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· · Tooth loss may predict accelerated aging

Having few or no natural teeth at the age of 70 may be an early indicator of accelerated aging, say Danish researchers.

"It is important to take poor dental health seriously in that these people may be at greater risk of general physical and/or cognitive decline," said Dr. Poul Holm-Pedersen, of the Copenhagen Gerontological Oral Health Research Center.

The finding in this study that tooth loss appears related to the onset of disability and mortality in old age raises important clinical issues for disease prevention and geriatric care, Holm-Pedersen and colleagues note in a report in the Journal of the American Geriatrics Society.

The researchers assessed the number of teeth remaining intact among 573 non-disabled men and women who were 70 years old and living in Copenhagen in 1984. At the start of the study, fewer than 20 percent of the elders had 20 or more teeth, and more than 40 percent had no teeth. The investigators determined the onset of disability among study participants through follow-up assessments conducted 5-, 10-, 15-, and 20-years later; and assessed their mortality over the subsequent 21 years.

Compared with elders maintaining 20 or more natural teeth, those with no or few teeth at age 70 were significantly more likely to report mobility problems such as difficulty walking or climbing stairs within the next 5 or 10 years. Toothlessness at age 70 was also linked with greater mortality over the study period.

These associations remained strong when the investigators accounted for other factors potentially associated with disability and death, such as health-related problems and education.

"Tooth loss may be related to complex behavioural and socioeconomic factors," Holm-Pedersen said. Future studies should assess whether different measures of social status and lifestyle factors explain the association between tooth loss and subsequent disability and mortality, the investigators say.

SOURCE: Journal of the American Geriatrics Society, March 2008

Dr. Cinque's comments: I am reminded of Dr. Weston Price, the author of Nutrition and Physical Degeneration. Back in the 1930s, he travelled the world evaluating and documenting the health of native peoples. And being a dentist, the main criteria he used to judge their nutritional status was the condition of their teeth. Today, we know that the condition of the teeth reflects not only the nutritional status, but also the immunological status, the cardiovascular status, and other things. And that's why I say that poor teeth is both a cause and an effect of ill-health. Preserving my teeth into old age is of great importance to me, and I am striving for it by diligently eating right, by cleaning my teeth thoroughly, and by seeing my dentist regularly. Losing my teeth is what I dread most about old age, and I am determined to prevent it.

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