The use and need of dental prosthesis: a cross-sectional epidemiological study of Brazilian older adults
DOI:
https://doi.org/10.21680/2446-7286.2025v11n2ID40399Keywords:
Odontologia em Saúde Pública, Reabilitação Bucal, Prótese Dentária, IdosoAbstract
Introduction: The demographic transition has shown a consequent increase in the elderly population. These patients have a higher rate of need and use of dental prosthesis. Objective: This study aimed to describe the use and need for prostheses among elderly users of the Brazilian Unified Health System, as well as their epidemiological profile and knowledge about prosthesis care. Methodology: A total of 101 elderly individuals were assessed through clinical examination and a semi-structured questionnaire containing sociodemographic and health data. Results: 78.2% of the patients were prostheses users, while 21.8% needed it but did not use it. Regarding the use and type of prosthesis, 57.4% used maxillary complete denture, 59.4% did not use mandibular dental prosthesis, 51.4% require a maxillary complete denture and 43.6% require a fixed or removable prosthesis to replace more than one inferior teeth. Mechanical hygiene method of prosthetic parts (64.4%) and removing the prosthesis to sleep (49.5%) prevailed. 41.6% elderly reported that the prosthesis was planned by a Prosthesis Technician. 44.5% of the prostheses users did not receive professional information on prosthesis care and 68.3% reported that they were not counseled by the primary care dentist. Conclusions: Oral rehabilitation should not end with the delivery of the prosthesis. Longitudinal follow-up should be performed on the primary care including mouth and prosthetic examination, aiming the promotion and operation of self-care.
Downloads
References
1. GBD 2019 Demographics Collaborators Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. Lancet Lond Engl. 2020;396(10258):1160–203. https://doi.org/10.1016/S0140-6736(20)30977-6
2. dos Santos ESM, Máximo R de O, de Andrade FB, et al. Differences in the prevalence of prediabetes, undiagnosed diabetes and diagnosed diabetes and associated factors in cohorts of Brazilian and English older adults. Public Health Nutr. 2021;24(13):4187–94. https://doi.org/10.1017/s1368980020003201
3. Kroll P, Hou L, Radaideh H, et al. Oral Health-Related Outcomes in Edentulous Patients Treated With Mandibular Implant-Retained Dentures Versus Complete Dentures: Systematic Review With Meta-Analyses. J Oral Implantol. 2018;44(4):313–24. https://doi.org/10.1563/aaid-joi-d-17-00210
4. Schmutzler A, Rauch A, Nitschke I, et al. CLEANING OF REMOVABLE DENTAL PROSTHESES – A SYSTEMATIC REVIEW. J Evid Based Dent Pract. 2021 Dec;21(4):101644. https://doi.org/10.1016/j.jebdp.2021.101644
5. Papadiochou S, Polyzois G. Hygiene practices in removable prosthodontics: A systematic review. Int J Dent Hyg. 2018;16(2):179–201. https://doi.org/10.1111/idh.1232
6. Cinquanta L, Varoni EM, Barbieri C, et al. Patient attitude and habits regarding removable denture home hygiene and correlation with prosthesis cleanliness: A cross-sectional study of elderly Italians. J Prosthet Dent. 2021;125(5):772.e1-772.e7. https://doi.org/10.1016/j.prosdent.2021.01.024
7. Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019;13 Suppl 1:S31–4. https://doi.org/10.4103/sja.sja_543_18
8. Ministério da Saúde (Brasil). Ministério da Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais. Brasília: Ministério da Saúde, 2012.
