Prevalence of hyposalivation in older people: A systematic review and meta‐analysis

Pina, Gisela de Martins Souza; Carvalho, Regina Mota; Silva, Brunno Santos de Freitas; Almeida, Fabiana Tolentino

doi:10.1111/ger.12497

Cited by 35 publications

(39 citation statements)

References 37 publications

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“…It is therefore not improbable to assume that oral dryness was underestimated and that more of the study patients had problems with a dry mouth. Hyposalivation measured by stimulated saliva was reported in 33.5% in a systematic review including mixed populations (community dwellings and nursing homes) of 60 years and older (range 60-100 years), 44 which is somewhat higher than we found. It is well known that oral dryness may be a side-effect from drug treatment and that drugs can have a negative impact on oral health have been shown in several studies.…”

Section: Oral Drynesscontrasting

confidence: 72%

Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity

Andersson¹,

Ekstam²

2021

CIA

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Introduction Fall-related injuries are prevalent in older patients and often lead to increased morbidity, medication, and impaired functions. We studied older trauma patients with the aim to describe their oral health in comparison to morbidity and medication. Material and Methods The study included 198 patients, ≥65 years, admitted with an orthopedic trauma. Oral examinations included number of natural teeth, dental implants, missing, decayed and restored teeth, root remnants, and pocket depth. Data on comorbidities and medication were assembled. Statistical analyses were carried out with logistic regression models, adjusted for age, gender, comorbidity, and polypharmacy. Results Overall, 198 patients participated, 71% women, mean age 81 years (±7.9), 85% resided in their own homes, 86% had hip fractures. Chronic diseases and drug use were present in 98.9%, a mean of 6.67 in Charlson comorbidity index (CCI), 40% heart diseases, 17% diabetes, and 14% dementia. Ninety-one percent were dentate (181), mean number of teeth 19.2 (±6.5), 24% had decayed teeth, 97% filled teeth, 44% <20 teeth, and 26% oral dryness. DFT (decayed, filled teeth) over mean were identified in patients with diabetes (p=0.037), COPD (p=0.048), polypharmacy (p=0.011), diuretics (p=0.007), and inhalation drugs (p=0.032). Use of ≥2 strong anticholinergic drugs were observed in patients with <20 teeth and DFT over mean (p=0.004, 0.003). Adjusted for age, gender, CCI, and polypharmacy. Conclusion The study showed that impaired oral health was prevalent in older trauma patients and that negative effects on oral health were significantly associated with chronic diseases and drug use. The results emphasize the importance of identifying orthogeriatric patients with oral health problems and to stress the necessity to uphold good oral care during a period when functional decline can be expected.

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Section: Oral Drynesscontrasting

confidence: 72%

Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity

Andersson¹,

Ekstam²

2021

CIA

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“…Also, in addition to the difficulty in chewing and speaking caused by cleft lip and palate, this condition is associated with recurrent ear infections, and even hearing loss that can generate a negative effect on the OHRQoL as reported by the systematic review of Al-Namankany and Alhubaishi [ 67 ]. On the other hand, Pina et al [ 68 ] concluded that to date, because of the limited evidence available, it is not clear to what extent a reduction in the level of salivary production impairs the OHRQoL. This highlights the need to perform further studies on the relationship of the diseases mentioned and OHRQoL in the population of LAC, with the aim of understanding the extent to which these diseases and their consequences affect OHRQoL, and to allow developing informed measures regarding these conditions at the health system level.…”

Section: Discussionmentioning

confidence: 99%

Impact of oral diseases on oral health-related quality of life: A systematic review of studies conducted in Latin America and the Caribbean

Yactayo-Alburquerque

Alen-Méndez

Azañedo³

et al. 2021

PLoS ONE

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Background We performed a systematic review of studies conducted in Latin America and the Caribbean (LAC) to assess the impact of oral diseases on oral health-related quality of life (OHRQoL). Materials and methods Searches were performed of the following PubMed, EMBASE, CINAHL, Scopus, and LILACS databases. Randomized clinical trials, quasi-experimental studies, cohort studies, case and control studies, and cross-sectional studies which included at least 100 participants evaluating the impact of oral diseases on OHRQoL were included. PROSPERO registry number: CRD42020156098. Results After exclusion of duplicates, 3310 articles were identified, 40 of which were included in this review. 90% of the studies were conducted in Brazil. The most commonly used OHRQoL measuring instruments were CPQ 11–14 (n = 9), ECOHIS (n-8) and B-ECOHIS (n = 8). The study designs included 32 cross-sectional, 2 cohort and 6 case and control studies. Most of the studies were conducted in children (n = 25) and adolescents (n = 9). Most studies identified an impact on OHRQoL in children, adolescents and adults with oral diseases. Moreover, greater oral disease severity had a greater impact on OHRQoL. Conclusions Most studies in LAC report a negative impact of diseases on OHRQoL. More longitudinal studies are required to confirm the results of these studies.

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“…It also helps to prevent dental caries and other oral infections due to its antimicrobial, cleansing and buffering properties. Xerostomia is a common oral problem in older adult population with a prevalence of 33% [75]. Xerostomia is a subjective feeling of oral dryness while hyposalivation is an objective finding of decreased salivary production [76].…”

Section: Xerostomiamentioning

confidence: 99%

Common Medical and Dental Problems of Older Adults: A Narrative Review

et al. 2021

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The advancement of medicine has reduced the rate of mortality and older adult population is increasing. Among the 7,700,000,000 world population in 2019, 1 in 11 people were at the age of 65 or more. The population is expected to increase to 1 in 6 people by 2050. Older adults have degenerative changes that become more severe with age. This study used the World Health Organization’s websites and PubMed and Google Scholar databases to review current global oral and systemic health issues. Studies generally reported that many older adults have no regular dental checkup. Common oral diseases such as dental caries particularly root caries and periodontal disease are highly prevalent among them. These oral diseases are often interrelated with their systemic problems. A meta-analysis reported diabetes increases the incidence and progression of periodontitis by 86%. A decrease in salivary output is common among older adults having polypharmacy. A review reported the caries risk in older adults increases by 60% with low resting pH and low stimulated salivary flow rate. Many older adults suffer from dementia and depression which complicates the delivery of dental treatment. Proper oral hygiene practice and dental care at supine position are often difficult to be carried out if they have rheumatoid arthritis. With the increasing need of elderly dental care, dentists and other dental personnel should understand interlaced oral and general health in order to provide a successful dental care plan for older adults. The aim of this study is to give an overview of the common medical conditions and dental problems and their impacts on older adults.

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Prevalence of hyposalivation in older people: A systematic review and meta‐analysis

Cited by 35 publications

References 37 publications

Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity

Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity

Impact of oral diseases on oral health-related quality of life: A systematic review of studies conducted in Latin America and the Caribbean

Common Medical and Dental Problems of Older Adults: A Narrative Review

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