Oral health and microflora in an institutionalised elderly population in Canada
Identifieur interne : 006061 ( Istex/Corpus ); précédent : 006060; suivant : 006062Oral health and microflora in an institutionalised elderly population in Canada
Auteurs : I. M. Kuc ; L. P. Samaranayake ; E. N. Van HeystSource :
- International Dental Journal [ 0020-6539 ] ; 1999-02.
English descriptors
- KwdEn :
- Angular cheilitis, Canadian institution, Candida, Candida species, Cardiovascular disease, Care residents, Caries, Cavite orale, Cent edentulousness, Ciento, Cohort, Coliform carriage, Coliforms, Community dent, Community dwellers, Community dwelling, Complete maxillary, Cpitn scores, Cumulative distributions, Current study, Dent, Dent assoc, Dentadura completa, Dentadura parcial, Dental care, Dental caries, Dental health, Dental status, Dental treatment, Dentate sextants, Denture, Denture stomatitis, Denture wearers, Drug profiles, Elderly people, Elderly population, Epidemiol, Escherichia coli, Fibrous lesions, High prevalence, Hong kong, Institutionalised, Isolation frequency, Largo plazo, Latter study, Lesion, Long terme, Mandibular, Mandibular dentures, Maxillary, Mucosal, Mucosal lesion, Mucosal pathology, Opportunistic pathogens, Oral candidosis, Oral carriage, Oral health, Oral health status, Oral microflora, Oral pathol, Oral pathoses, Oral prevalence, Other data, Palatal mucosa, Posterior sextant, Present study, Prosthesis, Removable prostheses, Root caries, Salud bucodental, Samaranayake, Sextant, Spec care dent, Stomatitis, Stomatitis class, Study group, World health organization, Yeast.
- Teeft :
- Angular cheilitis, Canadian institution, Candida, Candida species, Cardiovascular disease, Care residents, Caries, Cavite orale, Cent edentulousness, Ciento, Cohort, Coliform carriage, Coliforms, Community dent, Community dwellers, Community dwelling, Complete maxillary, Cpitn scores, Cumulative distributions, Current study, Dent, Dent assoc, Dentadura completa, Dentadura parcial, Dental care, Dental caries, Dental health, Dental status, Dental treatment, Dentate sextants, Denture, Denture stomatitis, Denture wearers, Drug profiles, Elderly people, Elderly population, Epidemiol, Escherichia coli, Fibrous lesions, High prevalence, Hong kong, Institutionalised, Isolation frequency, Largo plazo, Latter study, Lesion, Long terme, Mandibular, Mandibular dentures, Maxillary, Mucosal, Mucosal lesion, Mucosal pathology, Opportunistic pathogens, Oral candidosis, Oral carriage, Oral health, Oral health status, Oral microflora, Oral pathol, Oral pathoses, Oral prevalence, Other data, Palatal mucosa, Posterior sextant, Present study, Prosthesis, Removable prostheses, Root caries, Salud bucodental, Samaranayake, Sextant, Spec care dent, Stomatitis, Stomatitis class, Study group, World health organization, Yeast.
Abstract
A cross sectional study was undertaken to assess the oral health of a group of elderly, long‐term care, institutionalised residents in a facility in Edmonton, Canada. In addition, the oral occurrence of Candida and coliform micro‐organisms was evaluated to examine the relationship between oral health status and oral prevalence of these opportunistic pathogens. The mean age of 63 examined individuals was 83.4 (±17.6) years; 28.6 per cent were dentate with a DMF score of 22.4; 4.5 per cent of teeth exhibited root caries. Of the edentate, 55.5 per cent were wearing complete maxillary and mandibular dentures; 59 per cent of the maxillary dentures and 20 per cent of mandibular dentures were found to exhibit good retention and stability while the remaining prostheses were deemed to be poor; 17 per cent of individuals had neither teeth or dentures. Denture stomatitis was the most common mucosal lesion and was found amongst one third of the denture wearers. Three quarters of the residents harboured oral yeasts, 30 per cent coliforms and a significant number exhibited poor oral hygiene and oral pathoses for which remedial treatment was readily available in the form of subsidised dental care.
