Dental and periodontal condition by sociodemographics in Finnish adults in 2023: cross-sectional results from the Healthy Finland Survey
DOI:
https://doi.org/10.2340/aos.v84.44370Keywords:
Oral health survey, dental caries, periodontal condition, adultsAbstract
Objective: To obtain current information of adult’s dental and periodontal condition and contributing sociodemographic factors.
Material and methods: Clinical examinations were conducted in 2023 (n = 1,798). Enamel and dentine caries prevalences were recorded as the percentages of those having at least one tooth with enamel or dentine caries, and prevalence of periodontitis as those having at least two teeth with clinical attachment loss of ≥ 4 mm or with a probing pocket depth (PPD) of ≥ 6 mm. The numbers of teeth with enamel caries, dentine caries, and PPD (≥ 4 and ≥ 6 mm) indicated the extent of dental and periodontal disease. Sociodemographic factors included age, sex, educational level, and native language.
Results: Two-thirds of the participants had nearly full dentition. Of the dentate participants, 39% had dentine caries and 92% had enamel caries. Periodontitis was detected in 27%, teeth with PPD ≥ 4 mm in 74%, and bleeding on probing in 91% of the dentate participants. Male sex, older age, a lower educational level, and a native language other than Finnish or Swedish were significantly associated with indicators of poorer dental and periodontal conditions in this study – except for extent of enamel caries. The number of teeth affected by enamel caries was highest among younger age groups.
Conclusion: Dental caries and periodontal diseases remain significant health concern among Finnish adults, as do sociodemographic disparities. These findings underscore the importance of implementing targeted preventive interventions for the identified risk groups.
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Vehkalahti M, Paunio I, Nyyssönen V, Aromaa A, editors. Oral health and factors related to it in the Finnish adult population. Helsinki: Vammalan Kirjapaino; 1991. (Publications of the National Public Health Institute). Report No.: AL:34/1991.
Suominen-Taipale L, Nordblad A, Vehkalahti M, Aromaa A, editors. Oral health in the Finnish adult population. Health 2000 survey. Hel-sinki: Hakapaino; 2008. (Publications of the National Public Health Institute). Report No.: B 25/2008.
Suominen AL, Varsio S, Helminen S, Nordblad A, Lahti S, Knuuttila M. Dental and periodontal health in Finnish adults in 2000 and 2011. Acta Odontol Scand. 2018;76(5):305–13. https://doi.org/10.1080/00016357.2018.1451653 DOI: https://doi.org/10.1080/00016357.2018.1451653
Raittio E, Aromaa A, Kiiskinen U, Helminen S, Suominen AL. Income-related inequality in perceived oral health among adult Finns before and after a major dental subsidization reform. Acta Odontol Scand. 2016;74(5):348–54. https://doi.org/10.3109/00016357.2016.1142113
Raittio E, Lahti S, Kiiskinen U, Helminen S, Aromaa A, Suominen AL. Inequality in oral health-related quality of life before and after a ma-jor subsidization reform. Eur J Oral Sci. 2015;123(4):267–75. https://doi.org/10.1111/eos.12192 DOI: https://doi.org/10.1111/eos.12192
Raittio E, Aromaa A, Kiiskinen U, Helminen S, Suominen AL. Income-related inequality in perceived oral health among adult Finns before and after a major dental subsidization reform. Acta Odontol Scand. 2016;74(5):348–54. https://doi.org/10.3109/00016357.2016.1142113 DOI: https://doi.org/10.3109/00016357.2016.1142113
Raittio E, Vehkalahti MM, Helminen S, Suominen AL. Education-related inequality in restorative dental treatment need over 11 years in two areas of Finland. Community Dent Oral Epidemiol. 2018;46(1):70–7. https://doi.org/10.1111/cdoe.12331 DOI: https://doi.org/10.1111/cdoe.12331
Sääksjärvi K, Elonheimo HM, Ikonen J, Lehtoranta L, Parikka S, Härkänen T, et al. Cohort profile: Healthy Finland survey. Int J Epidemiol. 2024;54(1):dyae166. https://doi.org/10.1093/ije/dyae166 DOI: https://doi.org/10.1093/ije/dyae166
Heistaro S, editor. Methodology report: health 2000 survey. Hakapaino Oy, Helsinki 2008 (Publications of the National Public Health Insti-tute). Report No.: 26/2008.
Lundqvist A, Mäki-Opas T, editors. Health 2011 survey – methods. Juvenes Print – Suomen Yliopistopaino Oy. Tampere: The Finnish Insti-tute for Health and Welfare (THL); 2016. (Publications of The Finnish Institute for Health and Welfare (THL)). Report No.: 8/2016.
Working Group Set up by the Finnish Medical Society Duodecim and the Finnish Dental Society Apollonia. Restorative treatment of tooth. Current Care Guidelines. Helsinki: The Finnish Medical Society Duodecim; 2023.
