March 2023

Volume 40, Issue 1

Contextual and individual determinants of tooth loss in the Afro-descendant older adult populations of different countries: a scoping review

Authors: Lairds R. dos Santos Fernando N. Hugo Cayara M. Costa Mário A. Brondani Cláudia M. Coelho Alves
doi: 10.1922/CDH_00121dosSantos07


Background: The Black population has poorer oral health than other racial groups; however, little is known about the mechanisms that explain this difference. Objective: To study the association between race and tooth loss and map the evidence on factors associated with tooth loss in Black older populations. Methods: Scoping review following the PRISMA Extension for Scoping Reviews conducted according to the recommendations of the Joanna Briggs Institute. A three-step search strategy was applied, and data were collected between April and July 2021. Searches were performed in the PubMed, Lilacs, and SciELO databases. The grey literature was searched using Google Scholar ( The reference lists of included studies were used as additional sources. Studies published in English and Portuguese of the association between tooth loss and different racial groups and the factors associated with tooth loss and tooth retention in Black older adult populations were included. Results: Twenty-one of 913 original articles published between 1995 and 2020 were included. Of these, 75% were research articles, 15% were reports, and 10% dissertations. Eighty per cent reported cross-sectional and 20% longitudinal data. African ancestry was associated with increased odds of tooth loss in older adult populations. Periodontal disease, female sex, and advanced age were the exposures most frequently associated with tooth loss. Conclusion: Race, educational level, advanced age, and oral diseases such as periodontitis are associated with increased tooth loss in Afro-descendant older populations. Keywords: Tooth loss, Aged, Race factors, Minority Ethnic Group, Afro-Caribbean, Black

£10 single article

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CDH Board 2023 1-1 Download
Acknowledgement of Reviewers 2-2 Download
Dental Public Health in Action: Delivering a domestic violence and abuse screening and identification training programme in North Staffordshire-based dental practices 3-8 Download
Parents’ Perception of Fissure Sealant Therapy in 6-12 Year Old Children: Evaluating a theory-driven intervention 9-15 £10 single article
Reciprocity in the intercultural conference space to improve Aboriginal oral health: A qualitative study 16-22 £10 single article
Impact of Establishing Dental Access for Preventable Infectious Dental Diseases (PIDD) in Medical Settings: Case Study from Rural Wisconsin 23-29 £10 single article
Contextual and individual determinants of tooth loss in the Afro-descendant older adult populations of different countries: a scoping review 30-36 £10 single article
Illness perception amongst individuals with periodontal diseases 37-41 £10 single article
Hospitalisations due to pulp and periapical conditions in Australian children from 1998-99 to 2017-18 42-46 £10 single article
Is There An Association Between Periodontitis And Non-Alcoholic Fatty Liver Disease? A Systematic Review and Meta-Analysis 47-52 Download
Effectiveness of strategies to increase participation in school-based epidemiological surveys: a rapid review 53-59 £10 single article
Ethnicity, Social Support and Oral Health Among English Individuals 60-66 £10 single article


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