Periodontal and peri‐implant diseases in centenarians

Sekundo, Caroline; Langowski, Eva; Kilian, Samuel; Frese, Cornelia

doi:10.1111/jcpe.13350

Cited by 8 publications

(11 citation statements)

References 35 publications

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“…In our study cohort, notably limited by its relatively small sample size, OHRQoL was not influenced by the question of institutionalization, nursing care or mental state, which are factors that have been shown to have an influence in studies with younger participants. We have previously shown that these factors also had no impact on centenarians’ cariological or periodontal status [ 33 , 34 ]. At the age of 100 years and older, all participants received some kind of help or nursing care, whether at home or in a care facility; this may have alleviated differences.…”

Section: Discussionmentioning

confidence: 99%

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Association of Dental and Prosthetic Status with Oral Health-Related Quality of Life in Centenarians

Sekundo

Langowski

Kilian

et al. 2021

IJERPH

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To date, there is little evidence on centenarians’ dental and prosthetic status or their oral-health-related quality of life (OHRQoL). Therefore, the aim of this study was to assess possible associations between sociodemographic and oral health factors, including prosthetic needs in this special age group and their potential influence on OHRQoL. Persons born before 1920 were recruited from population registries in south-western Germany. Fifty-five centenarians participated and underwent a comprehensive oral examination. Cognitive capacity was evaluated using the short Mini-Mental State Examination (S-MMSE, max. 21 points). At an S-MMSE > 10, an analysis of OHRQoL by means of the Geriatric Oral Health Assessment Index (max. ADD-GOHAI score 60 points) was performed (n = 43). Bivariate statistics and a linear regression model were used after variable selection to analyze data. Centenarians presented with a mean (SD) of 22 (7.2) missing teeth. Complete (65.5%) or partial dentures (21.8%) in at least one jaw were most common. One-third of the dentures needed repair/replacement; 16% of the centenarians presented with denture sores. In 60% of cases, OHRQoL was rated unsatisfactory (ADD-GOHAI < 57). Trouble biting or chewing resulted in the lowest levels of OHRQoL. Fewer remaining teeth, reduced functional capacity and removable prostheses correlated with an impaired OHRQoL (rs = −0.36, p = 0.01; rs = −0.34, p = 0.01; rs = −0.29, p = 0.03, respectively). After variable selection, the final linear regression model included only the number of missing teeth, the associated ADD-GOHAI score decreasing by 0.3 points per missing tooth. In conclusion, tooth loss and removable prostheses in need of repair or replacement are highly prevalent in centenarians. These factors seem to modulate OHRQoL negatively, assumedly due to impaired chewing function. Larger confirmatory studies are needed to validate these first results.

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Section: Discussionmentioning

confidence: 99%

“…For further information regarding interview and clinical examination methods, dental health behaviors, caries experience, functional capacity, periodontal and peri-implant conditions, please see our previous publications [ 33 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

Association of Dental and Prosthetic Status with Oral Health-Related Quality of Life in Centenarians

Sekundo

Langowski

Kilian

et al. 2021

IJERPH

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“…Notably, the association between the oral hygiene behavior and oral health may depend on some contextual factors. Given that the protective roles of education and living arrangements have been documented in various health studies [ 38 , 39 , 40 , 41 , 42 , 43 ], we speculate that education and living arrangements may moderate the association between the oral hygiene behavior and oral health.…”

Section: Introductionmentioning

confidence: 89%

Health Behaviors and Self-Reported Oral Health among Centenarians in Nanjing, China: A Cross-Sectional Study

Zhao

Gu³

et al. 2021

IJERPH

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The role of health behaviors in oral health conditions in individuals of extremely old age remains understudied. This study included 185 participants aged 100 years or older from the Nanjing Centenarians Study (NCS) to examine the associations between health behaviors and oral health and investigate the potential moderating role of education and living arrangements in such relationships. The oral health status as an outcome included the self-reported oral health status and edentulous status. Health behavior variables included smoking, eating fruits, eating vegetables, participating in leisure activities, and practicing oral hygiene behaviors. Sociodemographic characteristics and health status were considered as confounders. Descriptive statistics, ordinal regression, and logistic regression models were used to address the research questions. Results showed that better oral health was reported by centenarians who were non-smokers, participated in more leisure activities, and practiced higher frequency of oral hygiene behaviors. Those who ate fruits daily and practiced more frequently oral hygiene behaviors were more likely to be dentate. The positive association of oral hygiene behaviors was stronger for centenarians who were formally educated and co-resided with family members. The results suggest that effective interventions should consider health behaviors and living arrangements in this growing population to improve their oral health status.

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“…It describes the ratio of the number of teeth with carious lesions of the root and restorations of the root to the number of teeth with exposed root surfaces 32 . For further information regarding periodontal and peri-implant examinations on dentate participants, please see our previous publication 33 .…”

Section: Methodsmentioning

confidence: 99%

Oral health and functional capacity of centenarians

Sekundo

Langowski

Kilian

et al. 2020

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The number of very old individuals, namely centenarians, is growing fast. In dentistry, the increasing number of older adults retaining natural teeth present new challenges for preventive and restorative dental care. However, there is a considerable lack of knowledge on the oral health status and needs in this exceptional age group. The aim of this population-based study was to identify the prevalence of oral diseases, therapeutic needs and functional capacity (evaluating centenarians’ autonomy and their capabilities regarding treatment and oral hygiene) in centenarians. Subjects born before 1920 were recruited from population registries in South-Western Germany, providing information on dental health experiences, oral health behaviors and undergoing dental examination. 55 centenarians participated in the study (mean age ± SD = 101.2 ± 1.6, 83.6% females). Results were compared to epidemiological data on adults aged 75–100 years examined in the Fifth German Oral Health Study. Adherence to recommended dental behaviors and dental check-ups was lower in the centenarian population. Moreover, with the exception of a lower Root Caries Index, centenarians showed a higher caries experience, and presented with a mean DMFT of 25.2 ± 3.9, a DMFS of 111.0 ± 21.8, a root caries prevalence of 34.5% and a Restorative Index of 54.0%. Centenarians’ functional capacity was also considerably lower. Non-existent or greatly reduced treatment capabilities and oral hygiene capabilities were registered in 63.7% and 43.6% of cases, respectively. Centenarians with a lower educational level (p = 0.018), in a care facility (p = 0.045) or in need of nursing care (p = 0.001) were more likely to have a low functional capacity. 98.2% of centenarians received help in their daily activities but only 12.7% in their oral hygiene. In conclusion, although most still have natural teeth, a decline of oral health can be perceived. As compliance with recommended behaviors is limited and most centenarians can no longer undergo dental treatment, the lack of assistance in daily oral health care is problematic.

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Periodontal and peri‐implant diseases in centenarians

Cited by 8 publications

References 35 publications

Association of Dental and Prosthetic Status with Oral Health-Related Quality of Life in Centenarians

Association of Dental and Prosthetic Status with Oral Health-Related Quality of Life in Centenarians

Health Behaviors and Self-Reported Oral Health among Centenarians in Nanjing, China: A Cross-Sectional Study

Oral health and functional capacity of centenarians

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