Association between social determinants of health and functional dentition in 35‐year‐old to 44‐year‐old Brazilian adults: a population‐based analytical study

Abstract

Income, education, type of dental service most often used, lifestyle, risk behaviors and demographic conditions are distal, intermediate and proximal social determinants of health associated with functional dentition in adults, demonstrating the need for public policies aimed to promoting oral health including intersectoral actions.

Functional, esthetical, and periodontal determination of the dentition in 35- to 44-year-old Brazilian adults

“…This finding is in agreement with data from previous studies that report that women have a greater chance of exhibiting missing teeth in the dentition as a whole [26] as well as a smaller chance of having a functional dentition [3]. Regarding the sequential levels (II to VI), the only significant difference between sexes was found for level III: the proportion of women without a complete anterior region was lower than the proportion among the men.…”

“…The Bwell-distributed teeth^concept (WDT) corresponds to the presence of 10 teeth in each arch [5,6]. The WHO functional dentition concept (FDWHO) was defined as the presence of 20 teeth in the mouth [1,3]. Functional dentition classified by esthetics and occlusion (FD Class5 ) corresponds to dentitions that sequentially exhibit at least one tooth in each arch, at least 10 teeth in each arch, all maxillary and mandibular anterior teeth, three or four premolar POPs, and at least one molar POP bilaterally.…”

“…The concept of functional dentition adopted by the World Health Organization (WHO) [1] and widely employed in the literature [1][2][3][4] establishes 20 teeth as the minimum required. The WHO definition of functional dentition (FDWHO) is a quantitative concept, and it has been questioned recently, as each tooth group plays a different functional role [5].…”

“…Thus, other configurations of shortened dentitions have been studied from the standpoint of adequate occlusion, functionality, and esthetics [5]. Despite the limitations of the FDWHO concept, it endorses the goal set by the WHO of 96 % of adults with functional dentition, which has not yet reached among Brazilian adults [2,3,7], although oral health status has improved in this population in recent years [8][9][10]. The growing interest in different configurations of shortened dentitions stems from the possibility that there is no need of prosthetic replacement for all situations of teeth lost.…”

Functional Dentition in Brazilian Adults: An Investigation of Social Determinants of Health (SDH) Using a Multilevel Approach

“…The World Health Organization (WHO) establish that FD is the retention of a natural, esthetic, functional dentition of no less than 20 teeth throughout life with no need for tooth replacement [1]. This definition of FD based on the quantitative WHO criteria (FDWHO) is the most employed in the literature [2–6]. However, since each tooth group performs a different function, the quantitative concept has been questioned, as the mere number of teeth seems to be a simplistic definition in terms of functionality.…”