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
Meta-Analysis
. 2019 Dec;36(4):325-337.
doi: 10.1111/ger.12430. Epub 2019 Jul 5.

Sociodemographic determinants of edentulism in the elderly population: A systematic review and meta-analysis

Luana L Roberto  1 , Thaisa S Crespo  1 , Renato S Monteiro-Junior  1 , Andréa M E B L Martins  1 , Alfredo M B De Paula  1 , Efigênia F Ferreira  2 , Desirée S Haikal  1
Affiliations
Meta-Analysis

Sociodemographic determinants of edentulism in the elderly population: A systematic review and meta-analysis

Luana L Roberto et al. Gerodontology. 2019 Dec.

Abstract

Objective: To provide a systematic review on the demographic and socioeconomic factors associated with edentulism among older persons.

Background: Edentulism (complete loss of the natural teeth) is one of the main problems affecting the oral health of the elderly individuals. Many unfavourable socioeconomic factors are considered important predictors of edentulism.

Materials and methods: This review was performed according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA). The search for published studies was conducted on PubMed, Web of Science, SciELO, Google and Google Scholar. Only observational epidemiological studies published in either English or Portuguese prior to June 2018 were included in our study. The bibliographic and methodological characteristics of the selected studies were evaluated. The Review Manager 5.3 software was used in the meta-analysis.

Results: We identified 343 articles, 24 of which met all the eligibility criteria and were included in the review. Unfavourable demographic and socioeconomic conditions were associated with the highest proportion of edentulous individuals. Age, level of education, and socioeconomic status were the main factors that were found to influence edentulism among elderly individuals. The meta-analysis results showed a lower risk of edentulism in men (OR = 0.93; 95% CI = 0.90-0.96) and no significant differences in the risk of developing edentulism among different races/ethnicities or skin colours (OR = 0.68; 95% CI = 0.45-1.01).

Conclusion: Better socioeconomic conditions and male sex were identified as protective factors against edentulism among older individuals. Thus, public policies aimed at helping the most vulnerable populations must be implemented.

Keywords: edentulous; elderly; mouth; review; socioeconomic factors.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

REFERENCES

    1. Burt BA, Eklund SA. Tooth loss. In: BurtBA, EklundSA, eds. Dentistry, Dental Practice and the Community, 4th ed. Philadelphia, PA: WB Sauders Company; 1992:83.
    1. Barbato PR, Nagano H, Zanchet FN, Boing AF, Peres MA. Perdas dentárias e fatores sociais, demográficos e de serviços associados em adultos brasileiros: uma análise dos dados do Estudo Epidemiológico Nacional (Projeto SB Brasil 2002-2003). Cad Saude Publica. 2007;23(8):1803-1814.
    1. Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nutall N. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol. 2004;32:107-114.
    1. Gilbert GH, Duncan RP, Shelton BJ. Social determinants of tooth loss. Health Serv Res. 2003;38:1843-1862.
    1. Susin C, Oppermann RV, Haugejorden O, Albandar JM. Tooth loss and associated risk indicators in an adult urban population from south Brazil. Acta Odontol Scand. 2005;63:85-93.

LinkOut - more resources