Objective: This narrative review examines the factors contributing to edentulism, presents relevant data, and explores whether conventional complete dentures will remain necessary in the future. Background: Although tooth loss has shifted from being an inevitable outcome due to limited treatment options to a largely preventable condition, a significant number of individuals remain edentulous. This persistence is influenced by factors such as limited access to oral healthcare, socio-economic status, epidemiological transitions, and the attitudes of both populations and healthcare providers. Despite advances, edentulism, often caused by dental caries, periodontal disease, or trauma, continues to affect a large portion of the global population and is unlikely to diminish in the near future. The literature identifies several factors that contribute to the onset of edentulism. Methods: A thorough literature search was conducted across electronic databases including PubMed, Google Scholar, Scopus, and the University of Sydney Library’s scientific articles database. Results: Initially, 378 articles were identified. After screening abstracts and assessing relevance, 83 articles were shortlisted. Of these, 24 met the inclusion criteria, focusing on risk factors associated with edentulism and were selected for review. Conclusion: The need for conventional dentures will likely depend on the stage of epidemiological transition in each country. Traditional dentures may remain a key solution for edentulism in nations with higher rates of tooth loss.
| Published in | International Journal of Dental Medicine (Volume 11, Issue 1) |
| DOI | 10.11648/j.ijdm.20251101.14 |
| Page(s) | 25-33 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Edentulism, Oral Epidemiology, Epidemiologic Transition, Teeth Loss, Global Health
| [1] | Irish, J. D., & Guatelli-Steinberg, D. (2003). Ancient teeth and modern human origins: An expanded comparison of African Plio-Pleistocene and recent world dental samples. *Journal of Human Evolution, 45*(2), 113–144. |
| [2] | P. U. (2020). The trouble with teeth. *Scientific American*, 44–49. |
| [3] | Casanova-Rosado, A. J., Casanova-Rosado, J. F., Minaya-Sanchez, M., Robles-Minaya, J. L., Casanova-Sarmiento, J. A., Marquez-Corona, M. D., et al. (2021). Association of edentulism with various chronic diseases in Mexican elders 60+ years: Results of a population-based survey. *Healthcare (Basel)*, *9*(4). |
| [4] | Crocombe, L. A., & Slade, G. D. (2007). Decline of the edentulism epidemic in Australia. *Australian Dental Journal, 52*(2), 154–156. |
| [5] | Russell, S. L., Gordon, S., Lukacs, J. R., & Kaste, L. M. (2013). Sex/gender differences in tooth loss and edentulism: Historical perspectives, biological factors, and sociologic reasons. *Dental Clinics of North America, 57*(2), 317–337. |
| [6] | FA HAK. (2014). History of dentistry. *Archives of Medicine and Health Sciences, 2*(1), 106–110. |
| [7] | Arnold, F. A. Jr. (1957). Grand Rapids fluoridation study; results pertaining to the eleventh year of fluoridation. *American Journal of Public Health and the Nation’s Health, 47*(5), 539–545. |
| [8] | Dyson, J. E., & Darvell, B. W. (1993). Aspects of the design of modern dental air turbine handpieces. *Australian Dental Journal, 38*(6), 456–470. |
| [9] | The Glossary of Prosthodontic Terms: Ninth Edition. (2017). *Journal of Prosthetic Dentistry, 117*(5S), e1–e105. |
| [10] | McGarry, T. J., Nimmo, A., Skiba, J. F., Ahlstrom, R. H., Smith, C. R., & Koumjian, J. H. (1999). Classification system for complete edentulism. The American College of Prosthodontics. *Journal of Prosthodontics, 8*(1), 27–39. |
| [11] | Peres, M., Ferreira, J. L., & Watt, R. G. (2021). The contribution of epidemiology to oral health research. In *Oral Epidemiology* (pp. 3–22). |
| [12] | JP. M. (1994). The epidemiologic transition theory. *Journal of Epidemiology and Community Health, 48*(4), 329. |
| [13] | Rothman, K. J., Greenland, S., & Lash, T. L. (2008). *Modern epidemiology*. Wolters Kluwer Health/Lippincott Williams & Wilkins. |
| [14] | Gordis, L. (2013). *Epidemiology*. Elsevier Health Sciences. |
| [15] | Turner, B. L., & Klaus, H. (2020). The Lambayeque Biohistoric Project: Context and analysis. Springer Nature Switzerland. |
| [16] | Wallis, P., Colson, J., & Chilosi, D. (2018). Structural change and economic growth in the British economy before the Industrial Revolution, 1500–1800. *Journal of Economic History, 78*(3), 862–903. |
| [17] | Douglass, C. W., Shih, A., & Ostry, L. (2002). Will there be a need for complete dentures in the United States in 2020? *Journal of Prosthetic Dentistry, 87*(1), 5–8. |
| [18] | Carlsson, G. E., & Omar, R. (2010). The future of complete dentures in oral rehabilitation: A critical review. *Journal of Oral Rehabilitation, 37*, 143–156. |
