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Tooth loss in Brazilian adolescents: a multilevel cross-sectional study
Lara de Souza Cruz Lizardo1, Rafaela da Silveira Pinto1, Widla Emanuella Pereira Barreto Garcez1
1Universidade Federal de Minas Gerais, School of Dentistry, Department of Social and Preventive Dentistry - Belo Horizonte (MG), Brazil.
Tooth loss affects 13.77% of Brazilian adolescents aged 15-19. Factors like age, social program use, and toothache increase risk, while better public health coverage reduces it. Prevention and equity are key.
Area of Science:
- Public Health
- Dental Epidemiology
- Social Determinants of Health
Background:
- Tooth loss in adolescents is a significant public health concern.
- Understanding associated factors is crucial for targeted interventions.
Purpose of the Study:
- To investigate factors associated with tooth loss among Brazilian adolescents aged 15 to 19 years.
- To analyze individual and contextual determinants of adolescent tooth loss in Brazil.
Main Methods:
- Cross-sectional study using secondary data from the National Survey of Oral Health (SB Brasil 2023).
- Multilevel Poisson regression models analyzed individual, municipal, and state-level variables.
- Included 8,053 adolescents aged 15-19 years.
Main Results:
- Prevalence of tooth loss was 13.77%.
- Increased age, social program benefits, reporting toothache, and using public health services were associated with higher tooth loss prevalence.
- Higher oral health coverage, GDP, and HDI were linked to lower tooth loss prevalence.
Conclusions:
- Tooth loss in Brazilian adolescents is influenced by sociodemographic status, socioeconomic disparities, oral health conditions, and access to dental care.
- Strengthening preventive and equitable oral health actions is essential, particularly for vulnerable groups.
- Addressing regional disparities is vital for improving national oral health outcomes.
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