Functional dentition and the role of diabetes, hypertension, and smoking in its prevalence among adults in Tlaxcoapan, Hidalgo, Mexico
DOI:
https://doi.org/10.5281/zenodo.20095306Keywords:
Functional dentition, diabetes, oral health, adultsAbstract
Objective: To evaluate the prevalence and factors associated with functional dentition (FD) in adults from Tlaxcoapan, Hidalgo, Mexico, with a focus on chronic diseases (diabetes and hypertension) and smoking. Materials and Methods: A cross-sectional study was conducted in 60 adults (18–80 years) selected by non-probability sampling from an urban health center. FD was defined as the presence of ≥21 natural teeth (dependent variable). Independent variables included age, education, sex, smoking, diabetes, and hypertension (self-reported). Univariate and bivariate analyses (Mann-Whitney U, chi-square, and Fisher exact tests) were used with Stata 14.0 (α=0.05). Results: The mean age was 50.7±16.2 years, and 50% were women. 71.7% of participants had functional dentition. Participants without FD were on average older (56.9 ± 13.4 years) than those with FD (48.2 ± 16.7 years), with a marginally significant difference (p = 0.0758). Fifty-five percent of participants with diabetes did not have FD, compared to 15% among those without diabetes (p = 0.001). The distribution of sex, education, smoking, and hypertension was similar between groups (p>0.05). Conclusion: Diabetes was shown to be the main factor associated with the loss of functional dentition in this population, supporting its impact on oral health. Although advanced age showed a relevant trend, other factors such as smoking did not reach statistical significance, possibly due to the limited sample size.
Keywords: Functional dentition, diabetes, oral health, adults, Mexico.
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Oral Health in America: Advances and Challenges [Internet]. Bethesda (MD): National Institute of Dental and Craniofacial Research (US); 2021. Section 1, Effect of Oral Health on the Community, Overall Well-Being, and the Economy. Available from: https://www.ncbi.nlm.nih.gov/books/NBK578297
Baiju RM, Peter E, Varghese NO, Sivaram R. Oral Health and Quality of Life: Current Concepts. J Clin Diagn Res. 2017;11(6):ZE21-ZE26. doi: 10.7860/JCDR/2017/25866.10110.
Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. Lancet. 2019;394(10194):249-260. doi: 10.1016/S0140-6736(19)31146-8.
World Health Organization. Oral health. WHO, 2025. Available from: https://www.who.int/news-room/fact-sheets/detail/oral-health
Islas-Zarazúa R, Mora-Acosta M, Navarrete-Hernández JJ, Reynoso-Vázquez J, Villalobos-Rodelo JJ, Rojas-Ortega L, et al. Comparative Analysis of Edentulism in a Sample of Mexican Adults with and without Type 2 Diabetes. Healthcare (Basel). 2022;10(12):2378. doi: 10.3390/healthcare10122378.
Casanova-Rosado AJ, Casanova-Rosado JF, Minaya-Sánchez M, Robles-Minaya JL, Casanova-Sarmiento JA, Márquez-Corona ML, et al. Association of Edentulism with Various Chronic Diseases in Mexican Elders 60+ Years: Results of a Population-Based Survey. Healthcare (Basel). 2021;9(4):404. doi: 10.3390/healthcare9040404.
Minaya-Sánchez M, Medina-Solís CE, Casanova-Rosado JF, Vallejos-Sánchez AA, Casanova-Rosado AJ, Márquez-Corona ML, Mendoza-Rodríguez M, Maupomé G. Prevalence of Functional Dentition in a Group of Mexican Adult Males. P R Health Sci J. 2017;36(3):146-151.
Luengas-Aguirre MI, Sáenz-Martínez LP, Tenorio-Torres G, Garcilazo-Gómez A, Díaz-Franco MA. Aspectos sociales y biológicos del edentulismo en México: un problema visible de las inequidades en salud. Ciencias clínicas 2015;16;(2):29-36
García-Jau RA, Villalobos-Rodelo JJ, Salazar-Naranjo AN, Gastelum-García VG, Zarate-Depraect NE, Benítez-Pascual J, Moreno-Terrazas E. Higiene bucal y dentición funcional en pacientes con comorbilidad que acuden a consulta a clínica de diagnóstico de Ciudad Universitaria. Rev Med UAS 2023; 13:3-10.
