TY  - JOUR
AB  - OBJECTIVES: The German reunification (1990) resulted in huge social upheavals in East Germany involving changes in health-care systems. We aimed to assess the changes of dental health between 1989 and 2005, hypothesizing that dental health converged in West and East Germany. METHODS: We evaluated data from 855 East and 1,456 West Germans aged 35-44 years from the cross-sectional German Oral Health Studies (Deutsche Mundgesundheitsstudien) conducted in 1989/92, 1997, and 2005. Regression models were applied to assess associations between region, survey year, their interactions and variables assessing dental disease status [number of decayed (DT), missing (MT), and filled teeth (FT), the DMFT-index, the probability of having </= 20 teeth and the number of sound teeth (ST)], adjusting for potential risk factors for caries. RESULTS: After a slight increase of MT between 1989/92 and 1997 (West: 3.6 to 3.6; East: 4.5 to 4.9), numbers of MT considerably decreased between 1997 and 2005 (West: 3.6 to 2.2; East: 4.9 to 3.1). East Germans had consistently more MT. Numbers of FT, DT, ST, and the DMFT-index equalized at the latest in 2005. The East German DMFT-index increased between 1989/92 and 1997 and slightly decreased between 1997 and 2005, whereas the West German DMFT-index steadily decreased between 1989/92 and 2005. CONCLUSIONS: Dental health converged in West and East Germany, but the higher number of MT in 2005 indicates that East Germany was not able to catch up completely with West Germany.
AD  - Unit of Periodontology, University Medicine, Ernst-Moritz-Arndt University Greifswald, Greifswald, Germany. svenja.schuetzhold@uni-greifswald.de
AN  - 23293923
AU  - Schützhold, Svenja
AU  - Holtfreter, Birte
AU  - Hoffmann, Thomas
AU  - Kocher, Thomas
AU  - Micheelis, Wolfgang
DA  - Winter
DO  - 10.1111/jphd.12007
IS  - 1
J2  - J Public Health Dent
KW  - Adult
Cohort Studies
Cross-Sectional Studies
DMF Index
Delivery of Health Care/trends
Dental Care/statistics & numerical data/utilization
Dental Caries/*epidemiology
Dental Devices, Home Care/statistics & numerical data
Dental Restoration, Permanent/statistics & numerical data
Educational Status
Female
Food Habits
Germany/epidemiology
Germany, East/epidemiology
Germany, West/epidemiology
Humans
Male
Marital Status
Oral Health/*trends
Risk Factors
Socioeconomic Factors
Tooth Loss/epidemiology
L1  - internal-pdf://1354942167/Schutzhold-2013-Trends in dental health of 35-.pdf
N1  - Schutzhold, Svenja
Holtfreter, Birte
Hoffmann, Thomas
Kocher, Thomas
Micheelis, Wolfgang
eng
Research Support, Non-U.S. Gov't
2013/01/09 06:00
J Public Health Dent. 2013 Winter;73(1):65-73. doi: 10.1111/jphd.12007. Epub 2013 Jan 7.
PY  - 2013
SN  - 1752-7325 (Electronic)
0022-4006 (Linking)
SP  - 65-73
ST  - Trends in dental health of 35- to 44-year-olds in West and East Germany after reunification
T2  - Journal of Public Health Dentistry
TI  - Trends in dental health of 35- to 44-year-olds in West and East Germany after reunification
UR  - http://onlinelibrary.wiley.com/doi/10.1111/jphd.12007/abstract?systemMessage=Wiley+Online+Library+usage+report+download+page+will+be+unavailable+on+Friday+24th+November+2017+at+21%3A00+EST+%2F+02.00+GMT+%2F+10%3A00+SGT+%28Saturday+25th+Nov+for+SGT+
VL  - 73
ID  - 1259
ER  -