Url:
DOI: 10.1111/j.1875-595X.1999.tb00505.x
Links to Exploration step
ISTEX:C242161FE5474071FA38140035CD49C5B70E67B6Le document en format XML
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kong</term><term>Institutionalised</term><term>Isolation frequency</term><term>Largo plazo</term><term>Latter study</term><term>Lesion</term><term>Long terme</term><term>Mandibular</term><term>Mandibular dentures</term><term>Maxillary</term><term>Mucosal</term><term>Mucosal lesion</term><term>Mucosal pathology</term><term>Opportunistic pathogens</term><term>Oral candidosis</term><term>Oral carriage</term><term>Oral health</term><term>Oral health status</term><term>Oral microflora</term><term>Oral pathol</term><term>Oral pathoses</term><term>Oral prevalence</term><term>Other data</term><term>Palatal mucosa</term><term>Posterior sextant</term><term>Present study</term><term>Prosthesis</term><term>Removable prostheses</term><term>Root caries</term><term>Salud bucodental</term><term>Samaranayake</term><term>Sextant</term><term>Spec care dent</term><term>Stomatitis</term><term>Stomatitis class</term><term>Study group</term><term>World health 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profiles</term><term>Elderly people</term><term>Elderly population</term><term>Epidemiol</term><term>Escherichia coli</term><term>Fibrous lesions</term><term>High prevalence</term><term>Hong kong</term><term>Institutionalised</term><term>Isolation frequency</term><term>Largo plazo</term><term>Latter study</term><term>Lesion</term><term>Long terme</term><term>Mandibular</term><term>Mandibular dentures</term><term>Maxillary</term><term>Mucosal</term><term>Mucosal lesion</term><term>Mucosal pathology</term><term>Opportunistic pathogens</term><term>Oral candidosis</term><term>Oral carriage</term><term>Oral health</term><term>Oral health status</term><term>Oral microflora</term><term>Oral pathol</term><term>Oral pathoses</term><term>Oral prevalence</term><term>Other data</term><term>Palatal mucosa</term><term>Posterior sextant</term><term>Present study</term><term>Prosthesis</term><term>Removable prostheses</term><term>Root caries</term><term>Salud 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Three quarters of the residents harboured oral yeasts, 30 per cent coliforms and a significant number exhibited poor oral hygiene and oral pathoses for which remedial treatment was readily available in the form of subsidised dental care.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>denture</json:string><json:string>sextant</json:string><json:string>candida</json:string><json:string>samaranayake</json:string><json:string>coliforms</json:string><json:string>cohort</json:string><json:string>stomatitis</json:string><json:string>institutionalised</json:string><json:string>community dent</json:string><json:string>mandibular</json:string><json:string>epidemiol</json:string><json:string>caries</json:string><json:string>maxillary</json:string><json:string>denture stomatitis</json:string><json:string>oral health</json:string><json:string>prosthesis</json:string><json:string>oral health status</json:string><json:string>ciento</json:string><json:string>mucosal</json:string><json:string>dent</json:string><json:string>mandibular dentures</json:string><json:string>oral candidosis</json:string><json:string>care residents</json:string><json:string>oral carriage</json:string><json:string>elderly population</json:string><json:string>oral pathol</json:string><json:string>high prevalence</json:string><json:string>palatal mucosa</json:string><json:string>canadian institution</json:string><json:string>study group</json:string><json:string>current study</json:string><json:string>latter study</json:string><json:string>oral pathoses</json:string><json:string>root caries</json:string><json:string>lesion</json:string><json:string>yeast</json:string><json:string>hong kong</json:string><json:string>cumulative distributions</json:string><json:string>cpitn scores</json:string><json:string>complete maxillary</json:string><json:string>dentate sextants</json:string><json:string>posterior sextant</json:string><json:string>removable prostheses</json:string><json:string>long