Impact of xerostomia on oral complaints in a group of elderly Turkish removable denture wearers

Arslan, Ahmet; Orhan, Kaan; Canpolat, Ceyhun; Delilbaşi, Çağrı; Dural, Sema

doi:10.1016/j.archger.2008.09.008

Cited by 28 publications

(25 citation statements)

References 34 publications

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“…In the present study, 43% (143/333) subjects had mucosal pain (PI ≥ 1) on the denture-bearing area, which was higher than that in the study of PRDP wearers in Japan (21%) (6) and in another study of CRDP and PRDP wearers in Japan (30%) (7), but slightly lower than that in the study of CRDP and PRDP wearers in Turkey (51%) (8). Subjects in the Japanese studies were volunteers who participated in the Senior Citizens' College (6) and independently residing persons (7), while the subjects in our study and the Turkey study (8) were enrolled from prosthetic clinics of university dental hospitals. Percentage of subjects using interim dentures in prosthetic clinics is probably higher than that in the Japanese studies.…”

Section: Discussioncontrasting

confidence: 75%

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Factors associated with mucosal pain in patients with partial removable dental prostheses

Kumagai

Fueki

Yoshida‐Kohno

et al. 2016

J of Oral Rehabilitation

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The aim of this study was to investigate factors associated with mucosal pain in patients with partial removable dental prostheses (PRDPs). In this hospital-based cross-sectional study, 333 patients wearing 500 PRDPs (mean age 71·4 years, men 33·3%) were consecutively recruited from prosthetic clinic of a dental hospital in Japan. Subjects rated pain intensity and frequency of denture-bearing mucosa. An examiner recorded age, gender and systemic diseases as well as dental, mucosa, denture, sensory, behavioural- and psychological-related characteristics that were possibly associated with the mucosal pain. Multivariate analyses were performed to analyse factors related to mucosal pain. Pain intensity was rated as more than score 0 (presence) in 34·2% (171/500) PRDPs, and pain was experienced after denture delivery in 42·8% (214/500) PRDPs. Logistic regression analyses showed that younger age, mucosal damage, poor mucosal condition, bone prominence, poor residual ridge, higher pain sensitivity, presence of awake bruxism, perception of oral dryness, interim denture wear and high number of missing teeth were significant independent predictors for the presence of the mucosal pain intensity and/or frequency (P < 0·05). Multiple factors are associated with mucosal pain in patients with PRDPs. Oral mucosal characteristics, age, pain sensitivity and behavioural factors seem to be more critical for mucosal pain than distribution of missing teeth and number of abutment teeth.

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Section: Discussioncontrasting

confidence: 75%

“…This may be because PI and PF were highly correlated with each other ( ρ = 0·85). Most of the factors reported in the previous studies were identified as significant factors in this study as well, but awake bruxism, pain sensitivity (PPT) and number of missing teeth were newly identified in this study.…”

Section: Discussionmentioning

confidence: 60%

Factors associated with mucosal pain in patients with partial removable dental prostheses

Kumagai

Fueki

Yoshida‐Kohno

et al. 2016

J of Oral Rehabilitation

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“…After completing the patient’s questionnaire, each subject underwent a comprehensive dental examination by two calibrated prosthodontists. Training and calibration exercises were conducted prior to the study 11 .…”

Section: Methodsmentioning

confidence: 99%

Factors affecting the distribution and prevalence of oral mucosal lesions in complete denture wearers

Mandali¹,

Şener

Turker

et al. 2010

Gerodontology

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“…The subjective feeling of dry mouth, xerostomia, is a common complaint among patients taking many drugs daily, but it may not be directly associated with hyposalivation . The consequent oral discomfort due to hyposalivation and xerostomia may lead to difficulties in speaking and swallowing and taste disturbances and finally affect the quality of life . These subjective symptoms can be assessed only by the direct questioning of patients …”

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confidence: 99%

“…6 The consequent oral discomfort due to hyposalivation and xerostomia may lead to difficulties in speaking and swallowing and taste disturbances and finally affect the quality of life. [7][8][9] These subjective symptoms can be assessed only by the direct questioning of patients. 10 Recent research into the oral health of patients with liver disease has shown that these patients have a high prevalence of oral infections before transplantation [11][12][13][14] and that they also are susceptible to oral diseases and posttransplant infections after transplantation.…”

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confidence: 99%

Self-Reported Oral Symptoms and Signs in Liver Transplant Recipients and a Control Population

et al. 2013

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Recipients of liver transplantation (LT) receive lifelong immunosuppression, which causes side effects. We investigated selfreported oral symptoms and associated risk factors with the following hypothesis: symptoms and signs would differ between LT recipients of different etiology groups and also between LT recipients and a control population. Eighty-four LT recipients (64 with chronic liver disease and 20 with acute liver disease) were recruited for clinical oral and salivary examinations (median follow-up 5 5.7 years). A structured questionnaire was used to record subjective oral symptoms. Matched controls (n 5 252) came from the National Finnish Health 2000 survey. The prevalence of symptoms was compared between the groups, and the risk factors for oral symptoms were analyzed. Xerostomia was prevalent in 48.4% of the chronic LT recipients and in 42.1% of the acute LT recipients. This subjective feeling of dry mouth was only partly linked to objectively measured hyposalivation. The chronic transplant recipients had significantly lower unstimulated salivary flow rates than the acute transplant recipients (0.34 6 0.31 versus 0.61 6 0.49 mL/minute, P 5 0.005). Among the chronic transplant recipients, hyposalivation with unstimulated salivary flow was associated with fewer teeth (17.7 6 8.2 versus 21.9 6 8.4, P 5 0.047) and more dentures (33.3% versus 12.2%, P 5 not significant). The chronic patients reported significantly more dysphagia than their controls (23.4% versus 11.5%, P 5 0.02). Increases in the number of medications increased the symptoms in all groups. In conclusion, dysphagia was significantly more prevalent among the chronic LT recipients versus the controls. The number of medications was a risk factor for dry mouth-related symptoms for both the LT recipients and the controls. The chronic transplant recipients presented with lower salivary flow rates than the acute transplant recipients. Hyposalivation correlated with generally worse oral health among the chronic transplant recipients. These differences between the chronic and acute LT recipients may have been due to differences in their medical conditions due to the different etiologies. Liver Transpl 19:155-163, 2013. V C 2012 AASLD. Received September 3, 2012 accepted November 6, 2012. Liver transplantation (LT) was first performed in Scandinavia at the Helsinki University Central Hospital (HUCH) in Finland already 30 years ago. The 5-year survival rates for LT recipients have improved significantly, with recent rates reaching 85%. Despite fewer rejections and better tolerance, immunosuppressive therapy can still cause side effects, among which infections, cardiovascular disease, posttransplant diabetes, kidney insufficiency, and malignancies are the most serious.

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Impact of xerostomia on oral complaints in a group of elderly Turkish removable denture wearers

Cited by 28 publications

References 34 publications

Factors associated with mucosal pain in patients with partial removable dental prostheses

Factors associated with mucosal pain in patients with partial removable dental prostheses

Factors affecting the distribution and prevalence of oral mucosal lesions in complete denture wearers

Self-Reported Oral Symptoms and Signs in Liver Transplant Recipients and a Control Population

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