Volume 83, Issue 4 pp. 371-380
ORIGINAL ARTICLE

Oral health risk factors and overall dental treatment needs for incoming air force recruits

J. Brett Ryan DMD, MSD

Corresponding Author

J. Brett Ryan DMD, MSD

Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts, USA

Correspondence

J. Brett Ryan, Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine - 560 Harrison Ave. 3rd Floor, Boston, MA 02118, USA.

Email: [email protected]

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Thayer Scott MPH

Thayer Scott MPH

Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts, USA

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Robert McDonough MA

Robert McDonough MA

Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts, USA

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David Schindler DDS, MPH, Lt Col, USAF, DC

David Schindler DDS, MPH, Lt Col, USAF, DC

USAF Dental Research and Consultation Service (DRCS), Institute of Surgical Research, San Antonio, Texas, USA

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Scott P. Irwin DDS, MPH, Col, USAF, DC

Scott P. Irwin DDS, MPH, Col, USAF, DC

USAF Dental Research and Consultation Service (DRCS), Institute of Surgical Research, San Antonio, Texas, USA

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Victor M. Badner DMD, MPH

Victor M. Badner DMD, MPH

Albert Einstein College of Medicine, Department of Dentistry, Jacob Medical Center, Bronx, New York, USA

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First published: 31 October 2023

Abstract

Objective

To determine if relationships exist between the total dental treatment needs of incoming Air Force recruits and non-clincal demographic and oral-health related factors.

Methods

Data from the 2018 Air Force Recruit Oral Health Study (ROHS) was used, an anonymized sample of 1330 AF recruits that included a comprehensive oral exam and survey collecting demographic and oral health behavior information. The primary outcome variable was the total number of dental treatment needs for recruits, and independent predictor variables included select socio-demographic factors and wellness behaviors. Along with descriptive statistics, a multivariable negative binomial regression analysis was performed to assess the relationship between variables with a normalized weight making the final results representative of all incoming recruits.

Results

The final adjusted analysis showed that an incoming recruit's self-rated oral health, dental coverage prior to enlistment, need for a dental visit within the last 12 months, sugar intake, and tobacco use increased their risk for dental treatment needs.

Conclusion

This is the first study to assess the relationship between specific risk indicators and increased dental treatment needs while adjusting other related covariates. Factors associated with dental treatment needs were identified that provide Air Force leaders with actionable information to directly improve recruit oral health and military readiness by identifying new airmen at the highest risk for excessive dental care needs while at basic military training.

CONFLICT OF INTEREST STATEMENT

This research did not receive any funding, nor do any of the authors have any financial interest in the manuscript topic.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.