Brazilian Adults Believe that Complete Dentures would be the Solution to the Oral Impacts Caused by Reduced Dentition

Fernanda Lamounier  Campos; Ichiro  Kawachi; Gabriela Aparecida Caldeira  Rhodes; Aline Araujo  Sampaio; Loliza Luiz Figueiredo Houri  Chalub; Raquel Conceição  Ferreira

Authors

Fernanda Lamounier Campos
Ichiro Kawachi
Gabriela Aparecida Caldeira Rhodes
Aline Araujo Sampaio
Loliza Luiz Figueiredo Houri Chalub
Raquel Conceição Ferreira

Keywords:

Dental Arch, Self Concept, Patient Satisfaction, Dental Prosthesis, Oral Health

Abstract

Objective: To evaluate the direct and oral impact-mediated association between reduced dentitions and the self-perceived need for complete dentures (CD) in dentate adults. Material and Methods: Data from the Brazilian Oral Health Survey (2010) were analyzed. The outcome was self-perceived need for CD. Functional dentition (FD_ClassV) was defined by the presence of the following criteria: level I - ≥1 tooth in each arch, level II - 10 teeth in each arch, level III - 12 anterior teeth, level IV - ≥ 3 posterior occluding pairs (POPs) of premolars and level V - ≥1 bilateral POPs of molars. Oral impacts were assessed with Oral Impacts on Daily Performances scale. Results: FD_ClassV was associated with a less self-perceived need for CD both directly and mediated by oral impacts. Dentitions without level V were associated with the outcome mediated by oral impacts. Between individuals with 10 teeth in each arch, self-perceived need for CD was similar for those who had or not anterior teeth and POPs. Individuals with <10 teeth in each arch and level III did not have a higher frequency of self-perceived need for CD compared to those with level II. Conclusion: Oral impacts mediated the association between reduced dentitions and self-perceived need for CD. Individuals with tooth loss may report need for CD, even when they have dental configurations compatible with functionality.

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