Edentulism in Saudi Arabia and associated factors

Anas Omar Haroub, Abdullah Abdu Khormi, Rawan Ahmad Yankesar, Shaden Abdullah Alhumaid, Mohammad Ibrahim Aleissa, Lubna Saleh Alotheem, Hussain Nayef Alsharif, Khalid Abdulaziz Alghamdi, Hassan Hamoud Alateeq, Ali Saeed Alshehri, Alaa Mohammad Alaidarous


The epidemiology of edentulism is different across the different communities and the prevalence rates are also significantly different and it can be affected by various factors. There have been many investigations that reported the prevalence rates of edentulism across the different countries globally. However, not many investigations were published in Saudi Arabia and the published ones also report different findings. In the present study, we have reviewed the current studies in the literature to investigate the prevalence of edentulism and associated factors in Saudi Arabia. Our results indicated that the reported rates were conflicting among the different reports across the Kingdom and some of these rates are lower than other rates that were reported in some countries but higher than others also. Therefore, further nationwide research was still needed to formulate better evidence and help draw adequate interventions for the most vulnerable groups. Age, gender, educational levels, regional residency, socioeconomic status, depression and diabetes have all been reported to be correlated with edentulism. The prevalence of the condition has been reported to be highest among older age groups, while evidence is contradicting about the difference between both genders. Therefore, targeting vulnerable populations with early interventions can reduce the incidence rates and enhance the quality of life among these populations.


Edentulsim, Demographics, Prevalence, Risk factors, Epidemiology, Teeth loss

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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):249-60.

Rozier RG, White BA, Slade GD. Trends in oral diseases in the U.S. population. J Dent Educ. 2017;81(8):97-109.

Parker ML, Thornton-Evans G, Wei L, Griffin SO. prevalence of and changes in tooth loss among adults aged ≥50 years with selected chronic conditions-United States, 1999-2004 and 2011-2016. MMWR. 2020;69(21):641-6.

Griffin SO, Jones JA, Brunson D, Griffin PM, Bailey WD. Burden of oral disease among older adults and implications for public health priorities. Am J Pub Health. 2012;102(3):411-8.

Polzer I, Schimmel M, Müller F, Biffar R. Edentulism as part of the general health problems of elderly adults. Int Dent J. 2010;60(3):143-55.

Bortoluzzi MC, Traebert J, Lasta R, DaRosa TN, Capella DL, Presta AA. Tooth loss, chewing ability and quality of life. Contemp Clinic Dentist. 2012;3(4):393-7.

Holm-Pedersen P, Schultz-Larsen K, Christiansen N, Avlund K. Tooth loss and subsequent disability and mortality in old age. J Am Geriatr Soc. 2008;56(3):429-435.

Fouda SM, Al-Harbi FA, Khan SQ, Virtanen JI, Raustia A. Missing teeth and prosthetic treatment in patients treated at college of dentistry, university of Dammam. Int J Dentist. 2017;2017:7593540.

Hoover J, McDermott R. Edentulousness in patients attending a university dental clinic. J Canadian Dent Assoc. 1989;55(2):139-40.

Haikola B, Oikarinen K, Söderholm AL, Remes-Lyly T, Sipilä K. Prevalence of edentulousness and related factors among elderly Finns. J Oral Rehabilit. 2008;35(11):827-35.

Nazliel HE, Hersek N, Ozbek M, Karaagaoglu E. Oral health status in a group of the elderly population residing at home. Gerodontology. 2012;29(2):761-7.

Al-Ghannam N, Khan N, Al-Shammery A, Wyne A. Trends in dental caries and missing teeth in adult patients in Al-Ahsa, Saudi Arabia. Saudi Dent J. 2005;17(2):57-62.

Almusallam SM, AlRafee MA. The prevalence of partial edentulism and complete edentulism among adults and above population of Riyadh city in Saudi Arabia. J Fam Med Prim Care. 2020;9(4):1868-72.