| [19] | Sussex, P. V. (2008). Edentulism from a New Zealand perspective: A review of the literature. *New Zealand Dental Journal, 104*(3), 84–96. |
| [20] | Mordini, L., Lee, P., Lazaro, R., Biagi, R., & Giannetti, L. (2021). Sport and dental traumatology: Surgical solutions and prevention. *Dental Journal (Basel), 9*(3). |
| [21] | Patel, J., Wallace, J., Doshi, M., Gadanya, M., Ben Yahya, I., Roseman, J., et al. (2021). Oral health for healthy ageing. *The Lancet Healthy Longevity, 2*(8), E521–E527. |
| [22] | Wu, B., Liang, J., Plassman, B. L., Remle, C., & Luo, X. (2012). Edentulism trends among middle-aged and older adults in the United States: Comparison of five racial/ethnic groups. *Community Dentistry and Oral Epidemiology, 40*(2), 145–153. |
| [23] | McMillan, A. S., & Wong, M. C. (2004). Emotional effects of tooth loss in community-dwelling elderly people in Hong Kong. *International Journal of Prosthodontics, 17*(2). |
| [24] | Brignardello-Petersen, R. (2020). Association between sex or race and edentulism varies importantly across settings. *Journal of the American Dental Association, 151*(1), E3–E. |
| [25] | Suominen-Taipale, A. L., Alanen, P., Helenius, H., Nordblad, A., & Uutela, A. (1999). Edentulism among Finnish adults of working age, 1978–1997. *Community Dentistry and Oral Epidemiology, 27*(5), 353–365. |
| [26] | United Nations, Department of Economic and Social Affairs, Population Division. (2019). *World population prospects 2019: Highlights* (ST/ESA/SER.A/423). |
| [27] | Ministerio de Salud de Colombia. (2014). IV Estudio Nacional de Salud Oral. *República de Colombia*. |
| [28] | Islas-Granillo, H., Borges-Yanez, S. A., Lucas-Rincon, S. E., Medina-Solis, C. E., Casanova-Rosado, A. J., & Marquez-Corona, M. L. (2011). Edentulism risk indicators among Mexican elders 60 years and older. *Archives of Gerontology and Geriatrics, 53*(3), 258–262. |
| [29] | Sussex, P. V., Thomson, W. M., & Fitzgerald, R. P. (2010). Understanding the "epidemic" of complete tooth loss among older New Zealanders. *Gerodontology, 27*(2), 85–95. |
| [30] | Kailembo, A., Preet, R., & Williams, J. S. (2016). Common risk factors and edentulism in adults aged 50 years and over in China, Ghana, India, and South Africa: Results from the WHO Study on Global AGEing and Adult Health (SAGE). *BMC Oral Health, 17*. |
| [31] | Olofsson, H., Ulander, E. L., Gustafson, Y., & Hornsten, C. (2018). Association between socioeconomic and health factors and edentulism in people aged 65 and older: A population-based survey. Scandinavian Journal of Public Health, 46(7), 690–698. |
| [32] | F. S. (1939). The teeth of the Australian Aborigines. SAGE Journals, 29–49. |
| [33] | Al-Rafee, M. A. (2020). The epidemiology of edentulism and the associated factors: A literature review. Journal of Family Medicine and Primary Care, 9(4), 1841–1843. |
| [34] | Slade, G. D., Spencer, A. J., & Roberts-Thomson, K. F. (2007). Australia’s dental generations: The national survey of adult oral health. Dental Statistics and Research Series, 2004(34), 81–83. Australian Institute of Health and Welfare. |
| [35] | Australian Research Centre for Population Oral Health. (n.d.). Dental statistics and research series. The University of Adelaide. Available at: |
| [36] |
Australian Bureau of Statistics. (n.d.). Population clock and pyramid. Available at:
https://www.abs.gov.au/statistics/people/population/population-clock-pyramid |
| [37] | Musacchio, E., Perissinotto, E., Binotto, P., Sartori, L., Silva-Netto, F., & Zambon, S. (2007). Tooth loss in the elderly and its association with nutritional status, socio-economic and lifestyle factors. Acta Odontologica Scandinavica, 65(2), 78–86. |
| [38] | Jacob, L., Shin, J. I., Oh, H., Lopez-Sanchez, G. F., Smith, L., Haro, J. M., et al. (2021). Association between diabetes and edentulism and their joint effects on health status in 40 low and middle-income countries. BMJ Open Diabetes Research & Care, 9(1), e000965. |
| [39] | Thorstensson, H., & Johansson, B. (2010). Why do some people lose teeth across their lifespan whereas others retain a functional dentition into very old age? Gerodontology, 27(1), 19–25. |
| [40] | Al-Zahrani, M. S., Alhassani, A. A., Melis, M., & Zawawi, K. H. (2021). Depression is related to edentulism and lack of functional dentition: An analysis of NHANES data, 2005–2016. Journal of Public Health Dentistry, 81(3), 206–213. |
| [41] | Oliveira, E. J. P., Alves, L. C., Santos, J. L. F., Duarte, Y. A. D., & de Andrade, F. B. (2020). Edentulism and all-cause mortality among Brazilian older adults: 11-year follow-up. Brazilian Oral Research, 34, e056. |
| [42] | Oliveira, E. J. P., Alves, L. C., Duarte, Y. A. D., & de Andrade, F. B. (2021). Edentulism-free life expectancy among older Brazilian adults: SABE study, 2006–2016. Gerodontology, 38(4), 429–436. |