terme</json:string><json:string>largo plazo</json:string><json:string>dentadura completa</json:string><json:string>oral microflora</json:string><json:string>mucosal pathology</json:string><json:string>present study</json:string><json:string>stomatitis class</json:string><json:string>isolation frequency</json:string><json:string>coliform carriage</json:string><json:string>candida species</json:string><json:string>opportunistic pathogens</json:string><json:string>escherichia coli</json:string><json:string>denture wearers</json:string><json:string>community dwelling</json:string><json:string>other data</json:string><json:string>dental health</json:string><json:string>cent edentulousness</json:string><json:string>community dwellers</json:string><json:string>mucosal lesion</json:string><json:string>elderly people</json:string><json:string>drug profiles</json:string><json:string>dental care</json:string><json:string>angular cheilitis</json:string><json:string>cavite orale</json:string><json:string>salud bucodental</json:string><json:string>world health organization</json:string><json:string>spec care dent</json:string><json:string>oral prevalence</json:string><json:string>dental caries</json:string><json:string>fibrous lesions</json:string><json:string>cardiovascular disease</json:string><json:string>dental treatment</json:string><json:string>dental status</json:string><json:string>dent assoc</json:string><json:string>dentadura parcial</json:string></teeft></keywords><author><json:item><name>I.M. Kuc</name><affiliations><json:string>Edmonton, Canada</json:string></affiliations></json:item><json:item><name>Professor L.P. Samaranayake</name><affiliations><json:string>Hong Kong</json:string><json:string>Correspondence address: Chair of Oral Microbiology, Oral Bio‐science Laboratories, Faculty of Dentistry, University of Hong Kong, 34 Hospital Road, Hong Kong</json:string></affiliations></json:item><json:item><name>E.N. van Heyst</name><affiliations><json:string>Manitoba, Canada</json:string></affiliations></json:item></author><articleId><json:string>IDJ505</json:string></articleId><arkIstex>ark:/67375/WNG-2S2HNK0M-L</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>A cross sectional study was undertaken to assess the oral health of a group of elderly, long‐term care, institutionalised residents in a facility in Edmonton, Canada. In addition, the oral occurrence of Candida and coliform micro‐organisms was evaluated to examine the relationship between oral health status and oral prevalence of these opportunistic pathogens. The mean age of 63 examined individuals was 83.4 (±17.6) years; 28.6 per cent were dentate with a DMF score of 22.4; 4.5 per cent of teeth exhibited root caries. Of the edentate, 55.5 per cent were wearing complete maxillary and mandibular dentures; 59 per cent of the maxillary dentures and 20 per cent of mandibular dentures were found to exhibit good retention and stability while the remaining prostheses were deemed to be poor; 17 per cent of individuals had neither teeth or dentures. Denture stomatitis was the most common mucosal lesion and was found amongst one third of the denture wearers. 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Summary
<p>A cross sectional study was undertaken to assess the oral health of a group of elderly, long‐term care, institutionalised residents in a facility in Edmonton, Canada. In addition, the oral occurrence of <hi rend="italic">Candida</hi> and coliform micro‐organisms was evaluated to examine the relationship between oral health status and oral prevalence of these opportunistic pathogens. The mean age of 63 examined individuals was 83.4 (±17.6) years; 28.6 per cent were dentate with a DMF score of 22.4; 4.5 per cent of teeth exhibited root caries. Of the edentate, 55.5 per cent were wearing complete maxillary and mandibular dentures; 59 per cent of the maxillary dentures and 20 per cent of mandibular dentures were found to exhibit good retention and stability while the remaining prostheses were deemed to be poor; 17 per cent of individuals had neither teeth or dentures. Denture stomatitis was the most common mucosal lesion and was found amongst one third of the denture wearers. Three quarters of the residents harboured oral yeasts, 30 per cent coliforms and a significant number exhibited poor oral hygiene and oral pathoses for which remedial treatment was readily available in the form of subsidised dental care.</p>
