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 : 009A12 ( Main/Exploration ); précédent : 009A11; suivant : 009A13

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

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

Source :

RBID : ISTEX:B3FEE640F023848BF618EA6671C8AB99600B3EFC

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. Caries actives et passives des personnes âgées de la population française, hospitalisées en gériatrie

Url:
DOI: 10.1111/j.1875-595X.1998.tb00469.x


Affiliations:


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Le document en format XML

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<term>Acta odontol scand</term>
<term>Active crown lesions</term>
<term>Active lesions</term>
<term>Active root lesions</term>
<term>Active root surface caries</term>
<term>Alle zahn</term>
<term>Buffer capacity</term>
<term>Cada tip0</term>
<term>Caries</term>
<term>Caries activity</term>
<term>Caries activity index</term>
<term>Caries activity rate</term>
<term>Caries coronaires</term>
<term>Chaque type</term>
<term>Community dent</term>
<term>Coronal caries</term>
<term>Correlation coefficients</term>
<term>Covariance</term>
<term>Crown lesions</term>
<term>Crown root</term>
<term>Crown surfaces</term>
<term>Dent</term>
<term>Dental care</term>
<term>Dental caries</term>
<term>Dental health</term>
<term>Dental parameters</term>
<term>Dental status</term>
<term>Dental surfaces</term>
<term>Denture residuelle</term>
<term>Destr</term>
<term>Elderly institutionalised</term>
<term>Elderly people</term>
<term>Elderly population</term>
<term>Flachen</term>
<term>Flow rate</term>
<term>Gender</term>
<term>General parameters</term>
<term>Geriatric populations</term>
<term>High percentage</term>
<term>High percentages</term>
<term>Hospitalisation</term>
<term>Inactive</term>
<term>Inactive caries</term>
<term>Inactive lesions</term>
<term>Inactive root caries</term>
<term>Index category</term>
<term>Individual caries activity rate</term>
<term>Insgesamt untersuchten flachen</term>
<term>Institutionalised</term>
<term>Intraoral distribution</term>
<term>Lesion</term>
<term>Lingual</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Microbial conditions</term>
<term>More teeth</term>
<term>Number teeth</term>
<term>Oral health status</term>
<term>Oral hygiene</term>
<term>Other hand</term>
<term>Other studies</term>
<term>Other surveys</term>
<term>Parameter</term>
<term>Periodontal diseases</term>
<term>Porcentaje elevado</term>
<term>Present study</term>
<term>Prevalence</term>
<term>Preventive programme</term>
<term>Prozentualer anteil</term>
<term>Quantitative variables</term>
<term>Rehabilitation facilities</term>
<term>Removable prostheses</term>
<term>Root caries</term>
<term>Root fragments</term>
<term>Root lesions</term>
<term>Root surface caries</term>
<term>Root surfaces</term>
<term>Salivary</term>
<term>Salivary buffer capacity</term>
<term>Salivary parameters</term>
<term>Scand</term>
<term>Secretion salivaire</term>
<term>Significant relationship</term>
<term>Significant relationships</term>
<term>Single crown tooth surfaces</term>
<term>Single root tooth surfaces</term>
<term>Subjects institutionalised</term>
<term>Superficie dentaria</term>
<term>Superficies</term>
<term>Superficies dentarias</term>
<term>Superficies presentes</term>
<term>Surface area</term>
<term>Surface dentaire</term>
<term>Surfaces coronaires</term>
<term>Surfaces radiculaires</term>
<term>Tooth surface</term>
<term>Tooth type</term>
<term>Various patients</term>
<term>Vestibular</term>
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<term>Acta odontol scand</term>
<term>Active crown lesions</term>
<term>Active lesions</term>
<term>Active root lesions</term>
<term>Active root surface caries</term>
<term>Alle zahn</term>
<term>Buffer capacity</term>
<term>Cada tip0</term>
<term>Caries</term>
<term>Caries activity</term>
<term>Caries activity index</term>
<term>Caries activity rate</term>
<term>Caries coronaires</term>
<term>Chaque type</term>
<term>Community dent</term>
<term>Coronal caries</term>
<term>Correlation coefficients</term>
<term>Covariance</term>
<term>Crown lesions</term>
<term>Crown root</term>
<term>Crown surfaces</term>
<term>Dent</term>
<term>Dental care</term>
<term>Dental caries</term>
<term>Dental health</term>
<term>Dental parameters</term>
<term>Dental status</term>
<term>Dental surfaces</term>
<term>Denture residuelle</term>
<term>Destr</term>
<term>Elderly institutionalised</term>
<term>Elderly people</term>
<term>Elderly population</term>
<term>Flachen</term>
<term>Flow rate</term>
<term>Gender</term>
<term>General parameters</term>
<term>Geriatric populations</term>
<term>High percentage</term>
<term>High percentages</term>
<term>Hospitalisation</term>
<term>Inactive</term>
<term>Inactive caries</term>
<term>Inactive lesions</term>
<term>Inactive root caries</term>
<term>Index category</term>
<term>Individual caries activity rate</term>
<term>Insgesamt untersuchten flachen</term>
<term>Institutionalised</term>
<term>Intraoral distribution</term>
<term>Lesion</term>
<term>Lingual</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Microbial conditions</term>
<term>More teeth</term>
<term>Number teeth</term>
<term>Oral health status</term>
<term>Oral hygiene</term>
<term>Other hand</term>
<term>Other studies</term>
<term>Other surveys</term>
<term>Parameter</term>
<term>Periodontal diseases</term>
<term>Porcentaje elevado</term>
<term>Present study</term>
<term>Prevalence</term>
<term>Preventive programme</term>
<term>Prozentualer anteil</term>
<term>Quantitative variables</term>
<term>Rehabilitation facilities</term>
<term>Removable prostheses</term>
<term>Root caries</term>
<term>Root fragments</term>
<term>Root lesions</term>
<term>Root surface caries</term>
<term>Root surfaces</term>
<term>Salivary</term>
<term>Salivary buffer capacity</term>
<term>Salivary parameters</term>
<term>Scand</term>
<term>Secretion salivaire</term>
<term>Significant relationship</term>
<term>Significant relationships</term>
<term>Single crown tooth surfaces</term>
<term>Single root tooth surfaces</term>
<term>Subjects institutionalised</term>
<term>Superficie dentaria</term>
<term>Superficies</term>
<term>Superficies dentarias</term>
<term>Superficies presentes</term>
<term>Surface area</term>
<term>Surface dentaire</term>
<term>Surfaces coronaires</term>
<term>Surfaces radiculaires</term>
<term>Tooth surface</term>
<term>Tooth type</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. Caries actives et passives des personnes âgées de la population française, hospitalisées en gériatrie</div>
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