A Cross-Sectional Study of Perceived Dental Treatment Needs and Oral Health Status in Community-Dwelling Older Australian Men: The Concord Health and Ageing in Men Project

Takehara, Sachiko; Wright, F. A. C.; Naganathan, Vasi; Hirani, Vasant; Blyth, Fiona; Couteur, David G. Le; Waite, Louise M.; Seibel, Markus J.; Handelsman, David J.; Cumming, Robert

doi:10.1111/idj.12623

Cited by 5 publications

(4 citation statements)

References 33 publications

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“…This inverse association between age and self-reported oral health, also referred to as the disability paradox, has been reported in previous studies [35]. The disability paradox of better subjective oral health in older age states that while oral health problems occur more frequently in older age, older adults of 66 years of age and older may hold a positive perception of oral health and have adapted to tooth loss [26,35,36].…”

Section: Discussionsupporting

confidence: 68%

Oral Health and Frailty in Community-Dwelling Older Adults in the Northern Netherlands: A Cross-Sectional Study

Dros

Sealy

Krijnen

et al. 2022

IJERPH

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The aim of this study was to explore the association between oral health and frailty in community-dwelling Dutch adults aged 55 years and older. Included were 170 participants (n = 95 female [56%]; median age 64 years [IQR: 59–69 years]). Frailty was assessed by the Groningen Frailty Indicator. Oral health was assessed by the Oral Health Impact Profile-14-NL (OHIP-NL14). OHIP-NL14 item scores were analyzed for differences between frail and non-frail participants. Univariate and multivariate logistic regression analyses were performed to assess the association between oral health and presence of frailty. The multivariate analysis included age, gender, and depressive symptoms as co-variables. After adjustment, 1 point increase on the OHIP-NL14 scale was associated with 21% higher odds of being frail (p = 0.000). In addition, significantly more frail participants reported presence of problems on each OHIP-NL14 item, compared to non-frail participants (p < 0.003). Contrast in prevalence of different oral health problems between frail and non-frail was most prominent in ‘younger’ older adults aged 55–64 years. In conclusion: decreased oral health was associated with frailty in older adults aged ≥55 years. Since oral health problems are not included in most frailty assessments, tackling oral health problems may not be sufficiently emphasized in frailty policies.

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Section: Discussionsupporting

confidence: 68%

Oral Health and Frailty in Community-Dwelling Older Adults in the Northern Netherlands: A Cross-Sectional Study

Dros

Sealy

Krijnen

et al. 2022

IJERPH

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“…The limited data available on oral health in older adults comes from large research projects and national oral health surveys. In the Concord Health and Aging in Men Project, older Australian men had a positive view of their oral health and most of those identified clinically as needing treatment did not perceive the need for treatment themselves [ 14 ]. The 2017–18 national oral health survey identified that the proportion of Australians over 75 years with complete tooth loss as 20.5% [ 15 ].…”

Section: Resultsmentioning

confidence: 99%

Global Perspectives of Oral Health Policies and Oral Healthcare Schemes for Older Adult Populations

Jiang

Chu

Duangthip

et al. 2021

Front. Oral. Health

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The aim of this study was to present a concise summary of the oral health policies and oral healthcare schemes for older adult populations in a number of selected countries around the world. In this paper, the current and planned national/regional oral health policies and oral healthcare schemes of nine countries (Australia, Brazil, China including Hong Kong, India, Japan, Switzerland, Thailand, the United Kingdom, and the United States) are reported. Barriers and challenges in oral health promotion in terms of devising oral health policies, implementing oral health schemes, and educating the future dental workforce are discussed. In response to the aging of population, individual countries have initiated or reformed their healthcare systems and developed innovative approaches to deliver oral health services for older adults. There is a global shortage of dentists trained in geriatric dentistry. In many countries, geriatric dentistry is not formally recognized as a specialty. Education and training in geriatric dentistry is needed to produce responsive and competent dental professionals to serve the increasing number of older adults. It is expected that oral health policies and oral healthcare services will be changing and reforming in the coming decades to tackle the enduring oral health challenges of aging societies worldwide.

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“…Firstly, greater perceived barriers to accessing dental services, including lack of finances, transportation or assistance navigating dental services 8 ; physical or cognitive impairment 9 or their perception that they do not need treatment despite the gap between perceived treatment needs and actual state of oral health. 10 Secondly, the prevalence of chronic diseases is higher in older adults due to the cumulative effects of life course risk factors such as tobacco smoking, energy-dense/low nutrient diet, alcohol consumption, lower physical activity, stress and inequalities in social determinants. 11 Thirdly, some medications treating chronic diseases can induce xerostomia, a risk factor for oral diseases.…”

Section: Introductionmentioning

confidence: 99%

Self‐reported oral health status, edentulism and all‐cause mortality risk in 12 809 Australian older adults: a prospective cohort study

Khan,

Chen,

Crocombe

et al. 2023

Australian Dental Journal

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ObjectiveTo investigate the association between oral health status and all‐cause mortality in older adults using prospective cohort study design.Setting and participantsIn total, 12 809 adults aged ≥70 years (54.3% females) were participants of the ASPREE Longitudinal Study of Older Persons (ALSOPs).MethodsParticipants self‐reported the presence of natural teeth and oral health status. The association of self‐reported oral health, edentulism and the integrative measure of the two with all‐cause mortality were explored using the Cox‐regression models adjusted for age, gender, socio‐economic status, health‐related behaviours, weight status, aspirin and polypharmacy. Hazard ratios (HRs) and 95% confidence intervals (CIs) were reported.ResultsIn total, 22.2% of participants reported edentulism and 13.8% had fair/poor oral health. After adjustment for confounders, risk of all‐cause mortality was higher among those with edentulism (vs. no edentulism) HR (95% CI) 1.43 (1.18, 1.73); and those with edentulism and reporting poor/fair oral health HR (95% CI) 1.69 (1.02, 2.82), or with no edentulism but reporting poor/fair oral health HR (95% CI) 1.46 (1.19–1.80) vs. no edentulism and reporting good/very good/excellent oral health. No association was observed between self‐reported oral health alone and all‐cause mortality.ConclusionsThe risk of all‐cause mortality was 69% higher among older adults reporting both edentulism and poor/fair oral health compared with those with teeth and more favourable self‐reported oral health. © 2023 Australian Dental Association.

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A Cross-Sectional Study of Perceived Dental Treatment Needs and Oral Health Status in Community-Dwelling Older Australian Men: The Concord Health and Ageing in Men Project

Cited by 5 publications

References 33 publications

Oral Health and Frailty in Community-Dwelling Older Adults in the Northern Netherlands: A Cross-Sectional Study

Oral Health and Frailty in Community-Dwelling Older Adults in the Northern Netherlands: A Cross-Sectional Study

Global Perspectives of Oral Health Policies and Oral Healthcare Schemes for Older Adult Populations

Self‐reported oral health status, edentulism and all‐cause mortality risk in 12 809 Australian older adults: a prospective cohort study

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