Factors associated with missing teeth in the Brazilian elderly institutionalised population

Piuvezam, Grasiela; Lima, Kênio Costa de

doi:10.1111/j.1741-2358.2012.00655.x

Cited by 20 publications

(34 citation statements)

References 23 publications

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“…The present study corroborates the deficient oral health conditions found by other publications 7,8,[10][11][12] , with dental caries causing dental loss and edentulism, resulting in a minor presence of periodontal issues due to the widespread occurrence of excluded sextants. There was also a high prevalence of root caries and low use of dentures (despite significant need) and inadequate access to dental care, based on the majority of the elderly in the study stating that their last visit to the dentist was more than one year ago.…”

Section: Discussionsupporting

confidence: 92%

“…In terms of oral health, institutionalized elderly persons have more unfavorable oral conditions than those living in the community 5,6 , with a high prevalence of edentulism or periodontal disease and an elevated need for dental extraction and use of dental prostheses identified in several studies in different countries, such as Brazil 7,8 , Spain 9 , Romania 10 , India 11 and Malta 12 .…”

Section: Introductionmentioning

confidence: 99%

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Halitosis and associated factors in institutionalized elderly persons

Aguiar

Pinheiro

Marcelino

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to evaluate the prevalence of halitosis and associated factors in institutionalized elderly persons. Methods: a sectional study was performed with 268 elderly persons from 11 long-term care institutions in Natal in the northeast of Brazil. Data collection included an oral epidemiologic examination and questions about self-perception of oral health, as well as a consultation of medical records and the application of a questionnaire to the directors of the institutions. Halitosis was measured using the organoleptic test. The independent variables were oral, sociodemographic, institutional, general health and functional conditions. Bivariate analysis was performed using the Pearson chi-square test and Fisher's exact test, and the magnitude of effect was verified by the prevalence ratio for the independent variables in relation to the outcome, with a 95% confidence level. Results: the prevalence of halitosis was 26.1%, which was exhaled by the mouth in 98.57% of cases and by the nose in 10% of cases. Prevalence was 43% higher among nonwhite individuals ( p=0.006); 65% higher among those living in non-profit institutions ( p=0.039); 52% higher in elderly persons with oriented cognitive status ( p=0.047); 41% higher in elderly persons with root caries ( p=0.029); 62% higher in those who did not use dentures ( p=0.046); 57% lower in edentulous persons ( p<0.001); and 73% higher in elderly individuals with tongue biofilm ( p=0.001). Conclusion: The occurrence of halitosis in institutionalized elderly persons was similar to other studies, but there was an expressive number of extrabuccal cases and an association with oral health problems, as well as sociodemographic, institutional and functional factors.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Halitosis and associated factors in institutionalized elderly persons

Aguiar

Pinheiro

Marcelino

et al. 2017

Rev. bras. geriatr. gerontol.

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“…The convenience sample was selected according to the following inclusions criteria: subjects aged above 60 years, functionally independent or partly dependent, showed no cognitive or systemic deficiency that could difficult the trial, with a minimum of 3 remaining teeth (excluding third molars), and that fill out the written informed consent. Elderly patients having less than 3 remaining teeth were excluded based on the mean of teeth present in institutionalized elderly found in previous study (12). The subjects were classified according to gender (male or female) and age (60-64; 65-74; 75-79; 80-84; 85-90; >90 years old).…”

Section: E Hebling Et Almentioning

confidence: 99%

Periapical Status and Prevalence of Endodontic Treatment in Institutionalized Elderly

et al. 2014

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The aim of this study was to determine the prevalence and frequency of apical periodontitis and root fillings in 450 institutionalized Brazilian elderly. The teeth with apical periodontitis were assessed using the Periapical Index (PAI) score. A total of 942 teeth were evaluated in 98 subjects (57 females and 41 males) with mean age of 74 years. The observed frequency of total edentulous subjects was high (76%) in this population. A total of 126 teeth showed root fillings, of these only 46 (36.5%) were scored as having adequate quality. Apical periodontitis was found in 114 teeth (12.1%) in 42 (42.9%) subjects. 80 (70.2%) inadequate root-filled teeth showed apical periodontitis. There was a significant correlation between the presence of periapical pathology and inadequate root-filled teeth. Inadequate root-filled teeth were associated with an increased prevalence of apical periodontitis in these subjects. This fact may result in increased endodontic retreatment needs for this population. Periapical Status and Prevalence o f E n d o d o n t i c T r e a t m e n t i n I n s t i t u t i o n a l i z e d E l d e r l y

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“…Data was taken from two surveys and a clinical examination of the oral health conditions of the individuals. The design of these surveys has been previously described [18][19][20] however, a summary is provided below.…”

Section: Methodsmentioning

confidence: 99%

“…18 The CPI was not characterized as a bleeding on probing CPI because of the low number for this category.…”

Section: Methodsmentioning

confidence: 99%

Comparative Study of the Oral Health Profile of Institutionalized Elderly Persons in Brazil and Barcelona, Spain

Pessoa

Pérez

Marí-Dell’Olmo

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To compare the oral health profile of institutionalized elderly persons in Brazil and in Barcelona, Spain, by gender and country of residence. Methods: A cross-sectional study was performed of individuals aged 65 years and above (n=1,440), resident in the health region of Barcelona and in Brazil. Two surveys and exams relating to the oral health status of institutionalized elderly persons in Brazil (in 2008) and in Barcelona, Spain (in 2009) were carried out. Periodontal disease, tooth loss and dental caries were analyzed, considering age and cognitive ability. The sample was stratified by gender and country. Bivariate and multivariate Robust Poisson Regression models were used to obtain adjusted Prevalence Ratios (aPR), and a 95% confidence interval (95%CI) was employed. Results: In Barcelona, men and women had a higher prevalence of periodontal illness: Men -calculus (aPR:1.5; CI:1.08-2.19) and pocket (aPR:2.05; CI:1.43-2.93) results. Women -calculus (aPR:2.4; CI:1.77-3.24) and pocket (aPR:3.2; CI:2.29-4.53) results. In Barcelona there was a lower prevalence of edentulism (aPR:0.49; CI:0.37-0.65) and functional edentulism (aPR:0.49; CI:0.40-0.60) among men. The same results were found among women with a lower prevalence of edentulism (aPR:0.49; CI: 0.41-0.58) and functional edentulism (aPR:0.42; CI: 0.30-0.49). Conclusions: A poor state of oral health of men and women was observed in both countries, with the elderly from Barcelona having worse periodontal health and the elderly from Brazil having greater tooth loss.

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Factors associated with missing teeth in the Brazilian elderly institutionalised population

Abstract: High level of tooth loss and low level of rehabilitation demonstrate precarious oral health. It is therefore necessary to improve institutional access mechanisms to public health facilities for the institutionalised elderly.

Cited by 20 publications

References 23 publications

Halitosis and associated factors in institutionalized elderly persons

Halitosis and associated factors in institutionalized elderly persons

Periapical Status and Prevalence of Endodontic Treatment in Institutionalized Elderly

Comparative Study of the Oral Health Profile of Institutionalized Elderly Persons in Brazil and Barcelona, Spain

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