Résumé
<p>Une étude croisée par section a été entreprise pour évaluer la santé bucco‐dentaire d'un groupe de résidents âgés en soins à long terme dans des établisssements d'Edmonton au Canada. Par ailleurs, on a évalué la fréquence dans la cavité orale du <hi rend="italic">Candida</hi> et des organismes coliformes pour examiner le rapport entre l'état de santé bucco‐dentaire et la fréquence globale dans la cavité orale de ces éléments pathogènes opportunistes. L'âge moyen des 63 personnes examinées était de 83,4 (± 17,6) ans; 28,6 pour cent étaient dentées avec un indice CAO de 22,4; 4,5 pour cent des dents présentaient des caries radiculaires. Parmi les personnes édentées, 55,5 pour cent portaient des prothèses complètes sur les maxillaires supérieur et inférieur; on a constaté que 59 pour cent des prothèses du maxillaire supérieur et 20 pour cent de celles du maxillaire inférieur présentaient une rétention et une stabilité satisfaisantes, alors que les prothèses restantes étaient médiocres; 17 pour cent des personnes interrogées n'avaient ni dents, ni prothèses. La stomatite dentaire était la lésion de la muqueuse la plus commune et elle était présente chez un tiers des porteurs de prothèses. Les trois‐quarts des résidents présentaient des levures bucco‐dentaires, 30 pour cent des coliformes et chez un nombre considérable, l'hygiène bucco‐dentaire était médiocre et on a rencontré des maladies de la bouche, qui pouvaient maintenant être traitées grâce à des soins dentaires subventionnés.</p>
Zusammenfassung
<p>In einem Altersheim in der kanadischen Stadt Edmonton wurde eine Repräsentativstudie zur Ermittlung der Mundgesundheit einer Gruppe älterer Langzeitinsassen durchgeführt. Es wurde u.a. untersucht, ob eine Besiedlung der Mundschleimhäute mit <hi rend="italic">Candida</hi> bzw. coliformen Mikroorganismen vorlag, um bestimmen zu können, ob ein Zusammenhang zwischen dem Vorhandensein dieser opportunistischen Pathogene und dem Mundgesundheitsstatus der Probanden bestand. Das mittlere Alter der insgesamt 63 Untersuchten betrug 83,4 (±17,6) Jahre. Von ihnen waren 28,6% gezähnt mit einem DMF‐Wert (Anzahl karöser, fehlender und gefüllter bleibender Zähne) von 22,4. Von Wurzelkaries befallen waren 4,5% der vorhandenen Zähne. Von den unbezahlten Probanden trugen 55,5% eine Vollprothese im Ober‐ und Unterkiefer. 59% der Oberkiefer‐ bzw. 20% der Unterkieferprothesen verfügten über guten Halt und Stabilität, während die übrigen Prothesen starke Mängel aufwiesen. Insgesamt 17% der untersuchten Heiminsassen waren sowohl unbezahnt als auch nicht‐Prothesenträger. Stomatitis infolge Prothesentragens war die am häufigsten auftretende Art von Mundschleimhautläsion; sie wurde bei insgesamt einem Drittel der untersuchten Prothesenträger festgestellt. 3/4 der Untersuchten wiesen Hefepilze und 30% Kolibakterien auf. Eine insgesamt beachtliche Zahl betrieb mangelhafte Mundhygiene bzw. wies Formen von Oralerkrankungen auf, für die staatlich subventionierte zahnmedizinische Versorgung zur Verfügung steht.</p>
Resumen
<p>En Edmonton, Canadá, se llevó a cabo un estudio para evaluar la salud oral de un grupo de ancianos residentes en una institución de atención a largo plazo. Además de evaluarse la incidencia de <hi rend="italic">Candida</hi> y de microorganismo coliformes, se examinó la relación entre el estado de salud bucodental y la prevalencia oral de estos patógenos oportunistas. El promedio de edad de los 63 sujetos examinados era 83.4 (±17.6) años; 28.6 por ciento eran sujetos dentados con un índiceCPO de 22.4; en un 4.5 por ciento de los dientes se observaron caries radiculares. De los edentados, un 55.5 por ciento llevaba dentaduras maxilares y mandibulares completas; 59 por ciento de las dentaduras maxilares y 20 por ciento de las dentaduras mandibulares mostraban buena retención y estabilidad, mientras que las prótesis restantes eran inadecuadas; 17 por ciento de los sujetos no tenían dientes o dentaduras. La lesión mucosal más común era la estomatitis protética, que aparecía en un tercio de los que llevaban dentaduras. En tres cuartos de los residentes se observaron levaduras orales, 30 por ciento coliformes, mientras que un número considerable de sujetos presentaba una higiene bucal deficiente y enfermedades orales, que pueden ser fácilmente tratadas mediante una atención dental subvencionada por el estado.