9. World Health Organization. Oral health surveys: basic methods. 4nd ed. Geneva: ORH/EPID; 1997. Disponível em: https://iris.who.int/handle/10665/41905
10. Azevedo JS, Azevedo MS, Oliveira LJC de, et al. Uso e necessidade de prótese dentária em idosos brasileiros segundo a Pesquisa Nacional de Saúde Bucal (SBBrasil 2010): prevalências e fatores associados. Cad Saúde Pública. 2017;33:e00054016. Brazilian. https://doi.org/10.1590/0102-311X00054016
11. Axe AS, Varghese R, Bosma M, et al. Dental health professional recommendation and consumer habits in denture cleansing. J Prosthet Dent. 2016;115(2):183–8. https://doi.org/10.1016/j.prosdent.2015.08.007
12. Colaço J, Muniz FWMG, Peron D, et al. Oral health-related quality of life and associated factors in the elderly: a population-based cross-sectional study. Cien Saude Colet. 2020;25:3901–12. https://doi.org/10.1590/1413-812320202510.02202019
13. Vieira BL de C, Morais LP de, Vargas-Ferreira F, et al. Use and need of removable dental prostheses in an institutionalized Brazilian elderly population: a cross-sectional study. Braz Oral Res. 2021;35:e134. https://doi.org/10.1590/1807-3107bor-2021.vol35.0134
14. Gomes Filho VV, Moreira R da S, Silva Junior MF, et al. Factors associated with the need for a complete denture in one arch or both arches among the elderly population. Braz Oral Res. 2020;34:e040. https://doi.org/10.1590/1807-3107bor-2020.vol34.0040
15. Silva MA, Batista AUD, Abreu MHNG, et al. Oral Health Impact Profile: need and use of dental prostheses among Northeast Brazilian independent-living elderly. Cien Saude Colet. 2019;24:4305–12. https://doi.org/10.1590/1413-812320182411.32472017
16. Chaves SCL, Almeida AMF de L, Rossi TRA, et al. Política de Saúde Bucal no Brasil 2003-2014: cenário, propostas, ações e resultados. Cien Saude Colet. 2017;22:1791–803. Brazilian. DOI: https://doi.org/10.1590/1413-81232017226.18782015.
17. Yamaga E, Sato Y, Soeda H, et al. Structural equation modeling of the impact of mandibular ridge form and denture quality on oral health-related quality of life in complete denture wearers. J Prosthodont Res. 2019;63(3):293–8. https://doi.org/10.1016/j.jpor.2018.12.011
18. AlZarea BK. Dental prosthetic status and prosthetic needs of geriatric patients attending the College of Dentistry, Al Jouf University, Kingdom of Saudi Arabia. Eur J Dent. 2017;11(4):526–30. https://doi.org/10.4103/ejd.ejd_69_17
19. Souza JGS, Souza SE, Sampaio AA, et al. Autopercepção da necessidade de prótese dentária total entre idosos brasileiros desdentados. Cien Saude Colet. 2016;21:3407–15. Brazilian. https://doi.org/10.1590/1413-812320152111.14912015
20. Valentini-Mioso F, Maske TT, Cenci MS, et al. Chemical hygiene protocols for complete dentures: A crossover randomized clinical trial. J Prosthet Dent. 2019;121(1):83–9. https://doi.org/10.1016/j.prosdent.2017.12.022
21. Badaró MM, Bueno FL, Arnez RM, et al. The effects of three disinfection protocols on Candida spp., denture stomatitis, and biofilm: A parallel group randomized controlled trial. J Prosthet Dent. 2020;124(6):690–8. https://doi.org/10.1016/j.prosdent.2019.09.024
22. Tavares DGM, Marques LARV, Neto EMR, et al. Avaliação de Hábitos de Higiene Bucal e Satisfação em Usuários de Prótese Parcial Removível. Saúde E Pesqui. 2016;9(2):317–23. Brazilian. https://doi.org/10.17765/1983-1870.2016v9n2p317-323
23. Nóbrega DRDM, Lucena AG, Medeiros LADMD, et al. Avaliação da utilização e hábitos de higiene em usuários de prótese dentária removível. Rev Bras Odontol. 2016;73(3):193. Brazilian. http://dx.doi.org/10.18363/rbo.v73n3.p.193
24. Garcia AAMN, Sugio CYC, de Azevedo-Silva LJ, et al. Nanoparticle-modified PMMA to prevent denture stomatitis: a systematic review. Arch Microbiol. 2021;204(1):75. https://doi.org/10.1007/s00203-021-02653-4
25. Neppelenbroek KH, Falcão Procópio AL, Gurgel Gomes AC, et al. A modified Newton classification for denture stomatitis. Prim Dent J. 2022;11(2):55–8. https://doi.org/10.1177/20501684221101095
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista Ciência Plural

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
À Revista Ciência Plural ficam reservados os direitos autorais referente a todos os artigos publicados.
Português (Brasil)
English
Español (España)







