Factors Affecting Denture Use in Some Institutionalized Elderly People

Abstract

This study was conducted to assess which factors were related to the ability of elderly residents of nursing homes to use dentures. For 205 patients in two nursing homes in Chuou-ku, Tokyo, dentists and caregivers examined oral status (caries, status of restoration, missing teeth and occlusal support) as well as denture use, Activities of Daily Living (ADL), ability to rinse the mouth, and degree of dementia. Fifty percent of subjects lacked dentures. Seven items were selected for variance in factor analysis. There was a significant relationship between denture use and all analyzed items except age. The items which proved to be significant, included the number of remaining teeth, the ability to rinse, communication, ability to dress/undress, ability to transfer, and eating (Fisher's exact test). A multiple stepwise logistic regression analysis showed that the nonuse of dentures was significantly related to dressing (p<0.01), the number of remaining crowns (p<0.01) and the ability to rinse the mouth (p<0.0001). The nonuse of dentures was also related to the number of remaining teeth and to the disability of hand and oral functions.

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

“…Dementia was classified (Table 1) with the Diagnostic and Statistical Manual of Mental Disorders (DSM-III or IV) [60, 61] or International Classification of Disease (ICD-10) [62]; National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer’s disease and Related Disorders Association (NINCDS-ADRDA) [63, 64]; computed tomography (CT); Magnetic Resonance Imaging (MRI); Positron Emission Tomography (PET) [65]; Clinical Dementia Rating (CDR) [66]; classification of dementia by the Ministry of Health, Labour, and Welfare (MHLW) of Japan [46]; and/ or the existing medical chart of the participant. In addition to dementia diagnosis, measurements for cognitive status were used, such as the Abbreviated Mental Test (AMT) [28, 67], Mini-Mental State Examination (MMSE) [68], or Minimum Data Set Cognitive Score (MDS-COGS) [33, 69].…”

General health, dental status and perceived dental treatment needs of an elderly population in Istanbul

“…For example in Canada, 37 and the UK 38 this will last for another 30-40 years, but the number of people without teeth is expected to fall over the next three decades to only 4% of the UK population 34 . On the other hand, in a study on Japanese elderly people, the authors expected that the impaired nutritional status related to poor oral health might harm general health, the life expectancy of frail elderly and eventually affect the demographic shifts in edentulism 36 . Generally, the percentage of the rate of edentulism in older populations has often been used as an indicator of dental status [39][40][41] .…”

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