Removable partial denture, complete denture, and fixed partial denture use and health-related quality of life among older adults with tooth loss: A JAGES cross-sectional study

Abstract

Purpose: To investigate the association of removable partial denture (RPD)/complete denture (CD) and fixed partial denture (FPD) use with health-related quality of life (HRQoL), evaluated using the EuroQol 5-dimension, 5-level instrument (EQ-5D-5L) among older adults with tooth loss. Methods: Cross-sectional data from the 2022 Japan Gerontological Evaluation Study. Participants were classified as RPD/ CD users, FPD users, or nonusers. Generalized linear regression models stratified by the number of teeth were used to explore the association of RPD/CD and FPD use with the HRQoL evaluated using the EQ-5D-5L. The interactions among the number of teeth, RPD/CD, and FPD use were examined. Results: After adjusting for all covariates, RPD/CD and FPD users with 5–19 teeth had higher predicted HRQoL utility scores than nonusers (RPD/CD [n=14,297]: 0.837 vs. 0.850; FPD [n=7,476]: 0.858 vs. 0.861 [nonusers vs. users]). The interaction between number of teeth and RPD/CD and FPD use revealed that differences in HRQoL between users and nonusers were greater among those with 1–14 teeth for RPD/CD use and among those with 10–14 teeth for FPD use (RPD/CD: β = −0.008, P < 0.01; FPD: β = −0.008, P = 0.183). Conclusions: RPD/CD and FPD users with 5–19 teeth had a higher HRQoL than nonusers, with differences appearing to depend on the number of teeth. The World Health Organization has promoted the incorporation of oral health into universal health coverage (UHC). Given the minimal HRQoL difference between CD users and nonusers among edentulous individuals, unconventional dentures may merit inclusion in UHC.