Medical considerations relating to the oral health of older adults

Berkey, Douglas B.; Scannapieco, Frank A.

doi:10.1111/scd.12027

Cited by 25 publications

(31 citation statements)

References 97 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…24 In our study, diabetic patients with complete upper denture presented more prosthetic stomatitis than nondiabetics (p = 0.006). Several studies 19,22 corroborate our results.…”

Section: Discussionsupporting

confidence: 81%

“…Besides the increased potential to develop periodontitis, diabetic patients may present other oral complications related to diabetes, such as xerostomia, oral burning syndrome, candidiasis, defective wound healing, increased tendency to infections, decreased salivary flow, and salivary gland enlargement. 4,19 Such affirmations agree with the findings of this study, considering that in our sample, In three subjects of the study it was not possible to obtain data about xerostomia patients over 50-year-old presented significantly more DM2 than younger patients (p = 0.00), showing 3.613 times higher risk of developing the endocrine disorder (Table 1). It is known that diabetic patients have a higher risk of acquiring opportunistic infections since there are changes in oral microbiota and the immunological system.…”

Section: Discussionsupporting

confidence: 80%

“…The endocrine system plays an essential role in regulating several bodily processes through secretion and regulation of hormones, including those inside the oral cavity. 19 More than 20% of adults over 60-year-old have diabetes, and Type 2 is more prevalent in this group. Besides the increased potential to develop periodontitis, diabetic patients may present other oral complications related to diabetes, such as xerostomia, oral burning syndrome, candidiasis, defective wound healing, increased tendency to infections, decreased salivary flow, and salivary gland enlargement.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Most Frequent Oral Lesions in Patients with Type 2 Diabetes Mellitus

Trentin

Verardi

Ferreira

et al. 2017

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

Aim: Type 2 diabetes mellitus (DM2) is a chronic disease caused by the underproduction of insulin in the organism and it is considered a risk factor to periodontal disease. Materials and methods:This study performed a cross-sectional research on the main oral changes in patients with DM2 and nondiabetics, in Passo Fundo, Rio Grande do Sul, Brazil. The sample included 116 patients examined at the Diabetes Outpatient Clinic of the School of Medicine of the University of Passo Fundo (UPF) and 134 nondiabetic patients examined at the Examinations, Triage, and Emergency Sector of the School of Dentistry of UPF. Inclusion criteria for the study were patients over 35-years old, diagnosed with DM2 for more than 2 years. The same criteria were used for the control group, except for the presence of diabetes. Data collected were analyzed by Statistical Package for the Social Sciences 18.0 for Windows™ software and the Chi-square test at 5% significance. This study showed that, overall, oral lesions were more prevalent in diabetic patients. Results:The stomatological manifestations observed more frequently in such patients were pseudomembranous candidiasis, lichen planus, lingual varices, xerostomia, and prosthetic stomatitis (p > 0.001). Conclusion:Therefore, based on the sample investigated, it is concluded that patients with DM2 present higher prevalence of oral lesions when compared with nondiabetics.

show abstract

“…24 In our study, diabetic patients with complete upper denture presented more prosthetic stomatitis than nondiabetics (p = 0.006). Several studies 19,22 corroborate our results.…”

Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Most Frequent Oral Lesions in Patients with Type 2 Diabetes Mellitus

Trentin

Verardi

Ferreira

et al. 2017

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

show abstract

“…Surgeon General noted that oral problems (e.g., dental caries periodontal disease, tooth loss, dry mouth, oral cancer, chewing problems, pain or discomfort) in older adult and disabled populations are the most common unmet health needs, and that oral diseases are often related to general health problems (National Institute of Dental and Craniofacial Research, 2000). Inferior oral status can lead to serious health consequences, such as abscesses, pain, bacteremia, septicemia and chronic disease (Berkey & Scannapieco, 2013). …”

