ArticleBMC oral health2020
Contextual and individual determinants of tooth loss in adults: a multilevel study.
Article in BMC oral health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals.International journal of environmental research and public health · 2021Pooled it
- Natural Teeth Present and Quality of Life in Older Adults from Indigenous Communities in the Peruvian Amazon: A Cross-Sectional Study.Oral health & preventive dentistry · 2026Observational
- Time-series trends and regional disparities in complete denture production in Brazil (2000-2023): an epidemiological analysis.Journal of applied oral science : revista FOB · 2026Article
- Tooth loss in Brazilian adolescents: a multilevel cross-sectional study.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Individual and contextual factors associated with tooth loss among Brazilian older adults.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Municipal wealth and tooth extractions in the Unified Health System: limits to changing the healthcare model.Revista de saude publica · 2026Article
- Behavioral and Socioeconomic Determinants of Tooth Loss in Yemeni Adults: A Cross-Sectional Analysis.Clinical, cosmetic and investigational dentistry · 2026Article
- Water fluoridation, functional dentition and tooth loss in Brazilian adults: a multilevel analysis of SB Brasil 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Impact of Tooth Loss on Heart Failure After Myocardial Infarction: A Cross-Sectional Study Bridging Oral and Cardiovascular Health.Dentistry journal · 2025Article
- Association between chronic kidney disease and tooth loss among Korean adults: results from the Korea National Health And Nutrition Examination Survey (KNHANES), 2013-2018.Renal failure · 2025Article
- Association between multimorbidity and having less than 20 natural teeth among Chinese older adults: a cross-sectional study.Scientific reports · 2025Observational
- Incidence of Tooth Loss in Remote Indigenous Populations of the Amazon Region: A 13-Year Cohort Study Before and After Belo Monte Dam.International journal of environmental research and public health · 2025Article
- Tooth wear and tertiary crowding: a 13-year cohort study in Amazon Indigenous populations.Progress in orthodontics · 2025Article
- Prevalence and associated factors with oral frailty in middle-aged and older hospitalized patients: a cross-sectional study.Frontiers in public health · 2025Article
- Multimorbidity and tooth loss: data from Chilean National Health Survey 2016-2017.BMC oral health · 2024Article
- Relationship between the Social Development Index and Self-Reported Periodontal Conditions.Healthcare (Basel, Switzerland) · 2023Article
- Analysis of epidemiological trends of and associated factors for tooth loss among 35- to 44-year-old adults in Guangdong, Southern China, 1995-2015: a population-based cross-sectional survey.BMC oral health · 2023Article
- Correlation between nutrition, oral health, and different sarcopenia groups among elderly outpatients of community hospitals: a cross-sectional study of 1505 participants in China.BMC geriatrics · 2022Article
- Article
- What makes inequality in the area of dental and oral health in developing countries? A scoping review.Cost effectiveness and resource allocation : C/E · 2021Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTooth loss represents a known marker of health inequality. The association between tooth loss and unfavorable socioeconomic conditions is evident when analyzed at an individual level. However, the effects of contextual characteristics on tooth loss need to be better investigated and understood. The objective of this study was to analyze tooth loss among Brazilian adults (35-44 years of age), in accordance with individual and contextual social characteristics.
methodsThis was a multilevel cross-sectional study with data from 9564 adult participants from the Brazilian Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped into structural (socioeconomic & political context) and intermediary (socioeconomic position, behavioral & biological factors, and health services) determinants. Multilevel Hierarchical Negative Binomial Regression was conducted and the Mean Ratio (MR) was estimated.
resultsBrazilian adults lost a mean of 7.57 (95% CI 7.1-8.1) teeth. Among the contextual variables, the number of teeth lost was higher among residents of municipalities with high and medium/low Municipal Human Development Index (MHDI) and in municipalities that did not have public water fluoridation. Among the individual variables, dental loss was higher among those who declared themselves yellow/black/brown/indigenous, were older, who had lower income, who had never visited a dentist, who had used dental services for more than a year and those whose most recent visit to the dentist was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels and males.
conclusionsThe number of missing teeth was associated with unfavorable contextual and individual conditions, which reinforces the need to reduce social inequality and guarantee regular, lifetime access to dental services.
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