Oral health of elderly with different frailty levels from the city of Campinas, São Paulo, Brazil
DOI:
https://doi.org/10.24220/2318-0897v22n3a2140Keywords:
Ageing, Geriatrics, Oral health, Public healthAbstract
Objetive
Oral changes in the elderly affect their quality of life, as it hinders eating, sociability, and emotional and psychological functions. This study evaluated the oral health of elderly with different levels of frailty.
Methods
The study included a community-dwelling sample seen at the Geriatric Outpatient Clinic of the Universidade Estadual de Campinas School of Medical Sciences. The oral cavity was examined and the frailty phenotype determined. The sample was then divided into pre-frail and frail groups. The Mann-Whitney and Chi-square test for trend were used for comparing the results.
Results
The results are expressed as mean ± standard deviation. The sample consisted of 67 elderly aged 77.5±8.0 years, of which 61.2% (n=41) were edentulous. They had 4.8±7.5 teeth, a decayed, missing, and filled teeth index of 28.8±5.1 mainly due to the missing component (94.4%), and a decayed and filled root index of 0.45±1.21. The lower anterior sextant had the worst Community Periodontal Index. Most participants needed a complete denture, and 82.4% of those who already had complete dentures needed to have them replaced. Thirty-four (50.7%) elderly were pre-frail and 33 (49.3%) were frail. The pre-frail group had better oral health (p<0.05), but not periodontal health.
Conclusion
The sample had poor oral health, clearly worse in the frail group.
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References
Rihs LB, Held RB, Sousa MLR, Guariento ME, Cintra FA, Neri AL, et al. Autopercepção em saúde bucal em idosos frágeis. Rev Assoc Paul Cir Dent. 2011; 65(6):412-8.
Rihs LB, Silva DD, Sousa MLR. Dental caries in an elderly population in Brazil. J Appl Oral Sci. 2009; 17(4):8-12.
Silva DD, Rihs LB, Sousa MLR. Factors associated with remaining teeth of elderly in the state of São Paulo, Brazil, 2002. Gerodontology. 2009; 26(1):282-90.
Holm-Pedersen P, Nitschke I. Dental care for aging populations in Denmark, Sweden, Norway, United Kingdom. J Dent Educ. 2005; 69(9):987-97.
Andrew MK, Mitnitski AB, Rockwood K. Social vulnerability, frailty and mortality in elderly people. PLoS One. 2008; 3(5):1-19.
Locker D. Measuring oral health: Social-dental indicators. In: An introduction to behavioral science and dentistry. London: Routledge; 1989. p.73-87.
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol. 2001; 56A(3):146-56.
Fried LP, Ferrucci I, Darer J, Williansson JD, Anderson G. Untangling the concepts of disability, frailty and comorbidity: Implications for improved targeting and care. J Gerontol Biol Sci Med Sci. 2004; 59(3):255-63.
Ahmed N, Mandel R, Fain MJ. Frailty: An emerging geriatric syndrome. Am J Med. 2007; 120(9):748-53.
Wourld Health Organization. Oral health surveys, basic methods. 4th ed. Geneve: WHO; 1997.
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O mini-exame do estado mental em uma população geral. Arq Neuropsiquiatr. 1994; 52(1):1-7.
Nunes CI, Abegg C. Factors associated with oral health perception in older Brazilians. Gerodontoly. 2008; 25(1):42-8.
Ferreira RC, Magalhães CS, Moreira NA. Tooth loss, denture wearing and associated factors among an elderly institutionalized Brazilian population. Gerodontology. 2008; 25(11):168-78.
Starr JM, Roanna JH, Macintyre S, Deary IJ, Whalley LJ. Predictors and correlates of edentulism in the Healthy Old People in Edinburgh (HOPE) study. Gerodontology. 2008; 25(4):199-204.
Andrade FB, Lebrão ML, Santos JL, Duarte YAO. Relationship between oral health in communitydwelling elderly individuals in Brazil. J Am Geriatr Soc. 2013; 61(5):809-14.
Hilgert JB, Hugo FN, Bandeira DR, Bozzetti MC. Stress, cortisol, and periodontitis in a population aged 50 years and over. J Dent Res. 2006; 85(4):324-8.
Baelum V. The epidemiology of destructive periodontal disease. Causes, paradigms, problems, methods and empirical evidence [thesis]. Aarhus: University of Aarhus; 1998.
Thorstensson H, Johansson B. Why do some people lose teeth across their lifespan whereas others retain a functional dentition into very old age? Gerodontology. 2010; 27(1):19-25.
Mojon P, Budtz-Jorgsen E, Rapin CH. Relationship between oral health and nutrition in very old people. Age Ageing. 1999; 28(5):463-8.
Granville LJ, Musson N. Eating Abnormalities: Disorders of self-feeding and swallowing. In: WR Hazzard. Principles of geriatric and gerontology. 4th ed. New York: McGraw Hill; 1999. p.591-602.
Brasil. Ministério da Saúde. Pesquisa nacional de saúde bucal-2010: manual do coordenador municipal. Brasília: Ministério da Saúde; 2009.
Nevalainen MJ, Rantanen T, Narhi T, Ainamo A. Complete dentures in the prosthetic rehabilitation of elderly persons: Five different criteria to evaluate the need for replacement. J Oral Rehabil. 1997; 24(1):251-8.
Colussi CF, Freitas SFT. Edentulousness and associated risk factors in a south Brazilian elderly population. Gerodontology. 2007; 24(2):93-7.