Serveur d'exploration sur le patient édenté

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Active and inactive caries lesions in a selected elderly institutionalised French population.

Identifieur interne : 009775 ( Main/Exploration ); précédent : 009774; suivant : 009776

Active and inactive caries lesions in a selected elderly institutionalised French population.

Auteurs : C. Guivante-Nabet [France] ; J C Tavernier ; M. Trevoux ; C. Berenholc ; A. Berdal

Source :

RBID : pubmed:9779092

Descripteurs français

English descriptors

Abstract

Various epidemiological investigations have shown the high prevalence and incidence of caries in geriatric populations. The aim of the present study was to evaluate the dental status and some salivary parameters of elderly French subjects institutionalised in a geriatric hospital. The study population included 117 subjects (31 males and 86 females) who were neither demented nor edentulous, with a mean age of 83.0 years (SD = 7.8). Crown and root caries were recorded according to a modified caries activity index on 17,442 surfaces (9 surfaces per tooth: 5 crown surfaces and 4 root surfaces). The 17,442 surfaces examined corresponded to 1,938 teeth. The mean number of teeth per subject was 16.6 (SD = 7.6), more teeth remaining in the mandible than in the maxilla. The 2,985 unsound root surfaces showed a high percentage of active lesions (31.2 per cent) and a low percentage of filled root surfaces (4.5 per cent). Crowns and roots also presented a high percentage of destroyed surfaces: 1,446 destroyed surfaces, 8.3 per cent of the examined surfaces. Salivary parameters (flow rate and buffer capacity) were also recorded. Stimulated salivary flow rate had a relationship with crown caries (linear regression and analysis of covariance), and buffer capacity with root caries (analysis of variance and covariance). The data illustrate critical treatment needs in French geriatric institutions. This situation, which appears to differ from previous reports in European and US elderly people, may be related to French specificities concerning oral health status and/or care policy, but also to the usually very old population.

PubMed: 9779092


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Le document en format XML

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<term>Analysis of Variance</term>
<term>Buffers</term>
<term>Dental Caries (etiology)</term>
<term>Dental Caries Activity Tests</term>
<term>Dental Restoration, Permanent</term>
<term>Evaluation Studies as Topic</term>
<term>Female</term>
<term>France</term>
<term>Geriatrics</term>
<term>Health Policy</term>
<term>Health Status</term>
<term>Hospitals, Special</term>
<term>Humans</term>
<term>Incidence</term>
<term>Institutionalization</term>
<term>Jaw, Edentulous (etiology)</term>
<term>Linear Models</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Needs Assessment</term>
<term>Prevalence</term>
<term>Root Caries (etiology)</term>
<term>Root Caries (therapy)</term>
<term>Saliva (physiology)</term>
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<term>Secretory Rate</term>
<term>Tooth Crown (pathology)</term>
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<term>Analyse de variance</term>
<term>Caries dentaires (étiologie)</term>
<term>Caries radiculaires ()</term>
<term>Caries radiculaires (étiologie)</term>
<term>Couronne dentaire (anatomopathologie)</term>
<term>Débit sécrétoire</term>
<term>Femelle</term>
<term>France</term>
<term>Gériatrie</term>
<term>Humains</term>
<term>Hôpitaux spécialisés</term>
<term>Incidence</term>
<term>Institutionnalisation</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Modèles linéaires</term>
<term>Mâchoire édentée (étiologie)</term>
<term>Mâle</term>
<term>Politique de santé</term>
<term>Prévalence</term>
<term>Restaurations dentaires permanentes</term>
<term>Salive (physiologie)</term>
<term>Salive (sécrétion)</term>
<term>Substances tampon</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tests d'évaluation de l'activité carieuse</term>
<term>État de santé</term>
<term>Études d'évaluation comme sujet</term>
<term>Évaluation des besoins</term>
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<term>Analysis of Variance</term>
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<term>Dental Restoration, Permanent</term>
<term>Evaluation Studies as Topic</term>
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<term>Geriatrics</term>
<term>Health Policy</term>
<term>Health Status</term>
<term>Hospitals, Special</term>
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<term>Incidence</term>
<term>Institutionalization</term>
<term>Linear Models</term>
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<term>Mandible</term>
<term>Maxilla</term>
<term>Needs Assessment</term>
<term>Prevalence</term>
<term>Secretory Rate</term>
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<term>Analyse de variance</term>
<term>Caries radiculaires</term>
<term>Débit sécrétoire</term>
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<term>France</term>
<term>Gériatrie</term>
<term>Humains</term>
<term>Hôpitaux spécialisés</term>
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<term>Maxillaire</term>
<term>Modèles linéaires</term>
<term>Mâle</term>
<term>Politique de santé</term>
<term>Prévalence</term>
<term>Restaurations dentaires permanentes</term>
<term>Substances tampon</term>
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<term>Tests d'évaluation de l'activité carieuse</term>
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<div type="abstract" xml:lang="en">Various epidemiological investigations have shown the high prevalence and incidence of caries in geriatric populations. The aim of the present study was to evaluate the dental status and some salivary parameters of elderly French subjects institutionalised in a geriatric hospital. The study population included 117 subjects (31 males and 86 females) who were neither demented nor edentulous, with a mean age of 83.0 years (SD = 7.8). Crown and root caries were recorded according to a modified caries activity index on 17,442 surfaces (9 surfaces per tooth: 5 crown surfaces and 4 root surfaces). The 17,442 surfaces examined corresponded to 1,938 teeth. The mean number of teeth per subject was 16.6 (SD = 7.6), more teeth remaining in the mandible than in the maxilla. The 2,985 unsound root surfaces showed a high percentage of active lesions (31.2 per cent) and a low percentage of filled root surfaces (4.5 per cent). Crowns and roots also presented a high percentage of destroyed surfaces: 1,446 destroyed surfaces, 8.3 per cent of the examined surfaces. Salivary parameters (flow rate and buffer capacity) were also recorded. Stimulated salivary flow rate had a relationship with crown caries (linear regression and analysis of covariance), and buffer capacity with root caries (analysis of variance and covariance). The data illustrate critical treatment needs in French geriatric institutions. This situation, which appears to differ from previous reports in European and US elderly people, may be related to French specificities concerning oral health status and/or care policy, but also to the usually very old population.</div>
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