Related Experiment Video
Updated: May 14, 2026
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Functional dentition and chronic noncommunicable diseases among adults in Brazil
Galileu Bottermund Galli1, Milene Rossi2, Pedro Bohlke Barcellos2
1Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil.
Objective:
This study aimed to investigate the association between functional dentition and a prior diagnosis of diabetes mellitus (DM) and/or chronic kidney disease (CKD) in a nationally representative sample of the Brazilian population.
Methods:
We conducted a cross-sectional analysis using data from the 2019 Brazilian National Health Survey (PNS). The PNS is representative of the Brazilian population. The associations between self-reported diagnoses of DM and/or CKD and the absence of functional dentition were assessed using multilevel logistic regression models, adjusted for sociodemographic and behavioral variables, such as age, sex, skin color, income, education, and smoking status.
Results:
Functional dentition was absent in 9.3% of the sample (95%CI, 8.9-9.7). Additionally, 8.8% (95%CI, 8.5-9.0) reported a previous diagnosis of DM, and 1.4% (95%CI, 1.3-1.5) a prior diagnosis of CKD. The proportion of individuals with both CKD and DM was 0.29% (95%CI, 0.27-0.32). In adjusted models, DM was significantly associated with the absence of functional dentition (OR, 1.16; 95%CI, 1.07; 1.23, p<0.001). No significant association was observed for CKD (OR, 1.06; 95%CI, 0.89; 1.26, p=0.48) or for individuals with both DM and CKD (OR, 1.08; 95%CI, 0.74; 1.57, p=0.66).
Conclusion:
Diabetes is associated with a higher risk of functional dentition loss in the Brazilian population. Promoting collaboration between dental and medical professionals is essential to improve the prevention and management of tooth loss, particularly among individuals with diabetes, ultimately contributing to better overall health outcomes.
Related Concept Videos
01:15Teeth
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
01:27The Oral Microbiota
01:21Tooth Anatomy
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
01:26Assessment of the Mouth
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
01:28Infectious Diseases and Their Occurrence
01:24Chronic Obstructive Pulmonary Disease
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...