Oral health status of older adults in Arizona: results from the Arizona Elder Study

Berg, Rob; Berkey, Douglas B.; Tang, Joyce; Baine, Connie; Altman, Donald S.

doi:10.1111/j.1754-4505.2000.tb01155.x

Cited by 22 publications

(19 citation statements)

References 15 publications

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“…A similar statewide study of oral health of older adults was conducted in Arizona 17 . Compared to individuals in the Arizona study, those in Kentucky were more likely to be edentulous (31% vs. 46.7%).…”

Section: Discussionmentioning

confidence: 97%

ARTICLE: Oral health status of older adults in Kentucky: results from the Kentucky Elder Oral Health Survey

Bush

Dickens

Henry³

et al. 2010

Special Care in Dentistry

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The purpose of the Kentucky Elder Oral Health Survey (KEOHS) was to assess the oral health status of Kentuckians 65 and older. The KEOHS consisted of a self-administered questionnaire and a clinical examination. Recruitment occurred from May 2002 through March 2005 of persons aged 65 and older (n=1386) whose functional ability was classified by residential setting. Independent elders living in their own homes were designated as “well-elders,” those who lived in skilled nursing facilities and who were functionally dependent were designated as “nursing home elders,” and those older adults who were considered frail were designated as “homebound elders.” Significant associations were found between the functional ability of the elders and demographic characteristics. While elders who were homebound reported the highest rate of barriers to care, dental insurance, affordability, and transportation were consistently reported as barriers for all groups of elders. This study has established the baseline oral health status of older adults in Kentucky and the data shows-differences that exist for various community living situations.

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Section: Discussionmentioning

confidence: 97%

ARTICLE: Oral health status of older adults in Kentucky: results from the Kentucky Elder Oral Health Survey

Bush

Dickens

Henry³

et al. 2010

Special Care in Dentistry

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“…Due to loss of cognitive skills, physical disability, self-neglect, and lack of social support and resources for regular dental care, special-needs elders experience more oral disease and conditions compared to healthy, independent elders [1][2][3]. Compared to age-and gendermatched elders, demented patients may have poorer oral hygiene, and experience a high incidence of caries, may differ from that in general elderly population.…”

Section: Introductionmentioning

confidence: 99%

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Chen

Clark

2011

Int J Oral Sci

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This study was conducted to detail tooth loss patterns in older adults with special needs. A total of 491 elderly subjects with special needs were retrospectively selected and followed during 10/1999-12/2006. Medical, dental, cognitive, and functional assessments were abstracted from dental records and used to predict risk of tooth loss. Tooth loss events were recorded for subjects during follow-up. Chi-squared tests were used to study the association between tooth loss and the selected risk factors. Logistic, poisson, and negative binomial regressions were developed to study tooth loss patterns. Overall, 27% of the subjects lost at least one tooth during follow-up. Fourteen subjects had tooth loss events per 100 person-years. Tooth loss pattern did not differ significantly among different special-needs subgroups (i.e. community-dwelling vs. long-term care, physically disabled vs. functionally independent). Special-needs subjects with three or more active dental conditions at arrival had more than twice the risk of losing teeth than those without any existing conditions. After adjusting other factors, the number of carious teeth or retained roots at arrival was a significant predictor of tooth loss for older adults with special needs (P=0.001). These findings indicate that appropriately managing active caries and associated conditions is important to prevent tooth loss for older adults with special needs.

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“…Older Adults with Special Needs (OASN) refer to medically compromised elderly or those with physical disabilities, cognitive impairment or mental disorders. Because of impaired physical and cognitive function, many of these elders lose their capacity to maintain adequate oral hygiene and encounter more oral diseases and functional loss compared with healthy, independent elders (1–3). Evidence shows that the risk of dental caries is increased in community‐dwelling older adults with dementia (3).…”

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confidence: 99%