Zou G. A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702–6. https://doi.org/10.1093/aje/kwh090 DOI: https://doi.org/10.1093/aje/kwh090
Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, inju-ries, and risk factors. J Dent Res. 2017;96(4):380–7. https://doi.org/10.1177/0022034517693566 DOI: https://doi.org/10.1177/0022034517693566
Stierman B, Afful J, Carroll, MD, Chen TC, Davy O, Fink S, et al. National health and nutrition examination survey 2017–March 2020 pre-pandemic data files – development of files and prevalence estimates for selected health outcomes. 2021. Report No.: 158. U.S. DEPART-MENT OF HEALTH & HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics, Hyattsville. https://stacks.cdc.gov/view/cdc/106273. Accessed 3.8.2025.
Rødseth SC, Høvik H, Schuller AA, Bjertness E, Skudutyte-Rysstad R. Dental caries in a Norwegian adult population, the HUNT4 oral health study; prevalence, distribution and 45-year trends. Acta Odontol Scand. 2023;81(3):202–10. https://doi.org/10.1080/00016357.2022.2117735 DOI: https://doi.org/10.1080/00016357.2022.2117735
Jordan RA, Krois J, Schiffner U, Micheelis W, Schwendicke F. Trends in caries experience in the permanent dentition in Germany 1997–2014, and projection to 2030: Morbidity shifts in an aging society. Sci Rep. 2019;9(1):5534. https://doi.org/10.1038/s41598-019-41207-z DOI: https://doi.org/10.1038/s41598-019-41207-z
Steele J, O’ Sullivan I. Executive summary: adult dental health survey 2009. 2011 (NHS The Information Centre for health and social care) https://digital.nhs.uk/data-and-information/publications/statistical/adult-dental-health-survey/adult-dental-health-survey-2009-summary-report-and-thematic-series. Accessed 3.8.2025
Madléna M, Hermann P, Jáhn M, Fejérdy P. Caries prevalence and tooth loss in Hungarian adult population: results of a national survey. BMC Public Health. 2008;8:364. https://doi.org/10.1186/1471-2458-8-364 DOI: https://doi.org/10.1186/1471-2458-8-364
Jung SH, Ryu JI, Jung DB. Association of total tooth loss with socio-behavioural health indicators in Korean elderly. J Oral Rehabil. 2011;38(7):517–24. https://doi.org/10.1111/j.1365-2842.2010.02178.x DOI: https://doi.org/10.1111/j.1365-2842.2010.02178.x
Adult oral health survey 2021: report summary. 2024. Office for Health improvement and disparities. https://www.gov.uk/government/statistics/adult-oral-health-survey-2021/adult-oral-health-survey-2021-report-summary. Accessed 3.8.2025
White DA, Tsakos G, Pitts NB, Fuller E, Douglas GVA, Murray JJ, et al. Adult dental health survey 2009: common oral health conditions and their impact on the population. Br Dent J. 2012;213(11):567–72. https://doi.org/10.1038/sj.bdj.2012.1088 DOI: https://doi.org/10.1038/sj.bdj.2012.1088
Peres KG, Ha DH, Christofis S. Trend and distribution of coronal dental caries in Australians adults. Aust Dent J. 2020;65(Suppl. 1):S32–9. https://doi.org/10.1111/adj.12762 DOI: https://doi.org/10.1111/adj.12762
Edman K, Öhrn K, Nordström B, Holmlund A. Prevalence of dental caries and influencing factors, time trends over a 30-year period in an adult population. Epidemiological studies between 1983 and 2013 in the county of Dalarna, Sweden. Acta Odontol Scand. 2016;74(5):385–92. https://doi.org/10.3109/00016357.2016.1163733 DOI: https://doi.org/10.3109/00016357.2016.1163733
Dye BA, Li X, Beltrán-Aguilar ED. Selected oral health indicators in the United States, 2005–2008. 2012. Report No.: 96. https://www.gov.uk/government/statistics/adult-oral-health-survey-2021/adult-oral-health-survey-2021-report-summary#further-information
Hwang I, Park K, Park HK. Prevalence of dental caries and associated factors of detention center inmates in South Korea compared with Korea National Health and Nutrition Examination Survey (KNHANES) respondents: a retrospective study. BMC Oral Health. 2022;22(1):383. https://doi.org/10.1186/s12903-022-02405-w DOI: https://doi.org/10.1186/s12903-022-02405-w
Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94(5):650–8. https://doi.org/10.1177/0022034515573272 DOI: https://doi.org/10.1177/0022034515573272
Wu L, Zhang SQ, Zhao L, Ren ZH, Hu CY. Global, regional, and national burden of periodontitis from 1990 to 2019: Results from the Global Burden of Disease study 2019. J Periodontol. 2022;93(10):1445–54. https://doi.org/10.1002/JPER.21-0469 DOI: https://doi.org/10.1002/JPER.21-0469
