Number of Natural Teeth and Oral Impacts: A Study on Sri Lankan Adults

The aim of the study was to determine the association between the number of natural teeth and oral impacts in Sri Lankan adults. The sample consisted of 476, 40–59 and 452, ≥60 year olds. Oral impacts were assessed using a validated Sinhalese translation of the Oral Health Impact Profile-14 scale. A receiver-operating characteristic (ROC) curve was plotted to determine the number of natural teeth that would best discriminate those with oral impacts from those without. Oral impacts were reported by 26% of the 40–59 year olds and 34% of the older individuals. In both groups there was a significant negative correlation between the number of teeth present and oral impacts. The ROC curve for the 40–59 year olds gave an area under the curve (AUC) of 0.758 (95% CI = 0.702–0.814; <0.001) with an optimal cut-off of 24/25 teeth while for the ≥60 year olds, the AUC of the ROC curve was 0.737 (95% CI = 0.684–0.790; <0.001) with an optimal cut-off of 18/19 teeth. Based on the ROC curves the optimal cutoffs of the number of natural teeth that best discriminated between those with and without oral impacts for 40–59 and ≥60 year olds were 24-25 and 18-19, respectively

Number of Natural Teeth and Oral Impacts: A Study on Sri Lankan Adults

The aim of the study was to determine the association between the number of natural teeth and oral impacts in Sri Lankan adults. The sample consisted of 476, 40-59 and 452, ≥60 year olds. Oral impacts were assessed using a validated Sinhalese translation of the Oral Health Impact Profile-14 scale. A receiver-operating characteristic (ROC) curve was plotted to determine the number of natural teeth that would best discriminate those with oral impacts from those without. Oral impacts were reported by 26% of the 40-59 year olds and 34% of the older individuals. In both groups there was a significant negative correlation between the number of teeth present and oral impacts. The ROC curve for the 40-59 year olds gave an area under the curve (AUC) of 0.758 (95% CI = 0.702-0.814; P &lt; 0.001) with an optimal cut-off of 24/25 teeth while for the ≥60 year olds, the AUC of the ROC curve was 0.737 (95% CI = 0.684-0.790; P &lt; 0.001) with an optimal cut-off of 18/19 teeth. Based on the ROC curves the optimal cutoffs of the number of natural teeth that best discriminated between those with and without oral impacts for 40-59 and ≥60 year olds were 24-25 and 18-19, respectively

Closing the gap in preventative care in IBD patients: A systems based approach

The Alliance of Independent Academic Medical Centers’ (AIAMC) National Initiative VIII focuses on Justice, Equity, Diversity, and Inclusion (JEDI). These are more than just words, more than ideals, and more than the attainment of a particular quantifiable goal. They embody the realization of difference and of inequity and understanding of power and privilege. Inclusion is at the foundation of effective interdisciplinary care and, with diversity, core to excellence. As an NI VIII participant we develop strategies to address inequities and advance diversity in our clinical settings using an IHI QI approach with two PDSA cycles