| [43] | Felton, D. A. (2016). Complete edentulism and comorbid diseases: An update. Journal of Prosthodontics, 25(1), 5–20. |
APA Style
Aguirre-Osorio, A. F. (2025). The Future of Conventional Complete Dentures: A Narrative Review on Edentulism Risk Factors. International Journal of Dental Medicine, 11(1), 25-33. https://doi.org/10.11648/j.ijdm.20251101.14
ACS Style
Aguirre-Osorio, A. F. The Future of Conventional Complete Dentures: A Narrative Review on Edentulism Risk Factors. Int. J. Dent. Med. 2025, 11(1), 25-33. doi: 10.11648/j.ijdm.20251101.14
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Download@article{10.11648/j.ijdm.20251101.14,
author = {Andres Felipe Aguirre-Osorio},
title = {The Future of Conventional Complete Dentures: A Narrative Review on Edentulism Risk Factors
},
journal = {International Journal of Dental Medicine},
volume = {11},
number = {1},
pages = {25-33},
doi = {10.11648/j.ijdm.20251101.14},
url = {https://doi.org/10.11648/j.ijdm.20251101.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20251101.14},
abstract = {Objective: This narrative review examines the factors contributing to edentulism, presents relevant data, and explores whether conventional complete dentures will remain necessary in the future. Background: Although tooth loss has shifted from being an inevitable outcome due to limited treatment options to a largely preventable condition, a significant number of individuals remain edentulous. This persistence is influenced by factors such as limited access to oral healthcare, socio-economic status, epidemiological transitions, and the attitudes of both populations and healthcare providers. Despite advances, edentulism, often caused by dental caries, periodontal disease, or trauma, continues to affect a large portion of the global population and is unlikely to diminish in the near future. The literature identifies several factors that contribute to the onset of edentulism. Methods: A thorough literature search was conducted across electronic databases including PubMed, Google Scholar, Scopus, and the University of Sydney Library’s scientific articles database. Results: Initially, 378 articles were identified. After screening abstracts and assessing relevance, 83 articles were shortlisted. Of these, 24 met the inclusion criteria, focusing on risk factors associated with edentulism and were selected for review. Conclusion: The need for conventional dentures will likely depend on the stage of epidemiological transition in each country. Traditional dentures may remain a key solution for edentulism in nations with higher rates of tooth loss.
},
year = {2025}
}
TY - JOUR T1 - The Future of Conventional Complete Dentures: A Narrative Review on Edentulism Risk Factors AU - Andres Felipe Aguirre-Osorio Y1 - 2025/04/29 PY - 2025 N1 - https://doi.org/10.11648/j.ijdm.20251101.14 DO - 10.11648/j.ijdm.20251101.14 T2 - International Journal of Dental Medicine JF - International Journal of Dental Medicine JO - International Journal of Dental Medicine SP - 25 EP - 33 PB - Science Publishing Group SN - 2472-1387 UR - https://doi.org/10.11648/j.ijdm.20251101.14 AB - Objective: This narrative review examines the factors contributing to edentulism, presents relevant data, and explores whether conventional complete dentures will remain necessary in the future. Background: Although tooth loss has shifted from being an inevitable outcome due to limited treatment options to a largely preventable condition, a significant number of individuals remain edentulous. This persistence is influenced by factors such as limited access to oral healthcare, socio-economic status, epidemiological transitions, and the attitudes of both populations and healthcare providers. Despite advances, edentulism, often caused by dental caries, periodontal disease, or trauma, continues to affect a large portion of the global population and is unlikely to diminish in the near future. The literature identifies several factors that contribute to the onset of edentulism. Methods: A thorough literature search was conducted across electronic databases including PubMed, Google Scholar, Scopus, and the University of Sydney Library’s scientific articles database. Results: Initially, 378 articles were identified. After screening abstracts and assessing relevance, 83 articles were shortlisted. Of these, 24 met the inclusion criteria, focusing on risk factors associated with edentulism and were selected for review. Conclusion: The need for conventional dentures will likely depend on the stage of epidemiological transition in each country. Traditional dentures may remain a key solution for edentulism in nations with higher rates of tooth loss. VL - 11 IS - 1 ER -
Department of Prosthodontics, School of Dentistry, The University of Sydney, Sydney, Australia
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