Edentulism and all–cause mortality among Brazilian older adults: 11–years follow–up

Oliveira, Eduardo José Pereira; Alves, Luciana Correia; Santos, Jair Lício Ferreira; Duarte, Yeda Aparecida de Oliveira; Andrade, Fabíola Bof de

doi:10.1590/1807-3107bor-2020.vol34.0046

Cited by 15 publications

(9 citation statements)

References 30 publications

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“…Almost one third of the older adults participating in the study are edentulous, affecting the ability to chew and subsequently the general state of health due to nutritional deficiencies as a result of the difficulty in eating; it also affects the function of speech, reduces self-esteem and impairs social integration. The same proportion of edentulous patients has been observed in other similar studies in Latin America such as those carried out in Brazil and Colombia and differing from the rate of total edentulism found in China, India, Ghana and South Africa [ 23 , 27 , 28 ]; the differences could be attributable to factors such as sociodemographic variables, genetic variants, dietary culture and the coverage provided by the dental care programs in each country.…”

Section: Discussionsupporting

confidence: 74%

Oral health profile status and treatment needs in the Salvadoran elderly population: a cross-sectional study

et al. 2022

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Introduction Older adults are a highly vulnerable group in their general health condition, including oral health that can be influenced by different factors, among them, changes in oral tissues inherent to the physiological processes of aging and by systemic condition. In El Salvador, it is a group that has received little attention at the public health level. Objective To determine the profile of the oral health status and treatment needs of the elderly population in El Salvador. Materials and methods Secondary cross-sectional analysis of data from the last oral health survey in 471 Salvadorans aged 60 years and older. The variables under study were: sociodemographics, brushing frequency, oral hygiene according to simplified oral hygiene index (OHI-S), caries experience according to decayed, missing, and filled teeth index (DMFT) modified with international caries detection and assessment system (ICDAS) criteria, periodontal status through the community periodontal index of treatment needs (CPITN), edentulism and treatment needs. Statistical analysis was conducted using chi-square test, ANOVA, z-test and linear regression (p < 0.05). Results The older adults presented poor oral hygiene, low brushing frequency, high tooth loss with an average of 16 missing teeth while one third presented total edentulism. Most of the older adults were categorized as having "poor or very Poor" oral hygiene. Almost all respondents presented some degree of periodontal disease and required restorative intervention. Conclusion The oral health status of elderly Salvadoran is poor. Furthermore, the development of public policies and specific oral health strategies aimed at this population is urgent.

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Section: Discussionsupporting

confidence: 74%

Oral health profile status and treatment needs in the Salvadoran elderly population: a cross-sectional study

et al. 2022

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“…The rate of edentulism in this study was 31.42%, which was similar to the rates observed in studies from South American countries, such as Brazil (46.4%) (N = 1750) and Colombia (32.87%) (N = 1180). However, the prevalence rate of total edentulism differed from those found in China (8.9%) (N = 4431), India (15.3%) (N = 6409), Ghana (2.9%) (N = 4093), Mexico (2.7%) (N = 19,155) and South Africa (8.7%) (N = 2985) [19,24,25].…”

Section: Discussionmentioning

confidence: 97%

Oral Health Profile Status and Treatment Needs in the Salvadoran Elderly Population

Escobar

Quezada

Escobar

et al. 2022

Preprint

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It is characteristic of older adults to present physiological changes in oral tissues and increased dental loss, mainly as a consequence of periodontal disease and dental caries. Epidemiological surveillance contributes to the development of strategies aiming to improve the quality of life and life expectancy of this population group. Given the lack of epidemiological data, the purpose of this study was to determine the oral health profile status and treatment needs of the elderly population of El Salvador. To that end, we conducted secondary analysis of the results of a recent oral health survey of 471 Salvadorians aged 60 years and older. The variables under study were: socio-demographics, brushing frequency, oral hygiene was measured using the Simplified Oral Hygiene Index (OHI-S), Decayed, Missing, and Filled Teeth index (DMFT) diagnosed with International Caries Detection and Assessment System (ICDAS), periodontopathies diagnosed with Community periodontal index of treatment needs (CPITN), edentulism and treatment needs. Student’s t-test, χ2, the z-test and a confidence level p < 0.05 were used. Of the survey respondents, 42.68% presented deficient oral hygiene, while 52.02% brushed twice a day. The DMFT index score was determinated to be 23.38. The Salvadoran elderly had an average of 16 missing teeth, 6 decayed, 1 filled and 5 healthy; while one-third had total edentulism. The survey respondents had a low frequency of brushing, with most categorized as having “poor” or “very poor” oral hygiene. Almost all respondents had some degree of periodontal disease and required restorative intervention.

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“…Because of that, dental caries in children and adolescents have decreased and a considerable reduction in the prevalence of periodontal diseases and dental loss in young adults was observed [20,21]. However, significant advances in elderly have not been recorded, confirmed by a very high rate of edentulism in this group [22]. An interval of a few years, possibly, is not enough to produce perceptible epidemiological changes, confirmed by the stability recorded for clinical measures (functional dentition) in adults and elders, in the 2003 and 2010 surveys in the country [23].…”

Section: Discussionmentioning

confidence: 99%

Oral Health and related inequalities among visual impairment people in a Brazil municipality

Moreira

Oliveira

Gasque

et al. 2023

RGO, Rev. Gaúch. Odontol.

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Objective: To evaluate the oral health and related factors among people with visual impairment in a municipality in southeastern Brazil. Methods: A cross-sectional and descriptive household study was carried out on a representative sample of people with visual impairments in a medium-sized city in Brazil. A clinical-dental examination was performed (evaluating tooth loss, caries, periodontal health, dental plaque use and need of prosthesis) and a semistructured questionnaire was applied, investigating the socioeconomic conditions (sex, age, marital status, skin color and income) and the use of dental services (reason, time since, and type of service used [private/public] in last dental visit). Descriptive and bivariate analysis were performed to asses the factors related to oral health. Results: The mean age of participants was 65 years (±15.05), with the majority women (70.9%). 53.1% of the interviewees were edentulous, but 58.2% had a good perception of oral health. The blind ones use less public services (p=0.038) and with a lower frequency (p=0.014) than subjects with low vision. Those with less schooling had higher tooth loss and lower periodontal problems (p <0.05). There was a reduction of dental plaque six months after the educational action (30.7%; p=0.01), especially among the low vision participants (p=0.01). Conclusion: Severe tooth loss and unsatisfactory hygiene contrast with self-perception of oral health. Visual acuity and schooling were related to access and oral health. Actions for promotion and equity are necessary to overcome the inequalities encountered.

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Edentulism and all–cause mortality among Brazilian older adults: 11–years follow–up

Cited by 15 publications

References 30 publications

Oral health profile status and treatment needs in the Salvadoran elderly population: a cross-sectional study

Oral health profile status and treatment needs in the Salvadoran elderly population: a cross-sectional study

Oral Health Profile Status and Treatment Needs in the Salvadoran Elderly Population

Oral Health and related inequalities among visual impairment people in a Brazil municipality

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