Teeth Extractions - Ages 65+

Teeth Extractions - Ages 65+ in Connecticut

Connecticut

Complete tooth loss, also known as edentulism, has been described as the “ultimate marker of disease burden for oral health.” The most common causes of complete tooth loss are tooth decay and gum disease. Having all or some permanent teeth missing is associated with an increased risk of disability, mortality and reduced daily function and quality of life, as well as multiple chronic conditions, including:

• Hypertension, heart disease and stroke. 
• Head and neck cancer. 
• Type 2 diabetes. 
• Chronic kidney disease. 

Missing teeth or having dentures can impair one’s ability to eat and socialize and is associated with poor nutrition. Because dentures are less efficient for chewing than natural teeth, people using dentures tend to eat softer foods that are easy to chew and therefore consume fewer fruits and vegetables. Studies find that having an oral health issue that impacts daily life is associated with loneliness and isolation among older adults. 

Due to the high costs and lack of Medicare coverage for routine dental visits, many older adults may have trouble getting proper care for their teeth. Annual dental expenditures in the U.S. are highest among adults ages 65 and older — compared with the entire population — costing an average of $451 per patient.

The prevalence of full-mouth teeth extractions due to tooth decay or gum disease is higher among:

• American Indian/Alaska Native and Black older adults compared with Asian, white and Hispanic older adults. 
• Older adults with less than a high school education, who have a prevalence 8 times that of college graduates; the prevalence is lower with each increase in education level.
• Older adults with an annual household income less than $25,000, who have a prevalence 7 times that of those with an income of $75,000 or more; the prevalence is lower with each increase in income level. 
• Older adults living in non-metropolitan areas compared with those in metropolitan areas.
• Older adults with chronic conditions compared with those without chronic conditions.

Risk factors for poor oral health include tobacco use and consumption of sugary drinks and foods. Additionally, lack of dental insurance coverage and low access to preventive dental care may lead to increased rates of dental disease for many older adults.

The percentage of older adults with remaining natural teeth has increased, likely due to public water-fluoridation programs and reduced smoking rates. However, access to oral health care still remains low. Steps older adults can take to maintain good oral health include:

• Using a fluoride toothpaste.
• Brushing and flossing teeth regularly.
• Avoiding tobacco.
• Limiting alcohol.
• Seeing a dentist annually for preventive care.

Healthy People 2030 has an objective to reduce the proportion of adults ages 45 and older who have lost all of their natural teeth.

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