Evidence map›Paper›PMID 42324344›Full record

ArticleEvidence-based dentistry2026

Is tooth loss associated with subsequent cognitive decline and dementia in ageing populations?

C Albert Yeung

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Article in Evidence-based dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

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1 author.

C Albert YeungPublic Health Directorate, NHS Lanarkshire, Kirklands, Bothwell, UK. albert.yeung@lanarkshire.scot.nhs.uk.ORCID http://orcid.org/0000-0002-5482-019X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

a commentary onChen H, Ji L, Wang Y, Klineberg I, Chen H. Dentition-Cognition Relationship in Aging Populations: A Meta-Analysis of Longitudinal Data. J Oral Rehabil 2026; 53: 924-38.

designSystematic review and meta-analysis of longitudinal observational studies. CASE SELECTION: Longitudinal cohort and case-control studies assessing dentition status (tooth loss or edentulism) and cognitive outcomes (dementia or mild cognitive impairment [MCI]) were included. Twenty-one studies with approximately 35.7 million participants and a mean follow-up of 8.9 years were analysed. DATA ANALYSIS: Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using random- or fixed-effects models depending on heterogeneity. Study quality was assessed using the Newcastle-Ottawa Scale.

resultsTooth loss was associated with an increased risk of both dementia (OR 1.26, 95% CI 1.07-1.49) and MCI (OR 1.40, 95% CI 1.14-1.71), with stronger associations observed in individuals with edentulism, particularly for MCI (OR 1.90, 95% CI 1.07-3.35) and to a lesser extent dementia (OR 1.16, 95% CI 1.09-1.23). Findings also suggested a dose-response relationship, whereby increasing severity of tooth loss corresponded to greater cognitive risk. Subgroup analyses indicated higher risks in women and Western populations. Limited evidence also suggested that denture use attenuated this association, showing no significant increased dementia risk among denture wearers (OR 1.03, 95% CI 0.82-1.28).

conclusionsTooth loss is associated with an increased risk of cognitive decline and dementia, with more severe tooth loss conferring greater risk. Prosthodontic rehabilitation may mitigate this association, suggesting a potential role for oral health in supporting cognitive ageing.

Indexed as

AgingCognitive DysfunctionDementiaTooth LossHumansLongitudinal StudiesMeta-Analysis as TopicRisk FactorsSystematic Reviews as Topic

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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.