Topic: Retention of 20 Natural Teeth and Associated Factors Among Older People in Thailand: A Cross-Sectional Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Topic: Retention of 20 Natural Teeth and Associated Factors Among Older People in Thailand: A Cross-Sectional Study Wasinee Kiatadisorn, Noppawan Pochanukul, Pimpisut Sata This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6778691/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Objective: This study aimed to examine the prevalence and associated factors of retaining at least 20 natural teeth among older adults in Thailand. Methods: A cross-sectional analysis was conducted using secondary data from the 9th National Oral Health Survey of Thailand, 2023. The study population included 5,842 individuals aged more than 60 years from 25 provinces in Thailand. Descriptive statistics, Chi-square test and one-way ANOVA were used to assess associations between tooth retention and socio-demographic, behavioral, and clinical factors. Results: Among the participants, 55.3% retained 20 or more natural teeth. Socioeconomic variables, particularly income and age groups, were significantly associated with tooth retention (p < 0.001). Higher income and younger age groups correlated with a greater likelihood of retaining 20 or more teeth. Daily tooth brushing, smoking, and alcohol consumption also showed significant associations. Clinical factors were significantly related to having adequate teeth; high DMFT scores, decayed teeth, cervical tooth wear, and gingival index scores, and root caries were strongly associated with lower tooth retention (p < 0.001). Functional limitations, including oral dryness, chewing, and swallowing difficulties, were additionally linked to poorer tooth loss. Conclusion: The findings highlight the multifactorial nature of tooth retention in later life. Sociodemographic status, health behaviors, and clinical biomarkers play critical roles in maintaining dentition. Integrating oral health into national aging and chronic disease policies, improving access to dental care, and promoting lifelong preventive behaviors are crucial for supporting healthy ageing and functional dentition among older adults in Thailand. Older adults Tooth retention Oral health survey Aging Geriatric Dentistry Full Text Additional Declarations No competing interests reported. Supplementary Files Screenshot20250529222605.png OutputAnova.spv Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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