Section: Introductionmentioning

confidence: 99%

Oral health status among long-term hospitalized adults: a cross sectional study

Bilder

Yavnai

Zini³

2014

PeerJ

View full text Add to dashboard Cite

Background. Many Long-Term Care (LTC) institutionalized patients are the most frail and functionally dependent among the geriatric population and have significant oral health disparities.They often suffer from dental neglect due to limited access to appropriate professional dental care. These patients have chronic health situations and are treated with medications, which increase their risk of oral diseases. Despite the growth in elderly population in Israel, there is insufficient data regarding their oral health status and treatment needs.Objective. To describe the oral health status of the LTC hospitalized adults in a geriatric and psychiatric hospital in Israel.Methods. Data was recorded from LTC hospitalized adults with a physical and/or mental disabilities in a cross-sectional research design, which included general health anamnesis and clinical oral examination. Variables included gender, medicines, oral hygiene (OH), using dentures, number of caries lesions and residual teeth. Univariate analyses included Pearson χ2 and t-test analyses. Multivariate analyses included logistic and linear regressions while the outcome variables were categorical OH index and number of carious cavitations, number of residual teeth and carious teeth percentage.Results. 153 participants were included in the study with a mean age of 65.03 ± 18.67 years. 31.3% of the patients were edentulous, and only 14% had partial or full dentures. Females had a significantly higher number of caries cavitation than males (P = 0.044). The number of caries cavitation was higher among patients with poor OH (P < 0.001) and when taking Clonazepam (P = 0.018). Number of residual teeth was higher in the fair OH group (P < 0.001). Carious teeth percentage was higher among the poor OH group (P < 0.001).

show abstract

“…For example, loss of self-esteem is associated with loss of teeth (40) and with untreated disease, such as periodontitis (40,44). Finally, periodontal disease is associated with several systemic diseases and conditions (9,11), such as diabetes (10,12,45), cardiovascular diseases (50,71,86,90), pulmonary diseases (55,57,73,91), rheumatoid arthritis (21,89), cognitive impairment/Alzheimer's disease (42,48,74,78), as well as cancers of the oro-digestive tract (oral cavity, gastrointestinal tract, bladder, liver, kidney and pancreas) (2,3,6,47,72). Whether the "golden" years at the end of the life cycle are lived in a healthy, enjoyable and productive style depends, in part, on the oral health status.…”

mentioning

confidence: 99%

Periodontitis prevalence in adults ≥ 65 years of age, in the USA

Eke¹,

Liang²,

Borgnakke³

et al. 2016

Periodontology 2000

255

220

View full text Add to dashboard Cite

The older adult population is growing rapidly in the USA and it is expected that by 2040 the number of adults ≥ 65 years of age will have increased by about 50%. With the growth of this subpopulation, oral health status, and periodontal status in particular, becomes important in the quest to maintain an adequate quality of life. Poor oral health can have a major impact, leading to tooth loss, pain and discomfort, and may prevent older adults from chewing food properly, often leading to poor nutrition. Periodontitis is monitored in the USA at the national level as part of the Healthy People 2020 initiative. In this report, we provide estimates of the overall burden of periodontitis among adults ≥ 65 years of age and after stratification according to sociodemographic factors, modifiable risk factors (such as smoking status), the presence of other systemic conditions (such as diabetes) and access to dental care. We also estimated the burden of periodontitis within this age group at the state and local levels. Data from the National Health and Nutrition Examination Survey 2009/2010 and 2011/2012 cycles were analyzed. Periodontal measures from both survey cycles were based on a full-mouth periodontal examination. Nineteen per cent of adults in this subpopulation were edentulous. The mean age was 73 years, 7% were current smokers, 8% lived below the 100% Federal Poverty Level and < 40% had seen a dentist in the past year. Almost two-thirds (62.3%) had one or more sites with ≥ 5 mm of clinical attachment loss and almost half had at least one site with probing pocket depth of ≥ 4 mm. We estimated the lowest prevalence of periodontitis in Utah (62.3%) and New Hampshire (62.6%) and the highest in New Mexico, Hawaii, and the District of Columbia each with a prevalence of higher than 70%. Overall, periodontitis is highly prevalent in this subpopulation, with two-thirds of dentate older adults affected at any geographic level. These findings provide an opportunity to determine how the overall health-care management of older adults should consider the improvement of their oral health conditions. Many older adults do not have dental insurance and are also likely to have some chronic conditions, which can adversely affect their oral health.

show abstract

Medical considerations relating to the oral health of older adults

Cited by 25 publications

References 97 publications

Most Frequent Oral Lesions in Patients with Type 2 Diabetes Mellitus

Most Frequent Oral Lesions in Patients with Type 2 Diabetes Mellitus

Oral health status among long-term hospitalized adults: a cross sectional study

Periodontitis prevalence in adults ≥ 65 years of age, in the USA

Contact Info

Product

Resources

About