Prevalence and factors associated with the need for removable prostheses in brazilian elderly




Removable prosthesis; Seniors; Prevalence; Associated factors.


Objective: This study aimed to identify the prevalence and factors associated with the need for removable prostheses in the elderly Brazilian population. In addition, its impact on eating difficulties and self-perceived oral health was determined. Methodology: This cross-sectional, population-based study used data from the last National Health Survey (NHS) carried out in Brazil. Chi-square test was used to initially analyze the data, followed by multiple Poisson regression to obtain adjusted prevalence ratios. Results: A total of 11,697 elderly people were included, of whom 90.8% needed removable prostheses. Complete dentures were needed in 40.9% of participants, while partial dentures were needed by 49.9%. The elderly who were older (p=0.001), had grayish-brown complexion (p=0.004), a low level of education (p<0.001), and multiple chronic diseases (p<0.001) had a greater need for removable prostheses. Successively, this need had an impact on poor self-perceived oral health (p<0.001) and greater difficulties in eating (p<0.001). Conclusion: The need for a removable prosthesis is associated with worse socioeconomic and health conditions. In addition, it has a negative impact on self-perceived oral health and feeding.


Azevedo, J. S., Azevedo, M. S., Oliveira, L. J. C. & Demarco, F. F. (2017). Needs for dental prostheses and their use in elderly Brazilians according to the National Oral Health Survey (SBBrazil 2010): prevalence rates and associated factors. Cad Saúde Pública, 33 (8), e00054016.

Azevedo, M. S., Correa, M. B., Azevedo, J. S. & Demarco, F. F. (2015). Dental prosthesis use and/or need impacting the oral health-related quality of life in Brazilian adults and elders: results from a national survey. J Dent, 43 (12), 1436-1441.

Barreto, A. O., Aquino, L. M. M., Aquino, A. R. L., Roncalli, A. G., Amaral, B. A. & Carreiro, A. F. P. (2015). Impact on quality of life of removable partial denture wearers after 2 years of use. Braz J Oral Sci, 10 (1), 50-54.

Beard, J. R., Officer, A. M. & Cassels, A. K. (2016). The World Report on Ageing and Health. Gerontologist, 56 (Suppl 2), 163-166.

Choi, S. H., Kim, J. S., Cha, J. Y., Lee, K. J., Yu, H. S. & Hwang, C. J. Subjective food intake ability related to oral health-related quality of life and psychological health. J Oral Rehabil, 43 (9), 670-677.

Clarke, P. & Smith, J. (2011). Aging in a cultural context: cross- national differences in disability and the moderating role of personal control among older adults in the United States and England. J Gerontol B Psychol Sci Soc Sci, 66 (4), 457-67.

Colussi, C. F. & Freitas, S. F. (2002). Epidemiological aspects of oral health among the elderly in Brazil. Cad Saúde Pública, 18 (5), 1313-1320.

DuGoff, E. H., Canudas-Romo, V., Buttorff, C., Leff, B. & Anderson, G. F. (2014). Multiple Chronic Conditions and Life Expectancy: A Life Table Analysis. Med Care, 52 (8), 688-694.

FDI. (1982) Global goals for oral health in the year 2000. Int Dent J, 32 (1), 74-77.

Felton, D. A. (2016). Complete edentulism and comorbid diseases: an update. J Prosthodont, 25 (1), 5-20.

Liljestrand, J. M., Havulinna, A. S., Paju, S., Männistö, S., Salomaa, V. & Pussinen P. J. (2015). Missing teeth predict incident cardiovascular events, diabetes, and death. J Dent Res, 94 (8), 1055-1062.

Medeiros, A. K. B., Campos, M. F. T. P., Costa, R. S. G. S., Melo, L. A., Barbosa, G. A. S. & Carreiro, A. F. P. (2019). Improvement in quality of life of elderly edentulous participants with new complete dentures: a systematic review. Int J Prosthodont, 32 (3), 272-277.

Melo, L. A. & Lima K. C (2020). Prevalence and associated factors with multimorbities in elderly brazilians. Cien Saúde Colet, 25 (10), 3869-3877.

Okoro, C. A., Strine, T. W., Eke, P. I., Dhingra, S. S. & Balluz, L. S. (2012). The association between depression and anxiety and use of oral health services and tooth loss. Community Dent Oral Epidemiol, 40 (2), 134–144.

Oliveira, B. L. C. A, Thomaz, E. B. A. F. & Silva, R. A. (2014). The association between skin color/race and health indicators in elderly Brazilians: a study based on the Brazilian National Household Sample Survey (2008). Cad Saúde Pública, 30 (7), 1438-1452.

Peres, M. A., Barbato, P. R., Reis, S. C., Freitas, C. H. & Antunes, J. L. (2013). Tooth loss in Brazil: analysis of the 2010 Brazilian Oral Health Survey. Rev Saúde Pública, 47 (Suppl 3), 78-89.

Ren, C., McGrath, C. & Yang, Y. (2017). Edentulism and associated factors among community‐dwelling middle‐aged and elderly adults in China. Gerodontology, 34 (2), 195-207.

Seerig, L. M., Nascimento, G. G., Peres, M. A., Horta, B. L. & Demarco, F. F. (2015). Tooth loss in adults and in- come: systematic review and meta-analysis. J Dent, 43: (9), 1051-1059.

Shao, Z., Guo, X., Zhang, Q., Bronkhorst, E. M., Zou, D. & Creugers, N. H. J. (2018). Masticatory efficiency in patients with partially dentate dentitions. J Dent, 75 (1), 41-47.

Szwarcwald, C. L., Malta, D. C., Pereira, C. A, et al. (2014). National Health Survey in Brazil: design and methodology of application. Cien Saude Colet, 19 (2), 333-342.

Tada, A. & Miura, H. (2014). Systematic review of the association of mastication with food and nutrient intake in the independent elderly. Arch Gerontol Geriatr, 59 (3), 497-505.

Yellowitz, J. A. & Schneiderman, M. T. (2014). Elder’s oral health crisis. J Evid Based Dent Pract,14 (Suppl 14), 191-200.




How to Cite

OLIVEIRA, N. de .; MELO, L. A. de .; CARVALHO, R. L. A. de .; FARIA, J. C. B. de .; MENDONÇA, B. de P. N. .; LOURENÇO, M. A. G. .; BRAGA, L. de C. .; LIMA, C. M. .; LEITE, F. P. P. . Prevalence and factors associated with the need for removable prostheses in brazilian elderly. Research, Society and Development, [S. l.], v. 10, n. 12, p. e499101220796, 2021. DOI: 10.33448/rsd-v10i12.20796. Disponível em: Acesso em: 21 feb. 2024.



Health Sciences