</p></abstract><textClass><keywords rend="tocHeading1"><term>Original Article</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/C242161FE5474071FA38140035CD49C5B70E67B6/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1002/(ISSN)1875-595X</doi><issn type="print">0020-6539</issn><issn type="electronic">1875-595X</issn><idGroup><id type="product" value="IDJ"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="INTERNATIONAL DENTAL JOURNAL">International Dental Journal</title></titleGroup></publicationMeta><publicationMeta level="part" position="02101"><doi origin="wiley">10.1111/idj.1999.49.issue-1</doi><numberingGroup><numbering type="journalVolume" number="49">49</numbering><numbering type="journalIssue" number="1">1</numbering></numberingGroup><coverDate startDate="1999-02">February 1999</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="6" status="forIssue"><doi origin="wiley">10.1111/j.1875-595X.1999.tb00505.x</doi><idGroup><id type="unit" value="IDJ505"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1">Original Article</title></titleGroup><copyright>1999 FDI/World Dental Press</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.4.9 mode:FullText" date="2011-05-09"></event><event type="firstOnline" date="2011-09-06"></event><event type="publishedOnlineFinalForm" date="2011-09-06"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-27"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="33">33</numbering><numbering type="pageLast" number="40">40</numbering></numberingGroup><correspondenceTo>Chair of Oral Microbiology, Oral Bio‐science Laboratories, Faculty of Dentistry, University of Hong Kong, 34 Hospital Road, Hong Kong</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:IDJ.IDJ505.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="referenceTotal" number="42"></count><count type="linksCrossRef" number="4"></count></countGroup><titleGroup><title type="main">Oral health and microflora in an institutionalised elderly population in Canada</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>I.M.</givenNames><familyName>Kuc</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2" corresponding="yes"><personName><honorifics>Professor</honorifics><givenNames>L.P.</givenNames><familyName>Samaranayake</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>E.N.</givenNames><familyNamePrefix>van</familyNamePrefix><familyName>Heyst</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CA"><unparsedAffiliation>Edmonton, Canada</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="HK"><unparsedAffiliation>Hong Kong</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="CA"><unparsedAffiliation>Manitoba, Canada</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><section xml:id="abs1-1"><title type="main">Summary</title><p>A cross sectional study was undertaken to assess the oral health of a group of elderly, long‐term care, institutionalised residents in a facility in Edmonton, Canada. In addition, the oral occurrence of <i>Candida</i> and coliform micro‐organisms was evaluated to examine the relationship between oral health status and oral prevalence of these opportunistic pathogens. The mean age of 63 examined individuals was 83.4 (±17.6) years; 28.6 per cent were dentate with a DMF score of 22.4; 4.5 per cent of teeth exhibited root caries. Of the edentate, 55.5 per cent were wearing complete maxillary and mandibular dentures; 59 per cent of the maxillary dentures and 20 per cent of mandibular dentures were found to exhibit good retention and stability while the remaining prostheses were deemed to be poor; 17 per cent of individuals had neither teeth or dentures. Denture stomatitis was the most common mucosal lesion and was found amongst one third of the denture wearers. Three quarters of the residents harboured oral yeasts, 30 per cent coliforms and a significant number exhibited poor oral hygiene and oral pathoses for which remedial treatment was readily available in the form of subsidised dental care.