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Updated: May 22, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Factors associated with edentulousness in an elderly population in Valencia (Spain)
María Vicenta Eustaquio-Raga1, José María Montiel-Company, José Manuel Almerich-Silla
1Stomatology Department, University of Valencia, Valencia, Spain. m.vicenta.eustaquio@uv.es
Objective:
To determine the prevalence of edentulism and its association with various socioeconomic factors and oral health habits in the population aged 65-74 years old in the region of Valencia.
Methods:
A cross sectional study was designed. Thirty-four primary health centers and five nursing homes were chosen at random in the region of Valencia (10-15 voluntary participants per sampling point). Clinical examinations were carried out by three calibrated dentists (kappa>0.85) in the same centers. The total sample consisted of 531 individuals (235 men and 296 women).
Results:
The percentage of toothlessness was 20.7% and the mean number of natural teeth present was 14.92. The prevalence of edentulism was significantly higher (p <0.05) in men, institutionalized persons, those with no schooling, those with poor oral hygiene, those who visited the dentist regularly and those living in peri-urban/rural areas. In a multivariate logistic regression model with edentulism as the dependent variable, the following factors were identified as significant independent variables: institutionalization (odds ratio [OR]=2.88), poor oral hygiene (OR=2.35), regular visits to the dentist (OR=2.34) and age (OR=1.19).
Conclusion:
Edentulousness is a complex phenomenon that involves distinct social and economic factors.
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