Dental Caries Prevalence and Dental Care Utilization Among the Very Old

Warren, John J.; Cowen, Howard J.; Watkins, Catherine M.; Hand, Jed S.

doi:10.14219/jada.archive.2000.0086

Cited by 63 publications

(58 citation statements)

References 17 publications

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“…In a study conducted in China, the prevalence of root caries was found to be significantly higher (43.9%) in elderly as compared to middle aged population (13.1%) [21]. In another reported study on very old persons 64% of persons older than 80 years had root caries, and up to 96% had coronal caries [22]. Risk factors for caries in older people are decreased salivary flow rate, institutionalization, lack of routine dental care, low socioeconomic status and poor oral hygiene.…”

Section: Discussionmentioning

confidence: 99%

Dental and Oral Problem Patterns and Treatment Seeking Behavior of Geriatric Population

AlZarea

2017

TODENTJ

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Background:The manifestations of oral changes and disorders affecting the geriatric population are different from the rest of the population. Inaccessibility to dental care is a compelling impediment to avail oral health services.Objective:The aims were to assess the dental and oral problems and to find out the determinants of oral health seeking behaviour among elderly population of Al-Jouf province, Saudi Arabia.Methods:The present cross sectional study included geriatric patients of 60 years and above, who visited the College of Dentistry, Al-Jouf University. A simple pre-structured questionnaire was filled by the patients, which comprised of demographic details and the different oral complaints of elderly and the type of health care utilized for those complaints.Results:Out of total 892 elderly persons included, 51.79% were males and 48.21 were females. The most common oral problem was missing tooth (78.69%) followed by gum problems (74.21%). 39.5% males and 28.0% females visited general dental practitioners for oral health care. Majority of the participants (32.8%) suggested accessibility as a basic factor in determining the health care source. The difference in the distribution of male and females or association between the type of care and gender and distribution for choosing a health care source was found to be statistically significant (p < 0.05).Conclusion:Inaccessibility to dental care emerged as an important barrier to avail oral health services. Adequate access to medical and dental care can reduce premature morbidity and mortality, preserve function, and enhance overall quality of life.

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Section: Discussionmentioning

confidence: 99%

Dental and Oral Problem Patterns and Treatment Seeking Behavior of Geriatric Population

AlZarea

2017

TODENTJ

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“…One prominent goal of the dental profession is to preserve and maintain dentitions throughout life. Population projections suggest that the proportion of the population aged 65 years and older will nearly double between 2000 (12.6 percent) and 2030 (20.0 percent), and that the proportion of those aged 85 years and older will increase dramatically over the next 10 to 15 years [3]. This population trend coupled with compelling evidence that people are retaining their teeth into old age suggests that there will be an increased number of older adults with many more natural teeth in the years to come.…”

Section: Introductionmentioning

confidence: 99%

Elderly at Greater Risk for Root Caries: A Look at the Multifactorial Risks with Emphasis on Genetics Susceptibility

Gati

Vieira

2011

International Journal of Dentistry

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Root caries is one of the most significant dental problems among older adults today. Many studies have demonstrated that older adults are at greater risk for developing root caries. Here we examine what risk factors older adults are prone to and explain how they contribute to higher rates of oral disease, in particular root caries. The elderly are at risk for root caries due to dentures, lack of dexterity, a shift from complex to simple sugars, and poor oral hygiene. Decreased salivary flow and its manifestations with other social/behavioral and medical factors may provide a more comprehensive explanation to a higher frequency of root caries in older adults.

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“…In earlier studies, we investigated oral health and health behavior in the elderly in Japan, including in terms of regular dental visits [14][15][16] . As oral health not only affects oral conditions 12,19) but also overall systemic health and vulnerability to disease 1,2,5) , it is important that oral health is maintained in this age group through regular dental check-ups.…”

Section: Introductionmentioning

confidence: 99%

Dental-care Utilization Patterns and Factors Associated with Regular Dental Check-ups in Elderly

Sugihara

Tsuchiya

Hosaka

et al. 2010

Bull. Tokyo Dent. Coll.

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The purpose of this study was to investigate dental care utilization patterns in the elderly and to evaluate factors associated with regular dental check-ups in this age group. A total of 211 elderly people (50 men, 161 women) aged between 60 and 98 years were investigated. A cross-sectional survey by questionnaire was carried out on visitors to the Mihama Ikiiki Plaza (an institution for the elderly) in the city of Chiba, Japan between July and September, 2008. Items on the questionnaire included self-reported oral status, use of dentures, use of regular medication, oral problems, cleaning of teeth/dentures and dental care utilization patterns. The results showed that 135 (64.0%) of the responders had visited a dentist in the past year, 185 (87.7%) had visited the same dentist and 85 (40.3%) had had regular dental check-ups. A stepwise multiple logistic regression analysis adjusting for age and sex revealed that the factors associated with regular dental check-ups were significantly higher ADLs (odds ratio (OR)‫934.0ס‬ in the partially insured and 0.192 in the fully insured in comparison with healthy subjects, p‫,)2100.0ס‬ visiting the same dentist (OR‫879.11ס‬ in comparison with not visiting the same dentist, p‫)3810.0ס‬ and cleaning teeth/dentures three or more times per day (OR‫269.1ס‬ in comparison with cleaning them two or fewer times per day, p‫.)8630.0ס‬ In this study, a higher ADL, visiting the same dentist and cleaning teeth/dentures three or more times per day were associated with having regular dental check-ups in the elderly. The best predictive factor for regular dental check-ups was a high ADL in the elderly.

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Dental Caries Prevalence and Dental Care Utilization Among the Very Old

Cited by 63 publications

References 17 publications

Dental and Oral Problem Patterns and Treatment Seeking Behavior of Geriatric Population

Dental and Oral Problem Patterns and Treatment Seeking Behavior of Geriatric Population

Elderly at Greater Risk for Root Caries: A Look at the Multifactorial Risks with Emphasis on Genetics Susceptibility

Dental-care Utilization Patterns and Factors Associated with Regular Dental Check-ups in Elderly

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