The association between individual and contextual factors and functional dentition status among adults in Rio Grande do Sul State, Brazil: a multilevel study

Abstract

Functional dentition plays an important role in maintaining masticatory function, which is closely related to the number of teeth present in the mouth. The objective of this study was to investigate the association between individual and contextual factors and functional dentition (defined IntroductionTooth loss is one of the main public health problems affecting the adult population worldwide 1 . This situation directly and indirectly influences the individual's overall health. Compromised masticatory function affects quality of diet, increasing the risk of various health problems like cardiovascular diseases, physical disabilities and even death 2,3 . Edentulous individuals show lower consumption of important macro and micronutrients as compared to those with functional dentition 4,5 . For example, edentulism without rehabilitation with prostheses has been associated with reduced intake of carbohydrates, vitamins, and minerals 4 . Obesity 3 and malnutrition 5 have also been linked to tooth loss.There are various causes of tooth loss, the main ones being dental caries and periodontal disease. Other factors include access to dental services, health system organization, and oral health care 6,7 . Higher tooth loss rates have been associated with unfavorable socioeconomic conditions 8,9 .Functional dentition plays an important role in maintaining masticatory function, which is closely related to the number of teeth present in the mouth 10,11,12 . According to this concept, maintenance of functionality requires a minimum of 20 teeth well distributed in the upper and lower dental arches. In 1992, the World Health Organization (WHO) declared the lifetime reten-ARTIGO ARTICLE

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

“…The average DMF-T was 15.24 (SD = 6.06), with 6.7% corresponding to the component decayed, 36.3% to missing, and 57.1% to filled teeth. Among the participants, 19.4% (95% CI: 16.5-22.7; 178 individuals) had <20 teeth and 80.6% (95% CI: 77.3-83.5; 672 individuals) presented functional dentition (deff = 1.317). Table 1 displays the results of descriptive analysis and multiple first-step analyses.…”

“…The questionnaire addressed factors potentially associated with dental events identified in the social determination of health model by Dahlgren and Whitehead (11), in the risk factors for dental caries model adopted by the WHO (12), and through a bibliographical review about individual and contextual factors associated with tooth loss and functional dentition in adult and elderly individuals (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)32). By combining these factors, a new theoretical model was proposed to explain the outcome of functional dentition in adults ( Fig.…”

“…As with regard to teeth retention, a recent study identified that adults residing in municipalities with a higher average number of years of education who were situated in urban areas where water fluoridation had occurred for a longer period presented a greater likelihood of having functional dentition. A higher incidence of functional dentition also occurred in younger male adults with a higher family income and higher level of education who had seen a dentist in the past 12 months and received information regarding prevention (19). Most studies assessing teeth retention have been conducted in developed nations (20,21) or with elderly individuals (1,3,4,22), while few have addressed individuals in the adult age group in developing nations (19,23,24) or studied functional dentition as their main outcome (19).…”

O edentulismo no Brasil: epidemiologia, rede assistencial e produção de próteses pelo Sistema Único de Saúde.

“…Grande parcela dos indivíduos de 35 a 44 anos e de 65 a 74 anos apresentam perdas dentárias, corroborando dados da literatura nacional de que a maioria dos adultos desdentados é portador de dentição funcional, [18][19][20] enquanto que a maioria dos idosos possui ausência de todos os dentes. 18,19 O aspecto cumulativo das duas principais doenças bucais…”

A Multilevel Approach on Self-Reported Dental Caries in Subjects of Minority Ethnic Groups: A Cross-Sectional Study of 6440 Adults

“…Nonetheless, subject proximal factors are insufficient explanations of the frequency and dissemination among populations [19]. Thus, multilevel analysis has simplified assessment the outcomes of contextual level impacts and their exchanges with oral health [20,21].…”