Oral health status in older adults with social security in Mexico City: latent class analysis

Abstract

Objective: To explore the oral health status through a latent class analysis in elderly social security beneficiaries from Southwest Mexico City. Material and Methods: Cross-sectional study of beneficiaries of the State Employee Social Security and Social Services Institute (ISSSTE, in Spanish) and the Mexican Institute of Social Security (IMSS, in Spanish) aged 60 years or older. Oral health conditions such as edentulism, coronal and root caries (DMFT and DFT ≥ 75 percentile), clinical attachment loss (≥ 4 mm), and healthy teeth (≤ 25 percentile) were determined. A latent class analysis (LCA) was performed to classify the oral health status of dentate patients. Results: In total, 336 patients were included (47.9% from the ISSSTE and 52.1% from the IMSS), with an average age of 74.4 (SD = 7.1) years. The 75th percentile of the DMFT = 23 and of the DFT = 2. Of the patients, 77.9% had periodontal disease. The 25th percentile of healthy teeth = 4. A three class model is adequate, with a high classification quality (Entropy = 0.915). The patients were classified as “Edentulous” (15.2%), “Class 1 = Unfavorable” (13.7%), “Class 2 = Somewhat favorable” (10.4%), and “Class 3 = Favorable” (60.7%). Using “Class 3 = Favorable” as a reference, there was an association (OR = 3.4; 95% CI = 1.8-6.4) between being edentulous and being 75 years of age and over, compared with the 60- to 74-year age group. Conclusion: The oral health in elderly social security beneficiaries is not optimal. The probability of becoming edentulous increases with age. A three-class model appropriately classifies the oral health dimensions in the elderly population. Key words:Elderly, Latent class analysis (LCA), oral health, social security, Mexico.

Medical Conditions and Oral Diseases in Elderly Thai Dental Patients in Lower Northern Thailand Patients in Lower Northern Thailan

“…5,6 In this study, the most prevalent oral diseases were tooth loss (87.7%), followed by periodontal diseases (80%), tooth wear (66%), dental caries (65.3%), and pulp diseases (54%). These findings were in accordance with previous studies [21][22][23] , and tooth loss was the most common dental problem among the elderly. 15,24,25 Oral cancer was not found in this group of patients.…”

Association between temporomandibular disorder symptoms and demographic, dental and behavioral factors in the elderly: a populationbased cross-sectional study

“…With regard to age, it is believed that older people tend to develop better resilience in SS, adapting to the changes resulting from aging 5,41 . Moreover, in the course of the aging process, the elderly, for the most part, tend to conform to the deterioration of their health and, therefore, believe that oral problems are an unavoidable consequence of aging 4,42 . In this study, only elderly individuals between 65 and 74 years old were included, based on the criteria recommended by the WHO for epidemiological studies on oral health 29 .…”

“…In this sense, the World Health Organization (WHO) 1 estimate that Brazil will have the sixth largest population of old people in a short period. Therefore, it is fundamental to observe the peculiarities inherent in this life cycle 2 , since they effectively represent a great socioeconomic impact for the country and a challenge for the managers of public policies [3][4][5] . With the advancement of the aging process, morphophysiological changes occur in the body more rapidly, which increases the predisposition to diseases.…”

<p>Indicators of oral health in older adults with and without the presence of multimorbidity: a cross-sectional study</p>

“…These conditions are considered to be chronic diseases that strongly impact the health of this population group 9. In Mexico, the oral health of older adults has not received sufficient attention to aid in the decision making and planning of health services 10–14. In addition, it is unknown which oral health indicators are correlated with multimorbidity.…”