Evidence map›Paper›PMID 34930189›Full record

ArticleBMC public health2021

Multimorbidity and tooth loss: the Brazilian National Health Survey, 2019.

Rafael Aiello Bomfim, Andreia Morales Cascaes, Cesar de Oliveira

Abstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Tooth loss and rehabilitation in the elderly: an intersectional analysis of gender, race, and territory.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
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  5. Individual and contextual factors associated with tooth loss among Brazilian older adults.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
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  13. Oral Health Literacy and Patient Education Practices Among Non-Dental Professionals in Chongqing, China: A Cross-Sectional Study.Medical science monitor : international medical journal of experimental and clinical research · 2024
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Rafael Aiello BomfimSchool of Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, Brazil. aiello.rafael@gmail.com.
Andreia Morales CascaesDepartment of Public Health, Federal University of Santa Catarina, Florianópolis, Brazil.
Cesar de OliveiraDepartment of Epidemiology & Public Health, University College of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the presence of two or more chronic conditions (multimorbidity) on tooth loss between adults and older adults. Understanding the mechanisms of multimorbidity on tooth loss is essential to inform policy development. This study aims to investigate the association between multimorbidity and severity of tooth loss in Brazilian adults and older adults.

methodsWe analysed data from a nationally representative sample of 88,531 Brazilian individuals aged 18 and over who participated in the 2019 Brazilian Health Survey. Tooth loss was the outcome by two different classifications: functional dentition (lost 1-12 teeth) and severe tooth loss (lost 23-32 teeth). The presence of multimorbidity was the main exposure and based on 13 self-reported doctor-diagnosed chronic diseases that were further categorised into two groups, i.e., ≥2 or ≥ 3 comorbidities. Sociodemographic covariates included sex, age, race, income, level of education and tobacco smoking and geographic region of residency. Multivariate logistic regression models estimated the OR (Odds Ratios) and 95%CI of the associations between multimorbidity and tooth loss.

resultsFor 65,803 adults (aged 18 to 59), the presence of multimorbidity (≥2) was associated with 32% higher odds of having severe tooth loss (95% CI, 1.17; 1.49) and 33% lower odds of having functional dentition (95% CI, 0.60; 0.75). For the 22,728 older adults (aged 60 and older), multimorbidity (≥2) was associated with a 17% higher odds of severe tooth loss (95% CI, 1.06; 1.29) and 23% lower odds of having functional dentition (95% CI 0.70; 0.85). The sensitivity analysis, excluding hypertension, confirmed our findings.

conclusionsBrazilian adults and older adults with multimorbidity are more likely to have severe tooth loss and less likely to have functional dentition.

Indexed as

Tooth LossAdolescentAdultAgedBrazilHealth SurveysHumansIncomeMiddle AgedMultimorbidityYoung AdultAgeingFunctional dentitionMultimorbidityOral healthSevere tooth lossTooth loss

Identifiers

PMID34930189
PMCPMC8691078

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.