{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T20:13:29Z","timestamp":1767989609389,"version":"3.49.0"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,2,3]],"date-time":"2015-02-03T00:00:00Z","timestamp":1422921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"University of Michigan Clinical Research Unit","award":["UL1RR024986"],"award-info":[{"award-number":["UL1RR024986"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This population\u2010based analysis examined the prevalence of periodontal diseases along with the self\u2010perceived oral health and patterns of dental care utilization of breast cancer survivors in the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the 1999\u20102004 National Health and Nutrition Surveys were utilized, examining information from 3,354 women between 50 and 85 years of age. Primary outcomes were gingivitis and periodontitis, self\u2010perceived oral health, and dental care utilization. Logistic regression analyses were used to estimate relationships of breast cancer diagnosis and primary outcomes while controlling for confounding factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Breast cancer survivors were more likely to be older than 55 years, white, nonsmokers, have higher levels of education and income, and a higher prevalence of osteoporosis. Breast cancer survivors were significantly less likely to have dental insurance (<jats:italic>P<\/jats:italic>\u2009=\u20090.04). Utilization of dental services and reason for last dental visit did not significantly differ between groups. A history of a breast cancer diagnosis did not increase the odds of gingivitis [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>):\u2009\u20091.32; 95 percent confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>): 0.53\u20103.63], periodontitis (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>:\u20091.82; 95 percent <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>:\u2009\u20090.89\u20104.01), or poor self\u2010perceived oral health (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>:\u20090.89; 95 percent <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.61\u20101.33) after adjusting for age, race, education, dental care utilization, and smoking status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this sample, a history of breast cancer does not significantly impact periodontal health, self\u2010perceived oral health, and dental care utilization. However, efforts should be made to assure that breast cancer survivors have dental insurance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12084","type":"journal-article","created":{"date-parts":[[2015,2,4]],"date-time":"2015-02-04T04:19:06Z","timestamp":1423023546000},"page":"148-156","source":"Crossref","is-referenced-by-count":13,"title":["Periodontal health, perceived oral health, and dental care utilization of breast cancer survivors"],"prefix":"10.1111","volume":"75","author":[{"given":"L. 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