Edentulism and prosthetic rehabilitation needs in the european adult population: A health survey analysis.

Authors

Diego Gómez-Costa, Rocío Cascos Sánchez, José Luis Antonaya Martín, Noelia Rivas Martín, Pablo Lastra Prados

Published in

Brazilian dental journal. Volume 37. Pages e256851. Epub Jul 24, 2026.

Abstract

To analyse the prevalence of complete and partial edentulism in the European adult population and to evaluate demographic and geographical factors associated with tooth loss and prosthetic rehabilitation needs using national health survey data. A cross-sectional ecological study used aggregated secondary data from the European Health Interview Survey (EHIS), Eurobarometer, and national oral health surveys from Germany, Spain, France, Italy, Poland, Romania, Sweden, and the United Kingdom. Surveys published between 2010 and 2023 were included, representing more than 250,000 adults. Prevalence of complete and partial edentulism was analyzed by age group, sex, and geographical region. Descriptive statistics were calculated as percentages and absolute numbers with 95% confidence intervals. A generalized linear model with binomial distribution estimated adjusted odds ratios for complete edentulism. Statistical significance was set at α = 0.05. Complete edentulism among adults aged 65-74 years ranged from less than 6% in Northern and Western Europe to more than 40% in Eastern Europe, corresponding to approximately 3,200 to over 4,500 individuals. Partial edentulism exceeded 65% in adults aged 45 years and older across all regions. Multivariable analysis identified advanced age as the strongest predictor of complete edentulism (aOR = 28.4 for ≥75 vs. 45-54; p < 0.001), followed by residence in Eastern Europe (aOR = 9.8; p < 0.001). Sex was not independently associated with complete edentulism. Edentulism prevalence in Europe varies by age and geographical region. These findings support region-specific planning of prosthetic rehabilitation services and public health strategies to reduce oral health inequalities.

PMID:
42525050
Bibliographic data and abstract were imported from PubMed on 29 Jul 2026.

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