Important oral care needs of older French people: A cross-sectional study

Rosa, Rafael Weber; Samot, Johan; Helmer, Catherine; Pourtau, G; Dupuis, V.; Fricain, Jean-Christophe; Georget, Aurore; Dartigues, J.-F.; Arrivé, Élise

doi:10.1016/j.respe.2020.01.135

Cited by 17 publications

(26 citation statements)

References 39 publications

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“…The prevalence of caries was expressed in the six types of disadvantaged subjects, starting in the description with those most affected, such as prisoners with 77% ([95% CI 66–85%]; 803 participants, three studies, I 2 = 90%) [ 22 , 23 , 24 ], elderly people with 62% ([95% CI 50–73%]; 38,133 participants, 24 studies, I 2 = 99.7%) [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ] ( Figure 2 ), alcohol and drug abusers with 60% ([95% CI 56–64]; 592 participants, two studies, I 2 = not assessable) [ 49 , 50 ], immigrants with 65% ([95% CI 18–99%]; 878 participants, three studies, I 2 = 99.1%) [ 39 , 51 , 52 ], followed by pregnant women with 29% ([95% CI 8–56%]; 506 participants, three studies, I 2 = 97.4%) [ 53 , 54 , 55 ]. All groups showed high scores of prevalence.…”

Section: Resultsmentioning

confidence: 99%

“…Caries experience (DMFT) was calculated in six types of disadvantaged individuals, of which the elderly were those with the highest DMFT 18.7 SD 2.4 ([95% CI 13.5–24]; 1160 participants, 17 studies) [ 25 , 28 , 30 , 31 , 34 , 40 , 41 , 44 , 48 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ], followed by homeless subjects with DMFT 17.3 SD 0.4 ([95% CI 12.6–22.1]; 100 participants, two studies) [ 67 , 68 ], immigrants with 14.9 SD 0.9 ([95% CI 9.6–18.7]; 843 participants, two studies) [ 51 , 52 ], alcohol and drug abusers with 12.9 SD 0.8 ([95% CI 11.2–14.6]; 1891 participants, nine studies) [ 49 , 50 , 69 , 70 , 71 , 72 , 73 , 74 , 75 ], low-income people with9.9 SD 0.5 ([95% CI 3–16.7];3043 participants, two studies) [ 60 , 76 ], low-education people with 9.8 SD0.03 ([95% CI 9.4–10.2]; 3043 participants, two studies) [ 60 , 76 ] and prisoners with 8.9 SD 0.8 ([95% CI 6.3–10.4]; 802 participants, three studies) [ 22 , 23 , 24 ]. Lower DMFT was found in sex workers with 2.3 (249 participants) [ 77 ] and in subjects who work without any specific qualification with 2.9 (510 participants) [ 78 ].…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, a greater probability of having a higher DMFT index was found in low-education people (OR 1.40 [95% CI 1.29–1.52], p < 0.05; 6051 participants) [ 57 ], in low-income people (OR 3.7 [95% CI 2.8–4.6], p < 0.05; 1695 participants, two studies, I 2 = 78%) [ 56 , 76 ] and in professionals who sustain an excessive hourly workload (>40 h of overtime) (OR 2.56 [95% CI 1.23–5.33] p = 0.012 to OR 3.01 [95% CI 1.13–7.97] p = 0.027; 950 participants) [ 79 , 80 ]. Moreover, institutionalized elderly people (resident in care homes) showed a higher caries experience than non-institutionalized elderly people with a DMFT 25.4 SD 2.1 ([95% CI 19.9–30.9]; 2608 participants, six studies) versus 16.1 SD 2.1 ([95% CI 11.2–21]; 8276 participants, nine studies) [ 29 , 31 , 34 , 40 , 41 , 44 , 48 , 60 , 61 , 63 , 64 , 81 , 82 ]. This difference between the two was essentially due to an increased number of teeth lost because of caries, with MT 21.4 SD 2.9 ([95% CI 12.2–30.6]; 2123 participants, seven studies) in institutionalized elderly individuals versus 9.7 SD 0.5 ([95% CI 8.4–11]; 7641 participants, four studies) in non-institutionalized ones [ 29 , 31 , 34 , 40 , 41 , 48 , 62 , 63 , 64 , 66 , 81 ].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, institutionalized elderly people (resident in care homes) showed a higher caries experience than non-institutionalized elderly people with a DMFT 25.4 SD 2.1 ([95% CI 19.9–30.9]; 2608 participants, six studies) versus 16.1 SD 2.1 ([95% CI 11.2–21]; 8276 participants, nine studies) [ 29 , 31 , 34 , 40 , 41 , 44 , 48 , 60 , 61 , 63 , 64 , 81 , 82 ]. This difference between the two was essentially due to an increased number of teeth lost because of caries, with MT 21.4 SD 2.9 ([95% CI 12.2–30.6]; 2123 participants, seven studies) in institutionalized elderly individuals versus 9.7 SD 0.5 ([95% CI 8.4–11]; 7641 participants, four studies) in non-institutionalized ones [ 29 , 31 , 34 , 40 , 41 , 48 , 62 , 63 , 64 , 66 , 81 ].…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Cianetti

