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

Abstract

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).

Oral status of older people in medium to long-stay health and social care setting: a systematic review

“…Comorbidity in this population makes them especially susceptible to oral pathologies, often as a result of the medication they are taking, which increase the risk of tooth decay through hyposalivation [ 10 ]. In addition, some disorders may give rise to physical, cognitive or even motivational limitations that interfere with the development and habit of practicing good oral hygiene [ 11 , 15 , 16 ].…”

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“…[ 49 , 50 ]. There have been several sporadic mushroom molecular diversity surveys of local grocery stores in New York [ 51 ], London [ 52 ], and mushroom dietary supplement from a company called New Chapter, Inc. (Brattleboro, VT, USA) [ 53 ]. However, most of these surveys are geographically limited and had relatively small sample sizes.…”

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