</p></section><section xml:id="abs1-2"><title type="main">Résumé</title><p>Une étude croisée par section a été entreprise pour évaluer la santé bucco‐dentaire d'un groupe de résidents âgés en soins à long terme dans des établisssements d'Edmonton au Canada. Par ailleurs, on a évalué la fréquence dans la cavité orale du <i>Candida</i> et des organismes coliformes pour examiner le rapport entre l'état de santé bucco‐dentaire et la fréquence globale dans la cavité orale de ces éléments pathogènes opportunistes. L'âge moyen des 63 personnes examinées était de 83,4 (± 17,6) ans; 28,6 pour cent étaient dentées avec un indice CAO de 22,4; 4,5 pour cent des dents présentaient des caries radiculaires. Parmi les personnes édentées, 55,5 pour cent portaient des prothèses complètes sur les maxillaires supérieur et inférieur; on a constaté que 59 pour cent des prothèses du maxillaire supérieur et 20 pour cent de celles du maxillaire inférieur présentaient une rétention et une stabilité satisfaisantes, alors que les prothèses restantes étaient médiocres; 17 pour cent des personnes interrogées n'avaient ni dents, ni prothèses. La stomatite dentaire était la lésion de la muqueuse la plus commune et elle était présente chez un tiers des porteurs de prothèses. Les trois‐quarts des résidents présentaient des levures bucco‐dentaires, 30 pour cent des coliformes et chez un nombre considérable, l'hygiène bucco‐dentaire était médiocre et on a rencontré des maladies de la bouche, qui pouvaient maintenant être traitées grâce à des soins dentaires subventionnés.</p></section><section xml:id="abs1-3"><title type="main">Zusammenfassung</title><p>In einem Altersheim in der kanadischen Stadt Edmonton wurde eine Repräsentativstudie zur Ermittlung der Mundgesundheit einer Gruppe älterer Langzeitinsassen durchgeführt. Es wurde u.a. untersucht, ob eine Besiedlung der Mundschleimhäute mit <i>Candida</i> bzw. coliformen Mikroorganismen vorlag, um bestimmen zu können, ob ein Zusammenhang zwischen dem Vorhandensein dieser opportunistischen Pathogene und dem Mundgesundheitsstatus der Probanden bestand. Das mittlere Alter der insgesamt 63 Untersuchten betrug 83,4 (±17,6) Jahre. Von ihnen waren 28,6% gezähnt mit einem DMF‐Wert (Anzahl karöser, fehlender und gefüllter bleibender Zähne) von 22,4. Von Wurzelkaries befallen waren 4,5% der vorhandenen Zähne. Von den unbezahlten Probanden trugen 55,5% eine Vollprothese im Ober‐ und Unterkiefer. 59% der Oberkiefer‐ bzw. 20% der Unterkieferprothesen verfügten über guten Halt und Stabilität, während die übrigen Prothesen starke Mängel aufwiesen. Insgesamt 17% der untersuchten Heiminsassen waren sowohl unbezahnt als auch nicht‐Prothesenträger. Stomatitis infolge Prothesentragens war die am häufigsten auftretende Art von Mundschleimhautläsion; sie wurde bei insgesamt einem Drittel der untersuchten Prothesenträger festgestellt. 3/4 der Untersuchten wiesen Hefepilze und 30% Kolibakterien auf. Eine insgesamt beachtliche Zahl betrieb mangelhafte Mundhygiene bzw. wies Formen von Oralerkrankungen auf, für die staatlich subventionierte zahnmedizinische Versorgung zur Verfügung steht.</p></section><section xml:id="abs1-4"><title type="main">Resumen</title><p>En Edmonton, Canadá, se llevó a cabo un estudio para evaluar la salud oral de un grupo de ancianos residentes en una institución de atención a largo plazo. Además de evaluarse la incidencia de <i>Candida</i> y de microorganismo coliformes, se examinó la relación entre el estado de salud bucodental y la prevalencia oral de estos patógenos oportunistas. El promedio de edad de los 63 sujetos examinados era 83.4 (±17.6) años; 28.6 por ciento eran sujetos dentados con un índiceCPO de 22.4; en un 4.5 por ciento de los dientes se observaron caries radiculares. De los edentados, un 55.5 por ciento llevaba dentaduras maxilares y mandibulares completas; 59 por ciento de las dentaduras maxilares y 20 por ciento de las dentaduras mandibulares mostraban buena retención y estabilidad, mientras que las prótesis restantes eran inadecuadas; 17 por ciento de los sujetos no tenían dientes o dentaduras. La lesión mucosal más común era la estomatitis protética, que aparecía en un tercio de los que llevaban dentaduras. En tres cuartos de los residentes se observaron levaduras orales, 30 por ciento coliformes, mientras que un número considerable de sujetos presentaba una higiene bucal deficiente y enfermedades orales, que pueden ser fácilmente tratadas mediante una atención dental subvencionada por el estado.