Approach to the most prevalent oral disorders among the elderly: an integrative review focusing on primary health care

Abstract

Objective: an integrative review of the treatment of oral candidiasis, root caries and xerostomia among the elderly population, focusing on Primary Health Care, was carried out. Method: scientific articles were collected from the MEDLINE/PUBMED database using the keywords "Geriatric dentistry" and "Oral health", crossed with corresponding descriptors, together with specific terms for the pathologies studied, and with "the clinical trial" filter activated. The abstracts of the articles were read by three researchers. Result: oral candidiasis: six randomized clinical trials and one quasi-experimental design study, on the treatment of prosthetic stomatitis by medication and/or the disinfection of dentures by different techniques, were identified; root caries: three randomized clinical trials were included, which tested the use of mouthwash with chlorhexidine solution and oral hygiene instruction associated or otherwise with other drugs; and xerostomia: two articles were analyzed using various medications, and the functional massage of the salivary glands and associated muscles. Conclusion: The results demonstrate a variety of treatment options for the studied clinical situations, although these should be adapted to the characteristics of the services and the population, as standard treatment in Primary Health Care has not been established. Strategies based on soft technologies, such as health education, seem to provide good results. The present study provides additional knowledge for health professionals in search of more resolutive and qualified dental care for the elderly in primary health care.

Condição de saúde bucal e acesso aos serviços odontológicos em idosos atendidos em um hospital municipal da área rural de Benguela, Angola

“…Difficulty in chewing food was reported by the vast majority of the older people and can be explained by the large number of lost teeth and untreated carious lesions, which compromise the masticatory function and the feeding process. Thus, the improvement and increase in the longevity of the functional capacity of the older person is reinforced as an important health paradigm, highlighting the maintenance of independence and autonomy as goals to be achieved in the health care of the older person 25 .…”

Prevalência de lesões bucais em tecidos mole e duro diagnosticadas em idosos em um serviço histopatológico de referência

“…A região mandibular abrangeu casos intraósseos e de tecido mole, incluindo áreas como: região periapical, papila dental, região submentual, região retromolar, fundo de vestíbulo e região de mento. Para Silva et al 16 , a mandíbula também foi a localização mais prevalente, limitando-se a casos intraósseos.…”

“…A análise microscópica promove um diagnóstico mais preciso e com maior confiança, em que associados a informações clínicas ajudam a estabelecer um diagnóstico mais seguro, pois muitas neoplasias malignas podem ser semelhantes, clinicamente, a lesões benignas. Sendo necessário ressaltar que os pacientes com doença de Alzheimer ou de Parkinson, devido às condições degenerativas da doença, podem estar associados a fenômenos reativos e inflamatórios a traumas crônicos e uso de medicamentos podendo mimetizar lesões de origem traumática 16,17 .…”

SCREENING Candida albicans PENYEBAB KANDIDIASIS ORAL DAN EDUKASI ORAL HYGIENE PADA LANSIA DI PANTI SOSIAL TRESNA WERDHA WANA SERAYA BALI

“…Peningkatan angka kejadian kandidiasis oral pada lansia menurut Silva [4] dapat dipengaruhi oleh berbagai faktor. Beberapa studi telah melakukan evaluasi mengenai hubungan peningkatan kandidiasis oral dengan penggunaan gigi palsu (denture) [5], jumlah dan pH saliva pada lansia [6], serta penggunaan antibiotik dan diet [7].…”