Protocol - Dental Issues and Difficulty Chewing

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "dont know" response is provided

Equipment Needs

The PhenX Working Group acknowledges these questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements

Requirement Category	Required
Major equipment	No
Specialized training	No
Specialized requirements for biospecimen collection	No
Average time of greater than 15 minutes in an unaffected individual	No

Mode of Administration

Interviewer-administered questionnaire

Lifestage

Senior

Participants

Men and women over 70 years of age

Selection Rationale

The Health, Aging and Body Composition Study (Health ABC) was a large longitudinal cohort interdisciplinary study focused on risk factors for the decline of function in healthier older persons. The study is highly cited and well-recognized in the research community. Items covering the overall rating of oral health, denture use and fit, effect of oral health on food intake, and effect of oral health on self-esteem/quality of life were included in this protocol because they are of specific interest in the geriatric population and were not represented elsewhere in the PhenX Toolkit.

Language

English

Standards

Standard	Name	ID	Source
Human Phenotype Ontology	Abnormality of masticatory muscle	HP:0410011	HPO
Human Phenotype Ontology	Impaired mastication	HP:0005216	HPO
caDSR Form	PhenX PX251301 - Dental Issues And Difficulty Chewing	6873401	caDSR Form

Derived Variables

None

Process and Review

Not applicable.

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Protocol Name from Source

Health, Aging and Body Composition Study (Health ABC), Oral Health and Dental History Questions

Source

The Health, Aging and Body Composition Study (Health ABC) Oral Health (Questions: 135-137) and Dental History (Questions: 42, 48, 49, 52-54).

General References

Lee, J. S., Weyant, R. J., Corby, P., Kritchevsky, S. B., Harris, T. B., Rooks, R., . . . Newman, A. B. (2004). Edentulism and nutritional status in a biracial sample of well-functioning, community-dwelling elderly: The Health, Aging, and Body composition Study. American Journal of Clinical Nutrition, 79(2), 295-302.

Protocol ID

251301

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX251301_Dental_Issues_Difficulty_Chewing_Dentures
	PX251301020100	Do you wear dentures?	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Dentures_Fit_Pain
	PX251301020200	Do you have problems with the fit or pain more from your dentures? show less	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Limit_Food
	PX251301050000	Do you limit the kinds or amounts of food more you eat because of problems with your teeth or dentures? Would you say¿? (Interviewer note: Read response options.) show less	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Pain
	PX251301030000	Do you have pain when you chew?	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Rate_Oral_Health
	PX251301040000	How would you rate your overall oral health more (teeth, gums, inside of mouth)? (Interviewer note: Read response options.) show less	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Remaining_Teeth
	PX251301010000	Do you have any remaining natural teeth?	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Three_Month_Pain
	PX251301080000	During the past 3 months, how often have you more had trouble chewing food or eating because of problems with your teeth or gums? (Interviewer note: Read response options.) show less	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Three_Month_Trouble_Chewing
	PX251301090000	During the past 3 months, how much of the more time have problems with the way your teeth or gums look caused you to avoid conversation with people? (Interviewer note: Read response options) show less	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Trouble_Biting_Food_Meat_Apples
	PX251301070000	During the past 3 months, how much pain have more you had in your gums or teeth? (Interviewer note: read response options) show less	N/A
PX251301_Dental_Issues_Difficulty_Chewing_Trouble_Biting_Food_Teeth_Dentures
	PX251301060000	Do you have trouble biting or chewing any more kinds of foods, such as firm meat or apples? (Interviewer note: Read response options.) show less	N/A

Geriatrics

Measure Name

Dental Issues and Difficulty Chewing

Release Date

July 2, 2018

Definition

A questionnaire to assess oral health care and oral pain and problems associated with oral pain, particularly in older adults.

Purpose

Oral pain and the lack of teeth can lead to challenges in daily living such as eating, talking, and interacting with other people. Poor oral care and dental care can increase an individual's risk of serious health problems and are linked to an individual's overall health.

Keywords

Health ABC Study, Dental care, Teeth, Oral hygiene, Oral health, gerontology, aging

Measure Protocols

Protocol ID	Protocol Name
251301	Dental Issues and Difficulty Chewing

Publications

Fang, P., et al. (2024) A National Dental Practice-Based Research Network phase II, cluster-randomized clinical trial assessing nicotine replacement therapy sampling in dental settings: study protocol for the Free Samples for Health (FreSH) study BMC Oral Health. 2024 August; 24(1): 1007. doi: 10.1186/s12903-024-04758-w