Fayad MI, Baig MN, Alrawaili AM. Prevalence and pattern of partial edentulism among dental patients attending college of dentistry, Aljouf university, Saudi Arabia. J Int Soc Prevent Commun Dent. 2016;6(3):187-91.

Al-Zahrani MS, Alhassani AA, Melis M, Zawawi KH. Depression is related to edentulism and lack of functional dentition: an analysis of NHANES data, 2005-2016. J Pub Health Dentist. 2020.

Almutairy A, Mohan M. Prevalence of partial edentulism among young Saudi women of Qassim and their perception of early tooth loss. Int J Dent Res. 2017;5:172-6.

Heidari E, Banerjee A, Newton JT. Oral health status of non-phobic and dentally phobic individuals; a secondary analysis of the 2009 adult dental health survey. Br Dent J. 2015;219(9):9.

Slade G, Akinkugbe A, Sanders A. Projections of US edentulism prevalence following 5 decades of decline. J Dent Res. 2014;93(10):959-65.

Medina-Solís CE, Pérez-Núñez R, Maupomé G, Avila-Burgos L, Pontigo-Loyola AP, Patiño-Marín N, et al. National survey on edentulism and its geographic distribution, among Mexicans 18 years of age and older (with emphasis in WHO age groups). J Oral Rehabilit. 2008;35(4):237-44.

Steele J, Treasure E, O'sullivan I, Morris J, Murray J. Adult dental health survey 2009: transformations in British oral health 1968-2009. Br Dent J. 2012;213(10):523-7.

Kim S, Park S, Lin M. Permanent tooth loss and sugar-sweetened beverage intake in U.S. young adults. J Pub Health Dent. 2017;77(2):148-54.

Slade GD, Akinkugbe AA, Sanders AE. Projections of U.S. Edentulism prevalence following 5 decades of decline. J Dent Res. 2014;93(10):959-65.

Khalifa N, Allen PF, Abu-bakr NH, Abdel-Rahman ME. Factors associated with tooth loss and prosthodontic status among Sudanese adults. J Oral Sci. 2012;54(4):303-12.

Hewlett SA, Calys-Tagoe BN, Yawson AE. Prevalence and geographic distribution of edentulism among older G hanaians. J Pub Health Dentist. 2015;75(1):74-83.

Taiwo JO, Omokhodion F. Pattern of tooth loss in an elderly population from Ibadan, Nigeria. Gerodontology. 2006;23(2):117-22.

Al-Dwairi ZN. Complete edentulism and socioeconomic factors in a Jordanian population. Int J Prosthodont. 2010;23(6):541.

Khazaei S, Firouzei MS, Sadeghpour S, Jahangiri P, Savabi O, Keshteli AH, et al. Edentulism and tooth loss in Iran: SEPAHAN systematic review no. 6. Int J Prevent Med. 2012;3(1):42-7.

Douglass CW, Shih A, Ostry L. Will there be a need for complete dentures in the United States in 2020? J Prosthet Dentist. 2002;87(1):5-8.

DeMarchi RJ, Hilgert JB, Hugo FN, Santos CMd, Martins AB, Padilha DM. Four-year incidence and predictors of tooth loss among older adults in a southern B razilian city. Commun Dentist Oral Epidemiol. 2012;40(5):396-405.

Avlund K, Holm-Pedersen P, Schroll M. Functional ability and oral health among older people: a longitudinal study from age 75 to 80. J Am Geriatr Soc. 2001;49(7):954-62.

Thompson GW, Kreisel PS. The impact of the demographics of aging and the edentulous condition on dental care services. J Prosthet Dent. 1998;79(1):56-9.

Eustaquio-Raga MV, Almerich-Silla JM. Factors associated with edentulousness in an elderly population in Valencia (Spain). Gaceta Sanitaria. 2013;27:123-7.

Russell SL, Gordon S, Lukacs JR, Kaste LM. Sex/Gender differences in tooth loss and edentulism: historical perspectives, biological factors, and sociologic reasons. Dent Clinic. 2013;57(2):317-37.