Prevalence of halitosis in elderly living in nursing homes

Zellmer, M; Gahnberg, Lars; Ramberg, Per

doi:10.1111/idh.12236

Cited by 17 publications

(28 citation statements)

References 17 publications

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“…Regarding halitosis and hyposalivation, a significant association was found in the study by Zellmer et al 21 , in contrast to the present study, which may be due to the difference in salivary evaluation methods: the Zellmer study used sialometry (the gold standard to assess hyposalivation), while the present study used a questionnaire 27 , which may be considered a limitation.…”

Section: Discussioncontrasting

confidence: 94%

“…On the other hand, the prevalence of oral halitosis in a Swedish study with institutionalized elderly persons 21 was considerably higher than in the present study (50% x 25.7%, respectively). This was probably due to differences in the oral conditions of Swedish elderly persons in comparison with Brazilians, with the former having a higher presence of teeth, periodontal disease and greater use of dentures.…”

Section: Discussioncontrasting

confidence: 92%

“…Such variables are directly related to dental conditions: the sample of the present study was predominantly edentulous and the few dentate elderly persons had root caries and did not generally use dentures, since almost all the dentures used were complete. A study with 115 elderly people from LTCFs in Japan 32 corroborates the positive association between halitosis and the presence of teeth, while a Swedish study 21 found associations between halitosis and fixed dentures and periodontal variables, directly related to the presence of teeth.…”

Section: Discussionmentioning

confidence: 84%

“…In the sample of the present study, the oriented elderly retained more teeth and used dentures more frequently than nonoriented individuals (who were generally edentulous and without dentures). In this context, a Swedish study 21 found an association between halitosis and dementia, although the category "dementia" can be considered vague, as elderly persons in early dementia may have preserved cognition which is affected by other conditions besides dementia.…”

Section: Discussionmentioning

confidence: 99%

“…Only one publication 21 of 124 elderly persons from three LTCFs in Sweden was found, which detected halitosis in 50% of the subjects examined.…”

Section: Introductionmentioning

confidence: 99%

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Halitosis and associated factors in institutionalized elderly persons

Aguiar

Pinheiro

Marcelino

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to evaluate the prevalence of halitosis and associated factors in institutionalized elderly persons. Methods: a sectional study was performed with 268 elderly persons from 11 long-term care institutions in Natal in the northeast of Brazil. Data collection included an oral epidemiologic examination and questions about self-perception of oral health, as well as a consultation of medical records and the application of a questionnaire to the directors of the institutions. Halitosis was measured using the organoleptic test. The independent variables were oral, sociodemographic, institutional, general health and functional conditions. Bivariate analysis was performed using the Pearson chi-square test and Fisher's exact test, and the magnitude of effect was verified by the prevalence ratio for the independent variables in relation to the outcome, with a 95% confidence level. Results: the prevalence of halitosis was 26.1%, which was exhaled by the mouth in 98.57% of cases and by the nose in 10% of cases. Prevalence was 43% higher among nonwhite individuals ( p=0.006); 65% higher among those living in non-profit institutions ( p=0.039); 52% higher in elderly persons with oriented cognitive status ( p=0.047); 41% higher in elderly persons with root caries ( p=0.029); 62% higher in those who did not use dentures ( p=0.046); 57% lower in edentulous persons ( p<0.001); and 73% higher in elderly individuals with tongue biofilm ( p=0.001). Conclusion: The occurrence of halitosis in institutionalized elderly persons was similar to other studies, but there was an expressive number of extrabuccal cases and an association with oral health problems, as well as sociodemographic, institutional and functional factors.

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Section: Discussioncontrasting

confidence: 94%

Section: Discussioncontrasting

confidence: 92%

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

“…Only one publication 21 of 124 elderly persons from three LTCFs in Sweden was found, which detected halitosis in 50% of the subjects examined.…”

Section: Introductionmentioning

confidence: 99%