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Teeth Extractions - Ages 65+
Teeth Extractions - Ages 65+ in Virginia

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Percentage of adults ages 65 and older who reported having all teeth removed due to decay or gum disease

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Teeth Extractions - Ages 65+ by State

Percentage of adults ages 65 and older who reported having all teeth removed due to decay or gum disease

Teeth Extractions - Ages 65+ Trends

Percentage of adults ages 65 and older who reported having all teeth removed due to decay or gum disease

Trend: Teeth Extractions - Ages 65+ in Virginia, United States, 2023 Senior Report

Percentage of adults ages 65 and older who reported having all teeth removed due to decay or gum disease

United States

 CDC, Behavioral Risk Factor Surveillance System

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About Teeth Extractions - Ages 65+

US Value: 13.4%

Top State(s): Hawaii: 5.6%

Bottom State(s): Kentucky: 22.4%

Definition: Percentage of adults ages 65 and older who reported having all teeth removed due to decay or gum disease

Data Source and Years: CDC, Behavioral Risk Factor Surveillance System, 2020

Suggested Citation: America's Health Rankings analysis of CDC, Behavioral Risk Factor Surveillance System, United Health Foundation,, accessed 2023.

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:

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.

Bersell, Catherine H. “Access to Oral Health Care: A National Crisis and Call for Reform.” Journal of Dental Hygiene 91, no. 1 (February 2017): 6–14.

Centers for Disease Control and Prevention. “Ten Great Public Health Achievements -- United States, 1900-1999.” MMWR. Morbidity and Mortality Weekly Report 48, no. 12 (April 2, 1999): 241–43.

Cleary, Thomas J., and John E. Hutton. “An Assessment of the Association Between Functional Edentulism, Obesity, and NIDDM.” Diabetes Care 18, no. 7 (July 1, 1995): 1007–9.

Cunha-Cruz, J., P.P. Hujoel, and P. Nadanovsky. “Secular Trends in Socio-Economic Disparities in Edentulism: USA, 1972–2001.” Journal of Dental Research 86, no. 2 (February 2007): 131–36.

Emami, Elham, Raphael Freitas de Souza, Marla Kabawat, and Jocelyne S. Feine. “The Impact of Edentulism on Oral and General Health.” Edited by Yasuhiro Morimoto. International Journal of Dentistry 2013 (May 8, 2013): 498305.

Fisher, Monica A., George W. Taylor, Brent J. Shelton, Kenneth A. Jamerson, Mahboob Rahman, Akinlolu O. Ojo, and Ashwini R. Sehgal. “Periodontal Disease and Other Nontraditional Risk Factors for CKD.” American Journal of Kidney Diseases 51, no. 1 (January 1, 2008): 45–52.

Holm-Pedersen, Poul, Kirsten Schultz-Larsen, Niels Christiansen, and Kirsten Avlund. “Tooth Loss and Subsequent Disability and Mortality in Old Age.” Journal of the American Geriatrics Society 56, no. 3 (2008): 429–35.

Hung, Man, Martin S. Lipsky, Ryan Moffat, Evelyn Lauren, Eric S. Hon, Jungweon Park, Gagandeep Gill, et al. “Health and Dental Care Expenditures in the United States from 1996 to 2016.” Edited by Frédéric Denis. PLOS ONE 15, no. 6 (June 11, 2020): e0234459.

Kramarow, Ellen A. “Dental Care Among Adults Aged 65 and Over, 2017.” NCHS Data Brief No. 337. Hyattsville, MD: National Center for Health Statistics, May 2019.

Nowjack-Raymer, R. E., and A. Sheiham. “Association of Edentulism and Diet and Nutrition in US Adults.” Journal of Dental Research 82, no. 2 (February 1, 2003): 123–26.

Okoro, Catherine A., Lina S. Balluz, Paul I. Eke, Umed A. Ajani, Tara W. Strine, Machell Town, George A. Mensah, and Ali H. Mokdad. “Tooth Loss and Heart Disease.” American Journal of Preventive Medicine 29, no. 5 (December 2005): 50–56.

Parker, Marcia L., Gina Thornton-Evans, Liang Wei, and Susan O. Griffin. “Prevalence of and Changes in Tooth Loss Among Adults Aged ≥50 Years with Selected Chronic Conditions — United States, 1999–2004 and 2011–2016.” MMWR. Morbidity and Mortality Weekly Report 69, no. 21 (May 29, 2020): 641–46.

Rodrigues, Suely Maria, Ana Cristina Oliveira, Andréa Maria Duarte Vargas, Allyson Nogueira Moreira, and Efigênia Ferreira e Ferreira. “Implications of Edentulism on Quality of Life among Elderly.” International Journal of Environmental Research and Public Health 9, no. 1 (January 2012): 100–109.

Rouxel, Patrick, Anja Heilmann, Panayotes Demakakos, Jun Aida, Georgios Tsakos, and Richard G. Watt. “Oral Health-Related Quality of Life and Loneliness among Older Adults.” European Journal of Ageing 14, no. 2 (June 1, 2017): 101–9.

van Kampen, F. M. C., A. van der Bilt, M. S. Cune, F. A. Fontijn-Tekamp, and F. Bosman. “Masticatory Function with Implant-Supported Overdentures.” Journal of Dental Research 83, no. 9 (September 1, 2004): 708–11.

Zeng, Xian-Tao, Wei Luo, Wei Huang, Quan Wang, Yi Guo, and Wei-Dong Leng. “Tooth Loss and Head and Neck Cancer: A Meta-Analysis of Observational Studies.” PLOS ONE 8, no. 11 (November 15, 2013): e79074.

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