Oral Health Perception in Institutionalized Elderly in Brazil: Psychosocial, Physical and Pain Aspects

Abstract

Objective: Identify self-rated oral health dimensions of institutionalized elderly in Brazil using the Geriatric Oral Health Assessment Index (GOHAI), and seek associations with objective, subjective and behavioral conditions. Methodology: Cross-sectional study based on a census of institutionalized elderly. A total of 1192 individuals, living in 36 long-stay institutions for the elderly (LSIE) were evaluated. Of these, 587 (49.2%) responded to the GOHAI. A questionnaire containing subjective and oral health behavior questions was applied and an epidemiological survey (WHO criteria) conducted.Results: With regard to the psychosocial dimension, multiple regression analysis demonstrated that the variables absence and need for upper prosthesis remained significant. Variables for the physical dimension were presence of dental problems and CPI of 6 mm or more, while in the pain or discomfort dimension, it was opinion of teeth, gums or prosthesis. Conclusions:A better understanding of GOHAI dimensions may increase knowledge of oral health conditions among institutionalized elderly in Brazil, thereby contributing to action planning, organization and monitoring of health services besides improved health and quality of life.

Impact of oral health status on oral health related quality of life among institutionalzed elder in el gharbiay governorate

“…43,44 The results of the present study con rmed the signi cant negative correlation between geriatric oral health assessment index scores and brief oral health status examination scores among institutionalized elders. The results come in a line with 53 who found that self-perception is predominantly positive, which is opposite to the actual ndings of oral health, which is predominantly poor. The paradox between the clinical reality and self-perception of oral health measured in these studies, shows that reported self-perception is not enough to predict and identify oral health condition in the study population.…”

“…This result doesn't agree with Doris S. et al, 2008 24 who reported that about half of the Chinese residents (51%) had a low GOHAI score whereas one-third (36%) had moderate GOHAI score and (13%) reported high GOHAI score. While, the present results come in a line with Cornejo et al,2013 42 ,Rekhi et al,2018 41 , So-Jung et al .,201953 and Silva et al,202054 who reported a signi cant poor GOHAI scores in Spanish, Indian ,Korean and Brazilian institutionalized elders respectively.The comparison between different GOHAI scores between male and female exhibited no statistically signi cant difference of the Oral health related quality of life in both genders. This result parallel to the result of study done by Azogui-Levy et al,201855 .…”

“…The paradox between the clinical reality and self-perception of oral health measured in these studies, shows that reported self-perception is not enough to predict and identify oral health condition in the study population. 52 and oral health problems are considered secondary to other physical, psychological and social problems 70 .…”

Impact of Oral Health Status on Oral Health– Related Quality of Life among Institutionalized Elders in EL-Gharbiya Governorate

“…43,44 The results of the present study con rmed the signi cant negative correlation between geriatric oral health assessment index scores and brief oral health status examination scores among institutionalized elders. The results come in a line with 53 who found that self-perception is predominantly positive, which is opposite to the actual ndings of oral health, which is predominantly poor. The paradox between the clinical reality and self-perception of oral health measured in these studies, shows that reported selfperception is not enough to predict and identify oral health condition in the study population.…”

“…The paradox between the clinical reality and self-perception of oral health measured in these studies, shows that reported selfperception is not enough to predict and identify oral health condition in the study population. 52 and oral health problems are considered secondary to other physical, psychological and social problems 70 .…”