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Background <p>Edentulism is a chronic and debilitating oral health condition linked to the onset of systemic diseases. This study aims to characterize oral health conditions and identify factors associated with edentulism among older adults in Aiquara-BA.</p> Methods <p>This is a cross-sectional, analytical, and epidemiological study. Data collection was conducted from February to April 2022, in two stages. First, trained interviewers administered a validated questionnaire covering sociodemographic, economic, health, and lifestyle factors directly in participants’ homes. In the second stage, a calibrated dental surgeon conducted caries diagnoses and assessed the need for and use of prostheses in a unit provided by the Municipal Health Department, using standardized procedures. Data were analyzed using statistical software, applying descriptive statistics and multiple Poisson regression.</p> Results <p>A total of 195 older adults, aged 60&#xa0;years or older and residing in Aiquara, were included, with a mean age of 71.2&#xa0;years (± 8.3), and 57.4% were female. The prevalence of caries was 100%, with a mean DMFT index of 27.8 (sd ± 6.1). Total edentulism prevalence was 63.4%, with 41.6% in the upper arch and 21.8% in the lower arch. Tongue coating was observed in 74.9% of participants, and 43.6% had unsatisfactory upper prosthesis conditions. In Aiquara-BA, edentulism was more prevalent among older adults aged ≥ 80&#xa0;years (PR = 2.4), with a history of infarction (PR = 2.90) and osteoporosis (PR = 3.37).</p> Conclusions <p>The prevalence of edentulism is high among older adults in Aiquara-BA, particularly among those in older age groups and those with osteoporosis and a history of infarction.</p>

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Impact of Edentulism on Oral and Systemic Health in Older Adults

  • 期刊论文

  • 发表日期：

    2025年2月27日

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  • Wagner Couto Assis,
  • Mateus Cardoso Oliveira,
  • Haroldo José Mendes,
  • Cezar Augusto Casotti

摘要

Background

Edentulism is a chronic and debilitating oral health condition linked to the onset of systemic diseases. This study aims to characterize oral health conditions and identify factors associated with edentulism among older adults in Aiquara-BA.

Methods

This is a cross-sectional, analytical, and epidemiological study. Data collection was conducted from February to April 2022, in two stages. First, trained interviewers administered a validated questionnaire covering sociodemographic, economic, health, and lifestyle factors directly in participants’ homes. In the second stage, a calibrated dental surgeon conducted caries diagnoses and assessed the need for and use of prostheses in a unit provided by the Municipal Health Department, using standardized procedures. Data were analyzed using statistical software, applying descriptive statistics and multiple Poisson regression.

Results

A total of 195 older adults, aged 60 years or older and residing in Aiquara, were included, with a mean age of 71.2 years (± 8.3), and 57.4% were female. The prevalence of caries was 100%, with a mean DMFT index of 27.8 (sd ± 6.1). Total edentulism prevalence was 63.4%, with 41.6% in the upper arch and 21.8% in the lower arch. Tongue coating was observed in 74.9% of participants, and 43.6% had unsatisfactory upper prosthesis conditions. In Aiquara-BA, edentulism was more prevalent among older adults aged ≥ 80 years (PR = 2.4), with a history of infarction (PR = 2.90) and osteoporosis (PR = 3.37).

Conclusions

The prevalence of edentulism is high among older adults in Aiquara-BA, particularly among those in older age groups and those with osteoporosis and a history of infarction.