Predictors of tooth loss in Brazilian older adults: An 8-year follow-up

Objective: To investigate the risk factors for tooth loss after 8 years among community-dwelling older adults in a southern Brazilian city. Methods: In 2004, 388 dentate community-dwelling older adults from Carlos Barbosa, southern Brazil, were selected using simple random sampling. In 2012, the follow-up consisted of 199 (51.3%) participants. Data collection comprised an interview with data about socio-demographic, behavioural and access to services and an oral examination. The outcome variable of this study is the ratio between the sum of the teeth lost during the 8-year period of follow-up, and the sum of the teeth present in 2004, per person, modelled through binomial regression analysis. Results: Being older (IOR = 1.03, 95% CI: 1.00–1.06), living in a rural area (IOR = 1.56, 95% CI: 1.17–2.07), earning two or more monthly minimum wages (IOR = 1.46, 95% CI: 1.09–1.96), living alone (single, widowed or divorced; IOR = 1.36, 95% CI: 1.00–1.85), having more gingival bleeding sites (IOR = 1.01, 95% CI: 1.00–1.02) and wearing partial removable prosthesis (IOR = 2.82, 95% CI: 2.15–3.71) were risk factors for tooth loss. Approximately 48% of the participants lost one or more teeth over the 8-year follow-up period. Conclusion: Socio-demographic, economic and clinical variables were associated with the risk for tooth loss. This might be a result of social determinants of health influencing people’s access to oral health care, oral health behaviours and oral health status. Public policy aimed at older adults living in rural areas, living alone and using removable dentures may contribute to reducing the risk of tooth loss.