Chronic diseases associated with total tooth loss in the elderly
Older adult, Chronic diseases, Edentulism, Oral health.
Objective: Identify the influence of chronic diseases on total edentulism in older adults. Materials and methods: This study is characterized as cross-sectional and population-based. The database from the last National Health Survey (NHS)in Brazil was used to conduct it. The sample consisted of 43,554 older adults, aged 60 years or over. The chronic diseases analyzed were: hypertension, diabetes, high cholesterol, heart disease, stroke, asthma, rheumatism, back problems, musculoskeletal disorders, depression, schizophrenia, chronic lung diseases, cancer and kidney failure. The Chi-squared test was initially used in the data analysis. Then, the adjusted prevalence ratios were found through a multivariate Poisson multiple regression analysis to determine the chronic diseases associated with total edentulism. Results: The prevalence of total edentulous older adults was 32%. The most prevalent chronic diseases in these completely edentulous older adults were hypertension (59.6%), back problems (32.5%) and high cholesterol (27.5%). Total edentulism in older adults was associated with the female sex (p<0.001), being older (p<0.001), illiterate (p<0.001), those who do not have health insurance (p<0.001), older adults who have hypertension (p<0.001), diabetes (p=0.004), and those who suffered a cerebrovascular accident (CVA) (p<0.001). Conclusion: It is concluded that total edentulism in older adults is associated with worse socioeconomic conditions and with individuals who have hypertension, diabetes and who have suffered a stroke.