Valenti

Orso

et al. 2021

IJERPH

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Dental caries and periodontal disease represent a health problem and a social cost for the entire population, and in particular for socio-economically disadvantaged individuals who are less resistant to disease. The aim of this review is to estimate the prevalence and severity of the two dental pathologies, caries and periodontal disease, in the different classes of socio-economically disadvantaged subjects and to understand which of them are most affected. A systematic search of the literature was performed in MEDLINE (via PubMed), EMBASE and Web of Science after establishing a suitable search strategy for each database, using keywords related to socio-economically vulnerable classes and health outcomes. Socio-economically disadvantaged individuals are more susceptible to tooth decay and periodontal disease (with relative tooth loss) than non-vulnerable people. Additionally, when multiple vulnerabilities are combined in the same subject, these oral diseases worsen. There is no type of vulnerability more affected by caries and periodontitis than others, since overall they all have severe disease indices. The data from this systematic literature review might be useful for health policy makers looking to allocate more resources and services to socially disadvantaged individuals, resulting in making them more resilient to oral disease due to their social marginalization.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Cianetti

Valenti

Orso

et al. 2021

IJERPH

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“…Em outro estudo, para 75,7% dos idosos sua autopercepção em saúde bucal foi considerada ótima ou boa, embora 95,7% desses entrevistados tenham afirmado ter pouco ou nenhum dente 30 . Tal discordância deve-se ao fato de que muitos idosos possuem uma aceitação passiva da dete-rioração da condição bucal, ao passo em que naturalizam o edentulismo nessa fase da vida 12,[30][31][32] . Ainda assim, os sintomas dolorosos, por interferirem mais nas atividades diárias dos indivíduos, eram mais facilmente reconhecidos e associados a uma má percepção de saúde bucal, e o fato de não possuir mais dentes significa a ausência de dorl 33 .…”

Section: Discussionunclassified

Autopercepção da qualidade de vida relacionada com a saúde bucal de idosos em Fortaleza, Ceará

Mendes¹,

Sousa²,

Silva

et al. 2020

Rev. da Fac. de Odontologia, UPF

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Objetivo: avaliar a autopercepção da qualidade de vida relacionada com a saúde bucal de idosos institucionalizados e não institucionalizados. Método: estudo epidemiológico, transversal, tendo como público-alvo, idosos com mais de 60 anos de uma instituição de longa permanência – ILPI (n=23) e de grupo de convivência de idosos (n=22), ambos localizados em Fortaleza - CE. Para a análise da autopercepção em saúde bucal, foi utilizado o índice GOHAI (Geriatric Oral Health Index). Para avaliar o nível de dependência foi aplicado o teste de Barthel e o teste de Pfeiffer para analisar o estado cognitivo. Resultados: A pontuação média dos valores do índice GOHAI foi de 32,6; entretanto foi percebido um alto número de edêntulos, já que apenas 17,7% da amostra possuía 21 dentes ou mais na boca. Percebeu-se que os idosos analfabetos e aqueles que utilizavam prótese total inferior estavam mais satisfeitos com a sua saúde bucal enquanto que outros fatores socioambientais não apresentaram valores estatisticamente significantes. Conclusão: a autopercepção é um conceito variável e subjetivo que nem sempre representa as reais necessidades clínicas do indivíduo.

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Characteristics of desirable ambulatory health and oral healthcare from the perspective of community-dwelling people aged 80 and over—a qualitative examination

et al. 2022

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Background people aged 80 and over frequently have diverse and complex health trajectories, which has been well studied. But their oral health is seldom included in care models. To realise comprehensive healthcare, both general and oral ambulatory (i.e. outpatient) healthcare need to be explored and conceptualised equally. Objective to elicit what matters to very old people regarding ambulatory health and oral healthcare. Methods interviews were conducted with non-institutionalised people aged 80 and over living in the area of Cologne, Germany. They were interviewed regarding their experiences of and views on ambulatory healthcare and oral healthcare care, respectively. Thematic analysis was performed to understand their motives and elicit relevant characteristics of desirable health services. Results from the interviews with 22 participants, 16 characteristics of good healthcare were described. These were generally similar for both general and oral healthcare and had a particular focus on patient–provider interaction and the organisation of care. However, regarding oral healthcare, the participants focused more strongly on the technical–medical skills of professionals and the perceptible treatment results and were more concerned about costs. It was noticeable that older people had the urge to differentiate themselves from ‘others unnecessarily using health services’. They were unaware of possible future oral health deterioration and the resulting future needs. Conclusions characteristics of good health and oral healthcare from the perspective of older people should be incorporated to ensure patient-centredness in care models. Older patients, as well as healthcare providers, need to be sensitised to their oral health needs to realise comprehensive healthcare.

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Important oral care needs of older French people: A cross-sectional study

Cited by 17 publications

References 39 publications

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Autopercepção da qualidade de vida relacionada com a saúde bucal de idosos em Fortaleza, Ceará

Characteristics of desirable ambulatory health and oral healthcare from the perspective of community-dwelling people aged 80 and over—a qualitative examination

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