Chen MX, Zhong YJ, Dong QQ, Wong HM, Wen YF. Global, regional, and national burden of severe periodontitis, 1990–2019: an analysis of the Global Burden of Disease Study 2019. J Clin Periodontol. 2021;48(9):1165–88. https://doi.org/10.1111/jcpe.13506 DOI: https://doi.org/10.1111/jcpe.13506
Eke PI, Thornton-Evans GO, Wei L, Borgnakke WS, Dye BA, Genco RJ. Periodontitis in US adults: National Health and Nutrition Examination Survey 2009–2014. J Am Dent Assoc 1939. 2018;149(7):576–88.e6. https://doi.org/10.1016/j.adaj.2018.04.023 DOI: https://doi.org/10.1016/j.adaj.2018.04.023
Korea Disease Control and Prevention Agency[Internet] Korea National Health & Nutrition Examination Survey VII. Updated from 26th February 2021. Available from: https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do. Accessed 3.8.2025
Hermann P, Gera I, Borbély J, Fejérdy P, Madléna M. Periodontal health of an adult population in Hungary: findings of a national survey. J Clin Periodontol. 2009;36(6):449–57. https://doi.org/10.1111/j.1600-051X.2009.01395.x DOI: https://doi.org/10.1111/j.1600-051X.2009.01395.x
Petersen PE, Davidsen M, Rosendahl Jensen H, Ekholm O, Illemann Christensen A. Trends in dentate status and preventive dental visits of the adult population in Denmark over 30 years (1987–2017). Eur J Oral Sci. 2021;129(5):e12809. https://doi.org/10.1111/eos.12809 DOI: https://doi.org/10.1111/eos.12809
Moltubakk SN, Jönsson B, Lukic M, Stangvaltaite-Mouhat L. The educational gradient in dental caries experience in Northern-Norway: a cross-sectional study from the seventh survey of the Tromsø study. BMC Oral Health. 2023;23(1):779. https://doi.org/10.1186/s12903-023-03487-w DOI: https://doi.org/10.1186/s12903-023-03487-w
Tay JRH, Holtfreter B, Baumeister SE, Peres MA, Nascimento GG. Application of the 2018 Periodontal Status Classification to Epidemiologi-cal Survey Data (ACES) framework to estimate the periodontitis prevalence in the United States. J Clin Periodontol. 2025;52(7):1032–43. https://doi.org/10.1111/jcpe.14132 DOI: https://doi.org/10.1111/jcpe.14132
Skeie MS, Sen A, Dahllöf G, Fagerhaug TN, Høvik H, Klock KS. Dental caries at enamel and dentine level among European adolescents – a systematic review and meta-analysis. BMC Oral Health. 2022;22(1):620. https://doi.org/10.1186/s12903-022-02631-2 DOI: https://doi.org/10.1186/s12903-022-02631-2
Bøge Christensen L, Árnadóttir IB, Hakeberg M, Klock KS, Suominen AL. Social inequality in oral health in Nordic countries. Dan Dent J. 125(1):42–9.
Andersen RM. National health surveys and the behavioral model of health services use. Med Care. 2008;46(7):647–53. https://doi.org/10.1097/MLR.0b013e31817a835d DOI: https://doi.org/10.1097/MLR.0b013e31817a835d
Guarnizo-Herreño CC, Watt RG, Pikhart H, Sheiham A, Tsakos G. Socioeconomic inequalities in oral health in different European welfare state regimes. J Epidemiol Community Health. 2013;67(9):728–35. https://doi.org/10.1136/jech-2013-202714 DOI: https://doi.org/10.1136/jech-2013-202714
Härkänen T, Karvanen J, Tolonen H, Lehtonen R, Djerf K, Juntunen T, Koskinen S. Systematic handling of missing data in complex study designs – experiences from the Health 2000 and 2011 Surveys. J Appl Stat. 2016;43(15):2772–90. DOI: https://doi.org/10.1080/02664763.2016.1144725
Hausen H, Kärkkäinen S, Seppä L. Caries data collected from public health records compared with data based on examinations by trained examiners. Caries Res. 2001;35(5):360–365. https://doi.org/10.1159/000047475 DOI: https://doi.org/10.1159/000047475
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of periodontal and Peri-Implant diseases and conditions. J Periodontol. 2018;89(Suppl 1):S173–82. https://doi.org/10.1002/JPER.17-0721 DOI: https://doi.org/10.1002/JPER.17-0721
Holtfreter B, Albandar JM, Dietrich T, Dye BA, Eaton KA, Eke PI, et al. Standards for reporting chronic periodontitis prevalence and severity in epidemiologic studies: proposed standards from the Joint EU/USA Periodontal Epidemiology Working Group. J Clin Periodontol. 2015;42(5):407–12. https://doi.org/10.1111/jcpe.12392 DOI: https://doi.org/10.1111/jcpe.12392
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