How dental conditions handicap the elderly

Smith, Joyce M.; Sheiham, Aubrey

doi:10.1111/j.1600-0528.1979.tb01238.x

Cited by 127 publications

(74 citation statements)

References 15 publications

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“…The overall prevalence of DRL was 36.4% among denture wearers (35.7 and 37.3% for CDW and PDW subsequently). The reported prevalence of DRL ranges between 6.4 and 63.6% [20,32,35,41] . Coelho et al [40] reported a prevalence of DRL as 52% in a study where only denture wearers were included.…”

Section: Discussionmentioning

confidence: 99%

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Oral Mucosal Conditions and Risk Factors among Elderly in a Turkish School of Dentistry

Dündar

Kal²

2007

Gerontology

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Background: Prevalence studies are important to determine the oral health status and treatment needs of elderly people. Our aim was to obtain data for the prevalence of oral mucosal conditions (OMC) in a Turkish elderly sample and to compare our results with different geographic regions. Objective: The purpose of this clinical-based study was to determine the prevalence of OMC and associated risk factors in a clinical-based Turkish elderly sample. Methods: The study sample consisted of 700 patients >60 years old. The clinical examination of patients was performed by both authors. All participants were questioned about their general health status, medication use, oral hygiene habits, tobacco or alcohol use, use of dentures, and the length of denture use. χ² Pearson’s test with Fisher’s exact probability test was used to analyze the data. Logistic regression models were used to assess the influence of independent variables; odds ratios were calculated with 95% confidence intervals. Statistical significance was defined as p <0.05. Results: OMC were recorded in 40.7% of the study sample. The logistic regression model revealed that male gender, length of denture use, smoking habit, and being a former smoker increased the probability of having an OMC. Smoking habit also increased the risk of having leukoplakia. The denture-related lesions accounted for 36.4% with the length of denture use and diabetes mellitus being significant risk factors for denture stomatitis and denture hyperplasia. The model for traumatic ulcer included medication use as a significant risk factor. Conclusions: Our results regarding an elderly Turkish sample support the studies of other populations where the prevalence of OMC was related to length of denture use, smoking, and gender. We also observed some important associations between denture-related lesions, systemic diseases, and medication use which require further investigation.

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Section: Discussionmentioning

confidence: 99%

“…Most mucosal changes in the elderly have been linked to the use of dentures [2,17,18,[38][39][40][41] . In our sample, denture wearers (56.1%) had a higher incidence of OMC than non-denture wearers (43.9%) (p = 0.000).…”

Section: Discussionmentioning

confidence: 99%

Oral Mucosal Conditions and Risk Factors among Elderly in a Turkish School of Dentistry

Dündar

Kal²

2007

Gerontology

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“…Although the use of dentures per se does not necessarily indicate an eating challenge, dentures may slow the rate of chewing, and poorly fitting dentures can contribute to or exacerbate an eating difficulty [17][18][19]. Dentures were worn by 68% of the residents of the home for the aged.…”

Section: Dentitionmentioning

confidence: 99%

Mealtime Difficulties in a Home for the Aged: Not Just Dysphagia

et al. 1997

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A mealtime screening tool was administered to 349 residents of a home for the aged to determine the prevalence of mealtime difficulties including, but not limited to, dysphagia. Mealtime difficulties, as assessed during a single meal observation of each resident, were documented in 87% of these individuals. Though 68% exhibited signs of dysphagia, 46% had poor oral intake, 35% had positioning problems, and 40% exhibited challenging behaviors. An increased prevalence of mealtime difficulties was related to both the presence and degree of cognitive impairment. Oral intake was best among residents with severe cognitive impairment, many of whom received partial to total feeding assistance. In contrast, poor oral intake was associated with mild-moderate cognitive impairment, pointing to a need for more aggressive intervention with this group. The results clearly demonstrate that the prevalence of a wide range of eating-related problems far exceeds accepted estimates of dysphagia alone and support a multidisciplinary approach to mealtime interventions for the institutionalized elderly. Additionally, the magnitude of problems identified has implications for both resource and staff-training requirements in long-term care facilities.

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“…A hipótese de que fatores associados ao envelhecimento também estivessem associados à perda dentária não foi confirmada neste trabalho, porém os resultados encontrados podem contribuir para a produção de conhecimentos que subsidiem a formulação de programas voltados ao controle da perda dentária entre idosos, considerando que a garantia de acesso e o uso dos serviços para esta população continua a ser um desafio no planejamento de cuidados de saúde bucal, e que a perda dentária afeta negativamente o bem-estar e a qualidade de vida 42,43,44,45 .…”

Section: Discussionunclassified

Estudo prospectivo da perda dentária em uma coorte de idosos dentados

et al. 2016

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Resumo: Este trabalho teve como objetivo avaliar fatores associados à perda dentária entre idosos de 60 anos e mais de idade num período de observação de quatro anos. Uma coorte de idosos dentados representativa da população da cidade de São Paulo, Brasil, participou do estudo. O desfecho foi a incidência de dentes perdidos entre os anos de 2006 a 2010. As variáveis independentes características demográficas, socioeconômicas, de uso e acesso a serviços de saúde, comportamento, morbidade referida, estado cognitivo, capacidade funcional, estado da dentição e uso de prótese foram medidas em 2006 e o desfecho em 2010. Utilizaram-se modelos de regressão binomial negativa. Participaram 440 indivíduos dentados. A análise final mostrou maior probabilidade de perda dentária em idosos que utilizavam duas próteses removíveis (RR = 1,57; IC95%: 1,02-2,41), que avaliaram sua saúde bucal como regular (RR = 1,62; IC95%: 1,11-2,36), ou ruim/muito ruim (RR = 1,87; IC95%: 1,11-3,17), do sexo masculino (RR = 1,74; IC95%: 1,28-2,37), e que moravam sozinhos (RR = 2,03; IC95%: 1,11-3,72).

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How dental conditions handicap the elderly

Cited by 127 publications

References 15 publications

Oral Mucosal Conditions and Risk Factors among Elderly in a Turkish School of Dentistry

Oral Mucosal Conditions and Risk Factors among Elderly in a Turkish School of Dentistry

Mealtime Difficulties in a Home for the Aged: Not Just Dysphagia

Estudo prospectivo da perda dentária em uma coorte de idosos dentados

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