Reasons for and consequences of tooth loss in adults and elderly people in Brazil: a qualitative metasynthesis

Cortez, Gabriel Fernandes Pellegrini; Barbosa, Gabriela Zanchi; Tôrres, Luísa Helena do Nascimento; Unfer, Beatriz

doi:10.1590/1413-81232023285.01632022EN

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REVIEW • Ciênc. saúde coletiva 28 (05) • May 2023 • https://doi.org/10.1590/1413-81232023285.01632022EN copy

Reasons for and consequences of tooth loss in adults and elderly people in Brazil: a qualitative metasynthesis

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The objective was to analyze and systematize evidence reported in qualitative studies on the reasons and consequences of tooth loss in adults and elderly people in Brazil. A systematic review of the literature on qualitative research methods and a meta synthesis of the results were performed. The study population consisted of adults over 18 years of age and elderly people in Brazil. Searches were performed in the BVS, PubMed, Scopus, Web of Science, BBO, Embase, EBSCO and SciELO databases. The thematic synthesis identified 8 analytical themes regarding reasons for tooth loss and 3 analytical themes regarding consequences of tooth loss. Dental pain, care model, financial situation and desire for prosthetic rehabilitation were determining factors for extractions. There was recognition of negligence in oral care, and the naturalness of tooth loss was linked to old age. Missing teeth caused psychological and physiological impacts. It is imperative to verify whether the factors that cause tooth loss persist, and how much those factors influence decisions to extract teeth among current young and adult populations. It is necessary to change the care model through the inclusion and qualification of oral health care for the young and elderly adult populations; otherwise, the model of dental mutilation and the culture of edentulism will persist.

Key words:
Tooth loss; Adults; Elderly; Qualitative metasynthesis

Author/Year	Participants	Age Range	Uf	Technique/ Data Collection Instrument	Data Analysis
Vargas AMD et al. (2005)	12 women 8 men	28 to 65 years	MG	Semi-structured interview	Thematic analysis
Ferreira AAA et al. (2006)	22 women 8 men	18 to 72 years	RN	Semi-structured interview	Thematic and lexical content analysis
Unfer B et al. (2006)	23 participants*	55 to 84 years	RS	Semi-structured interview	Discourse of the collective subject
Haikal DS et al. (2011)	18 women 12 men	61 to 80 and +	NI	Semi-structured interview	Content analysis
Bitencourt FV et al. (2019)	50 women 16 men	35 to 74 years	RS	Open interview	Content analysis
Fonseca, LLV et al. (2015)	15 women	29 to 50 years	MG	Semi-structured interview	Content analysis
Bortoli FR et al. (2017)	6 women	NI	SC	Semi-structured interview	NI
Souza e Silva ME et al. (2010)	9 women 4 men	37 to 73 years	MG	Interview	Content analysis
Lima de Paula LML et al. (2019)	7 women 4 men	Mean of 71.1 years	MG	Semi-structured interview	Content analysis
Corrêa HW et al. (2016)	52 women 18 men	35 to 74 years	RS	Semi-structured interview	Content analysis
Piuvezam, G et al. (2006)	36 women eand men	60 years and +	RN	Focus group	Content analysis
Moreira TP et al. (2007)	31 women and men	27 to 61 years	CE	Open ethnographic interview, participant observation	Hermeneutic-dialectic
Moimaz SAS et al. (2009)	3 women 2 men	68 to 77 years	SP	Semi-structured interview	Content analysis
Bulgarelli AF et al. (2012)	14 women and men	65 to 74 years	SP	Directed interview	Discourse analysis
Ferreira AAA et al. (2006)	22 women 8 men	18 to 66 years	RN	Interview	Thematic content analysis
De Marchi RJ et al. (2012)	23 women 18 men	64 to 84 years	RS	Focus groups	Grounded theory
Saintrain MVL et al. (2012)	50 women 22 men	60-79 years	CE	Semi-structured questionnaire	Content analysis
Reis SCG et al. (2006)	26 women 4 men	60-90 years	GO	Semi-structured interview, observation	Content analysis
Goulart MA et al. (2019)	23 women 18 men	60 years and +	RS	Focus groups	Thematic analysis
Klippel R et al. (2012)	14 women 8 men	60 to 80 years	PR	Interviews	Discourse of the collective subject

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[1] Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva