Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2016 Nov 17:6:37083.
doi: 10.1038/srep37083.

Population prevalence of edentulism and its association with depression and self-rated health

Stefanos Tyrovolas  1   2 , Ai Koyanagi  1   2 , Demosthenes B Panagiotakos  3 , Josep Maria Haro  1   2 , Nicholas J Kassebaum  4 , Vanessa Chrepa  5 , Georgios A Kotsakis  6
Affiliations
Randomized Controlled Trial

Population prevalence of edentulism and its association with depression and self-rated health

Stefanos Tyrovolas et al. Sci Rep. .

Abstract

Edentulism is associated with various adverse health outcomes but treatment options in low- and middle-income countries (LMICs) are limited. Data on its prevalence and its effect on mental health and overall-health is lacking, especially from LMICs. Self-reported data on complete edentulism obtained by standardized questionnaires on 201,953 adults aged ≥18 years from 50 countries which participated in the World Health Survey (WHS) 2002-2004 were analyzed. Age and sex-standarized edentulism prevalence ranged from 0.1% (95% CI = 0.0-0.3) (Myanmar) to 14.5% (95% CI = 13.1-15.9) (Zimbabwe), and 2.1% (95% CI = 1.5-3.0) (Ghana) to 32.3% (95% CI = 29.0-35.8) (Brazil) in the younger and older age groups respectively. Edentulism was significantly associated with depression (OR 1.57, 95% CI = 1.23-2.00) and poor self-rated health (OR 1.38, 95% CI = 1.03-1.83) in the younger group with no significant associations in the older age group. Our findings highlight the edentulism-related health loss in younger persons from LMICs. The relative burden of edentulism is likely to grow as populations age and live longer. Given its life-long nature and common risk factors with other NCDs, edentulism surveillance and prevention should be an integral part of the global agenda of NCD control.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing financial interests.

Figures

Figure 1
Figure 1. Age-sex adjusted prevalence of edentulism.
All age-sex adjusted weighed estimates were calculated using the United Nations population pyramids for the year 2010. Data from 50 countries are presented. The figure was created with STATA 13.1 (StataCorp. 2013. Stata Statistical Software: Release 13. College Station, TX: StataCorp LP).
See this image and copyright information in PMC

References

    1. Global Burden of Disease Study, C. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 386, 743–800, doi: 10.1016/S0140-6736(15)60692-4 (2015). - DOI - PMC - PubMed
    1. Nordenram G. et al. Qualitative studies of patients’ perceptions of loss of teeth, the edentulous state and prosthetic rehabilitation: a systematic review with meta-synthesis. Acta odontologica Scandinavica 71, 937–951, doi: 10.3109/00016357.2012.734421 (2013). - DOI - PubMed
    1. Peltzer K. et al. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. International journal of environmental research and public health 11, 11308–11324, doi: 10.3390/ijerph111111308 (2014). - DOI - PMC - PubMed
    1. Peres M. A., Barbato P. R., Reis S. C., Freitas C. H. & Antunes J. L. [Tooth loss in Brazil: analysis of the 2010 Brazilian Oral Health Survey]. Revista de saude publica 47 Suppl 3, 78–89 (2013). - PubMed
    1. Papapanou P. N. Periodontal diseases: epidemiology. Annals of periodontology/the American Academy of Periodontology 1, 1–36, doi: 10.1902/annals.1996.1.1.1 (1996). - DOI - PubMed

Publication types