
RESULTS
Statistically significant increasing trends in both CIRs and AIRs were found among the older Korean population registered in the KNHIS (CIRs, 707.92 to 895.92; AIRs, 705.11 to 889.68; p<0.01). The incidence tended to increase in both genders (p<0.01). Both CIRs and AIRs in specific regions also showed slight but significant annual increases except for Jeju Island (p<0.01 or <0.05). The incidence showed increasing trends (p<0.01) in all income quintiles apart from the highest quintile. The edentulism incidence was highest in the lowest income group (the first quintile).
CONCLUSIONS
Our data showed that the incidence of edentulism among the elderly showed an increasing trend from 2013 to 2018. This result provides a basis for future epidemiological studies on the incidence of edentulism in the older Korean population.
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