The oral health of the elderly in Melbourne

Bergman, John; Wright, F. A. C.; Hammond, Ralph

doi:10.1111/j.1834-7819.1991.tb00723.x

Cited by 27 publications

(16 citation statements)

References 4 publications

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“…Lower social status (Halling and Bengtsson, 1984;Bergman et al, 1991;Drake et al, 1995) and alcoholic beverage consumption (Kranzler et al, 1990;Drake et al, 1995) are associated with greater tooth loss. It is not known if caffeine intake has an independent effect on tooth loss.…”

Section: Introductionmentioning

confidence: 97%

Smoking, Smoking Cessation, and Tooth Loss

et al. 1997

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Smoking is associated with an increased risk of tooth loss, but it is not known if this risk decreases significantly when individuals quit smoking. The objectives of this study were to describe the rates of tooth loss by smoking status in two populations of medically healthy men and women. Among the men, rates of tooth loss and edentulism in relation to smoking cessation were also evaluated. The subjects were drawn from a group of 584 women (aged 40 to 70) recruited from the Boston, MA, area and a separate population of 1231 male veterans (aged 21 to 75) who participated in the VA Dental Longitudinal Study in Boston. In cross-sectional baseline analyses, current cigarette smokers of either sex had significantly more missing teeth than never-smokers or former smokers. Former smokers and pipe or cigar smokers tended to have an intermediate number of missing teeth. Current male smokers had more teeth with calculus, but the differences in plaque, tooth mobility, probing depth > 2 mm, filled and decayed teeth, and bleeding on probing by smoking history were not significant. Prospective observations of 248 women (mean follow-up time = 6 +/- 2 years) and 977 men (mean = 18 +/- 7 years) indicated that individuals who continued to smoke cigarettes had 2.4-fold (men) to 3.5-fold risk (women) of tooth loss compared with non-smokers. The rates of tooth loss in men were significantly reduced after they quit smoking cigarettes but remained higher than those in non-smokers. Men who smoked cigarettes had a 4.5-fold increase in risk of edentulism, and this risk also decreased upon smoking cessation. These findings indicate that the risk of tooth loss is greater among cigarette smokers than among non-smokers. Smoking cessation significantly benefits an individual's likelihood of tooth retention, but it may take decades for the individual to return to the rate of tooth loss observed in non-smokers.

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Section: Introductionmentioning

confidence: 97%

Smoking, Smoking Cessation, and Tooth Loss

et al. 1997

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“…Oral hygiene habits have been found to be poor among the elderly (Heloe, 1973;Richie, 1973;Grabowski &• Bertram, 1975;Langer, Michman & Librach, 1975). In their study of 303 subjects over the age of 60 years in Melbourne, Australia, Bergman, Wright & Hammond (1991) found that 91-96% of the dentate subjects required improvement in their oral hygiene habits.…”

Section: Introductionmentioning

confidence: 99%

Oral mucosal lesions and oral hygiene habits in the home‐living elderly

Nevalainen

Närhi

Ainamo

1997

J of Oral Rehabilitation

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summary A large epidemiological health investiga tion, the Helsinki Ageing Study (HAS), was performed in 1989-1991 in Helsinki, Finland. We report here the prevalence of oral mucosal lesions in 338 76-, 81-and 86-year-old home-living elderly people, w ho com pleted the oral health investigation at the Institute of Dentistry, University of Helsinki. One or more lesions were found in 128 subjects (38%). Fifty-one per cent of the edentulous com plete-denture wearers and 31% of the elderly w ith some natural teeth had mucosal lesions* The m ost common finding was inflammation under the denture, w hich occurred alone or combined with other lesions in 25% of the denture wearers. The three m ost common mucosal changes not related to denture wearing were coated changes of the tongue (7%), angular cheilitis (6%) and varicose veins under the tongue (4%). No differences were found in the number of mucosal lesions among the three age groups. Angular cheilitis and inflammation under removable dentures were more frequent in w om en than in men. However, no other differences w ere found in the presence of mucosal lesions betw een sexes. The total number of mucosal lesions correlated J positively with the number of medications used daily. Ninety-six per cent of the subjects w ith complete dentures, and 98% of those w ith som e natural teeth reported cleaning their dentures at least once a day. Of the denture wearers, 88% reported cleaning their oral mucosa also, as part of their oral hygiene routine. The presence of mucosal lesions was related to self-reported cleaning of th e denture-bearing mucosa. However, no association was observed between cleaning frequency and presence of mucosal changes.

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“…Some special groups have been studied, for example nurs i n g home residents, 8 and older adults. [9][10][11] However, data specific to health card holders have been limited. Health card holders are the target group eligible for publicly-funded dental care.…”

Section: Introductionmentioning

confidence: 99%

Caries experience among publicly‐funded dental patients in Australia, 1995‐96: Type of care and geographic location

Brennan

Slade

2000

Australian Dental Journal

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Health card holders are a financially disadvantaged group and are the target population eligible for publicly-funded dental care. While their health status is generally worse compared with other Australians, there is also considerable variation among card holders. The aims of this study were to describe the oral health status of publicly-funded dental patients by type of care, geographic location and age, and to compare trends over time against other Australian studies. Patients were sampled randomly, based on date of birth, by State/Territory dental services in 1995-96. Dentists recorded oral health measures at the initial visit of a course of care using written instructions, but there was no formal calibration. The 6109 patients sampled were weighted in proportion to the numbers of publiclyfunded dental patients for each State/Te r r i t o r y. Multiple linear regression analysis indicated that caries experience measured by the DMFT index increased across older age groups (p<0.05). For rural compared with urban patients, mean numbers of decayed and filled teeth tended to be higher. For emergency compared with non-emergency care, mean numbers of decayed and missing teeth were higher, and filled teeth lower. The findings of this monitoring survey document high levels of previous disease and treatment and indicate variation between subgroups of users of publicly-funded dental care. This included an uneven geographic distribution of oral health and disease, and variation in unmet treatment needs by type of course of care. Temporal comparisons indicate publicly-funded patients have experienced the population trend towards lower levels of tooth loss over time but have higher levels of untreated decayed teeth compared with the general population.

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The oral health of the elderly in Melbourne

Cited by 27 publications

References 4 publications

Smoking, Smoking Cessation, and Tooth Loss

Smoking, Smoking Cessation, and Tooth Loss

Oral mucosal lesions and oral hygiene habits in the home‐living elderly

Caries experience among publicly‐funded dental patients in Australia, 1995‐96: Type of care and geographic location

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