Patiño SMM, Meza CA, Gutiérrez ZÁ. Edentulismo y dentición funcional en adultos mayores de Tuxtla Gutiérrez, Chiapas. Rev Tame. 2019;7.8(21):810-815.
Islas-Granillo H, Medina-Solís CE, Navarrete-Hernández JJ, Minaya-Sánchez M, Vallejos-Sánchez AA, Fernández-Barrera MA, Cuevas-Suarez CE. Prevalencia de dentición funcional en ancianos mexicanos. Rev Clin Periodoncia Implantol Rehabil Oral. 2015;8(2):150-156.
Alhejaili H, Delgado-Angulo EK. Ethnic Inequalities in the Functional Dentition Among British Adults: A Multilevel Analysis. Community Dent Health. 2024;41(4):278-283. doi: 10.1922/CDH_00153Alhejaili06.
Tôrres LHN, Arenas-Márquez MJ, da Silva DD, de Held RB, de Almeida TB, Neri AL, de Sousa MLR. Functional dentition and associated factors: the evaluation of three indicators. Braz J Oral Sci. 2022;21:e226709.
Chalub LL, Martins CC, Ferreira RC, Vargas AM. Functional Dentition in Brazilian Adults: An Investigation of Social Determinants of Health (SDH) Using a Multilevel Approach. PLoS One. 2016;11(2):e0148859. doi: 10.1371/journal.pone.0148859.
Sharma E, Kaur M, Kooner AS. The impact of smoking on periodontal health: A comprehensive review. Indian J Clin Anat Physiol 2024;11(3):138-145. Doi: 10.18231/j.ijcap.2024.030
Silva H. Tobacco Use and Periodontal Disease-The Role of Microvascular Dysfunction. Biology (Basel). 2021;10(5):441. doi: 10.3390/biology10050441.
Hu C, Zhang H, Qi G, Tian W. The association between periodontitis and arterial stiffening among the hypertensive middle-aged and elderly U.S. Population. Sci Rep. 2025;15(1):10498. doi: 10.1038/s41598-025-92876-y.
Zhao M, Xie Y, Gao W, Li C, Ye Q, Li Y. Diabetes mellitus promotes susceptibility to periodontitis-novel insight into the molecular mechanisms. Front Endocrinol (Lausanne). 2023;14:1192625. doi: 10.3389/fendo.2023.1192625.
Herrera D, Sanz M, Shapira L, Brotons C, Chapple I, Frese T, et al. Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe). J Clin Periodontol. 2023;50(6):819-841. doi: 10.1111/jcpe.13807.
Ito K, Izumi N, Funayama S, Nohno K, Katsura K, Kaneko N, Inoue M. Characteristics of medication-induced xerostomia and effect of treatment. PLoS One. 2023;18(1):e0280224. doi: 10.1371/journal.pone.0280224.
Ramírez Martínez-Acitores L, Hernández Ruiz de Azcárate F, Casañas E, Serrano J, Hernández G, López-Pintor RM. Xerostomia and Aalivary Flow in Patients Taking Antihypertensive Drugs. Int J Environ Res Public Health. 2020;17(7):2478. doi: 10.3390/ijerph17072478.
Delgado-Perez VJ, De La Rosa-Santillana R, Medina-Solís CE, Pontigo-Loyola AP, Navarrete-Hernández JJ, Casanova-Rosado JF, Casanova-Rosado AJ. Principales razones de extracción de dientes permanentes de adultos mexicanos en un Centro de Salud. Revista CES Salud Pública 2017;8(1):1-9.
Delgado-Pérez VJ, De La Rosa-Santillana R, Márquez-Corona ML, Ávila-Burgos L, Islas-Granillo H, Minaya-Sánchez M, Medina-Solís CE, Maupomé G. Diabetes or hypertension as risk indicators for missing teeth experience: An exploratory study in a sample of Mexican adults. Niger J Clin Pract. 2017;20(10):1335-1341. doi: 10.4103/njcp.njcp_52_17.
Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020. Int Dent J. 2003;53(5):285-8. doi: 10.1111/j.1875-595x.2003.tb00761.x.
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