Geriatric oral health predicaments in <scp>N</scp>ew <scp>D</scp>elhi, <scp>I</scp>ndia

Singh, Abhinav; Purohit, Bharathi; Masih, Nitin

doi:10.1111/ggi.12434

Cited by 7 publications

(10 citation statements)

References 28 publications

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“…The included studies reported caries prevalence or experience of older adults at the age of 60 or above in 20 countries from six continents (Table 1). Most of them were conducted in Asia (n = 20, China [11][12][13][14][15][16], India [17][18][19][20][21][22][23][24], Singapore [25], Turkey [26][27][28][29][30][31][32][33][34][35][36][37][38] and Vietnam [29,30]) and Europe (n = 10, Finland [31], Germany [32,33], Ireland [34], Kosovo [35], Norway [36], Poland [37,38], Portugal [39] and Romania [40]). There were three studies conducted in North America (Mexico [41,42] and USA [43]), one in South America (Brazil [44]), two in Oceania (Australia [45,46]) and three in Africa (...…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review on Caries Status of Older Adults

Chan

Tamrakar

Jiang

et al. 2021

IJERPH

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The aim of this systematic review was to provide an update on caries prevalence in older adults aged 60 years or above around the globe. Two independent reviewers performed a systematic literature search of English publications from January 2016 to December 2020 using Pubmed, Scopus, Embase/Ovid and Web of Science. The MeSH terms used were “dental caries”, “root caries”, “DMF index”, “aged” and “aged 80 and over”. Further searches in Google Scholar retrieved eight additional publications. The epidemiological surveys reporting the prevalence of dental caries or root caries or caries experience using DMFT (decayed, missing and filled teeth) and DFR (decayed and filled root) in older adults aged 60 years or above were included. Quality of the publications was assessed using the JBI Critical Appraisal Checklist for Studies Reporting Prevalence Data. Among the 5271 identified publications, 39 articles of moderate or good quality were included. Twenty studies were conducted in Asia (China, India, Vietnam, Singapore and Turkey), ten in Europe (Ireland, Norway, Finland, Germany, Portugal, Poland, Romania and Kosovo), three in North America (USA and Mexico), one in South America (Brazil), two in Oceania (Australia) and three in Africa (Malawi, Egypt and South Africa). The prevalence of dental caries ranged from 25% (Australia) to 99% (South Africa), while the prevalence of root caries ranged from 8% (Finland) to 74% (Brazil) in community dwellers. The situation was even worse in institutionalised older adults of which the mean DMFT score varied from 6.9 (Malawi) to 29.7 (South Africa). Based on the included studies published in the last 5 years, caries is still prevalent in older adults worldwide and their prevalence varies across countries.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review on Caries Status of Older Adults

Chan

Tamrakar

Jiang

et al. 2021

IJERPH

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“…The prevalence of caries was expressed in the six types of disadvantaged subjects, starting in the description with those most affected, such as prisoners with 77% ([95% CI 66–85%]; 803 participants, three studies, I 2 = 90%) [ 22 , 23 , 24 ], elderly people with 62% ([95% CI 50–73%]; 38,133 participants, 24 studies, I 2 = 99.7%) [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ] ( Figure 2 ), alcohol and drug abusers with 60% ([95% CI 56–64]; 592 participants, two studies, I 2 = not assessable) [ 49 , 50 ], immigrants with 65% ([95% CI 18–99%]; 878 participants, three studies, I 2 = 99.1%) [ 39 , 51 , 52 ], followed by pregnant women with 29% ([95% CI 8–56%]; 506 participants, three studies, I 2 = 97.4%) [ 53 , 54 , 55 ]. All groups showed high scores of prevalence.…”

