Salivary Flow Rate, Oral Yeast Colonization and Dental Status in Institutionalized and Non-Institutionalized Elderly

Glažar, Irena

doi:10.20471/acc.2016.55.03.06

Cited by 13 publications

(24 citation statements)

References 32 publications

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“…14,15 It is known that some complications of xerostomia can lead to the development of candidiasis or result in difficulties in the use of dental prostheses. Glazar et al, 16 analyzed the presence of xerostomia in institutionalized and non-institutionalized EP, finding that the prevalence in both groups was similar, which is in agreement with our results. At the oral level a qualitative and quantitative decrease of saliva (known as xerostomia and hyposalivation, respectively) occurs naturally or pathologically, resulting in a loss of oral humidification, and from a nutritional point of view, causing problems in chewing, swallowing, tasting and talking.…”

Section: Discussionsupporting

confidence: 93%

Prevalence of oral lesions and chronic non-communicable diseases in a sample of Chilean institutionalized versus non-institutionalized elderly

2018

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Chile is experiencing a process of demographic aging with an increase in the number of elderly people, a percentage of which resides in Long-term Establishments for the Elderly (LEE). However, there is little information on the reality of the elderly in these long-term care facilities, so this study was conducted to compare the epidemiological profile of the prevalent oral pathologies as well as chronic non-communicable diseases (NCDs), of institutionalized versus noninstitutionalized elderly subjects. Seventy-six institutionalized and forty-three non-institutionalized subjects were examined intraorally, and their clinical health record, gender and age were obtained, according to inclusion/exclusion criteria. The results indicate that female gender is the most common, with an average age of 78.5 year, with those 80 years old and above comprising the predominant group. The most prevalent oral lesions within the institutionalized group were denture stomatitis and irritative hyperplasia, while in the noninstitutionalized these two lesions were found less frequently. As for the presence of xerostomia, there was no difference between the groups. The most common condition in both groups was total maxillary and mandibular edentulous, with the latter variable present more frequently in the institutionalized group (p<0.05). The predominant NCD for both groups were arterial hypertension, arthritis-osteoarthritis and diabetes mellitus (p>0.05), and depression was the most prevalent NCD in the non-institutionalized group (p<0.05). This study provides valuable information on the epidemiology of elderly´s oral lesions and NCDs to inform the decision-making process of public health policies.

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Section: Discussionsupporting

confidence: 93%

Prevalence of oral lesions and chronic non-communicable diseases in a sample of Chilean institutionalized versus non-institutionalized elderly

2018

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“…Ten studies 1‐3,9,18,19,21‐24 evaluated the salivary flow rate using the unstimulated saliva (UnS) method. The range to determine hyposalivation was UnS ≤ 0.05 to 0.9 mL/min 1,9 .…”

Section: Resultsmentioning

confidence: 99%

“…Ahmad et al 1 considered the criteria of hyposalivation as UnS < 0.9 mL/min; the prevalence of hyposalivation in institutionalised (n = 280) and non‐institutionalised (n = 64) individuals was investigated separately, and 75% prevalence of hyposalivation in institutionalised and 44% in non‐institutionalised individuals was found 3 …”

Section: Resultsmentioning

confidence: 99%

“…One study in our review found a prevalence of 75% in institutionalised individuals than that of 44% in non‐institutionalised individuals. Furthermore, this could be the result of a rather high number of different medications or intake of medications with specific side effects with respect to the salivary glands, used by institutionalised individuals 3 . The literature shows that the unstimulated salivation rate is often significantly reduced in patients using medication.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of hyposalivation in older people: A systematic review and meta‐analysis

et al. 2020

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Background: The proportion of elders is increasing worldwide, and hyposalivation has been associated with the ageing process. Therefore, there has been growing interest in the frequency of hyposalivation in older people since it can cause transient or permanent problems that could affect oral health. Objective: To determine the prevalence of hyposalivation in older people (aged ≥ 60 years). Methods: The review was registered at Prospero-International Prospective Register of Systematic Reviews under number CRD42018106322. The search was performed in six electronic databases (Embase, LILACS, Medline, PubMed, Web of Science and Abstracts in Social Gerodontology) and grey literature (Google Scholar) for articles published up to February 2019. The methodology of selected studies was evaluated using the Meta-Analysis of Statistics Assessment and Review (MAStARI) risk of bias checklist. Meta-analyses were performed using Medcalc and Stata 15. Results: Thirteen studies totalising 3,885 individuals (≥60 years) were included in this systematic review. The meta-analysis showed an overall hyposalivation prevalence of 33.37% (95% confidence interval [CI] 23.90-43.57, P < .0001, n = 3,447). The prevalence of hyposalivation for unstimulated and stimulated methods was 33.39% (95% CI 21.08-46.96, P < .0001, n = 2,425 individuals) and 30.47% (95% CI 22.53-39.04, P < .0001, n = 1,495 individuals), respectively. Most of the studies were evaluated as low risk of bias. Some study limitations were related to the observational studies potential risk of bias, and different criteria to measure saliva flow rate. Conclusion: This study suggests that the overall prevalence of hyposalivation in older people is 33.37%. When considering stimulated methods, the prevalence of hyposalivation was slightly lower (30.47%).

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“…Hyposalivation can be attributed to morphophysiological changes resulting from the aging process ( 20 ). In addition, the reduction in salivary flow may be attributed to the side effects and adverse effects of drug therapies for the treatment of chronic diseases ( 21 - 23 ). In this study, elderly people with normal salivary flow were observed.…”

Section: Discussionmentioning

confidence: 99%

Biochemical and microbiological analysis of the saliva of institutionalized elderly: With edentulism, use of dentures and presence of biofilm

et al. 2020

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Background To analyze biochemical and microbiological parameters of the saliva of institutionalized elders and to investigate the relation of these parameters with edentulism, use of dentures and presence of biofilm. Material and Methods A cross-sectional study carried was out in seven long-term institutions. Samples (n=161) of unstimulated saliva were collected for analysis of salivary flow, quantification of total proteins and identification of microorganisms. Oral examination was carried out to verify the number of missing teeth, the use of dentures and the presence of visible biofilm on the surface of teeth and dentures. Associations were performed using chi-square or Fisher’s exact test (α<0.05). Mann-Whitney Test was used to identify differences in the salivary flow and total proteins (α<0.05). Results There was no association between the type of edentulism and use of dentures with biochemical and microbiological parameters of saliva ( p >0.05). Associations were observed between the presence of dentures biofilm and the colonization of Streptococcus sp. ( p =0.038) and Candida sp. ( p =0.03). Conclusions The absence of teeth and use of dentures do not influence the amount of total proteins and the microorganisms count in saliva. Denture biofilms are associated with the presence of Streptococcus sp. and Candida sp. in saliva of institutionalized elders. Key words: Candida, long-stay institutions for elders, saliva, Streptococcus, Staphylococcus.

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Salivary Flow Rate, Oral Yeast Colonization and Dental Status in Institutionalized and Non-Institutionalized Elderly

Cited by 13 publications

References 32 publications

Prevalence of oral lesions and chronic non-communicable diseases in a sample of Chilean institutionalized versus non-institutionalized elderly

Prevalence of oral lesions and chronic non-communicable diseases in a sample of Chilean institutionalized versus non-institutionalized elderly

Prevalence of hyposalivation in older people: A systematic review and meta‐analysis

Biochemical and microbiological analysis of the saliva of institutionalized elderly: With edentulism, use of dentures and presence of biofilm

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