Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review

Janto, Michael; Iurcov, Raluca; Daina, C.; Neculoiu, Daniela Carmen; Venter, Alina; Bădău, Dana; Cotovanu, Adrian Sebastian; Negrau, Marcel; Şuteu, C.; Sabău, M; Daina, L.

doi:10.3390/jpm12030372

Cited by 70 publications

(46 citation statements)

References 107 publications

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“…Therefore, as we hypothesized, there is a relation between the neglect of oral health, on the one hand, and distrust in dental services, on the other hand, reduced psycho-social functioning caused by poor oral health and lack of care for one's own oral health. This result corroborates those studies which demonstrated that individuals who neglect their oral cavity have a low quality of life [4,5,15,23,46], are less oriented towards dental services [5,23], and they do not give any importance to oral health [20,47].…”

Section: Discussionsupporting

confidence: 91%

Validity and Reliability of the Dental Neglect Scale among Romanian Adults

Balgiu

Sfeatcu

Mihai

et al. 2022

JPM

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The Dental Neglect Scale (DNS) is a well-known measure for assessing behaviours and attitudes related to oral health. However, the factor inconsistency revealed by the literature involves further investigations. The study focuses on the validation of the DNS in the case of a sample of the adult population from Romania. In this regard, data were collected online from 872 adults (616 females and 256 males). DNS reliability was examined from the perspective of internal consistency. Convergent validity was performed by associating DNS with different scales from the oral health field. In order to examine and confirm the factorial structure, the sample was broken down into two subsamples which made the subject of the exploratory factorial analysis (EFA) and confirmatory factorial analysis (CFA), respectively. DNS-RO is positively associated with the scale which measures the values related to oral health (OHVS) and negatively with those that assess the impact of the oral health on life quality (OHIP-14), the distrust of the benefits of oral health services (R-DBS), and reduced need for oral care (DIS). The Cronbach’s α = 0.70, McDonald’s ω = 0.70 and CR = 0.77 are acceptable. Both EFA and CFA (χ2/df = 1.13; CFI = 0.99; RMSEA = 0.017; SRMR = 0.059) support the unifactorial structure of the scale. The gender differences show that females evince greater care for oral health than male subjects. The study shows that the DNS-RO can be used to assess the behaviours and attitudes towards oral health in the case of the Romanian adult population in epidemiological studies and health promotion programs through health education.

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Section: Discussionsupporting

confidence: 91%

Validity and Reliability of the Dental Neglect Scale among Romanian Adults

Balgiu

Sfeatcu

Mihai

et al. 2022

JPM

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“…According to the World Oral Health Report 2003, oral diseases are age-related, with most oral diseases sharing risk factors with chronic diseases, and oral health is an important component of overall health and quality of life (QOL) [5]. However, when discussing health issues among the elderly, oral health is frequently overlooked [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…A high amount of tooth loss, dental caries, periodontal diseases, dry mouth, and the chance of developing oral precancer/cancer were the most evident signs of poor oral health in the elderly [6,8,9]. The link between oral health and overall health is especially 2 of 13 pronounced in the elderly.…”

Section: Introductionmentioning

confidence: 99%

Dental Anxiety and Oral-Health-Related Quality of Life among Rural Community-Dwelling Older Adults

Hassan

Moniem

Dawood

et al. 2022

IJERPH

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Aim: This study aimed to investigate the association between dental anxiety (DA) and oral-health-related quality of life (OHRQoL) among rural community-dwelling older adults. Methods: A cross-sectional descriptive study was conducted among 390 rural community-dwelling older adults attending outpatient clinics of the Damanhur National Medical Institute during the year 2021. Three instruments were used: a demographic and clinical data structured interview schedule, Modified Dental Anxiety Scale (MDAS), and the Oral Health Impact Profile (OHIP-5) questionnaire. All statistical analyses were considered significant at a p-value of ≤0.001. Results: The main results showed that the prevalence of DA among participants was 90.5%, and 66.9% of the studied elderly population were either extremely (phobic) or very anxious. Moreover, a significant association was found between older adults’ DA and their OHRQoL (p ˂ 0.001). Conclusions: It was concluded that DA represents a common problem among rural community-dwelling older adults and is a predictor for poor OHRQoL. Raising community awareness about the importance of oral health and implementing measures to avoid DA through specialized community campaigns is recommended, particularly in rural areas.

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“…Moreover, it could also affect a person's appearance, self-esteem, psychosocial functioning, and quality of life. Studies have shown that oral diseases could cause psychological burdens [ 27 ]. The quality of life in this age group is critical.…”

Section: Introductionmentioning

confidence: 99%

The Chinese version of the Oral Health Impact Profile-14 (OHIP-14) questionnaire among college students: factor structure and measurement invariance across genders

Feng

Ou-Yang

et al. 2022

BMC Oral Health

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Background The Oral Health-related Quality of Life (OHRQoL) is a multi-dimensional concept commonly used to examine the impact of health status on quality of life, and the Oral Health Impact Profile-14 (OHIP-14) questionnaire is a good self-assessment tool. This study was designed to investigate the factor structure of the OHIP-14 scale Chinese version, measurement invariance and latent mean differences across genders among college students. Methods The online survey was completed by 919 college students. This study used confirmatory factor analysis (CFA) to check the structural models of the OHIP-14 scale, The correlation of each item with the scale total score could test homogeneity, and Cronbach’s alpha (Cronbach’s α) could evaluate internal consistency. Multi-group CFA was used to explore whether the Chinese version of the OHIP-14 scale was used in male and female populations for measurement consistency. T-test compared scores between men and women. Regression analyses were used to evaluate the relationship between age, gender, education, subject, and the score on the OHIP-14 scale. Results We found that the 7-factor structure had the best fit index in the sample. According to Cronbach’s α, the overall score of OHIP was 0.958, and Cronbach’s α for 7 factors was: functional limitation was 0.800, physical pain was 0.854, psychological discomfort was 0.902, physical disability was 0.850, psychological disability was 0.768, social disability was 0.862, social handicap was 0.819 and the test–retest reliability interval was 0.723. Multi-group confirmatory factor analysis supported residual measurement invariance across gender. T-test for scores showed that females scored higher significantly than men as did the overall score, in terms of physical pain ( p <0.001), physical disability ( p <0.001), and psychological disability ( p <0.001). Conclusions This study found the OHIP-14 Chinese version to be a good tool for assessing the college students' OHRQoL in China, allowing people to conduct self-assessments. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-022-02441-6.

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Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review

Cited by 70 publications

References 107 publications

Validity and Reliability of the Dental Neglect Scale among Romanian Adults

Validity and Reliability of the Dental Neglect Scale among Romanian Adults

Dental Anxiety and Oral-Health-Related Quality of Life among Rural Community-Dwelling Older Adults

The Chinese version of the Oral Health Impact Profile-14 (OHIP-14) questionnaire among college students: factor structure and measurement invariance across genders

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