Effectiveness of an oral health educational program on community‐dwelling older people with xerostomia

Ohara, Yuki; Yoshida, Naomi; Kono, Yoko; Hirano, Hirohiko; Yoshida, Hideyo; Mataki, Shiro; Sugimoto, Kumiko

doi:10.1111/ggi.12301

Cited by 61 publications

(71 citation statements)

References 40 publications

(49 reference statements)

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“…Moreover, stimulations caused during oral care may affect the swallowing reflex and may improve swallowing ability 21. Furthermore, oral massage improves the flow rate of saliva in patients with xerostomia 22,23. Thus, management of oral condition might prove beneficial because of its association with the teeth health and other conditions, such as oral dryness, dysphagia and pneumonia.…”

Section: Discussionmentioning

confidence: 99%

Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living

Inui¹,

Takahashi²,

Kurauchi³

et al. 2017

CIA

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PurposePrevention, early detection and effective rehabilitation of dysphagia are important issues to be considered in an aging society. Previous studies have shown conflicting findings regarding the association between dysphagia and its potential risk factors, including age, malnutrition, oral conditions, lifestyle and medical history. Herein, we assessed the prevalence and association of dysphagia with potential risk factors in 50- to 79-year-old adults dwelling in a community in Japan.Patients and methodsIn this study, there were 532 participants (185 males and 347 females). Participants who responded positively to the question “Do you sometimes choke on drinks/food such as tea and soup?” or those who presented with abnormal repetitive saliva swallowing test findings were diagnosed with dysphagia. The data collected from these participants included the following: number of teeth, occurrence of oral dryness, age, body mass index, serum albumin concentration, smoking, drinking and exercise habits, presence of diseases, such as diabetes mellitus and hypertension, and questions from the Mini–Mental State Examination.ResultsDysphagia was observed in 33 males (17.8%) and 76 females (21.9%). To explore the effect of the potential risk factors on the prevalence of dysphagia, a model was built by multivariate logistic regression analysis. Using the forced entry method, oral dryness (odds ratio [OR] =3.683 and P=0.003 in males; OR =1.797 and P=0.032 in females) and the number of teeth (OR =0.946 and P=0.038 in males) were found to be significantly related to dysphagia.ConclusionThis cross-sectional study demonstrated associations between oral conditions and dysphagia. Factors such as oral dryness and number of teeth may contribute to dysphagia more so than aging, lifestyle and comorbidity in community-dwelling adults over the age of 50.

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Section: Discussionmentioning

confidence: 99%

Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living

Inui¹,

Takahashi²,

Kurauchi³

et al. 2017

CIA

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“…These items are greatly influenced by the dental (e.g. number of remaining teeth, vertical dimension of occlusion, pairs of functional occlusal contacts, edentulism, presence of removable or fixed prostheses) and periodontal status (pocket depth, inflammation and subgingival calculus) (1,5,6,11,25) . In contrast, mobility was neither different between groups nor significantly associated with both age and OHX in the 82 participants.…”

Section: Discussionmentioning

confidence: 99%

“…Particularly, the tongue was more negatively affected than other components and its weakness associated with aging has been linked to sarcopenia (4,8) . Moreover, mobility tasks encompass combined sensory ability, muscle strength, and precision of movement, which are in general reduced in older adults and can impair orofacial functions, negatively affecting the nutritional status and systemic health (1,(3)(4)(5)(6)(7)(8) .…”

Section: Discussionmentioning

confidence: 99%

“…The older population is growing in worldwide. Older people have decreased sensitivity, muscle force/strength, oral motor ability and salivary flow (1)(2)(3)(4)(5)(6)(7)(8) . These changes combined with dental problems, either acquired or degenerative disease, impair functions such as mastication, deglutition, and speech, and are risk factors for malnutrition, dehydration, health problems, disabilities, social isolation, and poor quality of life, resulting in additional health care costs (7,(9)(10)(11)(12)(13)(14) .…”

Section: Introductionmentioning

confidence: 99%

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Orofacial Myofunctional Evaluation Protocol for older people: validity, psychometric properties, and association with oral health and age

Felício

Lima

Medeiros

et al. 2017

CoDAS

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“…The intervention group exhibited an improvement in the salivary flow rate, in addition to other functional gains. Recently, Ohara et al 28 performed a similar study using OHEP with 47 elderly patients with xerostomia. The authors demonstrated that educational strategies (oral hygiene instruction, salivary gland massage and muscular exercises for the tongue and face) are effective for the control of xerostomia.…”

Section: Chart 3 -Descriptionmentioning

confidence: 99%

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

Silva

Koppe

Brew

et al. 2017

Rev. bras. geriatr. gerontol.

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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.

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Effectiveness of an oral health educational program on community‐dwelling older people with xerostomia

Abstract: The present study suggests that the educational program targeting oral function improvement is effective among the independent older population.

Cited by 61 publications

References 40 publications

Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living

Oral conditions and dysphagia in Japanese, community-dwelling middle- and older- aged adults, independent in daily living

Orofacial Myofunctional Evaluation Protocol for older people: validity, psychometric properties, and association with oral health and age

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

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