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Impact of depressive symptoms on prosthetic status—results of the study of health in Pomerania (SHIP)

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Abstract

Objectives

Previous investigations have confirmed that every fifth dental patient suffers from clinically significant depressive symptoms. However, the putative impact of depressive symptoms on the prosthetic status has not been addressed in these studies. The objective of this study was to investigate the association between depressive symptoms and prosthetic status based on data from the Study of Health in Pomerania (SHIP-0).

Methods

Data from 2,135 participants aged 30 to 59 years were analyzed. A classification (six classes regarding the number and position of missing teeth per jaw) was used to identify the degree of prosthetic status (no/suboptimal/optimal tooth replacement). The presence of depressive symptoms was assessed with a modified version of von Zerssen’s complaints scale. Screening for lifetime diagnoses of mental disorders was performed with the Composite International Diagnostic-Screener (CID-S). Multivariable logistic regressions including several confounders were calculated.

Results

A significant protective dose–response effect of depressive symptoms on prosthetic status was found only in men for the lower jaw [0–1 depressive symptoms: odds ratio (OR) = 3.84, 95 % confidence interval (CI, 1.65–8.92), p < 0.01; 2–3: OR = 2.87 (CI, 1.22–6.74), p < 0.05; reference, ≥8; adjusted for age, school education, smoking status, household income, marital status, living without a partner, risky alcohol consumption, obesity, diabetes, and physical activity]. There was no such association in women or for the upper jaw. The analyses using the CID-S confirmed these results.

Conclusions

In the lower jaw, men with depressive symptoms had a better prosthetic status than men without depressive symptoms suggesting a higher level of concern regarding their personal health.

Clinical relevance

If dentists might have an opportunity to identify men with depressive symptoms they can provide a wide range of treatment options that may enhance patients’ self-esteem and contribute to the patient’ well-being. Furthermore, depressive symptoms could indicate a discrepancy between self-perception of the dental health and the actual status which influence the dentists’ treatment decision making.

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Acknowledgments

This study was supported by the German Federal Ministry for Education and Research (NBL3 program, reference 01 ZZ 0403).

SHIP is part of the Community Medicine Research Net (http://www.medizin.uni-greifswald.de/cm) of the University of Greifswald, Germany, which is funded by the German Federal Ministry of Education and Research (BMBF, grant no. 01ZZ96030); the Ministry for Cultural Affairs and the Ministry for Social Affairs of the Federal State of Mecklenburg–West Pomerania (SHIP; http://www.medizin.uni-greifswald.de/cm).

Conflict of interest

The authors declare that they have no conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Prosthetic Dentistry, Gerodontology and Biomaterials, Center of Oral Health, University of Greifswald, Rotgerberstrasse 8, 17475, Greifswald, Germany

    Stefanie A. Samietz, Ines Polzer, Torsten Mundt & Reiner Biffar

  2. Department of Oral and Maxillofacial Surgery/Plastic Surgery, University of Greifswald, Greifswald, Germany

    Stefan Kindler

  3. Unit for Oral and Systemic Diseases, Department of Prosthetic Dentistry, Gerodontology and Biomaterials, Center of Oral Health, University of Greifswald, Greifswald, Germany

    Christian Schwahn

  4. Institute for Community Medicine, Section Epidemiology of Health Care and Community Health, University of Greifswald, Greifswald, Germany

    Wolfgang Hoffmann

  5. Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, Center of Oral Health, University of Greifswald, Greifswald, Germany

    Thomas Kocher

  6. Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany

    Hans Jörgen Grabe

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  1. Stefanie A. Samietz
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Correspondence to Stefanie A. Samietz.

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Samietz, S.A., Kindler, S., Schwahn, C. et al. Impact of depressive symptoms on prosthetic status—results of the study of health in Pomerania (SHIP). Clin Oral Invest 17, 1191–1200 (2013). https://doi.org/10.1007/s00784-012-0806-1

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