This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with regards to respective eligibility criteria. After reading titles and abstracts, five studies were included and analyzed with respect their methodological quality. Oral status of institutionalized and non-institutionalized elderly was compared through meta-analysis. Included articles involved a cross-sectional design, which investigated 1936 individuals aged 60 years and over, being 999 Institutionalized and 937 non-institutionalized elders. Studies have investigated the prevalence of edentulous individuals, the dental caries experience and the periodontal status. Meta-analysis revealed that institutionalized elderly have greater prevalence of edentulous (OR = 2.28, 95%CI = 1.68-3.07) and higher number of decayed teeth (MD = 0.88, 95%CI = 0.71-1.05) and missed teeth (MD = 4.58, 95%CI = 1.89-7.27). Poor periodontal status did not differ significantly between groups. Compared to non-institutionalized, institutionalized elders have worse dental caries experience.

Background Nursing home elders experience many problems that may influence their quality of life, in example of cognitive, mental, nutritional and physical disabilities. Concerning about elders’ wellbeing may help them living with dignity. This study aimed to investigate factors associated with Health-Related Quality of Life (HRQoL) of institutionalized elders in a capital city of Brazilian Northeast. Methods A cross-sectional study was conducted with 125 institutionalized elders living in the metropolitan region of João Pessoa (Brazil). The following variables were tested regarding their association with the elders’ HRQoL: Socio-demographic characteristics; Performance of daily-living activities, Frailty status, Cognitive status, Nutritional status, Self-perception of oral health and Depression status. Hierarchical multiple Poisson loglinear and binary logistic regressions analyses were performed in order to assess the impact of each independent variable on HRQoL, considering a significance level of 5%. Results The median of HRQoL of institutionalized elders was 64. Multivariate regression models showed that retirement, frailty and depression were statistically associated with poor HRQoL (p < 0.05). Not-frail elderly and less depressed were more likely to present higher HRQoL scores. Conclusions Lower HRQoL of institutionalized elderly is associated with decline of physical and psychological states. Institutions should be advised to plan and implement actions that would improve the HRQoL of institutionalized elderly.

O objetivo desse estudo foi avaliar o acúmulo de biofilme visível e verificar os fatores associados em idosos institucionalizados. Realizou-se um estudo transversal com idosos (n = 193) em instituições de longa permanência (n = 7) da região metropolitana de João Pessoa (PB). A presença de biofilme visível nos dentes e/ou nas próteses dentárias foi considerada como variável dependente. As variáveis independentes do estudo foram: características sociodemográficas, estado físico, hábitos de higiene e presença de agravos bucais. A influência das variáveis independentes sobre as variáveis dependentes foi analisada segundo regressão logística (α < 0,05). Foi possível perceber que a presença de biofilme dental visível (63,3%) está associada com idade superior a 80 anos (OR = 1,53), presença de cálculo dental (OR = 4,91) e frequência de escovação até uma vez ao dia (OR = 1,96). Diante disso, o acúmulo de biofilme visível está associado com avanço da idade, presença de cálculo dental e baixa frequência de higiene.

Purpose Nursing home elders experience many problems that may influence their quality of life, in example of cognitive, mental, nutritional and physical disabilities. Concerning about elders’ wellbeing may help them living with dignity. This study aimed to investigate factors associated with Health-Related Quality of Life (HRQoL) of institutionalized elders in a capital city of Brazilian Northeast. Methods A cross-sectional study was conducted with 193 institutionalized elders living in the metropolitan region of João Pessoa (Brazil). The following variables were tested regarding their association with the elders’ HRQoL: Socio-demographic characteristics; Performance of daily-living activities, Frailty status, Cognitive status, Nutritional status, Self-perception of oral health and Depression status. Hierarchical multiple linear and logistic regressions analyses were performed in order to assess the impact of each independent variable on HRQoL, considering a significance level of 5%. Results The mean (SD) and the median of HRQoL of institutionalized elders were 62.69(15.24) and 62, respectively. Elderly were mostly (72.02%) female, being those with 80 years and over the more frequent (54.92%). Dependence on daily activities (OR=2.06, 95%CI=1.32-3.23), frailty (OR=1.68, 95%CI=1.15-2.45) and depression (OR=2.22, 95%CI=1.51-3.27) were statistically associated with poor HRQoL (p<0.05). Other variables have no significance within the adjusted model. Conclusions Dependent, frail and depressed institutionalized elderly presented a greater chance to have a worse HRQoL. It is necessary to plan and implement actions that would reduce the factors associated with the low quality of life of institutionalized elderly.

Objetivo: analisar os estudos de validação de instrumentos de pesquisa publicados nos anais das reuniões anuais da Sociedade Brasileira de Pesquisa Odontológica (SBPqO), no período de 2010 a 2019. Métodos: Realizou-se um estudo bibliométrico em que foram incluídos trabalhos sobre a adaptação transcultural ou avaliação das propriedades psicométricas de instrumentos de pesquisa. Três pesquisadores independentes e calibrados realizaram a leitura dos resumos e extraíram informações sobre: ano, localização geográfica, tipo de instituição de ensino dos autores, financiamento, objetivo do trabalho, idioma original do instrumento, constructo e público-alvo. Os dados foram analisados através de estatística descritiva. Resultados: Foram incluídos 26 resumos, sendo a maioria publicada em 2018 (23%) e 2019 (30,5%) e por pesquisadores de instituições públicas de ensino (88,4%) localizadas nos estados de São Paulo (35%) e Minas Gerais (27%). Metade dos estudos realizou, concomitantemente, adaptação transcultural e avaliação das propriedades psicométricas. Os constructos mais frequentemente abordados foram alfabetismo em saúde bucal (ASB) (23%) e qualidade de vida relacionada a saúde bucal (QVRSB) (15,4%). O público-alvo mais prevalente envolveu os adultos (38,4%) e profissionais de saúde (19,3%). Conclusão: O número de estudos de validação de instrumentos de pesquisa foi baixo, concentrado, principalmente, nos anos de 2018 e 2019, e conduzidos em maioria por pesquisadores de universidades públicas dos estados de São Paulo e Minas Gerais. A maior parte dos estudos realizou, concomitantemente, adaptação transcultural e avaliação das propriedades psicométricas de instrumentos sobre ASB e QVRSB.