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Oral health and microflora in an institutionalised elderly population in Canada</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Oral health and microflora in an institutionalised elderly population in Canada</title></titleInfo><name type="personal"><namePart type="given">I.M.</namePart><namePart type="family">Kuc</namePart><affiliation>Edmonton, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Professor</namePart><namePart type="given">L.P.</namePart><namePart type="family">Samaranayake</namePart><affiliation>Hong Kong</affiliation><affiliation>Correspondence address: Chair of Oral Microbiology, Oral Bio‐science Laboratories, Faculty of Dentistry, University of Hong Kong, 34 Hospital Road, Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">E.N.</namePart><namePart type="family">van Heyst</namePart><affiliation>Manitoba, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1999-02</dateIssued><copyrightDate encoding="w3cdtf">1999</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="references">42</extent><extent unit="linksCrossRef">4</extent></physicalDescription><abstract lang="en">A cross sectional study was undertaken to assess the oral health of a group of elderly, long‐term care, institutionalised residents in a facility in Edmonton, Canada. In addition, the oral occurrence of Candida and coliform micro‐organisms was evaluated to examine the relationship between oral health status and oral prevalence of these opportunistic pathogens. The mean age of 63 examined individuals was 83.4 (±17.6) years; 28.6 per cent were dentate with a DMF score of 22.4; 4.5 per cent of teeth exhibited root caries. Of the edentate, 55.5 per cent were wearing complete maxillary and mandibular dentures; 59 per cent of the maxillary dentures and 20 per cent of mandibular dentures were found to exhibit good retention and stability while the remaining prostheses were deemed to be poor; 17 per cent of individuals had neither teeth or dentures. Denture stomatitis was the most common mucosal lesion and was found amongst one third of the denture wearers. Three quarters of the residents harboured oral yeasts, 30 per cent coliforms and a significant number exhibited poor oral hygiene and oral pathoses for which remedial treatment was readily available in the form of subsidised dental care.</abstract><abstract>Une étude croisée par section a été entreprise pour évaluer la santé bucco‐dentaire d'un groupe de résidents âgés en soins à long terme dans des établisssements d'Edmonton au Canada. Par ailleurs, on a évalué la fréquence dans la cavité orale du Candida et des organismes coliformes pour examiner le rapport entre l'état de santé bucco‐dentaire et la fréquence globale dans la cavité orale de ces éléments pathogènes opportunistes. L'âge moyen des 63 personnes examinées était de 83,4 (± 17,6) ans; 28,6 pour cent étaient dentées avec un indice CAO de 22,4; 4,5 pour cent des dents présentaient des caries radiculaires. Parmi les personnes édentées, 55,5 pour cent portaient des prothèses complètes sur les maxillaires supérieur et inférieur; on a constaté que 59 pour cent des prothèses du maxillaire supérieur et 20 pour cent de celles du maxillaire inférieur présentaient une rétention et une stabilité satisfaisantes, alors que les prothèses restantes étaient médiocres; 17 pour cent des personnes interrogées n'avaient ni dents, ni prothèses. La stomatite dentaire était la lésion de la muqueuse la plus commune et elle était présente chez un tiers des porteurs de prothèses. Les trois‐quarts des résidents présentaient des levures bucco‐dentaires, 30 pour cent des coliformes et chez un nombre considérable, l'hygiène bucco‐dentaire était médiocre et on a rencontré des maladies de la bouche, qui pouvaient maintenant être traitées grâce à des soins dentaires subventionnés.