Non-Cochrane · prognostic · PM42686922

Oral health and functioning in older adults in Switzerland from 1970 to 2025 - a systematic review and meta-analysis.

Borg-Bartolo Roberta, Jaeggi Maurus, Schimmel Martin, et al. · Clinical oral investigations · 2026 · PubMed · doi:10.1007/s00784-026-07105-1

Findings

31 findings

Population
Adults aged ≥65 years in SwitzerlandNot reportedNoneFixed dental restorations
1970–1990 · 1970–1990
Unresolved: the two extractors disagree on this row.
Prevalence (%) 13 [5, 23]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneFixed dental restoration prevalence
2020-2025
Pooled prevalence (%) 81 [74, 88]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneDMFT
2010–2019 · 2010–2019
MEAN 25.06 [23.62, 26.55]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneMissing teeth
1980–1989 · 1980–1989
MEAN 13.50 [12.07, 14.93]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneDMFT
2020–2025 · 2020–2025
MEAN 16.02 [11.85, 20.19]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneRemovable dental prosthesis prevalence
1970-1990
Pooled prevalence (%) 90 [83, 95]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NonePeriodontal disease prevalence (pockets >=6 mm)
Hospital settings
Pooled prevalence (%) 15 [2, 35]
GRADE not reported
2 studies · 220 participants
Adults aged ≥65 years in SwitzerlandNot reportedNonePeriodontal disease (pockets ≥6 mm)
2010–2019 · 2010–2019
Pooled prevalence (%) 7 [5, 11]
GRADE not reported
2 studies · 1081 participants
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneEdentulism prevalence
2020-2025
Pooled prevalence (%) 4 [1, 9]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneRemovable dental prosthesis prevalence
2020-2025
Pooled prevalence (%) 20 [4, 41]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNonePeriodontal disease (pockets ≥6 mm)
1990–1999 · 1990–1999
Pooled prevalence (%) 18 [3, 40]
GRADE not reported
4 studies · 429 participants
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneEdentulism prevalence
1980-1990
Pooled prevalence (%) 44 [27, 62]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneFixed dental restoration prevalence
Long-term care facilities
Pooled prevalence (%) 25 [4, 54]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneFixed dental restoration prevalence
Community-dwelling
Pooled prevalence (%) 62 [36, 85]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneRemovable dental prosthesis prevalence
Long-term care facilities
Pooled prevalence (%) 74 [66, 81]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneEdentulism prevalence
Hospital settings
Pooled prevalence (%) 32 [22, 43]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneRemovable dental prosthesis prevalence
Community-dwelling
Pooled prevalence (%) 30 [10, 55]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneMissing teeth
2020–2025 · 2020–2025
MEAN 5.50 [3.41, 7.59]
GRADE not reported
Studies not reported
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneEdentulism prevalence
Long-term care facilities
Pooled prevalence (%) 46 [36, 56]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNonePeriodontal disease (pockets ≥6 mm)
2020–2025 · 2020–2025
Pooled prevalence (%) 6 [3, 11]
GRADE not reported
2 studies · 269 participants
Adults aged 65 years and older living in SwitzerlandNone (prevalence or mean of condition)NoneEdentulism prevalence
Community-dwelling
Pooled prevalence (%) 7 [3, 11]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneDMFT
Community-dwelling · Community-dwelling
MEAN 19.33 [15.52, 23.15]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneFilled teeth
Community-dwelling · Community-dwelling
MEAN 9.81 [8.62, 11.00]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneMissing teeth
Community-dwelling · Community-dwelling
MEAN 8.43 [5.77, 11.09]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNonePeriodontal disease (pockets ≥6 mm)
Community-dwelling · Community-dwelling
Pooled prevalence (%) 15 [6, 27]
GRADE not reported
5 studies · 1453 participants
Adults aged ≥65 years in SwitzerlandNot reportedNoneDecayed teeth
Community-dwelling · Community-dwelling
MEAN 0.65 [0.29, 1.02]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneDecayed teeth
Long-term care facilities · Long-term care facilities
MEAN 1.38 [0.88, 1.88]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneFilled teeth
Long-term care facilities · Long-term care facilities
MEAN 3.00 [1.74, 4.26]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNonePeriodontal disease (pockets ≥6 mm)
Long-term care facilities · Long-term care facilities
Pooled prevalence (%) 9 [0, 52]
GRADE not reported
2 studies · 247 participants
Adults aged ≥65 years in SwitzerlandNot reportedNoneMissing teeth
Long-term care facilities and hospital · Long-term care facilities and hospital
MEAN 16.91 [13.54, 20.28]
GRADE not reported
Studies not reported
Adults aged ≥65 years in SwitzerlandNot reportedNoneDMFT
Long-term care facilities and hospital · Long-term care facilities and hospital
MEAN 26.60 [25.52, 27.72]
GRADE not reported
Studies not reported

Included primary studies 45

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Ohta et al. 2022
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Srinivasan et al. 2019
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Allenspach et al. 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ammann R. Diss. 1988
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Angst et al. 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Anliker et al. 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bellomo et al. 2005
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Borg Bartolo et al. 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Borg Bartolo et al. 2025 (first entry)
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Braendli-Holzer B. Diss. 2012
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Brändli-Holzer B. 2012 dissertation
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Budtz-Jorgensen et al. 1996
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Budtz-Jorgensen et al. 2000
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bundesamt fuer Statistik 2025
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bundesamt für Statistik 2025
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Campana and Verner Norgaard Diss. 2004
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Campana R. and Verner Norgaard N. 2004 dissertation
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Eggimann et al. 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
El Gedaily et al. 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Glauser-Popaj L. Diss. 2009
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Imfeld et al. 1988
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kamdem et al. 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Karsegard et al. 2001
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Katsoulis et al. 2009
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Laas M. Diss. 2010
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Menghini et al. 2002
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Meyer M. Diss. 1976
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Miodragovic M. Diss. 1980
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Mojon et al. 1998 (community)
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Mojon et al. 1998 (LTF)
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Mojon et al. 1998: long-term care facility
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Pazos E. Diss. 1999
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Rentsch A. Diss. 1993
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Roccuzzo et al. 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Roccuzzo et al. 2025
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Roehrich N. Diss. 1994
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Schmidt et al. 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Schneider et al. 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Stuck et al. 1989
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Suter J. Diss. 1999
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Tennert et al. 2024
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Triebold P. Diss. 1999
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Wirz et al. 1989
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Zitzmann et al. 2001
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Zitzmann et al. 2008
matched by author and year (probable)
NRthis review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationIndividuals aged 65 years and older living in Switzerland (community-dwelling, hospital, long-term care facilities)Older adults in Switzerland; 14 community-dwelling, 8 hospital, 17 long-term care facility studies (39 studies, 42 papers)
InterventionNot applicable (CoCoPop prevalence review)Not applicable
ComparisonNot applicableNot applicable
OutcomesOral hygiene; edentulism/tooth loss; dental caries; periodontal disease; chewing function; OHRQoLEdentulism, missing/decayed/filled teeth, DMFT, periodontal disease (>=6 mm), removable and fixed prostheses pooled; oral hygiene, chewing function and OHRQoL reported descriptively
Study designsStudies from 1970 onwards, no language restriction; cross-sectional data (baseline of longitudinal studies)Cross-sectional studies (n=39; 42 papers)
TimingDecade of data collection (1970-1979 to 2020-2025)Decades 1970-2025