Tooth loss and associated factors in long‐term institutionalised elderly patients

Tramini, Paul; Montal, Sylvie; Valcárcel, J.

doi:10.1111/j.1741-2358.2007.00183.x

Cited by 68 publications

(69 citation statements)

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“…Th e incidence of edentulous persons among the institutionalized elderly found in this study was close to 45.3% found by Kraljevic et al 36 . Our fi ndings were lower compared to those obtained by De Visschere et al, who found that about two-thirds of the institutionalized elderly (64%) were edentulous 37 , but higher than 26.9% reported by Tramini et al 38 . Th e DMFT index of 24.08 among institutionalized elderly (Table 3) was lower than 26.6 found among institutionalized elderly in Canada 35 and 30.75 found in Slovenia 39 .…”

Section: Discussioncontrasting

confidence: 56%

Salivary Flow Rate, Oral Yeast Colonization and Dental Status in Institutionalized and Non-Institutionalized Elderly

Glažar

2016

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SUMMARY -Elderly people, especially those institutionalized in long-term care facilities, are at risk of various oral diseases. Th e aim of the study was to determine the incidence of hyposalivation and colonization/oral fungal infection of oral cavity with yeasts, as well as dental status in institutionalized and non-institutionalized elderly. Th e study included 280 institutionalized and 61 non-institutionalized elderly people. Salivary fl ow rate, oral colonization with yeasts/oral infection and dental status were assessed and compared between the groups. Th e institutionalized elderly had a signifi cantly lower salivary fl ow rate (p=0.035). Oral colonization with yeasts was more frequently found in institutionalized elderly (p<0.001) as compared with non-institutionalized elderly. A negative correlation was found between decreased salivary fl ow rate and oral yeast colonization and oral fungal infection in both the institutionalized (rs=-0.58; p<0.05) and non-institutionalized (rs=-0.52; p<0.05) groups. A signifi cant diff erence in DMFT index was observed between the two groups (p<0.001). A negative correlation between decreased salivary fl ow rate and dental status was found in both the institutionalized (rs=-0.22; p<0.05) and non-institutionalized (rs=-0.56; p<0.05) groups. Th e results revealed a signifi cantly higher level of hyposalivation and oral yeast colonization and poorer dental status in the institutionalized group as compared with the non-institutionalized group of elderly people.

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Section: Discussioncontrasting

confidence: 56%

Salivary Flow Rate, Oral Yeast Colonization and Dental Status in Institutionalized and Non-Institutionalized Elderly

Glažar

2016

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“…Similar findings can also be found in LTC residents. Tramini and colleagues found that among 321 long-term care residents, more than 50% had lost 21 or more teeth at the time of examination [13]. A recent study also found that among 260 NH residents, the mean number of functioning teeth was only 10.6, indicating remarkable oral function loss in these individuals [11].…”

Section: Introductionmentioning

confidence: 99%

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Chen

Clark

2011

Int J Oral Sci

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This study was conducted to detail tooth loss patterns in older adults with special needs. A total of 491 elderly subjects with special needs were retrospectively selected and followed during 10/1999-12/2006. Medical, dental, cognitive, and functional assessments were abstracted from dental records and used to predict risk of tooth loss. Tooth loss events were recorded for subjects during follow-up. Chi-squared tests were used to study the association between tooth loss and the selected risk factors. Logistic, poisson, and negative binomial regressions were developed to study tooth loss patterns. Overall, 27% of the subjects lost at least one tooth during follow-up. Fourteen subjects had tooth loss events per 100 person-years. Tooth loss pattern did not differ significantly among different special-needs subgroups (i.e. community-dwelling vs. long-term care, physically disabled vs. functionally independent). Special-needs subjects with three or more active dental conditions at arrival had more than twice the risk of losing teeth than those without any existing conditions. After adjusting other factors, the number of carious teeth or retained roots at arrival was a significant predictor of tooth loss for older adults with special needs (P=0.001). These findings indicate that appropriately managing active caries and associated conditions is important to prevent tooth loss for older adults with special needs.

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“…The women were more and older than the men (Table 1). In spite of the high level of dependency explained by their important cognitive diseases, the participants of this study were younger than the patients usually hospitalized in long term units [15][16].…”

Section: Discussionmentioning

confidence: 99%

“…A similar population (institutionalized old patients with moderate to severe cognitive decline) shows a more damage dental status than the studied population who is younger and has been undergone periodic oral aftercares during their life [15][16].…”

Section: Quantitative Oral Statusmentioning

confidence: 99%

“…Although they can affect the quality of life of elderly with dementia, the oral health is often neglected and the oral care is considered complicated. Indeed, the behavior disorders (agitation, aggression), the lack of cooperation even the opposition, the loss of autonomy, the disturbance of the physical marks are so many brakes in the access to healthcare dental [12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”

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Oral Health in a Cognitive and Behavioral Unit

Pasca¹,

Rapp²,

Saidlitz³

et al. 2017

JDODT

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care project, ethical aspect. The professionals have skills and specific training. A structured and adapted program of activities is suggested in an objective limiting the expression of the behavior disorders and if possible to decrease the use of the sedative psychotropic and the setting. At the same time, the objectives in units of following and readaptation care are maintained. Nonmedical practices are proposed to these patients: psychomotricity, ergo therapy, orthophony, art-therapy… [8][9][10][11].The general clinical context is taken into account because symptoms associated as pains, discomfort, under nutrition, dehydration; infections can deteriorate behavioral disorders in dementia. Although they can affect the quality of life of elderly with dementia, the oral health is often neglected and the oral care is considered complicated. Indeed, the behavior disorders (agitation, aggression), the lack of cooperation even the opposition, the loss of autonomy, the disturbance of the physical marks are so many brakes in the access to healthcare dental [12][13][14][15][16][17][18][19][20][21][22][23][24][25].The Pole Geriatrics-Gerontology of the Toulouse University Hospital became aware of this fact and the oral health is a part of the global care of the hospitalized patients. ObjectiveThe main objective was to observe oral status of patients affected by Alzheimer's diseases and dementia (ADD) with intrusive behavior disorders. The secondary objective is to propose an adapted oral care. MethodsA cross-sectional study of the oral status was made by a clinical observation and a data collection on group of patients hospitalized in the CBU of Toulouse (Gérontopôle -Toulouse University Hospital). 138 patients were able to be examined.Considering the cognitive diseases, the consent was not able to be collected. The general, geriatric data were raised on computerized medical record. The oral status is systematically realized within the framework of a global health check-up.

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Tooth loss and associated factors in long‐term institutionalised elderly patients

Abstract: General health problems as well as a poor oral condition were significant risk indicators for tooth loss among the long-term institutionalised elderly. This suggests that the number of remaining teeth has a strong effect on oral health-related quality of life.

Cited by 68 publications

References 20 publications

Salivary Flow Rate, Oral Yeast Colonization and Dental Status in Institutionalized and Non-Institutionalized Elderly

Salivary Flow Rate, Oral Yeast Colonization and Dental Status in Institutionalized and Non-Institutionalized Elderly

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Oral Health in a Cognitive and Behavioral Unit

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