</abstract><abstract lang="de">In einem Altersheim in der kanadischen Stadt Edmonton wurde eine Repräsentativstudie zur Ermittlung der Mundgesundheit einer Gruppe älterer Langzeitinsassen durchgeführt. Es wurde u.a. untersucht, ob eine Besiedlung der Mundschleimhäute mit Candida bzw. coliformen Mikroorganismen vorlag, um bestimmen zu können, ob ein Zusammenhang zwischen dem Vorhandensein dieser opportunistischen Pathogene und dem Mundgesundheitsstatus der Probanden bestand. Das mittlere Alter der insgesamt 63 Untersuchten betrug 83,4 (±17,6) Jahre. Von ihnen waren 28,6% gezähnt mit einem DMF‐Wert (Anzahl karöser, fehlender und gefüllter bleibender Zähne) von 22,4. Von Wurzelkaries befallen waren 4,5% der vorhandenen Zähne. Von den unbezahlten Probanden trugen 55,5% eine Vollprothese im Ober‐ und Unterkiefer. 59% der Oberkiefer‐ bzw. 20% der Unterkieferprothesen verfügten über guten Halt und Stabilität, während die übrigen Prothesen starke Mängel aufwiesen. Insgesamt 17% der untersuchten Heiminsassen waren sowohl unbezahnt als auch nicht‐Prothesenträger. Stomatitis infolge Prothesentragens war die am häufigsten auftretende Art von Mundschleimhautläsion; sie wurde bei insgesamt einem Drittel der untersuchten Prothesenträger festgestellt. 3/4 der Untersuchten wiesen Hefepilze und 30% Kolibakterien auf. Eine insgesamt beachtliche Zahl betrieb mangelhafte Mundhygiene bzw. wies Formen von Oralerkrankungen auf, für die staatlich subventionierte zahnmedizinische Versorgung zur Verfügung steht.</abstract><abstract lang="es">En Edmonton, Canadá, se llevó a cabo un estudio para evaluar la salud oral de un grupo de ancianos residentes en una institución de atención a largo plazo. Además de evaluarse la incidencia de Candida y de microorganismo coliformes, se examinó la relación entre el estado de salud bucodental y la prevalencia oral de estos patógenos oportunistas. El promedio de edad de los 63 sujetos examinados era 83.4 (±17.6) años; 28.6 por ciento eran sujetos dentados con un índiceCPO de 22.4; en un 4.5 por ciento de los dientes se observaron caries radiculares. De los edentados, un 55.5 por ciento llevaba dentaduras maxilares y mandibulares completas; 59 por ciento de las dentaduras maxilares y 20 por ciento de las dentaduras mandibulares mostraban buena retención y estabilidad, mientras que las prótesis restantes eran inadecuadas; 17 por ciento de los sujetos no tenían dientes o dentaduras. La lesión mucosal más común era la estomatitis protética, que aparecía en un tercio de los que llevaban dentaduras. En tres cuartos de los residentes se observaron levaduras orales, 30 por ciento coliformes, mientras que un número considerable de sujetos presentaba una higiene bucal deficiente y enfermedades orales, que pueden ser fácilmente tratadas mediante una atención dental subvencionada por el estado.</abstract><relatedItem type="host"><titleInfo><title>International Dental Journal</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0020-6539</identifier><identifier type="eISSN">1875-595X</identifier><identifier type="DOI">10.1002/(ISSN)1875-595X</identifier><identifier type="PublisherID">IDJ</identifier><part><date>1999</date><detail type="volume"><caption>vol.</caption><number>49</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>33</start><end>40</end><total>8</total></extent></part></relatedItem><identifier type="istex">C242161FE5474071FA38140035CD49C5B70E67B6</identifier><identifier type="ark">ark:/67375/WNG-2S2HNK0M-L</identifier><identifier type="DOI">10.1111/j.1875-595X.1999.tb00505.x</identifier><identifier type="ArticleID">IDJ505</identifier><accessCondition type="use and reproduction" contentType="copyright">1999 FDI/World Dental Press</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/C242161FE5474071FA38140035CD49C5B70E67B6/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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