JDR CTR publishes systematic review that shows an association between tooth loss and reduced cognitive function in adults.
The International and American Associations for Dental Research (IADR/AADR) have published an article titled “Tooth Loss Increases the Risk of Diminished Cognitive Function: A Systematic Review and Meta-analysis” in the OnlineFirst portion of the JDR Clinical & Translational Research. In it, Cerutti-Kopplin et al systematically assessed the association between oral health and cognitive function in adult populations.
The increase of cognitive impairment and its pathologic correlates, such as dementia and Alzheimer’s disease, in aging populations is progressing worldwide and creating a significant burden on health systems. Better insight into the nature and extent of the association between oral health and cognitive function is of great importance since it could lead to preventive interventions for cognitive performance. Therefore, the objective of this review was to systematically examine if tooth loss leads to cognitive impairment and its most prevalent pathologic correlate (dementia).
Eligible study reports were identified by searching the MEDLINE (via Ovoid), EMBASE, PsycoINFO and Cochrane Library databases. Pooled hazard ratios with 95 percent confidence intervals were calculated with a random effects model. From 1,251 identified articles, 10 were included in the systematic review and eight in the meta-analysis. Random effects analysis showed, with statistically low heterogeneity, that individuals with less than 20 teeth were at a 20 percent higher risk for developing cognitive decline (hazard ratios equal 1.26, 95 percent confidence intervals equal 1.14 to 1.40) and dementia (hazard ratios equal 1.22, 95 percent confidence intervals equal 1.04 to 1.43) than those with greater than or equal to 20 teeth.

Based on the published literature, the results of this study show that the risk for cognitive impairment and dementia increases with loss of teeth. This information suggests that oral health strategies aimed to preserve teeth may be important in reducing risk of systemic disease.
Source: Ingrid Thomas – International & American Association for Dental Research
Image Credit: The image is in the public domain.
Original Research: Abstract for “Tooth Loss Increases the Risk of Diminished Cognitive Function: A Systematic Review and Meta-analysis” by D. Cerutti-Kopplin, J. Feine, D.M. Padilha, R.F. de Souza, M. Ahmadi, P. Rompré, L. Booij, and E. Emami in JDR Clinical & Translational Research. Published online February 26 2016 doi:10.1177/2380084416633102
Abstract
Tooth Loss Increases the Risk of Diminished Cognitive Function: A Systematic Review and Meta-analysis
Emerging evidence suggests that oral health is associated with cognitive function. This review aims to systematically assess this association in adult populations via prospective cohort study designs. Eligible study reports were identified by searching the MEDLINE (via Ovoid), EMBASE, PsycoINFO, and Cochrane Library databases. Pooled hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated with a random effects model. From 1,251 identified articles, 10 were included in the systematic review and 8 in the meta-analysis. Random effects analysis showed, with statistically low heterogeneity, that individuals with suboptimal dentition (<20 teeth) were at a 20% higher risk for developing cognitive decline (HR = 1.26, 95% CI = 1.14 to 1.40) and dementia (HR = 1.22, 95% CI = 1.04 to 1.43) than those with optimal dentition (≥20 teeth). Studies on the association between periodontal disease and cognitive status showed conflicting results. Within the limits of the quality of published evidence, this meta-analysis lends further support to the hypothesis that tooth loss is associated with an increased risk of cognitive impairment and dementia.
Knowledge Transfer Statement: Based on the published literature, the results of this study show that the risk for cognitive impairment and dementia increases with loss of teeth. This information adds to the evidence showing links between oral and general health and suggests that oral health strategies aimed to preserve teeth may be important in reducing risk of systemic disease.
“Tooth Loss Increases the Risk of Diminished Cognitive Function: A Systematic Review and Meta-analysis” by D. Cerutti-Kopplin, J. Feine, D.M. Padilha, R.F. de Souza, M. Ahmadi, P. Rompré, L. Booij, and E. Emami in JDR Clinical & Translational Research. Published online February 26 2016 doi:10.1177/2380084416633102