Section: Resultsmentioning

confidence: 99%

“…Caries experience (DMFT) was calculated in six types of disadvantaged individuals, of which the elderly were those with the highest DMFT 18.7 SD 2.4 ([95% CI 13.5–24]; 1160 participants, 17 studies) [ 25 , 28 , 30 , 31 , 34 , 40 , 41 , 44 , 48 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ], followed by homeless subjects with DMFT 17.3 SD 0.4 ([95% CI 12.6–22.1]; 100 participants, two studies) [ 67 , 68 ], immigrants with 14.9 SD 0.9 ([95% CI 9.6–18.7]; 843 participants, two studies) [ 51 , 52 ], alcohol and drug abusers with 12.9 SD 0.8 ([95% CI 11.2–14.6]; 1891 participants, nine studies) [ 49 , 50 , 69 , 70 , 71 , 72 , 73 , 74 , 75 ], low-income people with9.9 SD 0.5 ([95% CI 3–16.7];3043 participants, two studies) [ 60 , 76 ], low-education people with 9.8 SD0.03 ([95% CI 9.4–10.2]; 3043 participants, two studies) [ 60 , 76 ] and prisoners with 8.9 SD 0.8 ([95% CI 6.3–10.4]; 802 participants, three studies) [ 22 , 23 , 24 ]. Lower DMFT was found in sex workers with 2.3 (249 participants) [ 77 ] and in subjects who work without any specific qualification with 2.9 (510 participants) [ 78 ].…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, a greater probability of having a higher DMFT index was found in low-education people (OR 1.40 [95% CI 1.29–1.52], p < 0.05; 6051 participants) [ 57 ], in low-income people (OR 3.7 [95% CI 2.8–4.6], p < 0.05; 1695 participants, two studies, I 2 = 78%) [ 56 , 76 ] and in professionals who sustain an excessive hourly workload (>40 h of overtime) (OR 2.56 [95% CI 1.23–5.33] p = 0.012 to OR 3.01 [95% CI 1.13–7.97] p = 0.027; 950 participants) [ 79 , 80 ]. Moreover, institutionalized elderly people (resident in care homes) showed a higher caries experience than non-institutionalized elderly people with a DMFT 25.4 SD 2.1 ([95% CI 19.9–30.9]; 2608 participants, six studies) versus 16.1 SD 2.1 ([95% CI 11.2–21]; 8276 participants, nine studies) [ 29 , 31 , 34 , 40 , 41 , 44 , 48 , 60 , 61 , 63 , 64 , 81 , 82 ]. This difference between the two was essentially due to an increased number of teeth lost because of caries, with MT 21.4 SD 2.9 ([95% CI 12.2–30.6]; 2123 participants, seven studies) in institutionalized elderly individuals versus 9.7 SD 0.5 ([95% CI 8.4–11]; 7641 participants, four studies) in non-institutionalized ones [ 29 , 31 , 34 , 40 , 41 , 48 , 62 , 63 , 64 , 66 , 81 ].…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Cianetti

Valenti

Orso

et al. 2021

IJERPH

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Dental caries and periodontal disease represent a health problem and a social cost for the entire population, and in particular for socio-economically disadvantaged individuals who are less resistant to disease. The aim of this review is to estimate the prevalence and severity of the two dental pathologies, caries and periodontal disease, in the different classes of socio-economically disadvantaged subjects and to understand which of them are most affected. A systematic search of the literature was performed in MEDLINE (via PubMed), EMBASE and Web of Science after establishing a suitable search strategy for each database, using keywords related to socio-economically vulnerable classes and health outcomes. Socio-economically disadvantaged individuals are more susceptible to tooth decay and periodontal disease (with relative tooth loss) than non-vulnerable people. Additionally, when multiple vulnerabilities are combined in the same subject, these oral diseases worsen. There is no type of vulnerability more affected by caries and periodontitis than others, since overall they all have severe disease indices. The data from this systematic literature review might be useful for health policy makers looking to allocate more resources and services to socially disadvantaged individuals, resulting in making them more resilient to oral disease due to their social marginalization.

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“…He found high levels of unmet prosthetic needs and very low utilization of dental care. [ 13 ] AlZarea BK et al in 2017, analyzed the dental prosthetic status and prosthetic needs of geriatric patients reporting the College of Dentistry, Al Jouf University, Kingdom of Saudi Arabia. He reported 69.06% of the study group, needed some form of prosthetic treatment.…”

Section: Discussionmentioning

confidence: 99%

To evaluate the status and need for dental prosthesis among the geriatric population of Central India reporting to the dental colleges

Chhabra

Belkhode

Nimonkar

et al. 2020

J Family Med Prim Care

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Aims and Objectives: The study aimed at evaluating the dental prosthetic status and its need among the geriatric population of Central India reporting to the dental colleges. Materials and Methods: A descriptive cross-sectional study was carried out to evaluate prosthetic status and needs among geriatric individuals in Wardha city, Maharashtra reporting to dental colleges. A detailed inspection of the oral cavity of the study subjects was done using Basic Oral Health Surveys, World Health Organization (WHO) 1997. Results: A total of 110 individuals were evaluated for the study. A total of 26.36% study participants had some prosthesis at the time of examination, whereas 79.99% needed prosthesis. A total of 51.82% needed complete dentures. About 12.71% of the participants needed combination prosthesis. Conclusions: The result of this study concluded that the prosthetic status of the geriatric individuals in Wardha city (MH) of Central India is poor and needs prosthetic rehabilitation. A well-structured approach is required to fulfill these needs.

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Geriatric oral health predicaments in New Delhi, India

Abstract: Two striking features of the study were the high levels of unmet prosthetic needs and the extremely low utilization of dental care. There is an urgent necessity to resolve the high burden of unmet prosthetic need among the aged in India.

Cited by 7 publications

References 28 publications

A Systematic Review on Caries Status of Older Adults

A Systematic Review on Caries Status of Older Adults

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

To evaluate the status and need for dental prosthesis among the geriatric population of Central India reporting to the dental colleges

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