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        <doi type="journal_article">10.31254/dentistry.2024.9104</doi>
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                <full_title>International Journal of Dentistry Research</full_title>
                <abbrev_title>Int J Dentistry Res</abbrev_title>
                <issn media_type="electronic">25813218</issn>
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                  <doi>10.31254/dentistry</doi>
                  <resource>https://www.dentistryscience.com/</resource>
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                  <month>4</month>
                  <day>30</day>
                  <year>2024</year>
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                  <volume>9</volume>
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                  <title>A Study to identify the factors associated with Gum Disease and Poor Periodontal Health Outcomes</title>
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                  <person_name sequence="first" contributor_role="author">
                    <given_name>Akansha</given_name>
                    <surname>Arewar</surname>
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                  <person_name sequence="additional" contributor_role="author">
                    <given_name>Megan</given_name>
                    <surname>Quinn</surname>
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                  <person_name sequence="additional" contributor_role="author">
                    <given_name>Suraj</given_name>
                    <surname>Dhankikar</surname>
                  </person_name>
                  <person_name sequence="additional" contributor_role="author">
                    <given_name>Smruti</given_name>
                    <surname>Besekar</surname>
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                  <jats:p>Background: This study investigated factors linked to gum disease and poor periodontal health outcomes in the United States population over 18 years old. It evaluated the literature using the National Health and Nutrition Examination Survey (NHANES) 2017-2018 dataset to identify risk factors for gum disease and periodontitis Methods: A cross-sectional study on oral health among adults aged 18 and over in the US was conducted using the NHANES with a 2017-2018 dataset. The surveys were conducted through participant interviews and standardized oral health examinations, and which was publicly available for study. The data were analyzed and document by using appropriate statistical method. Results: With a sample (N) study population of 1360 individuals, around 96% of people with bone loss worry about the cost and affordability. The percentage of people whose insurance does not cover dental treatment is 60.26. Around 55.05% have received treatment for gum disease. After adjusting for the area, AFFORD, INSURANCE COVERAGE, FLOSS, TREAT the results of our logistic regression analyses reveal that for AFFORD is (OR=0.767; CI=0.756-0.778; p-value &lt;0.0001), for insurance is (OR=4.038; CI= 0.435-0.442; p-value &lt;.0001), for FLOSS three times a week is (OR=10.011; CI = 9.898 -10.126; p-value = 0.0001), two times a week is (OR=2.16; CI = 2.147- 2.189; p-value = 0.0001), and once a week shows (OR=2.73; CI = 2.705-2.75, p-value = 0.0001), and for TREAT is OR=0.158; CI=0.157 0.159; p-value= &lt;.0001), which shows that all the variables AFFORD, INSURANCE COVERAGE, FLOSS, and, TREAT are significantly associated with bone loss. Conclusion: Our study result suggested that tooth loss is caused by various factors, such as affordability, insurance coverage not covered by companies, the number of flosses in a week, and the prior treatment for gum.</jats:p>
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                  <month>4</month>
                  <day>30</day>
                  <year>2024</year>
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                <pages>
                  <first_page>11</first_page>
                  <last_page>14</last_page>
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                  <doi>10.31254/dentistry.2024.9104</doi>
                  <resource>https://www.dentistryscience.com/IJDR_202491_04.pdf</resource>
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