Oral Mucosal Disorders in Institutionalized Elderly People

Ekelund, Raili

doi:10.1093/ageing/17.3.193

Cited by 20 publications

(19 citation statements)

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“…In our study problems related to the tongue was demonstrated in 39% of the patients. This is in accordance with studies reported by Ekelund (31) and Brauer et al. (32).…”

Section: Discussionsupporting

confidence: 94%

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Oral health and nutritional status in a group of geriatric rehabilitation patients

Andersson

Westergren

Karlsson

et al. 2002

Scandinavian Caring Sciences

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The aims of this study were to evaluate the oral health status and nutritional status in a group of geriatric rehabilitation patients, and to analyse the relationship between these two parameters. Nurses at the ward performed structured assessments of oral and nutritional status using the Revised Oral Assessment Guide and the Subjective Global Assessment form in 223 newly admitted patients. Most oral health problems were found among patients who stayed longer at the hospital and were more dependent on help as compared with the healthier patients. Thirty-four per cent of the patients were either severely undernourished, at risk or suspected to be undernourished (UN). Oral health problems were more common among UN patients (p < 0.0005) compared with well-nourished patients. The most frequent oral health problem was found on teeth or dentures (48%). Problems related to the tongue and lips were also common among UN patients (56 and 44%, respectively). Oral health status was correlated (r = 0.32) to nutritional status. Problems with swallowing had the strongest association to the nutritional status (OR 6.05; 95% CI 2.41-15.18). This study demonstrated that poor oral health status was related to undernourishment.

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“…In our study problems related to the tongue was demonstrated in 39% of the patients. This is in accordance with studies reported by Ekelund (31) and Brauer et al. (32).…”

Section: Discussionsupporting

confidence: 94%

“…Alterations on the tongue were the most frequent oral manifestations in a group institutionalized elderly (31). Samaranayake et al.…”

Section: Discussionmentioning

confidence: 99%

Oral health and nutritional status in a group of geriatric rehabilitation patients

Andersson

Westergren

Karlsson

et al. 2002

Scandinavian Caring Sciences

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“…This percentage is larger than that observed in the elderly population living in retirement homes in Finland (59.6%). 7 However, the previous study did not describe conditions that were considerably frequent in this study, such as lingual varicosities and coated tongue. Oral mucosal lesions were observed in 45% of the institutionalized elderly in Denmark; however, nonpathologic mucosal changes of the tongue were not included in the evaluation.…”

Section: Discussionmentioning

confidence: 65%

“…1,[6][7][8][9]18,19 The two most common oral mucosal lesions were related to the use of removable prostheses, confirming that the clinical problems associated with denture wear also exist in Brazilian institutionalized elderly patients. 5,7,19,[22][23][24] Removable prostheses wear was significantly associated with a higher prevalence of oral mucosal lesions, even within a single group of elderly patients with lesions of diverse etiology. In a study of the non-institutionalized elderly in China, denture wearers had a higher prevalence of oral mucosal lesions (40%) than non-wearers (32%).…”

Section: Discussionmentioning

confidence: 97%

Oral mucosal alterations among the institutionalized elderly in Brazil

2010

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This study determined the prevalence of oral mucosal alterations and associated factors among the institutionalized elderly in Brazil. Data were collected through a structured questionnaire, a review of their medical records and an intra-oral examination. A sample of 335 individuals over 60 years of age was randomly selected. In total, 646 alterations were diagnosed; 59.1% were variations of the normal oral mucosa. The most frequent variation consisted of sublingual varicosities (51.6%). Denture stomatitis (15.2%) and denture hyperplasia (12.8%) were the most frequent lesions. Elderly patients who wore dentures had a significantly higher prevalence of oral mucosal lesions (p = 0.00) than those that didn't wear dentures. There was a high prevalence of variations of the normal oral mucosa and of mucosal lesions, especially denture-induced lesions, among the institutionalized elderly.

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“…A number of age changes affecting the oral mucosa are described in the literature (Ekelund, 1988). While some these are regarded as true age changes, others are related to pathological processes.…”

Section: Introductionmentioning

confidence: 99%

Vascular endothelial growth factor in minor salivary glands: effect of ageing

Oliveira

Vasconcelos

Gomez

2002

J of Oral Rehabilitation

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Morphological and physiological age changes are described in human salivary glands. Vascular endothelial growth factor (VEGF) is neoangiogenic growth factor found in normal salivary glands. Considering the neoangiogenic properties of VEGF and its important function in inflammation, repair and, probably, in oral mucosa homeostasis, the purpose of the present study was to evaluate the effect of ageing on the immunolocalization of VEGF in minor salivary glands. Paraffin-embedded tissue blocks containing normal labial salivary glands were retrieved and classified according to the patients' age in two groups (< 20 and > 40-year-old). The biotin-streptavidin-peroxidase system was used to detect the VEGF antigen. The results demonstrated that the mean level of VEGF immunoreaction in the young group was not statistically different from the old group when compared by the Mann-Whitney U-test (P = 0.54). This may indicate that although salivary flow reduction may develop in old patients, some properties of the salivary glands may not be affected.

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Oral Mucosal Disorders in Institutionalized Elderly People

Cited by 20 publications

References 0 publications

Oral health and nutritional status in a group of geriatric rehabilitation patients

Oral health and nutritional status in a group of geriatric rehabilitation patients

Oral mucosal alterations among the institutionalized elderly in Brazil

Vascular endothelial growth factor in minor salivary glands: effect of ageing

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